Getting to the root of unexplained dental damage and premature wear to restorations: A guide to teeth grinding

While vitally important, the services available at Alpine Family Dental are about more than reclaiming and sustaining an attractive smile. Our team in Kalispell, Montana, is led by Dr. Evan Olson. Dr. Olson has acquired substantial and distinctive advanced training in highly specialized areas of dentistry, including dental sleep medicine. As such, he supports patients’ overall health and well-being with solutions like oral appliance therapy (night guards) for bruxism. 

What is bruxism? 

Defined as “semi-voluntary” or “involuntary” gnashing, grinding, and clenching of the teeth and jaws, bruxism is associated with anxiety and stress and affects a reported 10% of the adult population. Women tend to have this condition more than men, and it is also associated with the temporomandibular (TMJ) joints or jaw joints. Bruxism arises as the opposing upper and lower teeth come into contact with each other and when bracing or thrusting the lower jaw. It may be a primary condition or secondary to other illnesses and even to the medications taken to manage those conditions. Stimulants like coffee and soda, as well as teeth and jaw misalignment, can also affect the progression of bruxism. 

How do I know if I have bruxism? 

Good question! Dental professionals like our team are often on the front lines of diagnosing this condition. Because patients tend to grind their teeth while sleeping, they may not be aware that they have this problem! We may suspect bruxism is to blame if, during an exam, the following signs are noticed or mentioned by the patient: 

• Tight jaw muscles
• Sore muscles 
• Facial and jaw pain 
• TMJ symptoms (chronic headaches, jaw stiffness)
• Distinctive wear patterns to the teeth 
• Flat, worn-down teeth 
• Thin enamel
• Chips and fractures
• Gum recession
• Loose teeth

These and other symptoms tend to be worse upon waking. Without care, patients can damage their teeth and dental work, resulting in the need for potentially extensive and expensive restorative procedures. It can also lead to more problems with the TMJs and even alter facial aesthetics.

What is oral appliance therapy?

OAT is an entire category of services available at Alpine Family Dental. These devices are custom-fitted to each patient’s unique specifications and are worn in the mouth as directed. These appliances come in a variety of different designs and forms. “Night guards” generally refer to one type of oral appliance. Due to Dr. Olson’s extensive investments in technologies and training associated with dental sleep conditions, you can rest assured that the guard will be made precisely. It is also made from high-quality dental materials. 

If you are a nocturnal or night “bruxer,” you simply slip the guard into your mouth before going to bed. The custom design helps to ensure comfort and high patient compliance. It is discreet, easy to wear and adjust to, and can be transported in a small case. True to its name, the night guard acts as a buffer to protect the teeth, oral tissues, and restorations from damage when you bite down and clench your jaws. This “cushioning” also helps soften the blow that can stress the joints and exacerbate TMJ-related issues. 

Don’t press “snooze” on bruxism. We encourage you to contact our team in Kalispell, MT, at (406) 393-8877 to learn more about options to protect your smile and health. 

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