IT IS a bit of a strange word for tooth grinding.
Medically known as “bruxism”, it is a common condition that affects people of all ages.
It often occurs unconsciously, either during sleep or while awake, which makes it easy to overlook. However, persistent tooth grinding can lead to serious dental and health problems if left untreated. Recognizing the signs early on is key to preventing long-term damage.
One of the most obvious signs of tooth grinding is worn, flattened, or chipped teeth. Over time, the constant pressure and friction can erode tooth enamel, making teeth appear shorter or uneven. In severe cases, teeth may crack or become loose.
Dentists often spot these changes during routine checkups, sometimes before the patient realizes there is an issue.
Another common sign is jaw pain or tightness, especially upon waking up. People who grind their teeth at night may experience soreness in the jaw muscles or difficulty opening their mouth fully in the morning. This discomfort can extend to the face, neck, or shoulders, as the muscles involved are overworked during grinding episodes.
Headaches, particularly dull headaches that start at the temples, are also closely linked to bruxism. These headaches are caused by prolonged muscle tension and often occur in the morning. Unlike migraines, they tend to feel like a steady ache rather than sharp or throbbing pain.
Many individuals who experience tooth grinding also experience tooth sensitivity. As enamel wears down, the inner layers of the teeth become exposed, making them more sensitive to hot, cold, or sweet foods and drinks. This sensitivity may develop gradually and worsen over time if the grinding continues.
A less obvious but equally important sign is ear pain or a feeling of fullness in the ears, even when no ear infection is present. This happens because the jaw joint, known as the temporomandibular joint, is located close to the ear canal. Strain on this joint can create pain that feels like it originates in the ear.
For those who grind their teeth during sleep, disturbed sleep patterns may occur. Grinding noises can be loud enough to wake a partner, who may be the first to notice the problem. The grinder themselves may wake up feeling tired, even after a full night’s sleep, due to repeated muscle activity and waking up constantly.
In some cases, tooth grinding is associated with facial changes, such as enlarged jaw muscles. Chronic grinding can cause these muscles to grow, giving the lower face a broader or more square appearance over time.
Bruxism is more than a harmless habit. Signs such as worn teeth, jaw pain, headaches, sensitivity, and sleep disturbances should not be ignored.
If you notice any of the symptoms mentioned above, consult a dentist or healthcare professional. They can help identify the cause and prevent further damage. Early intervention can protect your teeth, improve comfort, and support better overall health.
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Dr. Joseph D. Lim, Ed. D., is the former Associate Dean of the College of Dentistry, University of the East; former Dean, College of Dentistry, National University; Past President and Honorary Fellow of the Asian Oral Implant Academy; Honorary Fellow of the Japan College of Oral Implantologists; Honorary Life Member of the Thai Association of Dental Implantology; and Founding Chairman of the Philippine College of Oral Implantologists. For questions on dental health, e-mail jdlim2008@gmail.com or text 0917-8591515.
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Dr. Kenneth Lester Lim, BS-MMG, DDM, MSc-OI, graduated Doctor of Dental Medicine, University of the Philippines, College of Dentistry, Manila, 2011; Bachelor of Science in Marketing Management, De la Salle University, Manila, 2002; and Master of Science (MSc.) in Oral Implantology, Goethe University, Frankfurt, Germany, 2019. He is an Associate Professor; Fellow, International Congress of Oral Implantologists; and Fellow, Philippine College of Oral Implantologists. For questions on dental health, e-mail limdentalcenter@gmail.com./PN
