I grind my teeth at night over 40 years

Any connections here?

I grind my teeth at night and have done for over 40 years. My daughter grinds her teeth and has TMJ also. My niece has just told me that she grinds her teeth and wakes up with shocking tooth pain. Any connections here?

Discussion

Dan Ascroft Baker
If possible, a profile shot of you all would help

Janet Scott
Is that side view or front? Not too good at pictures but will try.

Dan Ascroft Baker
And tell them they’re all getting X-Rays! lol

Eva Willer-andersen
One dentist informed me that grinding ran in families , whether he was right I don’t know . He prescribed clonazepam for me supposedly to ease my situation although I don’t actually grind but get extreme muscular tightness which I now believe has its origins in the neck / jaw alignment . I took the clonazepam for several years but have weaned myself of it as the benefits were negligible and I believe these pills just mess you up even more . JAnet for you it could well be structural I would have thought .

Dan Ascroft Baker
Did you get prescribed clonazepam in the UK? Didn’t think could get it here

Eva Willer-andersen
Yes in the uk. From an Irish splint man

Janet Scott
I think mine is structural but try convincing the clueless doctors.

Guilad Weil
acording to some very serious studies about sleep bruxism prevalence, it can happen to about 15 to 25 % of general children population, and about 10 % of adult population…..so chances are anyone can have relatives who also have sleep bruxism..if it is genetic or not is still beeing researched, so far inconclusive

Jnanam Jason Gan
My teeth has grounded off to the point where the nerves are starting to be exposed…

Guilad Weil
Jnanam, you should wear an acrylic splint during sleep to protect further tooth wear caused by sleep bruxism

Dan Ascroft Baker
Insist on lower jaw one though!

Janet Scott
I have had 6 night guards/ splints and not one has helped. The only lower one was an NTi.

Guilad Weil
How can a splint not help to lessen tooth wear caused by sleep Bruxism? Grinding.continues, but enamel.is harder then acrilic, so the wear is on the acrilic

Janet Scott
Guilad Weil Because when you grind and clench hard in a splint it will protect the enamel and put the stress into the bone.

Guilad Weil
If you grind and clench hard on teeth you will put stress into the bone AND have tooth wear

Janet Scott
Guilad Weil So what is the answer?

Guilad Weil
What’s the question?

Janet Scott
Guilad Weil What do you do when you have been grinding and clenching your teeth for over 40 years and have extreme bone loss and worn down/built up with composite teeth and a flat left condyle?

Guilad Weil
Janet , I can only answer to the bruxism question, not the tmd, ok? First step in Bruxism management is a correct diagnosis…what kind of Bruxism do you have? Sleep, awake, primary or secondary? Have you done a polisonography study ? How many microarousals per hour of sleep do you have? How much reparative sleep per.night? Are your RMMas phasic or tonic?how many events per.hour? any airway issues? Usually sleep Bruxism does NOT cause by itself bone issues, only if you had previous periodontal problems so , how is your períodontal.health?

Guilad Weil
Tooth wear caused by sleep Bruxism…gums.and bone in good shape

Guilad Weil
If the above patient had used an acrilic splint to sleep he would still have his teeth almost intact….btw this patient does not have tmd or orofacial pain, just tooth wear

Amit Alok Pandey
Grinding is very common these days but certainly all grinding does not lead to chronic TMD. Grinding with bad dental intervention can wreak havoc, certainly.

Janet Scott
Well we are all doomed.