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Bruxism

Bruxism refers to an oral parafunctional activity that occurs in most humans at some point in their lives.   Grinding of the teeth and clenching of the jaw are the two main characteristics of this condition, which can occur during the day or at night.

Bruxism is one of the most common known sleep disorders and causes most of its damage during sleeping hours.  The clenching and grinding which accompanies bruxism is symptomatic of a malfunctioning chewing reflex, which is turned off in non-sufferers when sleeping.  For sufferers, deep sleep or even naps cause the reflex nerve control center in the brain to turn off and the reflex pathways to become active.

Typically, the incisors and canines (front 6 upper and lower teeth) of opposing arches grind against each other laterally.  This side to side action puts undue strain on the medial pterygoid muscles and the temporomandibular joints.  Earache, depression, headaches, eating disorders, and anxiety are among the most common symptoms of bruxism; these symptoms also accompany health issues such as chronic stress, Alzheimer’s disease, and alcohol abuse.

Bruxism is frequently misdiagnosed or not diagnosed at all, because it is only one of several potential causes of tooth wear.  Only a trained professional can tell the difference between bruxing wear and wear caused by overly aggressive brushing, acidic soft drinks, and abrasive foods.

A BiteStrip® is an economical device used to diagnose bruxism at home.  The device itself is a small electromyography which senses and monitors any activity in the jaw muscles during sleep.  The frequency and severity of the condition can then be assessed and the best treatment plan can be formulated.

Reasons for the treatment of bruxism

Here are some of the main reasons why bruxism should be promptly treated:

  • Gum recession and tooth loss – Bruxism is one of the leading causes of gum recession and tooth loss. It damages the soft tissue directly and leads to loose teeth and deep pockets, where bacteria can colonize and destroy the supporting bone. 
  • Occlusal trauma – The abnormal wear patterns on the occlusal (chewing) surfaces can lead to fractures in the teeth, which may require restorative treatment.
  • Arthritis – In severe and chronic cases, bruxing can eventually lead to painful arthritis in the temporomandibular (TMJ) joints (the joints that allow the jaw to open smoothly).
  • Myofascial pain – The grinding associated with bruxism can eventually shorten and blunt the teeth.  This can lead to debilitating headaches and muscle pain in the myofascial region.
Treatment options for bruxism

There is no single cure for bruxism, though a variety of helpful devices and tools are available.  Here are some common ways in which bruxism is treated:

  • Mouthguards – An acrylic mouthguard can be designed from tooth impressions to minimize the abrasive action of tooth surfaces during normal sleep.  Mouthguards should be worn on a long-term basis to help to stabilize the occlusion as well as prevent damage to teeth and to the temporomandibular joint.
  • NTI-tss device – This device is fitted by a health professional and only covers the front teeth.  The goal of the NTI-tss is to prevent the grinding of the rear molars by limiting the contraction of the temporalis muscle.
  • Botox® – Botox® can be injected into the muscles to relax and weaken them.  Botox® is an excellent treatment for bruxism because it weakens the muscles enough to prevent grinding but not enough to interfere with everyday functions like chewing and speaking.

Other methods of treatment include relaxation exercises, stress management education, and biofeedback mechanisms.  When the bruxing is under control, there are a variety of dental procedures such as crowns, gum grafts, and crown lengthening that can restore a pleasant aesthetic appearance to the smile.

If you have questions or concerns about bruxism, please contact our office.

Testimonials.

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Testimonials

My mother is in a nursing home in Harrisville Michigan. She dropped her dentures and broke a tooth. The entire staff was in her room trying to find the broken tooth, but it must have fallen into the heat register or something. Anyway it never turned up. My brother, Rick, went to visit and called to tell me about it. "We have to do something," he told me. "I can't stand to see mom looking like this." He was planning to take a few days off and take me up north to see about getting her to the dentist to get her plate fixed. I went online and called several dentists in the area. They could not help me with the problem. Then I found Dr. Gregg Resnick DDS in Alpena. He said he could fix them and have them ready by the next day. I had our friends, Shirley and Tom Harmon, pick up the plate and take it to his office. The doctor called me (I live over 200 miles from where my mom is). Dr. Resnick was concerned that he might not be able to grind the tooth properly and that my mom wouldn't be able to chew properly. You see he was under the impression she had a full set of dentures and didn't realize that she had some lower teeth. He told me that although the tooth was broken mom would not have a problem chewing with it that way. "But, we do have a problem," I told him. "My brother can't stand to look at her with that broken tooth." He sighed and said, "Let's do it then." I could have hugged him through the phone. I promised him that if mom had a problem chewing that I would bring her handicap van and get her to his office the next day. Well, mom got her plate today. She ate dinner and said that she could chew just fine. I have Dr. Resnick to thank for this. He did me a favor and it worked out just fine. I wish there were more dentists like him. He and his staff gave me 5 star service.

Sandra C.

My name is Brad Boehm. I am a local physician in Alpena, Michigan. I had an erosion problem with my teeth that made them appear yellow and deformed. I went to see a cosmetic dentist in Atlanta, Georgia. The repair work to my teeth including veneers was over $70,000. I came home very depressed. While at a routine cleaning I discussed this with Dr. Gregg Resnick, my new dentist. He formulated a treatment plan that was identical to the plan from Georgia at less than one-third the cost. I am sure the cost in Georgia included partial rent payment for the mansion the clinic was located in.

I chose to have my teeth fixed by Dr Resnick and I truly could not be happier! During the treatment process minor adjustments were made. This required a quick end of the day visit to see Dr. Resnick instead of a day or two wasted flying to Atlanta. My family and friends comment all the time about my teeth and how I smile so much more. I would recommend Dr. Resnick to anyone who wishes to improve their smile.

Dr. Boehm

I first met Dr. Resnick 20 years ago when referred by a friend for emergency care. Now Nancy and I are thankful he has been our dentist ever since. We think of our appointments as going to an office where we will be treated as friends, not only by him, but also by the staff.

Dr. Resnick is always calm, patient, encouraging and knowledgeable in dental care. His staff reflects his demeanor. Furthermore, he is an interesting guy.

He is always interested in patients as individuals outside of the office. I remember telling him of impending surgery and later he called me at home to encourage and wish me well.

We recommend him to all our friends.

Robert and Nancy Sloan

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