Because of the heavy pressures on a bruxer's teeth, we recommend, as part of their bruxism treatment, that they have metal amalgam fillings rather than white posterior composites. The metal holds up better to the grinding and in these patients, the benefits of dental amalgam greatly outweight the risks.

          Many bruxism patients are not aware that they are grinding their teeth. They may brux at night (nocturnal bruxism) and/or during the day. One type of bruxism treatment involves helping the patient become more aware of the grinding using biofeedback. Sensors are stuck to both the patient's masseter muscles. When the patient grinds, the sensors respond by beeping. As the beeping continues, the patient quickly becomes much more aware of the bruxism.

          The overuse of a patient's muscles can lead to jaw pain, jaw tenderness, ringing in the ears, headaches, neckaches, and decreased hearing. Bruxism often gets worse when a patient is emotionally or physically stressed. It can also be an unwanted side effect of psychiatric drugs. As part of their bruxism treatment, we recommend trying changes in diet and vitamin and mineral supplementation because suboptimal nutrition may be a factor. Exercise releases natural endorphins and increases the blood flow to the facial muscles so that they are better fed and are able to release waste products. These factors are addressed in our six week program.

          Without bruxism treatment a bruxism patient's teeth can be destroyed so care is primary aimed at protecting the patient's teeth. As the teeth shorten and lose their natural enamel hard coating, they become susceptible to tooth decay. They may eventually need root canal therapy if the grinding continues or if decay hits the nerves of the teeth. As part of the care, we recommend a soft mandibular bruxism mouth guard along with a six week program to help with grinding. If you have bruxism problems and would like to consult with Dr. Padolsky, please make an appointment by calling  404-874-7428.