Has your wife and dentist told you that you gnash your teeth at night. The term to describe this behavior is called ‘bruxism’. This night-time tooth gnashing activity typically causes the teeth to be worn down over time and may result in tooth pain, breakage, and even muscle and jaw joint soreness. I do it when I am stressed and you could be doing it as well. So…has your dentist told you that the problem is related to your bite and that adjustment of your ‘occlusion’ will ‘fix’ the problem?
This would not be surprising as this concept continues to be espoused in Dental training. If you google ‘Bruxism’ you will find ‘expert’ web sites such as the Mayo and Cleveland clinic providing support for this idea via statements such as “bruxism is related to an abnormal alignment of upper and lower teeth (malocclusion)” (Mayo Clinic) or with the Nemours foundation Web site “dentists don’t know for sure why some people grind their teeth, but they think it may have something to do with a persons bite – which means the way the top and bottom teeth fit together” or on the Cleveland Clinic web site “ Why do people grind their teeth? Although teeth grinding can be caused by stress and anxiety, it often occurs during sleep and is more likely caused by an abnormal bite or missing or crooked teeth”.
So, given the above, you would think that this advice was sage and accurate based on current science. Well, think again. The most recent science, reviewed in an article in dental.healthimaginghub.com and titled: ‘Sleep bruxism, the latest review’ suggests that bruxism is NOT caused by the occlusion or the way the teeth fit together, but is – rather – a central brain phenomena exacerbated by a number of potential external factors. So if it is suggested to you that adjustment of your bite will ‘fix’ the problem of bruxism you now know that this is not the case.
The article on bruxism referenced above is the type of critique that you will find of personal interest on dental.healthimaginghub.com – a thorough and concise review of pertinent science in the arena of oral/dental health.
As Editor in Chief of the Dental Hub of Health Imaging Hub I invite my medical colleagues to visit this exciting new edition to HIH. Although designed primarily for individuals involved in oral/dental health care, the site will feature many articles of interest to all Medical health practitioners. For example, under the Oral Medicine section current articles and literature reviews concern Oral Cancer, CBCT assessment, bone loss associated with Zoledronic Acid, and oral sedation issues. In the Oral Surgery section are reviews of articles such as ultrasound use in the ER for diagnosing dental abscess and recent procedures for treating cleft lip and palate. Other articles of potential interest concern periodontic, endodontic, hygiene, and general dentistry issues. Soon to be released will be weekly case studies involving radiology and oral disease. You can also find downloads of premium content and other portals similar to the medical site. The editorial board consists of international experts with impressive research and academic credentials. So please visit the Dental Hub and see what it is all about. You won’t be disappointed.
If you have any suggestions or questions, please don’t hesitate to contact me at firstname.lastname@example.org
Jeff Burgess DDS MSD
Boarded In Oral Medicine