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Bruxism

life science Maturity 5-7 Next article →

Bruxism is a medical term for excessive teeth grinding or jaw clenching. This behavior is known as a parafunctional activity. This means it is not part of normal functions like eating or talking. It is a very common behavior across the globe. A 2024 meta-analysis found the global prevalence of bruxism is 22.22%. This figure includes both people who grind while sleeping and those who grind while awake. Many people do not even realize they have this condition. They often only discover it because of its physical effects.

Topviewtooth
Topviewtooth

There are two primary types of bruxism. The first is nocturnal bruxism, which occurs during sleep. The second is awake bruxism, which occurs during wakefulness. These two types often show different symptom patterns. For nocturnal bruxism, symptoms are usually most intense immediately after waking. These feelings tend to abate or lessen during the day. In contrast, awake bruxism may not show symptoms at all upon waking. Instead, the symptoms of awake bruxism often worsen as the day progresses.

Gray378 (masseter highlight)
Gray378 (masseter highlight)

Bruxism affects the muscles of mastication, which are the muscles used for chewing. These include the masseter, the temporalis, and the medial and lateral pterygoid muscles.

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Gray383

When these muscles are used excessively, they can experience hypertrophy. This means the muscles actually increase in size. People may also feel tenderness, pain, or fatigue in these muscles. This sensation can feel very similar to muscle soreness after heavy exercise. Some people may even experience trismus, which is a restriction in how wide they can open their mouth. This puts significant strain on the entire jaw system.

The teeth and the jaw joints can also suffer damage. One common result is attrition, which is wear caused by tooth-to-tooth contact. This wear flattens the occlusal surface, or the biting surface, of the teeth. Another possible type of wear is abfraction. This involves V-shaped defects near the gumline caused by the flexing of the tooth. If the hard enamel wears away, the softer dentin layer becomes exposed. This can lead to hypersensitivity, where cold liquids cause pain.

Topviewtooth
Topviewtooth

In severe cases, the teeth may even fracture or wear down completely.

Researchers have studied how bruxism affects different groups of people. The data can vary because of how different studies define the condition. However, some clear patterns have emerged. Awake bruxism is thought to be more common in women. For sleep bruxism, men and women are affected in equal proportions. Interestingly, children can experience bruxism just as often as adults. Sleep bruxism can start as early as the first year of life. This happens once the deciduous incisors, or baby teeth, erupt into the mouth. In infants, the prevalence of sleep bruxism may be over 50%.

Specific numbers help show how bruxism is distributed around the world. The global prevalence of sleep bruxism is 21%. The prevalence of awake bruxism is slightly higher at 23%. In North America, the prevalence of sleep bruxism is 31%. This is the highest observed in that category. In South America, awake bruxism is the highest at 30%. In Asia, the prevalence of awake bruxism is 25%. In Europe, it is 18%. These statistics show that while the habit is global, it varies by region and type.

Bruxism also has connections to other dental and health issues. Some researchers study its link to temporomandibular joint dysfunction, or TMD. TMD involves pain in the joints that connect the jaw to the skull. While some suggest sleep bruxism might contribute to TMD, the relationship is still debated. The forces from grinding can also affect the periodontal ligament. This is the tissue that holds teeth in place. Excessive force may cause inflammation in this ligament. This can lead to tooth soreness or even increased tooth mobility.

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