A member asked:

How can buxim (teeth grinding, biting, & clenching) at night be helped without the use of a mouth guard? (sensory issues... guard would prevent sleep)

5 doctors weighed in across 5 answers

Btw...it's BRUXISM..: The mouth guard doesn't stop bruxism but only eliminates the harmful effects (tooth wear)...Relieving the cause (most often stress) is the answer.

Answered 3/19/2013

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Possibly: There are a number of possible causes for bruxism as well as different modalities of treatment that may or may not involve a mouth guard. You need to have a thorough dental exam with the appropriate studies to determine possible causes of your bruxism. If you do require an appliance there are different types of appliances that can be utilized that may allow you to sleep comfortably.

Answered 3/19/2013

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Dr. John Thaler answered

Specializes in Prosthodontics

Psychotherapy: Mouthguard is the only real method of protecting the teeth. There are many kinds. See a prosthodontist fer evaluation and for options. Perhaps psychotherapy to address the underlying cause of the clenching / grinding (usually stress) would be appropriate for you. Good luck.

Answered 3/18/2013

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Medications: There are also some medications that will help patients to stop the cycle of bruxing and clenching in their sleep. Low dose anti-depressants are usually good for this. Also, behavioral modification therapy can break the habit of clenching and bruxing.

Answered 3/26/2013

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Dr. Gary Sandler answered

Specializes in Dentistry

Good question!: We really don't understand fully what causes bruxism. Stress and sleep disorders seem to be the two most likely factors, but no one really knows for sure. Therefore stress reduction techniques and a sleep study may be helpful. Medications may help, although i personally would rather wear a night guard to prevent destruction to TMJ and teeth than taking medications to possibly reduce it.

Answered 6/10/2014

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