A member asked:

Why is my tmj worse at night?

10 doctors weighed in across 8 answers
Dr. Theodore Davantzis answered

Specializes in Dentistry

Grinding: You may be grinding at night. Speak to your dentist and physician.

Answered 10/14/2016

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Dr. Mark Birnbach answered

Specializes in Cosmetic Dentistry

TMJ: When sleeping, you are probably grinding or clenching your teeth, which aggravates the muscles that are producing that action. This also can create inflammation of the joint which can cause pain as well.

Answered 9/25/2016

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Dr. Andrew Killgore answered

Specializes in Cosmetic Dentistry

TMJ: Tooth position can contribute to tmd symptoms. You could be potentially clenching or grinding.

Answered 3/17/2015

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Clenching, grinding: Usually due to nighttime clench and grind. See a TMJ expert for advice and treatment.

Answered 3/18/2015

3.1k views

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Dr. John Van der Werff answered

Specializes in Dentistry

Perception or..: It may be that one is more aware of pain or one may be clenching their teeth which can cause more pain... For help i would suggest seeing a dentist who has experience diagnosing and treating the tmj.

Answered 9/8/2016

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Sleep bruxism : There are a couple of reasons why TMJ pain is worse at night. While you are sleeping you don't have conscious control over your muscles so you can grind more and in ways that you would not do when awake. Your muscles relax and can close off your airway and cause snoring or gasping for breath, sleep apnea. Sleep bruxism is related to sleep disturbances. See a dentist trained in TMJ and sleep.

Answered 5/6/2015

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Dr. Gary Sandler answered

Specializes in Dentistry

Not always the case: But if that is what you find for yourself, perhaps you are clenching and grinding most of the day from stress. Most patients tell me that it's worse in the morning upon awakening. See if you can catch yourself gritting your teeth together now that i brought this possibility up.

Answered 8/17/2017

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Clench/grind: When TMJ problems are worse at night, usually due to nighttime clenching and grinding. Get a night guard.

Answered 8/23/2016

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