A member asked:

Can facial change due to bruxism be fixed?

3 doctors weighed in across 3 answers

Yes : If it is from bruxism. Part of a full mouth reconstruction is to restore a person's vertical dimension.

Answered 9/16/2013

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Dr. Steven Koos answered

Specializes in Oral and Maxillofacial Surgery

Loss of VDO: If you are a major bruxer and depending how many teeth you have, loss of vertical dimension due to excessive wear on teeth can cause subtle changes facially. These can be "reversed" by re-establishing vdo via full mouth occlusal rehabilitation.

Answered 9/16/2013

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Yes, with work: Bruxism or grinding of one's teeth can lead to significant tooth wear and overclosure of the bite. This can cause wrinkles at the corners of the mouth and an aging appearance. A trained dentist using a plastic bite appliance can 'open' the bite as tolerated and then build up the worn teeth to the determined level. This could involve crowns on several teeth and be quite extensive.

Answered 9/16/2013

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