Bruxism is a non-normal (abnormal) habit that is characterized by tightening or gritting of teeth that can occur both during the day and unconscious during nighttime sleep

It is present in a significant number of people even in children. Patients often recognize the problem of bruise either because they perceive it when they clench their teeth during the day or by the noise that makes their teeth grind at night. A large part of the population may not know they are bruxists.

Another sign indicating bruxism is the characteristic abrasions on the cutting and chewing surfaces of the teeth, which the dentist finds during the clinical examination. Usually the Bruxists show these characteristic abrasions but these do not always exist.

Bruxism has multifactorial aetiology.

Because bruising often occurs during the night, the physiology of sleep has been extensively studied. Recent research suggests that brugality is associated with sleep disturbances as well as difficulty breathing during sleep with a more prominent example of Obstructive Sleep Apnea. In addition, there are strong indications that brugality is associated with disorders of the central nervous system.

dc6d0-16.jpgA large number of psychosocial factors that affect our lifestyle seem to increase the likelihood of bruising. People with anxiety or simply anxious and intense lifestyle appear to be at a higher risk of bruising. Stress seems to be mainly a bogey during the day and not a night bark. A high-risk group also includes people with depression, smokers or substance abuse people.

Typically, the Bruxists show some characteristic symptoms, some of which disappear when bruising stops. These symptoms do not always appear and not the same gravity in everyone.

The most typical of these are:

Headaches (especially after breakfast wake up)

Pain in the ear area (not associated with ear pathology such as otitis)

Muscle pain or gait in the area of the face, the temples, the neck and / or the shoulders

Pain when chewing

Difficulty in opening the mouth

Annoyances and / or sounds in the area of the temporomandibular structure

Sounds from teeth grinding during sleep

Characteristic abrasions on the chewing and tearing surfaces of the teeth

Cracks and fractures in teeth, impurities and dental work

Sensitivity to teeth

Impressions on the sides of the tongue

0a54d-15.jpgTackling bruise begins with the recognition of the problem. The bruising that occurs during the day is mainly due to behavioral change. The patient learns to perceive the moment he tightens his teeth and then consciously stops the bruise and makes sure he relaxes his jaw and keeps the teeth in their normal position and not in contact with each other. As far as night barking is concerned, the most important part of the treatment involves the construction of a suitable personalized rigid acrylic narthex which the patient wears overnight. This splint, if properly designed, helps to protect the teeth and relax the masseter muscles that over-function during bruising.


Particular care must be taken in selecting a suitably constructed burglar splint. An inappropriate splint is not simply ineffective, but it can also ggravate the events of the bruise.

The most important element a burglar splint must meet is that it is specifically made for the particular patient who will use it and fit perfectly in its denture. Prefabricated dumbbells that are marketed do not ensure proper fit and are at risk of leaving their sleeping position.

For more information click the link: