How do I know if I am grinding my teeth? | Dr. Miller

Teeth grinding is a common sign of a temporomandibular disorder (TMD), commonly called TMJ, and can go unnoticed until it causes damage to the teeth or painful symptoms begin to be experienced. Most patients grind their teeth during sleep and are unaware that they are doing so in many cases.

Dr. Stephen Miller often notices the signs of teeth grinding, known as Bruxism, when patients are examined during preventive care visits:

  • Teeth that are worn, have chips or flat edges
  • Worn tooth enamel
  • Sensitive teeth
  • Jaw pain or tightness in the jaw muscles
  • Earache
  • Headache and/or facial pain
  • Cuts or damage to the inside of the cheek or tongue

Once Dr. Miller has determined that there are signs of bruxism, he will perform a thorough evaluation of the patient’s occlusal system in order to create a treatment plan that will bring long lasting and effective results. Teeth grinding can lead to complex dental problems including gum disease and tooth loss. It is important to correctly diagnose the underlying cause of teeth grinding to bring a patient’s occlusal system back into balance. Dr. Miller has extensive training in the areas of bite disorders and TMJ, which includes the treatment of bruxism and its effects. Dr. Miller also has extensive experience treating complex dental problems like TMJ, treating patients in the Asheville area for over 20 years.

There are several types of treatment options for patients who grind their teeth and Dr. Miller will take the time with each patient to create a personalized plan of treatment that is best suited to their dental health issues:

splint therpay/nightguard: this is a conservative avenue of treatment that is worn at night to prevent tooth grinding;
orthodontics: Dr. Miller may suggest the use of braces to properly align the teeth;
bite equilibration: bite correction therapy will involve subtle adjustments to the teeth to restore balance in the bite.

For more complex cases, or situations where teeth are damaged, Dr. Miller may recommend a restorative procedure to bring the bite back into proper alignment and prevent teeth grinding and its effects.

If you think you may be grinding your teeth or have experienced any of the symptoms mentioned, contact Dr. Miller and schedule a consultation.

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