It won’t be news to you that stress can damage the dentition in the form of attrition, but did you know that statistics indicate that one in three workers experience post-holiday blues? It makes sense that this can then exacerbate bruxism.
If a patient presents with pain and/or tooth wear that can be attributed to bruxism and they tell you that they are stressed, it is a good idea to let them know that making a few simple lifestyle changes can be of significant benefit, including:
• Doing something relaxing before bed, such as yoga, reading or having a bath
• Learning to brush effectively yet gently with a relatively soft toothbrush and a toothpaste low in abrasivity.
Further, prescribing muscle relaxants and the use of a suitable mouthguard, such as a Michigan splint, may prove useful. Such splints help to protect the teeth against bruxism and reduce TMJ pain by encouraging the patient’s mandible to assume the most comfortable and reproducible position. The overall aim with such a guard is to protect against any damage that may be caused by a habitual grinding pattern and to break the cyclical habit, if at all possible.
In addition, recommending care from a physiotherapist or osteopath with specialist knowledge of the temporomandibular joint (TMJ) might be appropriate to prevent further damage.
The London Tooth Wear Centre® offers an evidence-based and comprehensive approach to managing tooth wear.
To request advice, make a referral or for further information on the work of the London Tooth Wear Centre®, please visit www.toothwear.co.uk, email This email address is being protected from spambots. You need JavaScript enabled to view it. or call 020 7486 7180.