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Medical Forum / General / Dentistry / February 2007

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Grinding teeth?

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JimSocal - 29 Jan 2007 19:35 GMT
My dentist seems to think I am grinding my teeth at night.
I have never noticed myself doing this, but I don't think I do. I
don't do it during the day...

The dentist didn't seem to be sure that I was, only speculating.

Is there any way to know for sure if I do or not?

I resisted the suggestion to wear a night guard because I once had a
thing made for my mouth, to wear at night, for whitening my teeth, and
I found it very hard to sleep with it, even after trying it for a
couple weeks. In the end, I decided to discontinue it anyway due to
the fact that as I increased the % of active ingredient in the gel per
instructions, it hurt my teeth like hell! My teeth ended up hurting
like hell for several days after I wore the gel one night with the
increased solution, so at that point I just stopped using it.

Anyway, as far as grinding goes, my main question is, how do I know if
Im grinding or not?
And is there any way to deal with it other than to wear something in
my mouth at night?
Mark & Steven Bornfeld - 29 Jan 2007 19:50 GMT
> My dentist seems to think I am grinding my teeth at night.
> I have never noticed myself doing this, but I don't think I do. I
[quoted text clipped - 17 lines]
> And is there any way to deal with it other than to wear something in
> my mouth at night?

    Unless you're under 30, it should be pretty obvious to the dentist
examining you if you have been grinding for a significant period of time.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Dartos - 30 Jan 2007 14:21 GMT
When you eat, your teeth barely touch each other.  Normal
mastication has the teeth cutting/mashing through the food
and the split second that teeth touch, the jaw opens and
the process starts anew.

You don't cut/mash though the food and then continue grinding
the teeth against each other.  Slow down and pay attention
sometime while your eating (though thinking about it while
you are chewing may alter your habits slightly).

Another thing to consider is that our modern diet is not
very abrasive to our teeth.  Food is cleaner and more refined
than in ancient times.  We cook almost everything.

So.....if chewing is not creating a lot of tooth wear, yet
you still have flat spots on your teeth and sharp jagged
edges where they fit together, I wonder how that happened.
The teeth didn't get that way by themselves.

That's it!  The teeth are coming in contact with one another
without food in your mouth!

Farmers, truck drivers, heavy equipment operators, construction
workers, and assembly line workers quite often have lots of tooth
wear.  The physical demands of their jobs in addition to noise
and vibrations lead to having the jaw 'set' and the teeth wearing
on each other.

Driving in city traffic, mowing the yard, vacuuming, washing the
car, moving furniture, even watching an exciting game on television
can also lead to a little clenching.

Now take the stresses of everyday life and at different stages of
sleep imagine clenching with 10 or more times the force than you
would ever do while awake, and it's easy to see where teeth can
be damaged.

I do not know the actual percentage of the population who do significant
damage to their teeth with nocturnal clenching/grinding, but it is
extremely common by what I see in my practice.

You already know what my preferred method of treatment is.

:-)
D

> My dentist seems to think I am grinding my teeth at night.
> I have never noticed myself doing this, but I don't think I do. I
[quoted text clipped - 17 lines]
> And is there any way to deal with it other than to wear something in
> my mouth at night?
The Webby - 30 Jan 2007 19:36 GMT
The point one should not miss is this:

[snipped]

> You already know what my preferred method of treatment is.
>
> :-)
> D

Hi Dartos,

How far "we" have come ...

> You already know what my preferred method of treatment is.)

Talk about a win-win situation ... who'd a thunk-it "back then"?  ;-)

Webby
P.S.  I prepared your delicious chili recipe the other day ... and it
was a *big hit*!  All enjoyed!!  Thanks for sharing...  :-)

> > My dentist seems to think I am grinding my teeth at night.
> > I have never noticed myself doing this, but I don't think I do. I
[quoted text clipped - 17 lines]
> > And is there any way to deal with it other than to wear something in
> > my mouth at night?
Dartos - 31 Jan 2007 16:36 GMT
A lot can happen in 10-12 years. :-)

I need to make some chili myself!  It'll have to wait til
next week though.  Going to Minneapolis to watch Ryan
play baseball (college game in the Metrodome) this week
end.

Best wishes,
D

>>You already know what my preferred method of treatment is.)
>
[quoted text clipped - 3 lines]
> P.S.  I prepared your delicious chili recipe the other day ... and it
> was a *big hit*!  All enjoyed!!  Thanks for sharing...  :-)
YouGoFirst - 30 Jan 2007 18:14 GMT
> Anyway, as far as grinding goes, my main question is, how do I know if
> Im grinding or not?
> And is there any way to deal with it other than to wear something in
> my mouth at night?

Your wife can tell you if you grind your teeth at night.  My wife told me.

I grind my teeth, and have a nightguard, and only had problems with it for
the first couple of weeks.  Since then I feel funny if I sleep without it.
Dartos - 30 Jan 2007 19:16 GMT
Grind? Probably.  Clench? No.

Not everyone makes noise and not everyone wakes up because
of it.

I see lots of patients who are destroying their teeth and have
no idea that they are doing it to themselves while they sleep.

D

>>Anyway, as far as grinding goes, my main question is, how do I know if
>>Im grinding or not?
[quoted text clipped - 5 lines]
> I grind my teeth, and have a nightguard, and only had problems with it for
> the first couple of weeks.  Since then I feel funny if I sleep without it.
JimSocal - 30 Jan 2007 23:57 GMT
>> Anyway, as far as grinding goes, my main question is, how do I know if
>> Im grinding or not?
[quoted text clipped - 5 lines]
>I grind my teeth, and have a nightguard, and only had problems with it for
>the first couple of weeks.  Since then I feel funny if I sleep without it.

Thanks for the feedback. If it's not TOO much money, I'm willing to
try wearing a device at night. However I am skeptical that I'll be
able to handle it, as I am a VERY light sleeper.

How much do these devices cost?
YouGoFirst - 31 Jan 2007 14:28 GMT
I don't remember how much it cost, but I think it was around $200, but I
don't remember too well.

>>> Anyway, as far as grinding goes, my main question is, how do I know if
>>> Im grinding or not?
[quoted text clipped - 11 lines]
>
> How much do these devices cost?
JimSocal - 05 Feb 2007 20:54 GMT
>I don't remember how much it cost, but I think it was around $200, but I
>don't remember too well.

That's a lot to pay for something I MIGHT not be able to wear (if I
can't sleep well with it).
The Webby - 05 Feb 2007 23:07 GMT
> >I don't remember how much it cost, but I think it was around $200, but I
> >don't remember too well.
> >
> That's a lot to pay for something I MIGHT not be able to wear (if I
> can't sleep well with it).

Fortunately, you can't just go to Nordstrom's and buy one.

Webby
Dartos - 06 Feb 2007 13:53 GMT
> That's a lot to pay for something I MIGHT not be able to wear (if I
> can't sleep well with it).

I don't think I've had anyone who *couldn't* sleep with an NTI.
I've had a few who really didn't try.

If they are made correctly, there isn't much to get used to.

JME,
D
JimSocal - 06 Feb 2007 21:11 GMT
>> That's a lot to pay for something I MIGHT not be able to wear (if I
>> can't sleep well with it).
[quoted text clipped - 6 lines]
>JME,
>D
Okay, I'll ask my dentist about it and see how much they want for it.
kingdowdenis@yahoo.com - 07 Feb 2007 08:09 GMT
I have flat spots on every tooth, does it mean I grind my teeth? Are
these flat spots come from chewing or eating food ?
Dartos - 07 Feb 2007 14:13 GMT
> I have flat spots on every tooth, does it mean I grind my teeth? Are
> these flat spots come from chewing or eating food ?

Chewing food does not entail forcing the teeth to touch and then
grinding them together.  As soon as your teeth touch, the mouth
opens and moves the food around for another cycle.

'Flat spots' on teeth mean that the teeth are in direct contact
with one another and then moved in a grinding fashion.

Truck drivers, assembly line workers, heavy equipment operators,
farmers, etc. are around dirt, noise, vibration, and stress while
working and often clench their teeth on the job to do damage.

However, many of them, and many others, clench and/or grind their
teeth at different stages of sleep.

The bigger the wear facet and the younger the patient, the more
serious the problem.

D
Newbie - 07 Feb 2007 15:11 GMT
>I have flat spots on every tooth, does it mean I grind my teeth? Are
>these flat spots come from chewing or eating food ?

Yep.

Nope.
hannelypo@gmail.com - 16 Feb 2007 21:16 GMT
> That's a lot to pay for something I MIGHT not be able to wear (if I
> can't sleep well with it).

Try to use a mouthpiece/tooth protecter for martial arts or hockey.
Find one that fits well. It costs 2-3$, It will work temporarily and
allow you to get used to it.
 
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