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Medical Forum / General / Dentistry / November 2007

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clenching my teeth

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Kong - 01 Nov 2007 01:33 GMT
Also curious if it's worth spending ~$500 for a nightguard because I
tend to clench my teeth at night.  Is it really that much better than
the kind you boil and make yourself ?  Sorry if this is stupd question
but I'm just starting to read about bruxism, i'd never heard of it and
it seems like a serious condition.  thanks again,

Al
Steven Fawks - 01 Nov 2007 02:20 GMT
Only if it's an NTI.

I would say whatever restoration that you choose for the
root canaled molar, you better wear one forever.

JME,
Steve

> Also curious if it's worth spending ~$500 for a nightguard because I
> tend to clench my teeth at night.  Is it really that much better than
[quoted text clipped - 3 lines]
>
> Al
Steven Bornfeld - 01 Nov 2007 02:36 GMT
> Also curious if it's worth spending ~$500 for a nightguard because I
> tend to clench my teeth at night.  Is it really that much better than
[quoted text clipped - 3 lines]
>
> Al

    Don't use a do-it-yourself job.  They can cause more problems than they
solve.
    Around here, the guys tend to recommend the NTI device--small and
effective.
    If you are a clencher BTW I would lean toward a gold rather than a
ceramic restoration.

Steve
doctai77@gmail.com - 02 Nov 2007 03:04 GMT
Wouldn't it be better to find out why your bruxing?  I wonder if you
have other symptoms.  Whether it be medicine or dentistry we always
are treating the symptoms and not the problem.  you might look into
neuromuscular dentistry.  otherwise i agree, if you aren't sure you
are bruxism use a boil and bite.  if you chew through it very quickly,
ie. less than a week, go get an nti.
Steven Fawks - 02 Nov 2007 13:37 GMT
> Wouldn't it be better to find out why your bruxing?  I wonder if you
> have other symptoms.  Whether it be medicine or dentistry we always
> are treating the symptoms and not the problem.  you might look into
> neuromuscular dentistry.  otherwise i agree, if you aren't sure you
> are bruxism use a boil and bite.  if you chew through it very quickly,
> ie. less than a week, go get an nti.

No theories to date, including neuromuscular dentistry, have been able
to stop clenching (bruxing does not encompass the worst of the issue).

Reduce it....maybe.  Design restorations that stand up to the
attack....mabybe.  Otherwise it's an expensive crapshoot.

Steve
Kong - 03 Nov 2007 00:41 GMT
Not sure why I might be doing it, in fact I'm not even 100% sure that
I clench.  I have trying to pay attention to it and when i wake up I
do notice I'm clenching my jaw but not extremely hard.  Is there any
way to find out for sure ?  Also a separate question about the root
canal.  It's been 3 days and there's no pain as long i don't chew on
it.  But if I accidently chew on it, with even slight pressure, it
hurts.  Isn't the nerve supposed to be dead, and therefore no pain?  I
called the dentist and he says give it a few days and come back if
still there.

thanks again guys for your input and have a good weekend.

Al
Steven Fawks - 03 Nov 2007 02:46 GMT
The nerve in the tooth should be gone, but the tissues and bone around
the tooth are very much alive!  Plenty of nerve endings, and it all
has to heal before things are back to normal.  A root canal is
endodontic therapy (withing the tooth).  Your body has to fix the
'exodontic' structures.

As far as clenching, there isn't a perfect way to know the intensity
or duration of your personal activity.  Any symptoms of clenching
makes an NTI worth it to me.

Steve

> Not sure why I might be doing it, in fact I'm not even 100% sure that
> I clench.  I have trying to pay attention to it and when i wake up I
[quoted text clipped - 9 lines]
>
> Al
 
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