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Medical Forum / General / Dentistry / March 2008

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how do I know if I'm a 'night clencher'?

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martin - 05 Mar 2008 15:37 GMT
I've had two molars crowned because they were cracked, and may have
the symptoms of another cracked molar (all on my left side, BTW).

Doing a bit of research on this newsgroup, I've read that at least one
dentist believes that cracked teeth are nearly always the result of
grinding and clenching, rather than chewing, so I really need to find
out if I do this in my sleep, to safeguard the future of my teeth.

I don't show any signs of grinding (eg: worn cusps), but I do have a
habit of clenching my teeth while awake (but only gentle clenching - I
don't think my I put my teeth together nearly as hard as when I'm
eating).

But I'm worried about what I do when I'm asleep. I don't wake up with
a headache, and I don't feel any tiredness or ache in my jaw muscles.
Since I live alone, and don't know what I do when I'm asleep, are
there any other clues as to whether or not I clench my teeth in the
night?

This is an important question, as the remedy of choice in this
newsgroup - an NTI splint - is only offered by a very few dentists
here in the UK and is very expensive, so I wouldn't want to go this
route unless I had to.

Any advice here would be very welcome.
Amatus Cremona - 05 Mar 2008 15:54 GMT
You are describing a typical clencher.

Get an NTI

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/

Amatus

/

> I've had two molars crowned because they were cracked, and may have
> the symptoms of another cracked molar (all on my left side, BTW).
[quoted text clipped - 21 lines]
>
> Any advice here would be very welcome.
Dartos - 05 Mar 2008 22:01 GMT
Ditto.

BTW, how much are the crowns?  How uncomfortable is the
cracked tooth syndrome?  The NTI may look more affordable
after you answer those questions.  You also might shop
around on the NTI end of things.  Some dentist might
be willing to make one for less treating a
'garden variety clencher' than for a migraine case.

As with any treatment, it is usually better to have it
done by someone with a good amount of experience.

D

> You are describing a typical clencher.
>
> Get an NTI
Mark & Steven Bornfeld - 05 Mar 2008 16:34 GMT
> I've had two molars crowned because they were cracked, and may have
> the symptoms of another cracked molar (all on my left side, BTW).
[quoted text clipped - 21 lines]
>
> Any advice here would be very welcome.

    You may or may not be a clencher.  I'm afraid to go on the record as
not thinking of the NTI as a panacea--I may be excommunicated from the
club. I think the concept is good, and the dentists here that have used
it frequently have gotten good results.
    However, there is no way to know if your teeth have cracked because you
clench.  Often a tooth is overbuilt with resin or amalgam that would be
better off with an onlay or crown.  I've seen many patients where these
are the teeth that predictably fracture (especially upper premolars with
big MOD amalgams), and no others.
    If you DO clench at night, it could well contribute to teeth cracking.
 But I wouldn't blame clenching as a significant factor in the absence
of some actual evidence that you do grind and clench--such as a
complaining spouse, for example...

Steve

Signature

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

Dartos - 06 Mar 2008 13:16 GMT
But I wouldn't blame clenching as a significant factor in the
> absence of some actual evidence that you do grind and clench--such as a
> complaining spouse, for example...

Really significant clenchers do just that.  CLENCH.  Their teeth are
so tight together that bruxing isn't much of an issue and they
don't make noise by the subsequent grinding of their teeth.

Bed mates have no idea what's going on.

Best wishes,
Steve

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