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ADVICE RATING |
    4.24 (Worth a try) from 58 votes (14285 Visits) |
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Teeth Grinding in Children - Bruxism |
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by matthew (April 2006) (rank 32nd) |
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Why do they grind?
Bruxism (a.k.a. teeth grinding) appears to be happening more often in children. Grinding of teeth is a strange occurrence that dentists are not really able to explain – some get it and some don’t without any particular reason. Some possible issues which may give rise to grinding include new contact between teeth (upper and lower), poorly placed fillings or crowns, intestinal parasites (uurgh), nutritional deficiencies or even psychological factors like stress. In children it is most often explained by their “getting used to having new teeth”… Most often teeth grinding happens during sleep however, (particularly with Children) it can happen during the day. If it happens at night the “grinder” may not be aware of it except for some sore jaw muscles or some tell-tale wear which a dentist could find.
What to do about it?
For young children who have not yet lost their baby teeth many dentists will say “Do nothing, just tune out the sound if it troubles you”, because it takes a lot of grinding to wear out teeth and children teeth only last a few years.
The key message here is RELAX! It may sound awful and get you very concerned but your child is likely just getting used to new teeth and is unlikely to do any kind of serious damage on baby teeth – it is a common concern for parents. Having said this if your child is really suffering pain from his/her teeth then you should immediately consult a dentist. Just the sound of grinding should not be a prompt for such a concern though and normally child tooth grinding will ease up on its own over a short time.
Recent studies have found that teeth grinding may be associated with bed wetting and other night-time disturbances. One suggestion from that study is to ensure your child is well hydrated (with water not just milk) prior to going to bed as this reduces the sodium levels in the blood and actually lessens the likelihood of bed-wetting as well as tooth grinding (note this is from study results not personal experience!).
If your child has got their adult teeth then it is more of an issue and you should consider checking in to your dentist to monitor the situation and to check for any mal-aligned teeth.
Hope this helps!
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ADVICE RATING |
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Re: Teeth Grinding in Children - Bruxism
Nice article, reading the comments it seems to have helped a lot of people.
I have a few issues with it though.
I'm not sure bruxism is becoming more common in children. It probably is being diagnosed more often though.
I think bruxism is more linked to stress than to occlusal (bite) problems. You're also more likely to suffer from bruxism if you already have some other sleep disorder or parasomnia, such as snoring, sleep talking, violent behaviour during sleep, sleep paralysis etc.. (The greatest risk factor for bruxism is sleep apnoea but that's very rare.) You're also at greater risk if you smoke, drink lots of alcohol or drink lots of caffeine. Finally, it can also be a side effect of drugs for depression, anxiety and sleep.
The association with bed wetting is interesting. As I've mentioned pre-existing parasomnias are risk factors for sleep bruxism. But also, both bruxism and bed wetting are linked to stress so I expect that is why there is such a strong link. I think parents should be very careful not to cause their children to worry about wetting the bed. As this will probably only make the bed wetting worse, and may make bed times stressful enough for the child to cause them to grind their teeth.
Bruxism is associated with arousals (not sexual!) during sleep, so it could be that children who grind their teeth in their sleep are getting poor quality sleep. If this is the case parents may experience more tantrums in the morning!
In general teeth grinding in children is not something to worry about whilst they still have their baby teeth. It may be worth asking yourself whether it could be caused by stress. One of the commenters has said her daughter's teeth grinding was exacerbated by bullying at school, which is worth tackling for its own reasons.
The study you mention linking bruxism and sodium levels sounds interesting. Do you have a link to an abstract for it? Did the study suggest drinking water over milk or was that your own suggestion? To be honest that sounds very strange, milk is mostly water and so should hydrate you pretty well. I don't think there's any point in forcing water down a child's throat if they prefer milk of orange squash!
I hope I've been helpful. More information on sleep bruxism can be found at The Bruxism Association website. The information is mostly concerning bruxism in adults though.
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Related keywords: baby, bed, bruxism, child, dentists, gnashing, grind, grinder, grinding, jaw, night-time, sleep, sodium, sound, teeth, tooth, wetting | |  | | | Related TagsAddbaby, bed, bruxism, child, dentists, gnashing, grind, grinder, grinding, jaw, night-time, sleep, sodium, sound, teeth, tooth, wetting | | | | |
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