Pharmacy Clinical Pearl of the Day: Bruxism


Individuals with bruxism may unconsciously clench their teeth when awake or grind teeth during sleep.

Clinical Pearl of the Day: Bruxism

Bruxism is a condition in which an individual grinds, gnashes, or clenches their teeth.


  • Individuals with bruxism may unconsciously clench their teeth when awake (awake bruxism) or clench or grind them during sleep (sleep bruxism).
  • For mild bruxism no treatment is needed; however, if severe enough, it can cause jaw disorders that will have to be evaluated.
  • Symptoms include grinding teeth, teeth flattening or fracturing, worn tooth enamel, tired or tight jaw muscles, jaw pain, neck pain, face pain, dull headache, and sleep disruptions.
  • Risk factors include stress, age, personality type, medications and substance use, family history and other disorders, such as epilepsy, night terrors, gastroesophageal reflux disease, and attention-deficit hyperactivity disorder.
  • Treatment may include mouth guards use, dental corrections, stress or anxiety management, behavior change, and medications such as muscle relaxants, Botox injections, and medications for anxiety and stress.
  • Lifestyle modifications include reducing stress, practicing good sleep habits, talking to a sleep partner, and scheduling regular dental appointments.


Bruxism (teeth grinding) - Diagnosis and treatment - Mayo Clinic

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