Treatment of bruxism

at the Niewada Clinic

Shortened, worn-down teeth, recurring headaches, clicks, and the feeling of jaw jumping during daily activities are just a few symptoms that can be diagnosed as bruxism—a condition that affects over half of our society.

 

Bruxism is a disorder related to the improper positioning of teeth relative to the temporomandibular joints, combined with excessive tension of the surrounding muscles and ligaments.

 

Years of training and practice have allowed us to deeply understand this problem and find a solution in the form of bioesthetic philosophy.

 

Precise diagnostics using modern technology is the basis for our effective bruxism treatment process.

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What does diagnosing bruxism involve?

The diagnosis of bruxism usually requires an interdisciplinary approach and collaboration between a dentist, orthodontist, and dental physiotherapist. Here are some steps that may be part of the bruxism diagnosis process:

 

– Patient interview during consultation
– Muscular assessment and DC/TMD examination (dedicated to headache and temporomandibular joint disorders)
– Temporomandibular joint tomography
– Respiratory tract tomography
– Magnetic resonance imaging
– Analysis of the patient’s jaw and mandible models in an articulator
– Polysomnographic examination – assessment of sleep apnea
– Patient posture evaluation

 

Based on the results of the examinations, we make a diagnosis, and then we implement the appropriate treatment process, supplemented by physiotherapy. As part of the examinations, we also diagnose predispositions to sleep apnea.

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Treatment of bruxism

Based on the conducted studies, diagnosing occlusal disease (bruxism) and developing a treatment plan, we implement splint therapy. While wearing the splint, there is a reduction in tension in the temporomandibular joints and the surrounding muscles, which ultimately aims to prepare the patient for final treatment.

Effectiveness

Thanks to our experience and knowledge gained over years of practice, we are confident that splint therapy is very effective and essential in the process of efficient treatment of temporomandibular joint disorders. This is confirmed by our patients, who notice a significant reduction in symptoms and improvement in the comfort of daily functioning.

Splint therapy

The therapy time with the M.A.G.O. splint depends on the dysfunction and medical evaluation. It usually lasts from 6 weeks to half a year or longer. After the stabilization period, remission and symptom relief occur. There is a stabilization of the joints, and at this point, we can begin orthodontic or prosthetic treatment.

Check-up visits during splint therapy

The treatment process with a splint is subject to strict, weekly checks, during which the doctor adjusts and precisely fits it to ensure it remains comfortable throughout the entire period of use.

What sets Niewada Clinic apart in the treatment of bruxism?

We treat the causes, not the symptoms.

The therapies we implement always target the cause, not just the symptoms. At our clinic, we eliminate the factors causing dysfunctions in the temporomandibular joints, ensuring that the final outcome of the therapy will be effective and lasting.

We complement the treatment with physiotherapy.

Because bite disorders, issues with the temporomandibular joints, and headaches can be related to the spine, we collaborate with outstanding specialists in spine rehabilitation and physiotherapy to achieve better results.

We conduct thorough diagnostics.

Each of our patients, in addition to standard diagnostics, undergoes a detailed examination of muscles and joints. Notably, as part of the examination, we assess the risk of a very serious disorder, which is sleep apnea.

We have many years of experience.

Our knowledge and experience allow us to take a broader view of the patient. This is very important because bruxism affects the entire body, from migraines and headaches to postural defects, spine problems, and periodontitis.

We approach treatment holistically.

Dentistry has undergone significant changes over the last decade. In our pursuit of excellence, we draw on the experiences of outstanding specialists from around the world. Our own experience and natural passion for perfection allow us to practice holistic dentistry, which is a source of our pride and satisfaction.

Team of experts

We treat the cause, not the effects. This is a fundamental starting point in our approach to the patient and dentistry. Nowadays, this requires a cohesive team of specialists, which we have assembled.

The profound knowledge in their respective fields and the extensive experience of each of our doctors, cumulated at every stage of treatment, guarantee beautiful and lasting results.

Bruxism and sleep apnea

An improper relationship between the jaw and mandible relative to the temporomandibular joints and the muscles of mastication and the face can to some extent affect the airways and impair airflow, exacerbating the problem of sleep apnea.

 

Sleep apnea is a common condition where breathing repeatedly stops during sleep. Although it may seem harmless, sleep apnea disrupts sleep, deprives the brain and other organs of oxygen, which can cause serious health problems.

It's worth knowing about this.

It is estimated that over 85% of people suffering from sleep apnea have not been diagnosed.

 

Apart from adults, this condition also occurs in children, manifesting itself through symptoms such as nocturnal enuresis, behavior associated with ADHD, or daytime sleepiness.

Faq / Bruxism

What is bruxism?

Bruxism is a problem resulting from the improper position of teeth in relation to the temporomandibular joints, causing excessive tension in the muscles and ligaments around them. If you notice shortened teeth, recurring headaches, clicks, or a sensation of the jaw popping during daily activities, these may be symptoms of bruxism. This condition affects more than half of the population.

Why do I have bruxism?

Bruxism can result from the improper position of the temporomandibular joints, which connect the skull to the jaw. The condyle, or the head of the jawbone, fits perfectly into a cavity in the temporal bone, called the articular tubercle. Between these two structures is the articular disc, made of cartilage, which serves to cushion the movements of these two bones. When the joints are not in the right position, the patient may experience pain and various disorders, including tooth wear, grinding, and clicks or sleep disturbances. Disorders in the mechanics of the temporomandibular joints affect not only the patient’s well-being but also the posture of the entire body and the functioning of other joints, soft tissues, and muscles.

What are the symptoms of bruxism?

In the examination of older people who still have their primary, undamaged, healthy teeth, it was discovered that the proper alignment of the temporomandibular joints was a conditioning factor for maintaining oral health.

 

Our brain is programmed to ensure even pressure and contact for teeth. When teeth do not have the proper form and are incorrectly positioned, the brain compensates for these disorders with the appropriate movement of the jaw, causing destabilization in the temporomandibular joints.

Over time, this leads to some of the following symptoms:
* teeth wear
* increased tooth mobility resulting from overload
* pain in facial mimic muscles
* headaches and neck pain
* pains and clicks in the joints
* spine pain
* pain during chewing
* limitation or complete problem with opening the mouth
* ear ringing
* dizziness
* sleep problems
* cracking of “fillings” and crowns and damage to dental implants

Should bruxism be treated?

Often, we are not aware that certain types of discomfort stem from dysfunctions of the teeth and temporomandibular joints. They can cause tooth wear, clicks in the joints, jaw pain, neck and back pain, sleep disorders, general fatigue, and severe headaches.

How long does bruxism treatment take?​

The therapy that we implement at Niewada Clinic lasts from several weeks to several months. This is a process during which the body must have time for reconstruction and strengthening of the chewing muscles, alignment of the temporomandibular joints, and improvement of body posture. Then, the effects of bruxism treatment are the most lasting.

What does the NTI splint look like and how is it used?

It is a small piece of plastic that is worn at night, on the area of the upper front teeth.

 

The NTI splint interrupts the tension reflex and allows for muscle relaxation. While using the splint, the patient cannot clench or grind their teeth. It is a temporary relief in pain, symptomatic, acting like a typical deprogrammer, similar to the Kois deprogrammer.

 

For comprehensive treatment, more accurate diagnostics are needed, using, for example, a MAGO splint.

What does the M.A.G.O splint look like and how is it used?

The M.A.G.O splint aims to reprogram the jaw, reducing muscle tension and minimizing stress on the temporomandibular joints.

 

The splints we use are made of transparent, durable, and flexible material successfully used in dentistry. The splint usually covers a larger part of the dental arches, including the front and rear areas.

 

It is used for several weeks to several months in the treatment of various disorders, including bruxism, problems with the temporomandibular joints, and in some orthodontic cases.