Bruxism is defined as excessive grinding of teeth or excessive clenching of the jaw. Bruxism is an oral parafunctional activity that is an activity not related to normal function such as eating or talking.

Age/sex prevalence of Bruxism

Bruxism can affect individuals of any age from children to elderly depending upon the cause.

Males and females both are affected by bruxism.

Races affected by Bruxism

Individuals of any race can be affected.

Classification of Bruxism

There are two main types of bruxism

• One that occurs during sleep and is known as sleep bruxism.
• Second that occurs during wakefulness is known as awake bruxism.

Causes of Bruxism

Individual clench and grind their teeth without being aware of it during both day and night, although sleep related bruxism is often bigger problem because it is harder to control.

The cause of bruxism is not completely agreed upon, but daily stress may be trigger in many people.Some people probably clench their teeth and never feel symptoms. Whether or not bruxism causes pain and other problems may be a complicated mix of factors:

• How much stress you are under
• How long and tightly you clench and grind
• Your posture
• Your diet
• Your ability to relax
• Your sleeping habits
• Whether your teeth are misaligned

Bruxism sign and symptoms

Grinding can leads to wear down your teeth.

Grinding can be noisy enough at night to bother sleeping partners. Clenching the teeth puts pressure on the muscles, tissues and other structures around your jaw. The symptoms can cause temporomandibular joint problems.

Symptoms included are as follows:-

• Painful or sore jaw
• Headache
• Insomnia
• Hot, cold or sweet sensitivity in the teeth.
• Eating disorders
• Anxiety, stress and tension
• Depression
• Earache

Investigations of Bruxism

Examination of the patient will help to rule out other disorders that may cause similar jaw pain or ear pain including

• Ear disorders such as ear infections
• Dental disorders
• Problems with temporomandibular joint

Differential diagnosis of Bruxism

• Oromandibular dystonia
• Tourette syndrome
• Hemifacial spasms
• Huntington disease
• REM-behavior disorder
• Parkinson’s disease
• Tardive dyskinesia

Treatment of Bruxism

The most important role of treatment is to reduce pain, prevent damage to the teeth and reduce clenching as much as possible.

To relieve pain there are many self care steps listed below:-

• Avoid eating hard foods like nuts, candies, steak.
• Drink plenty of water every day.
• Get plenty of sleep
• Apply ice or wet heat to sore jaw muscles.
• Massage the muscles of the neck, shoulders and face.
• Relax your face and jaw muscles throughout the day.
• Try to reduce your daily stress.

Complications of Bruxism

• Insomnia.
• Increased dental or TMJ problems.
• Eating disorders
• Depression

Prognosis of Bruxism

Bruxism is not a dangerous disorder. However, it can cause permanent damage to the teeth and uncomfortable jaw pain, headaches, or ear pain.

Homoeopathic treatment for Bruxism


•Well indicated medicine for grinding of teeth.
•Tongue is red on edges.
•Well indicated medicine for boil on gums.
•Patient complains of stammering.
•Mouth is dry.
•Tongue appear red as if like a strawberry.

Hyoscyamus niger

•Well indicating medicine for grinding of teeth.
•Foams at mouth.
•Teeth of the patient covered with sordes.
•Also help in treating lower jaw drops.
•Tongue dry, red, cracked, stiff and immovable, protruded with difficulty.


•Grinding of teeth at night,with intense desire to press gums together.
•Helpful medicine in difficult dentition.
•Tongue is broad, large, moist.
•There is foul putrid taste in mouth.
•Burning sensation of tongue.

Kali bromatum

•Patient suffers from grinding teeth in sleep.
•Sleeplessness due to worry and grief from sexual excess.
•Horrible dreams.

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