Symptoms & conditions

Teeth grinding (bruxism)

Routine — book when convenient

The short answer

Most people who grind don't know they do — it happens in sleep. Signs: morning jaw soreness, headaches at the temples, flattened tooth tips, or a partner hearing the grinding at night. A custom nightguard (OMR 80-150) prevents the damage. Ignored, it costs you cracked teeth, receding gums, and eventually restorative work worth thousands.

What's happening

The clinical picture

Bruxism is rhythmic clenching and grinding of the teeth, 90% of it during sleep. Forces during grinding reach 250-400 Newtons — several times what you generate chewing. Over years this causes micro-cracks in enamel, flattening of the biting surfaces, notching at the gum line (abfraction), and chronic strain on the TMJ. Causes are multifactorial: sleep-breathing disorders (especially mild sleep apnoea), stress/anxiety, caffeine or nicotine, and occasionally bite discrepancies. A proper assessment looks at all of them; a nightguard manages damage while the cause is addressed.

Warning signs

Contact us the same day if:

  • Morning headache at the temples or jaw
  • Visibly flat or chipped tooth edges
  • Teeth that have gotten sensitive over time
  • "V-shaped" notches at the gum line
  • Partner hears grinding at night

What we do

Our approach

Clinical exam looking for wear facets, abfraction, and TMJ tenderness. Impressions taken chair-side for a custom hard-acrylic nightguard (OMR 80-150) delivered 1-2 weeks later. If sleep apnoea is suspected we refer to a sleep physician — bruxism plus snoring is a flag. Anxiety-driven grinders may benefit from a stress-management conversation with their GP.