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Quick reference medical handouts used by Pediatric offices


Bruxism - Teeth Grinding


Teeth grinding (medically known as Bruxism is a habit that seems to be increasing in frequency among children. Most of the kids who grind their teeth do so at night, although some will gnaw at their teeth during the day as well. However, since kids normally clench their teeth at night when they sleep, teeth grinding is more evident during the night time hours and may even go unnoticed during the day.

The exact cause of bruxism is unknown. Dentists don't really know what turns some kids (and not others) into grinders. Parents often worry that grinding signals tension or high anxiety, but that's not usually the case with toddlers. Tooth grinding in toddlers usually goes away on its own as the child gets used to having teeth.

A trip to the dentist is probably not a bad idea. He or she can check for any evidence of wear and tear and if present, will monitor it. If there were a significant jaw discrepancy that could be causing the grinding, that might be a reason for some kind of intervention.

A couple of fairly recent studies report some interesting findings regarding bruxism in children. It appears that grinding of the teeth can occur in association with other sleep disorders such as night-time muscle cramps, bed-wetting, colic, drooling, and sleep talking. Sleep disturbances may be an underlying cause of these activities.

In addition, it is possible that children who are bed-wetters and children who brux may have similar sleep patterns. Interruptions in rapid eye movement (REM) sleep patterns may be a result of dehydration.

While tooth grinding in adults is usually a sign of stress, in kids it is probably more of a habit than anything else. Treatment is usually not necessary since baby teeth don't need to last that long, and it would take some pretty hard grinding to wear them down to a worrisome level before they were ready to come out on their own.

See also: An answer to a parent's question on this subject.

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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