Talk:Bruxism

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Contents

[edit] Gurning redirect

Why does "gurning" redirect here? porge 07:06, Oct 13, 2004 (UTC)

[edit] External link appeal

What is the problem with this site that prevents its inclusion as an external link?   — Lee J Haywood 8 July 2005 06:55 (UTC)

[edit] BiteStrip

The BiteStrip article has the following description of Bruxism:

Sleep Bruxism (SB) is a serious medical disorder, characterized by involuntary grinding and clenching of teeth during sleep. It is often accompanied by unpleasant grinding sounds heard by the bed-partner or roommate when they are awake and watching you sleep. Symptoms include wearing of teeth, temporomandibular joint (TMJ) dysfunction or pain, chewing difficulties, headaches and daytime sleepiness. The prevalence of SB is estimated at 14%-20% in children and 8% in adults. Diagnosis of SB is usually based on clinical examination and patient history. However, none of the signs and symptoms may be considered conclusive. Another alternative has been to send the patient to a sleep lab for an overnight test. The high cost of a lab visit has been a barrier for many to confirm their condition before damage to the teeth occurs.

I note that we don't have the same information in this article. Perhaps we can a) find a reference for those numbers and b)include this info in the main article. Jarich 03:31, 18 August 2006 (UTC)

[edit] The infinitive is "to brux".

Just to explain my having deleted this line--the etymology of the word, as given (βρυγμός), is a noun. There are not infinitives to nouns. If there were an infinitive, I'd assume the proper route would be to give the infinitive of the word itself, not of its English transliteration. Simply, it would be redundant, in an article on "running," to put "The infinitive is 'to run'." Anyway, minor edit... --Mrcolj 06:12, 4 September 2006 (UTC)

[edit] Rating

I marked this article as a Start-class and as having high importance. There is a good amount of information in the article currently, though I think a lot more is still missing. A picture is needed. I considered the article as having high importance since it is a very common dental finding and is something important to resolve. - Dozenist talk 18:19, 5 November 2006 (UTC)

A picture of what? A mouth guard?   — Lee J Haywood 19:22, 5 November 2006 (UTC)
Mouth guard, teeth with attrition, a bite that shows evidence of grinding... yeah, things of that nature. - Dozenist talk 19:49, 5 November 2006 (UTC)
I agree. Show pictures of abfractions, what teeth that have grinding look like, attrition, mouth guards... Makes perfect sense to me. Why not? -ForestAngel 15:22, 20 November 2006 (UTC)

I stumbled across this page and saw the note that it needs to be copyedited. I'm a professional editor, so I ran through it and made a few minor changes. I hope this helps. —Preceding unsigned comment added by 64.65.173.128 (talk) 18:54, 11 September 2007 (UTC)

I'm sure nobody would object to good images, it's just a matter of obtaining them, free of copyright issues. Of U.S. government sites, I found one low-resolution image on the National Insitute of Health's site, of apparently severe bruxism, that may be suitable. It says explicitly that the material isn't copyrighted. There's also an image of one bruxism-damaged tooth in wikimedia commons, and a picture of a [dental splint] of some sort, but without a detailed description...some splints are meant to adjust occlusion, not protect against bruxism. -Agyle 04:28, 15 October 2007 (UTC)

[edit] Research?

I would like to know where this research came from that said most people grind their teeth to some degree. I myself grind my teeth at night and no one else I know does it. Can I have a link where this specific quote came from? A statistic? The demographic? If the study group were all adults and lived in the city than these results are invalid and biased. I'd also like some information on how I can fix this. I seem to start grinding my teeth for short intervals every sleep cycle. Why? Help? ForestAngel 15:18, 20 November 2006 (UTC)

(I don't know anything about the statistics). The article says that bruxism is the result of a reflex chewing action, and that there is no known cure. Doctors and dentists typically prescribe low doses of tricyclic antidepressants which can reduce the symptoms in some people, though this is really an off-label prescription. In theory it should be possible to determine the underlying cause of an individual's bruxing through a process of elimination, but in reality a doctor will just try a number of different prescriptions. Biofeedback seems to be the best solution, but doesn't seem to be something a typical GP would be able to offer.   — Lee J Haywood 21:46, 20 November 2006 (UTC)
My dentist has sold me a night guard which is some flexible plastic, and which works well. It is custom-fitted, so the process of getting it required two visits, then a third visit when it turned out to be slightly oversize, so it could be trimmed. A friend of mine reports that his girlfriend, who suffers from bruxism, finds relief from a before-sleep neck massage, which would indicate stress being the issue. Chazz 23:07, 23 January 2007 (UTC)
Stress is a particular problem, particularly when you're not aware of it. Our ability to deal with a given amount of stress and anxiety diminishes with age, and stress hormones affect the perception of pain (from any associated muscle tension) by the brain. Once a state of chronic pain is reached, it can be very difficult to find a treatment which breaks the cycle of tension and pain.   — Lee J Haywood 09:56, 24 January 2007 (UTC)

[edit] Magnesium supplement

I have experimented supplementing with magnesium citrate prior to going to sleep (300-600mg doses), and I have found that it definitely helps relieve quite a bit of the muscular tension (and cramps/spasms) in the jaw. I have asked a few doctors about this and they also agreed that magnesium can be a beneficial supplement for some people. I don't know if anyone wants to mention that in the article though...

There's already a mention in the article, "There is limited evidence that suggests taking certain combinations of vitamin supplements may alleviate bruxism. [1]" A few cases of magnesium supplements helping people with bruxism isn't really enough to warrant a direct mention in an encyclopedia, as it is effectively original research. If there are at least a couple of peer-reviewed trials that demonstrate cause and effect, then that would be a different matter. Thanks.  — Lee J Haywood 20:28, 24 May 2007 (UTC)
Okay, I apologize for my last post. I thought the page had gone completely in one direction and I thought there was trying to be justification for it's removal (and my skimming made me think it was gone) and claim that it was the original research. I am sorry about that, I am overly defensive about certain medical topics that in my experience, are left to rot; and I didn't mean to make completely inaccurate accusations as I did. 206.248.168.241 06:09, 5 June 2007 (UTC)
I have also experimented with magnesium citrate (300-600mg) doses and have noticed that it has been helpful in alleviating some of the jaw's muscular tension. I still use magnesium supplement to this day and it is still helping.
Really. Could you tell me where I can get some of this? Does it stop the grinding or just the pain? Mine has gotten so bad that my jaw's been offset because of grinding, my teeth have been ground down a bit, and my jaw pops when I chew anything of a greater consistency than a french fry. Does it at least help with the popping? ForestAngel 11:03, 16 August 2007 (UTC)
Me too; where can I find it, and are there any side-effects? How toxic is it? Tony 06:25, 18 August 2007 (UTC)

[edit] Pictures

It would be very helpful for bruxers like myself to have pictures of, I don't know, night guards and the like. I, myself, have TMJ problems as a result of bruxism. I also have a nightguard-retainer combo (which I've lost) but once I find it, I can take upload a pic of it. Until then, could someone get a pic of a bruxism night guard? It would help with the quality of the article. ForestAngel 11:03, 16 August 2007 (UTC)

I could do this, but mine is not exactly crystal-clean. Tony (talk) 03:03, 15 October 2007 (UTC)

[edit] biofeedback

I'm adding information about these devices—the two that I know of. Unfortunately, I don't think there's any scientific research on their effectiveness. I can vouch personally that the Oralsensor, despite appallingly bad design and a seemingly chaotically run producer, is quite effective. I'm about to order another, since the one I bought two years ago had technical problems (because I tampered with it). Anyone else had experience of them? Tony 06:28, 18 August 2007 (UTC)

Afraid so. While I appreciate that it's difficult to invent stuff and expensive to manufacture things on a very small scale, I found the OralSensor to be a big disappointment, especially for the price. There is only one pneumatic sensor, on only one side of the teethplate - whereas there really ought to be a sensor on each side. With my mandible deflected toward the sensorless side, I am able to bite down quite hard on that side without setting off the alarm - my not-so-amazing teeth (big overbite) may or may not be a major factor in that. I also found that the earpiece speaker makes a very quiet, rapid ticking noise even when the alarm is not going off; that the earpiece hurts my ear and often falls out overnight if I move in my sleep; that the threshhold of the sensor appears to wander significantly from where I have set it, etc. Basically US$200 down the drain for me. I'm glad it worked for you, and maybe it works for many or most people, warts and all; I have no way of knowing. I'm guessing you probably don't roll over in your sleep as much as me, are less irritable than I am (like 99.9% of the population), and maybe have straighter teeth/jaws and/or are less prone to brux with your mandible off to one side. Anyway, I hope people will not overrate one single person's bad experience, but that is my experience. Regardless of the particularities of my experience, it's certain that the thing is not what one would call "solidly-made" - if you are used to getting something of high quality for US$200 - well you're not going to. -Computer Man, 8 Jan 2008

May be better to email if there's more to debate. I thought OralSensor was good, but I agree that it's stupidly designed. Yes, the bulbous apparatus in your ear is very uncomfortable, and I do sleep on my sides and toss and turn during the night. I had to resort to sticking plaster every night to fix it in place on my ear, can you believe. And the non-replaceable battery—well, that's a joke. Why didn't you make the mold on your lower teeth so that the pneumatic pouch is on the correct side for your condition?
On a more practical matter, the company is absolutely hopeless and unresponsive. I wanted to buy another (battery and pouch worn out), and ordered via their site on the Internet. No response. I emailed their contact address. No response. Tony (talk) 06:19, 8 January 2008 (UTC)

"Why didn't you make the mold on your lower teeth so that the pneumatic pouch is on the correct side for your condition?" - Perhaps that would work; I assume, though, that I probably could/do brux with my mandible bent toward either the left or the right. In speaking of "deflection," I didn't mean that my mandible is deformed by being deflected to one side - I just meant that I can (voluntarily, while awake, and perhaps also in sleep) move my mandible toward the side opposite the sensor, and can in that position bite down hard without triggering the sensor. The only teeth/jaw "abnormality" I have is a strong overbite, which I think is pretty common. -Computer Man, 1 Feb 2008 —Preceding unsigned comment added by 68.100.86.106 (talk) 19:59, 1 February 2008 (UTC)

[edit] Pronunciation?

How does one pronounce 'bruxism' - is the 'x' silent? Davez621 16:58, 11 October 2007 (UTC)

No, the X is prononuced. See dictionary.com. -Agyle 00:36, 15 October 2007 (UTC)

[edit] Professional treatment, mail order removal

I removed links to two mail-order companies, as I felt they weren't necessary or appropriate here. I left in that they exist, and if someone wants to find such companies, it's easy to do via google. I also added some information to temper the suggestion of saving money through these services. It sounded somewhat like a parroting of the marketing on the websites, but omitted that the websites themselves recommend professional treatment in their legal disclaimers. I cited an article from Britsh Dental Journal and some lecture notes from a Univ. of Michigan professor on the reasons for professional treatment. If there is scientific dispute about those recommendations, it's fine to mention that, but that, too, should supply some reliable source as a reference. My impression (and I could be wrong) is that no scientific literature would suggest unsupervised use of an over-the-counter or mail-order nightguard. -Agyle 00:47, 15 October 2007 (UTC)

[edit] NEW VERSION

Hi, I created a partly new version under User:Cyrus Grisham/Bruxism. I hope thats Ok and would be gladful, if you could check for mistakes, feedback etc. THX −−Cyrus Grisham 20:36, 29 October 2007 (UTC)

I just copied itbach here. I thinkitis easier to do here... mfg --Cyrus Grisham 22:28, 29 October 2007 (UTC)

[edit] Spate of edits: unreferenced statements to unreferenced statements

I refer to this one:

Sufferers may find that meditation and relaxation techniques, like any other tactic to reduce stress, may help to reduce teeth grinding.

is now:

Sufferers may find that meditation and relaxation techniques may help to reduce teeth grinding.

I've no reason to believe either of them. Where do they come from? References please? Tony (talk) 10:19, 28 November 2007 (UTC)

Hi Tony1, one risk factor is "High levels of anxiety and/or stress" and meditation(see also: Health applications and clinical studies of meditation)) and relaxation techniques _may_ reduce stress and/or anxiety (Still the standart risk factor for dentists in Germany. They normally nerver think about the nasal flow or other reasons). However, this ist just one risk factors. If for example someone (can be unreckonized by this person!) is suffering from another Sleep disorder and if this is treated succesfully than bruxism may be reduced or even eliminated! So I don't think that it is neccessary to reference that, but I think it might be good to "split" the Treatment section into the "reduction or elemination of the riskfactors" and treatment to avoid further damage to the teeth. What do you think? --Cyrus Grisham (talk) 18:21, 28 November 2007 (UTC)
Well, I think that each factor needs a reference, because the field is so under-researched and prone to guesswork. I've changed the title to "Associated factors". Tony (talk) 02:44, 29 November 2007 (UTC)

[edit] New redirect/term inclusion

I'd like to suggest adding a redirect to this page from Bricomania, as can be found in the Portuguese version of this page. I'd also like to suggest that bricomania be added as a substitute term, though it appears not to be in common usage among English-speakers (did a Google search, nothing came up in English, but a lot of Portuguese and possibly other Latinate websites did appear). -- 98.223.201.239 (talk) 01:43, 23 May 2008 (UTC)