McCarl Dental Group Investigates: Bruxism

McCarl Dental Group Investigates: Bruxism


Courtney: Good morning, Dr. Duarte. Dr. Duarte: Good morning, Courtney. How are you doing today? Courtney: Good. I’ve had this issue with my jaw, it’s clicking
and popping when I’m opening and I feel like I’m grinding at night. Dr. Duarte: Okay. Courtney: What do you suggest I do? Dr. Duarte: When you wake up in the morning,
do you feel like your jaw is sore or tired and it’s difficult to kind of open and close? Courtney: Yeah, like my muscles are tight. Dr. Duarte: Okay. Does your husband … can he hear you sometimes
throughout the night kind of- Courtney: Yeah, they kind of squeak- Dr. Duarte: Make a noise or something? Courtney: Yes. Dr. Duarte: It sounds like you have a grinding
habit, a bruxism habit that’s going on. It’s very common. A lot of it’s stress related. You may catch yourself clenching your teeth
throughout the day. Consequences of grinding is that it does wear
away your enamel over time. You’re losing tooth structure and making your
teeth more sensitive to cold, hot temperatures, and certain other things. To kind of prevent more damage being done,
we do recommend a night guard, or an Occlusal guard. This is something that you would wear while
you sleep, non-invasive. We do have ones that are full arch, but we
also recommend these are called NTI’s. These are super small. They just pop right in front of your front
teeth. There you go. Take a look as our example. That way you can still sleep comfortably without
a giant kind of acrylic piece in your mouth. These are a lot more user friendly. Courtney: I know I can buy homemade mouth
guards at a local convenience store. Dr. Duarte: Sure. Courtney: What’s the difference between these
versus the custom homemade ones? Dr. Duarte: The ones that you can go to your
local store, I typically refer to them as a boil and bite because typically it’s a standard
default tray that you heat up in warm water and you bite into. They do form to your teeth. However, they are bulky, really invasive,
and very uncomfortable to sleep with. The ones we do in office we send to our lab
for a custom made Occlusal guard or NTI, as we were just talking about, super non-invasive,
but the fact that it’s pretty much tailored to your teeth. It fits much better and you’re more likely
to use it and it’s not as bothersome or cumbersome to use while you sleep. Courtney: How long do they last? Will I wear away any of the materials? Dr. Duarte: Some wear is expected because
you are fighting the grinding habit, but this is acrylic material. It’s very tough. We can adjust it over time if needed. We’ve see patients have these for five, 10
years. Courtney: I’m very interested in getting the
custom made NTI. How will we go about getting that made? Dr. Duarte: Sure. It’s super non-invasive. It’s a simple thing that we could do today. Basically we would use our in-office scanner
in place of an impression. With the gooey material that has been used
before, this scanner is very quick at kind of capturing all the anatomy of the teeth. That way we can electronically send that to
the lab and get that fabricated here for you. Courtney: Okay. Let’s get started. Dr. Duarte: Excellent.

Author: Kevin Mason

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