Bruxism - Signs and Symptoms

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·         Micro-cracks and broken restorations, eventually leading to nerve damage.
·         Enamel attrition down to the dentin; removing the rounded edges of teeth and producing sharp edges, causing sensitivity to heat and cold.
·         Abfractions or excessive wear of anterior teeth resulting in esthetic concerns and restorative challenges.
·         Severe wear facets in posterior teeth causing reduction in vertical dimension, mandible overclosure, open contacts and food impactions.
·         Gingival recession, due to pressure on the gingiva.
·         Mobility of the teeth from rocking back and forth on the teeth.
·         Headache and aching jaws due to overuse of muscles.
·         Tongue indentation by constantly pushing the tongue against the teeth when in bruxing mode.
·         Linea alba caused by the pressure exerted by the cheeks on the buccal surfaces of the posterior teeth during bruxing.
·         Earaches or ringing in the ear.
·         Bilateral or unilateral hypertrophy and large muscle tonus of the masticatory muscles depending on if there is a more dominant grinding side.
·         Buccal exotosis, excess bone as a result of the body’s defense to support the teeth. 

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