[HN Gopher] The Year of Grinding Teeth
       ___________________________________________________________________
        
       The Year of Grinding Teeth
        
       Author : bekind
       Score  : 38 points
       Date   : 2021-01-25 19:58 UTC (3 hours ago)
        
 (HTM) web link (www.theparisreview.org)
 (TXT) w3m dump (www.theparisreview.org)
        
       | technofiend wrote:
       | I'm getting braces due to clenching my teeth; I've pulled them
       | out of alignment. Asking my dentist how to defeat the bruxism all
       | he could suggest was having braces might do it.
        
       | 01100011 wrote:
       | FYI there may be an association between bruxism and sleep apnea:
       | https://www.sleepfoundation.org/sleep-apnea/link-between-sle...
       | 
       | I have both. I wear a very tough nightguard whenever I sleep. I
       | tried a few 'comfort' guards but just ground through them.
       | Finally my dentist got me a very hard plastic guard and it has
       | lasted over 5 years.
       | 
       | I'm naturally tense and I don't think I'll fix my bruxism until I
       | can stop worrying about how I'm going to afford alimony and my
       | retirement. Modern problems I guess.
        
         | markdown wrote:
         | Is there medication (maybe a mild sedative) you can take that
         | prevents bruxism for a night?
        
       | auganov wrote:
       | Masseter muscle botox gets surprisingly little attention for this
       | and derivative issues. Not too expensive. Very simple walk-in
       | procedure, don't need consults. Zero effort. Not permanent (both
       | a con and a pro), but some say their problem doesn't come back
       | even after it wears off.
       | 
       | Pretty much all other interventions (besides self-
       | awareness/lifestyle) are way more involved and don't have a great
       | record either way. Nothing is proven about botox either, but
       | seems like the best thing to try first.
        
       | tmamic wrote:
       | We just started doing tests with couple dozen patients for my
       | startup that provides multiple independent dental opinions. It
       | turned out that 80% of people have bruxism.
       | 
       | Yes, we only had less than 20 people so far, so this statistic
       | will likely change. But what was worrying is that they had no
       | clue. Even despite having tooth wear in a very advanced stage.
        
       | kowlo wrote:
       | I'm interested in this topic... my list
       | 
       | - grinding teeth in sleep
       | 
       | - nightly/morningly sleep paralysis
       | 
       | - not being able to breath through nose
       | 
       | sleep is hard...
        
       | 11235813213455 wrote:
       | Something I never paid attention to is that the natural/ideal
       | resting position of your jaw is that you teeth never touch, and
       | your tongue is touching your upper palate just behind front
       | teeth. I had issues with grinding teeth when younger. But at some
       | point I adopted that position unconsciously.
       | 
       | This is a bit like resting breathing rate, the lower the better,
       | but that's controlled completely unconsciously. Your lifestyle
       | will influence it a lot though (exercise, relaxation, diet)
        
         | pgt wrote:
         | Curious if that tongue-palate trick would also reduce bruxism
         | during stimulant use.
        
           | wahern wrote:
           | IME, yes. I tend to tap my teeth. Focusing on my tongue--
           | pushing against my palette, keeping my teeth separated--
           | helps.
           | 
           | Seemingly coincidental remedy, too. I don't remember reading
           | anything about the proper resting position of the jaw. I just
           | found that the one the helped the other. In fact, I was
           | worried doing this with my tongue was a no-no, but figured it
           | was better than the alternative.
        
         | castlecrasher2 wrote:
         | I changed my resting tooth/jaw position recently, too, and it's
         | made a big difference. I used to feel more stressed out in the
         | mornings, and I was sure it was because of jaw clenching I
         | would do at night which is now largely gone.
         | 
         | And this is going to sound weird, but I've taken it even
         | further by buying some baby chew toys off Amazon and chewing on
         | them for maybe an hour a day. The benefits I've seen since
         | starting about six months ago are 1) less teeth stress/pain at
         | night and in the morning, 2) less nasal pressure/stress (pretty
         | sure I have more breathing capacity through my nose now), and
         | 3) I feel my face has widened ever so slightly but that may be
         | the jaw positioning alone.
        
           | amelius wrote:
           | Doctors have told me specifically to _not_ eat chewy food,
           | like chewing-gum, so what you say seems contradictory to me.
           | 
           | Was there any reason to use toys instead of just chewing-gum?
        
           | 11235813213455 wrote:
           | Hehe, in my case, I have to chew a lot just for eating (raw
           | food, mostly fruits and green/leafy vegs), since a few years.
        
         | amelius wrote:
         | Yes, the resting position is important (doctors have told me).
         | 
         | I think another possible issue is that some people lock up
         | their jaw without necessarily putting the teeth together. At
         | least I do this if I don't pay attention. By "lock up" I mean
         | that the jaw is simultaneosly pulled down by muscles and pulled
         | up by the masseter. Then at night, the downward pulling muscles
         | relax, and the upward pulling muscles (masseter) wins, and the
         | actual teeth grinding occurs.
        
       | graeme wrote:
       | I asked about bruxism last year and got extensive replies. This
       | may be of use to someone reading:
       | https://news.ycombinator.com/item?id=23665164
       | 
       | I did not solve mine, though it is signficiantly better managed.
       | I got an improved night guard that isn't causing jaw
       | misalignment, did some physiotherapy of the jaw and exercises to
       | improve masseter joint junction, and used the sleepguard bruxism
       | monitor so I can see when I'm grinding.
       | 
       | The last one has become less useful as I've started knocking it
       | off or turning it off in sleep, but it's helpful to know bruxism
       | is happening even if you think you have fixed it.
       | 
       | My new guard is a lower guard. I seem to grind more with it, but
       | the upper guard was causing front tooth pain, so I think that may
       | have interrupted grinding but been worse?
       | 
       | Anecdotally I grind more since no longer having a dog.
        
       | philip1209 wrote:
       | Enjoyed my first-ever root canal a couple of months ago that was
       | attributed to bruxism.
       | 
       | P.S. - nights guards through dentists are expensive; note that
       | there are some cheaper D2C options becoming available.
        
       | bolangi wrote:
       | FWIW, I've used these [audio
       | lessons](https://www.feldenkraisresources.com/Sensory-Motor-
       | Education...) to cure my own bruxism. It also cleared up the
       | problem for several friends.
        
         | amelius wrote:
         | Thanks. I have some questions. How long did it take you to
         | complete the program? Do you still need to do exercises? Was
         | the improvement gradual, or sudden? And did you suffer also
         | from daytime bruxism (teeth clenching e.g. while working behind
         | a computer)?
        
       | neonate wrote:
       | https://archive.is/2hTAx
        
       ___________________________________________________________________
       (page generated 2021-01-25 23:01 UTC)