Do you tend to grind your teeth at night?Well my name is Michelle and I am a dental assistant with solutions and I am going toexplain to you how you can stop grinding your teeth at night. First of all one of the reasonswhy most people grind their teeth at night is because they are stressed, you are dreaming,all of these type of things that would induce grinding your teeth at night so what you wouldwant to do is see your general dentist, he might be able to make what we call a nightguard, also known as a mouth guard. You can take upper and lower impressions, and actuallymake custom fit night guards for you and you would just put it in your mouth before yougo to bed, go to sleep, get a good night’s
rest. They actually provide a cushion to yourteeth and to your TMJ joints which in return basically is telling your TMJ joints to relax,not to clinch down, not to grind. It is a pillow for your teeth is basically what anight guard and a mouth guard is. You also can purchase overthecounter night guardsand mouth guards and they have an actual kit that you can purchase and it looks just likea U shaped rubber tray. You would want to boil it first to get it soft, let it cool,you place it in your mouth, you bite down so therefore it becomes almost like a customfit tray for your mouth and then you let it cool and rest and then you wear it beforeyou go to bed, put it in your mouth and it
becomes a pillow for your teeth at night.Once again my name is Michelle and I just explained to you how you can prevent grindingyour teeth at night..
TMJ and Myofascial Pain Syndrome Animation
The temporomandibular joint â€“ the TMJ isthe joint between the lower jawbone the mandible and the temporal bone of the skull.The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibulardisorders, or TMD, refer to a group of conditions characterized by pain in the jaw area andlimited movement of the mandible. TMD may be caused by problems in the joint itselfor in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammationand internal derangements. When the problem is in the muscles, the condition is calledmyofascial pain syndrome. Myofascial pain syndrome is very common andcan occur in patients with a normal temporomandibular
joint. The syndrome is characterized by presenceof hyperirritable spots located in skeletal muscles called trigger points. A trigger pointcan be felt as a nodule of muscle with harder than normal consistency. Palpation of triggerpoints may elicit pain in a different location. This is called referred pain.Trigger points are developed as a result of muscle overuse. Commonly, the muscles of chewing,or mastication, are overworked when patients excessively clench or grind their teeth unconsciouslyduring sleep. The medical term for this condition is â€œnocturnal bruxismâ€�. A trigger pointis composed of many contraction knots where individual muscle fibers contract and cannotrelax. The sustained contraction of muscle
sarcomeres compresses local blood supply,resulting in energy shortage of the area. This metabolic crisis activates pain receptors,generating a regional pain pattern that follows a specific nerve passage. The pain patternsare therefore consistent and are well documented for various muscles.Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lowermolar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalisare also associated with headache and toothache from upper teeth. The main culprits of myofascialpain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer painto the TMJ region in front of the ear, inside
the mouth and upper outside of the neck. Theymay also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid triggerpoints can be felt in front of the ear and on the upper jaw.Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatmentoptions include: Therapies: stress management, behavior therapy,biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage. Medication: pain relievers, muscle relaxants,botox injections. Trigger points release techniques such asneedling and â€œspray and stretchâ€�.