What Your Dentist Didn’t Learn in School Can Hurt You

Over one million people in the USA alone wake up each morning in pain from nighttime grinding and clenching (bruxism). You might think that these people remaining in pain means they don’t have dentists. Actually most of them have dentists. Unfortunately, while the typical is an expert at preventing tooth damage and repairing damaged , the typical is taught little or nothing in dental school about the psychology of habits, and long-term grinding and clenching is a habit most people would very much like to kick.

So what does it take to kick the nighttime grinding and clenching habit? As you might suspect from thinking about habits such as smoking, drinking, over-eating, or nail biting, the answer is different for different people. The “solution” most often recommended by dentists these days is a custom-made mouth guard.

There are many variations of the custom mouth guards that dentists recommend, most costing between $500 and $800. Different dentists disagree strongly on which is the “best” type of mouth guard to use. Some are thin plastic, made by vacuum-molding a hot thin sheet of plastic over a plaster replica of your upper . Some are hard plastic cast in a mold made from an impression of both your upper and lower .

It’s not unusual for people to follow their ’s advice and plunk down between $500 and $800 for a custom-made mouth guard. Once you put out the big bucks, you get to find out if you are someone whose nighttime clenching gets worse or better when you wear your custom mouth guard.

“Wait a minute” you might say, “did you say my clenching could get worse?” It certainly could. You see, the problem is that while mouth guards obviously protect your , they don’t necessarily make you bite less. The nature of the tooth grinding and clenching habit for some people is that a mouth guard is more of an annoyance to be chewed through than a signal to relax.

Many mouth guards fit between your upper and lower molars, and spread the load if you clench your . The load spreading is supposed to help you do less damage if you clench. Sometimes this works OK. Other times the damage done is much worse with a mouth guard.

Some brands of mouth guards (for instance the “NTI”) are made to snap on to your front and keep your molars from touching when you bite. The theory here is that such a front- mouth guard will feel so different when you bite on it that your mind will know (even subconsciously) that something is not right when you bite, so you will not bite down hard. There are cases where that seems to work. Unfortunately, for the cases where it does not work, biting down on a front-tooth-only guard such as the NTI can cause serious damage.

Fortunately, there are many other ways to interrupt a habit besides using a mouth guard. Some methods are free to try, some are moderately expensive, and some can be quite expensive to try. Some offer money-back guarantees, and some don’t. The methods that people have successfully used to rid themselves of the grinding and clenching habit include: hypnosis, biofeedback, using a comfort-improving mattress pad, soothing sound machines, changing to a new pillow, chiropractic work, diet changes, massage, meditation, and other positive psychology practices.

Interestingly, the mouth guards sold by dentists are not only among the most expensive possible solutions you can try for grinding and clenching, they are also among the options with no free trial, and no guarantee whatsoever. This is a great deal for your , but not a great deal for you. Trying an over-the-counter mouth guard from a pharmacy that you can mold yourself may be a better first step.

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What Your Dentist Doesn’t Know Can Keep You in Pain for Years

Over one million people in the USA alone wake up each morning in pain from nighttime grinding and clenching (bruxism). You might think that these people remaining in pain means they don’t have dentists. Actually most of them have dentists. Unfortunately, while the typical is an expert at preventing tooth damage and repairing damaged , the typical is taught little or nothing in dental school about the psychology of habits, and long-term grinding and clenching is a habit most people would very much like to kick.

So what does it take to kick the habit of tooth grinding and clenching? As you might suspect from thinking about other habits (such as smoking, over-eating, drinking, or nail biting), the answer is different for different people. The “solution” that most dentists currently recommend is a custom-made mouth guard.

There are many variations of the custom mouth guards that dentists recommend, most costing between $500 and $800. Different dentists disagree strongly on which is the “best” type of mouth guard to use. Some are thin plastic, made by vacuum-molding a hot thin sheet of plastic over a plaster replica of your upper . Some are hard plastic cast in a mold made from an impression of both your upper and lower .

Lots of people follow their ’s recommendation and spend between $500 and $800 for a custom-made mouth guard. Once you have spent your money, you get to find out if you are someone whose nighttime clenching gets worse or better when you wear your new mouth guard.

“Now just a minute” you might say, “are you telling me my clenching problem could actually get worse?” Yes, unfortunately it could. The problem is that although mouth guards keep your tooth enamel from being worn away, they don’t necessarily make you clench less. Some people’s grinding and clenching habit is such that when they are asleep, a mouth guard feels like an annoyance to be chewed through rather than a reminder to relax.

Many mouth guards fit between your upper and lower molars, and spread the load if you clench your . The load spreading is supposed to help you do less damage if you clench. Sometimes this works OK. Other times the damage done is much worse with a mouth guard.

Some brands of mouth guards (for instance the “NTI”) are made to snap on to your front and keep your molars from touching when you bite. The theory here is that such a front- mouth guard will feel so different when you bite on it that your mind will know (even subconsciously) that something is not right when you bite, so you will not bite down hard. There are cases where that seems to work. Unfortunately, for the cases where it does not work, biting down on a front-tooth-only guard such as the NTI can cause serious damage.

Fortunately, there are many ways to kick the grinding and clenching habit other than sticking a mouth guard in your mouth. Some methods don’t cost anything to try, some are moderately expensive to try, and some can be rather expensive to try. In some cases the cost is less of an issue because of a money-back guarantee, but unfortunately some of the expensive things to try have no such guarantee. Different methods that people have successfully used to get themselves out of the grinding and clenching habit include: massage, diet changes, biofeedback, hypnosis, changing to a new pillow or mattress pad, using a soothing sound machine, chiropractic work, meditation, and other positive psychology practices.

Interestingly, the mouth guards sold by dentists are not only among the most expensive possible solutions you can try for grinding and clenching, they are also among the options with no free trial, and no guarantee whatsoever. This is a great deal for your , but not a great deal for you. Trying an over-the-counter mouth guard from a pharmacy that you can mold yourself may be a better first step.

About the Author:

What Your Dentist Doesn’t Know Can Hurt You

Over a million US citizens wake up each morning in significant pain from nighttime grinding and clenching (bruxism). Does the fact that these people remain in pain every day mean they don’t have insurance? No, actually most of these people have insurance, and they have dentists. Unfortunately, while many dentists are expert at preventing tooth damage and repairing cavities and chipped or worn , most dental schools don’t teach anything about the psychology of habits, and long-term tooth grinding and clenching is a habit most people would like to be rid of.

So what does to for a person to rid himself or herself of the habit of nighttime grinding and clenching? As you might suspect from thinking about like smoking, drinking, over-eating, or nail biting, different things work for different people. The “solution” most often recommended by dentists is a custom-made mouth guard.

There are many variations of the custom mouth guards that dentists recommend, most costing between $500 and $800. Different dentists disagree strongly on which is the “best” type of mouth guard to use. Some are thin plastic, made by vacuum-molding a hot thin sheet of plastic over a plaster replica of your upper . Some are hard plastic cast in a mold made from an impression of both your upper and lower .

It’s not unusual for people to follow their ’s advice and plunk down between $500 and $800 for a custom-made mouth guard. Once you put out the big bucks, you get to find out if you are someone whose nighttime clenching gets worse or better when you wear your custom mouth guard.

“Wait a minute” you might say, “did you say my clenching could get worse?” It certainly could. You see, the problem is that while mouth guards obviously protect your , they don’t necessarily make you bite less. The nature of the tooth grinding and clenching habit for some people is that a mouth guard is more of an annoyance to be chewed through than a signal to relax.

Many mouth guards fit between your upper and lower molars, and spread the load if you clench your . The load spreading is supposed to help you do less damage if you clench. Sometimes this works OK. Other times the damage done is much worse with a mouth guard.

Some mouth guards (such as the “NTI”) are made to attach to your front and prevent your molars from touching, even if you try to clench. The theory is that biting on a front--only guard will feel so different than a normal bite that you will know (even subconsciously) that something is wrong, so you won’t bite down. For some people this works out OK. Unfortunately, for the people who bite down anyway, the results unusual forces generated can misalign the jaw and cause serious damage.

Fortunately, there are many other ways to interrupt a habit besides using a mouth guard. Some methods are free to try, some are moderately expensive, and some can be quite expensive to try. Some offer money-back guarantees, and some don’t. The methods that people have successfully used to rid themselves of the grinding and clenching habit include: hypnosis, biofeedback, using a comfort-improving mattress pad, soothing sound machines, changing to a new pillow, chiropractic work, diet changes, massage, meditation, and other positive psychology practices.

A custom-made mouth guard from a is one of the most expensive possible solutions you can try for grinding and clenching. Not only that, but custom mouth guards come with no money-back guarantee. This may be a good deal for your , but it’s probably not a great deal for you. If you want to try a mouth guard, you might first want to try an over-the-counter inexpensive one from a pharmacy.

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