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Teeth Grinding in Children: Causes and Treatment


It's a common sight in many households - the sound of teeth grinding at night. While it might not be as concerning in children as in adults, teeth grinding, or bruxism, is still a dental issue that parents should be aware of. In this blog post, we will explore the causes and treatment of teeth grinding in children, shedding light on this often-overlooked childhood habit.


Bruxism is the medical term for the grinding or clenching of teeth, and it's a condition that can affect people of all ages, including children. It's estimated that about 15% to 40% of children experience bruxism at some point during their early years.


Common Signs and Symptoms of Childhood Bruxism:


Grinding or clenching sounds: Parents may hear the sound of teeth grinding, especially at night.

Complaints of jaw pain: Some children may experience jaw discomfort, especially in the morning.

Headaches: Bruxism can lead to morning headaches, as the muscles of the head and neck are strained during the night.

Tooth sensitivity: The grinding can wear down tooth enamel, leading to increased tooth sensitivity.

Worn or chipped teeth: The physical wear and tear on the teeth may become visible.

Disrupted sleep: Bruxism can interfere with a child's sleep quality, potentially leading to other health concerns.


Understanding the causes of teeth grinding in children can be complex, as it's often a result of a combination of factors. Some common causes and contributing factors include:


Stress and Anxiety: Like adults, children can experience stress and anxiety, and these emotional factors can manifest as bruxism.


Malocclusion: Misaligned teeth or an abnormal bite can lead to bruxism as the child may grind their teeth to relieve discomfort or adjust their bite.


Hyperactivity: Children who are hyperactive or have attention deficit hyperactivity disorder (ADHD) may be more prone to teeth grinding.


Medications: Certain medications, especially those prescribed for ADHD, can have teeth grinding as a side effect.


Breathing Issues: Breathing problems, such as obstructive sleep apnea, can contribute to bruxism in children.


Genetics: Family history may play a role in a child's predisposition to bruxism.


Stress at Home: Family dynamics and stress within the household can impact a child's emotional well-being and potentially lead to teeth grinding.


Fortunately, most cases of childhood bruxism do not require active treatment, as many children outgrow the habit as they age. However, if teeth grinding persists or is causing discomfort, there are several treatment options to consider:


Behavioral Interventions: Encourage your child to practice relaxation techniques before bedtime, such as deep breathing or meditation. Create a calming bedtime routine that includes soothing activities, like reading or a warm bath.


Address Stress and Anxiety: If your child's bruxism is related to stress or anxiety, it's crucial to identify and address the underlying issues. Open communication and, if necessary, professional guidance can help children cope with emotional stressors.


Dental Appliances: A dentist may recommend the use of a night guard, also known as an occlusal splint or mouthguard. This custom-fitted device provides a protective barrier between the upper and lower teeth, preventing further wear and tear.


Orthodontic Treatment: If misaligned teeth are contributing to the issue, orthodontic treatment may be necessary to correct the bite.


Medication: In rare cases where bruxism is severe and other treatments have been ineffective, a dentist or pediatrician may prescribe muscle relaxants or other medications to alleviate symptoms.


Treating Underlying Sleep Issues: If bruxism is associated with sleep problems such as sleep apnea, addressing those issues can lead to a reduction in teeth grinding.


Regular Dental Check-Ups: Routine dental check-ups are essential to monitor the effects of bruxism on your child's oral health. A dentist can help identify signs of damage and provide guidance on appropriate treatment.


It's important to address teeth grinding in children not only for their comfort but also to prevent dental damage. Here are some tips for minimizing the potential damage associated with bruxism:


Mouthguards: As mentioned earlier, custom-fitted nightguards can provide a protective barrier to prevent further wear on the teeth.


Dental Monitoring: Regular dental check-ups are crucial for identifying any signs of dental damage or changes in the bite.


Dietary Adjustments: Reducing acidic or sugary foods can help protect enamel from further damage.


Good Oral Hygiene: Maintaining proper oral hygiene is essential. Regular brushing and flossing can help prevent cavities and gum disease.


If your child exhibits signs of teeth grinding, it's essential to consult a dentist to assess the extent of the issue and explore potential treatment options. A dentist can help determine if there are any underlying dental concerns related to bruxism and provide guidance on the best course of action.

Teeth grinding in children is a common occurrence, often linked to a combination of factors including stress, misalignment, and other underlying causes. While many children eventually outgrow the habit, it's essential for parents to be vigilant, particularly if the bruxism persists and causes discomfort. Treatment options, including behavioral interventions, dental appliances, and orthodontic treatment, can help alleviate symptoms and prevent dental damage. Open communication, regular dental check-ups, and addressing potential emotional stressors can aid in managing childhood bruxism effectively.


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