- Published
Ella can't remember when she first started grinding her teeth at night, but she can vividly recall the excruciating jaw ache, the headaches, and being told her molars were disappearing.
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molars → publish → ache
"I was in so much pain," Ella says.
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Ella → say → pain
"My face was changing shape and my teeth were at risk of breaking - I knew I had to do something about it."
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I → change → it
The 31-year-old has bruxism, a condition which can cause regular and often intense teeth grinding, but says the treatment she's recently had has "without a doubt" changed her life.
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she → have → life
Bruxism affects millions like Ella across the UK, external.
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Bruxism → affect → UK
Some studies suggest nearly one in four people experience the condition, although many may be unaware until symptoms appear.
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symptoms → suggest → condition
According to the British Dental Association there is some anecdotal evidence that bruxism is becoming more common, but no specific figures.
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bruxism → accord → Association
However, some dentists have told the BBC they are worried about the increasing number of young people they're seeing with dental problems caused by incessant gnashing.
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they → tell → gnashing
"It is definitely on the rise," Dr Aditi Desai, president of the British Society of Dental Sleep Medicine (BSDSM), says.
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Desai → say → Medicine
"And it's no surprise given that life itself nowadays can be so stressful."
Studies, external suggest many of us Bruxers do it because of stress - but why do our jaws carry the burden of our everyday lives?
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jaws → give → lives
What can we do about it?
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we → do → it
Bruxism is an umbrella term which groups together four different jaw movements - clenching, grinding, bracing and thrusting.
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which → group → movements
Some people grind at night, others through the day.
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others → grind → day
Some barely notice they're doing it, while others can gnash through mouthguards and wake even the deepest sleeping bed partners.
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others → notice → partners
So how can you tell if you do it?
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you → tell → it
Here are the signs to look out for:
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signs → look → ?
Worn, chipped or flattened teeth
Headaches or facial pain in the morning
Jaw stiffness
Disrupted sleep and daytime tiredness
Increased tooth sensitivity
Earache or pain near the temples without infection
Teeth grinding is also mentioned more frequently in therapy according to the British Association for Counselling and Psychotherapy, which says people nowadays are more aware of how their mental health impacts their body.
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health → wear → body
Psychotherapist Rahi Popat says more of his clients - particularly younger ones - say they or someone else have noticed they've been grinding their teeth, "and they can often link that to a really stressful time in their lives and realise that's when their teeth grinding either increased or even started".
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grinding → say → lives
Trauma and stress can put you in "fight or flight" mode, where your heart rate increases, you release adrenaline, and your muscles tense, preparing the body for an external threat, he says.
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he → put → threat
And because the jaw and the nervous system are so closely linked through the major cranial nerves, our muscles are triggered and we clench and grind our teeth.
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we → link → teeth
"If we do it overnight, it's a way of our bodies releasing some of the stress and tension we might have felt through the day," Popat explains.
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Popat → do → day
For Ella, nocturnal teeth grinding in her sleep became a way to release tension that had built up while she was awake.
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she → grind → tension
"I know it's to do with my stress levels," Ella says.
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Ella → know → levels
"I have high functioning anxiety - you wouldn't think it if you met me.
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you → have → me
"I'm busy, and I go out a lot to mask it.
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I → go → it
In her 20s, she says she just "put up" with the pain.
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she → say → pain
But a few years later, when her dentist told her that her teeth were at risk, Ella decided to get treatment.
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Ella → tell → treatment
Even though it's not routinely offered on the NHS, Ella decided to pay her dentist to inject Botox into her masseter muscles - the ones that control her jaw.
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that → offer → jaw
The procedure relaxed them and reduced the tension in her face, and should last 3 to 4 months.
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procedure → relax → face
"Over the past few months I've been able to sleep properly," she says.
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she → sleep → months
"I've got so much more energy in the mornings, the pain has reduced and my face is not as square."
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face → get → mornings
Dr Simon Cove, a dentist who treats both private and NHS patients, says the physical impact of grinding on our teeth can be huge.
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impact → treat → teeth
He uses a 3D scanner to assess his patients' teeth, and can see the wear over time.
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He → use → time
"Often people are not even aware they are doing it, but then we get to see the damage," he says.
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he → do → damage
"If the teeth have been worn down to such an extent, treatment can be extremely complex and can cost thousands of pounds."
But he says such cases are relatively uncommon and can take years to develop.
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cases → wear → years
While you can treat the symptoms - by wearing a mouthguard, for example - getting to the source of what's causing your teeth grinding is just as important, says dental sleep specialist, Dr Aditi Desai.
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specialist → treat → source
"Too often," she says, "dentists give out mouthguards without checking why it is happening.
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it → say → mouthguards
"
It's vital that serious, underlying conditions like obstructive sleep apnoea (OSA) are considered, she says.
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she → underlie → apnoea
OSA is caused by a blocked airway, so a patient may grind their teeth to move the blockage in order to be able to breathe again.
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patient → cause → blockage
"That's a very good example of why bruxism can keep you alive," says Prof Frank Lobbezoo, a leading researcher on the condition.
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Lobbezoo → keep → condition
…and 17 more, not listed.
