Sleep Bruxism Treatment for Adults London
Bruxism occurs when excessive teeth grinding is occurring, usually whilst asleep.
The causes of bruxism are not always clear, and as such, there could be many reasons why this is occurring, and as many treatment option.
At 23MD, this is our recommended treatment option, as resaearch into using Botox® has shown it to be to be just as effective as other more established methods.
It is administered by intramuscular injection and the paralytic effects are thought to last 3-6 months. Recently, the therapeutic uses of Botox® have expanded exponentially to include a wide range of medical and surgical conditions. This has been aided by a greater understanding of its underlying physiology as well as improved efficacy and safety. The evidence on Botox usage in non-cosmetic conditions of the head and neck is convincing.
Although there have been many other treatment proposal over the years to decrease the level of bruxism, the only proven treatments for bruxism are mandibular advancement devices, hypnosis and occlusal splints.
These are small plastic mouth-guards that can be used immediately without specialist fitting.
Mandibular Advancement Devices
MADS these are generally used for the management of snoring and sleep apnoea but researchers have investigated their use for the management of sleep bruxism.
Psychoanalysis, autosuggestion, hypnosis, progressive relaxation, meditation, self-monitoring, sleep hygiene and habit reversal/habit retaining have been prescribed for the management of bruxism.
Muscle Relaxation Exercises
Physical rehabilitation techniques have been thought to assist in correcting bruxism. The objective of developing or strengthening the jaw opening muscles is to ‘hold the mandible in balance’.
The use of medication in the management of bruxism has been studied but has relied solely on patients’ reports.
Avoiding stimulants (tea, coffee, cigarettes) for several hours before bed and maintaining a regular sleep schedule promotes better sleep. Better sleep means that more time is spent in the deeper sleep stages and less arousals occur.
Biofeedback works on the premise that bruxers can ‘unlearn’ their behaviour when a stimulus makes them aware of their jaw muscle activity.