Teeth grinding and clenching, also known as bruxism, is a common habit and occurs most often when a person is experiencing anxiety or stress, and mostly happens involuntarily during sleep. The grinding/clenching habit can cause a variety of dental health problems.
The dental professionals at Platinum Dental Care can examine and diagnose and offer several options to combat teeth grinding and clenching and to protect your teeth and jaw joints. We can also digitally scan your teeth at dental examinations which can accurately read tooth wear and any progression. This new technology is unique to our practice.
Common causes of teeth grinding and clenching include:
What are the signs you grind your teeth?
Many people do not even realise they grind or clench their teeth, as it occurs most often when we sleep. There are common symptoms to look out for if you suspect you may be clenching or grinding your teeth involuntarily which include tooth wear, sensitivity, jaw joint and muscle pain and regular headaches. Similarly, if your jaw feels tight or sore after you wake up, it may be an indication of grinding and clenching.
Consequences of tooth grinding and clenching
Grinding your teeth can cause serious dental issues, such as tooth wear, sensitivity, tooth fracture and even tooth loss.
How can I stop grinding and clenching my teeth?
There are several different options available to prevent clenching and grinding. Your dentist will suggest the correct devices or treatments depending on your individual needs.
Tooth clenching and grinding can be the result of anxiety and stress in daily life. By reducing stress, you can reduce the frequency of tooth grinding. Certain strategies, such as therapy, meditation and exercise may be effective in reducing stress.
Additionally, avoiding stimulants like caffeine can reduce anxious tendencies and decrease the frequency of tooth grinding. Alcohol, which inhibits our responses, also has been shown to increase teeth grinding in individuals.
A night guard or splint is a custom made removable device that partially or fully covers the teeth in a single arch to help prevent clenching and grinding and prevent further damage/ symptoms to your teeth, muscles and jaw joint. A night guard/ splint is made of a special polymer material that will be strong, easy to clean, and comfortable to wear. However, like anything new, they do take some getting used to. With daily cleaning and care, a custom mouth guard/ splint can last from three to five years and provide daily tooth grinding and clenching prevention. However, if you feel your mouth guard is worn or less effective, you may need to replace it sooner.
SCi (Sleep Clench Inhibitor) splint
An Sci splint is a hard, sectional oral appliance that is placed over the lower or upper front teeth to reduce overloading of the muscles involved in clenching or grinding habits, by eliminating contact of the back teeth and allowing the muscles to relax. SCi splints are a more effective solution for sufferers of clenching and TMD (temporomandibular disorder) and studies have found that these splints significantly reduce muscle activity in 80% of patients helping reduce grinding and clenching habits. This treatment is not a cure for TMD but significantly reduces pain and aches in the head, face muscles and jaws, as well as preventing further tooth wear. This splint can only be used at night time and can be used in combination with Botox injections in the masseter muscles if these muscles are painful.
A Michigan splint is a custom - made oral appliance that covers and adapts to all the teeth in either jaw and can be used for patients suffering from teeth grinding and tooth wear. It is manufactured from a hard resin and is designed to be flat and of an optimal thickness to help spread the bite forces. This reduces tension in the facial muscles and the jaw joint and prevents further tooth wear.
This splint is also worn at night - time, however, we recommend that patients use it for an hour or two in the day to become used to it.
Botox for Masseter muscles
The masseter muscle is a large facial muscle that runs from the cheek bone to the lower part of the jaw and is attached to the TMJ (Temporomandibular joint or jaw joint). It is the key muscle the moves the lower jaw upwards. Individuals that clench or grind their teeth will overwork this muscle, which will make the muscle larger and potentially cause symptoms such as aches or pain.
Botox injections directly into the masseter muscles are an option to help reduce the size of this muscle and any related symptoms. They are safe and extremely effective for those patients that are suffering from pain from this muscle. The injections are generally pain-free and the appointment time is approximately 30 minutes. It takes up to six weeks for the Botox to work and to see and feel a significant difference, and the effects will wear off in approximately 3 to 4 months.
This treatment is often combined with splint therapy.
Very much recommend. First time going to Platinum for a dental cleaning and was very happy at the speed and professionalism of the service. Previously going to BUPA and felt that the experience was a notch better. Very easy online booking system. The Hygienist, Priya Dhain was excellent - attentive and provided helpful advice, and would definitely recommend.
I came to get my teeth cleaned and couldn't be happier with Camilla's work!
She made me feel calm and relaxed, and her reassuring words put me at ease. I couldn't recommend her enough!
I've been very impressed with Platinum Dental Care from the outset. They are a warm and professional team with extreme technical proficiency – Ronnie in particular. On the rare occasion when I've had dental issue, they have always worked very hard to squeeze me in at short notice and take of the problem in every sense: by clearly outlining the treatment plan, providing personal reassurance and comfort during the actual procedure, through to financing advice around payment plans. Without doubt the best dentist I have ever had. Would strongly recommend.
Platinum Dental Care is easily the friendliest, most professional and highest quality dentist in London. The whole team consistently does everything they can to make sure you get the best treatment possible. Their communication about appointments is always excellent and the practice is a warm and friendly place. Special mention for Catia who always goes above and beyond for every single customer to give them the best possible service. I highly recommend Platinum and the team, I recently moved further away from the practice but have absolutely no hesitation in remaining a patient there.
I found Platinum Dental Care after relocating while mid-way on an implant treatment. Dr Marios was very patient and diligent on making it all work to perfection. And Dr Patel was amazing at finding and fixing issues before they became a problem. The practice is full of the latest technology with 3D imaging and the best staff. The girls managing reception are very professional and very meticulous, helping you with the process.
For something important as oral health you want to go to the best place. And in London that's Platinum.
I was smiling when I walked in and left smiling when I walked out. Millie was professional, friendly and reassuring throughout the duration of my appointment. As a healthcare professional myself I really appreciated Millie's efforts to make sure I was okay throughout the procedure. Front desk staff were friendly and professional too. I would book here again without a doubt.
Sarika is the best dentist. I have been with her for 2 years and cannot be happier with my teeth now
Big Thank you for Ana at the reception to go out of her way to get an appointment. Thank you for Nadia to be fantastic. The place is 4.9 star on google for a reason.
Highly recommend this place. I've been to a few other private dental practices in London - Bloomsbury, London Bridge and Moorgate, but this place is my favourite and I'd recommend this practice for both check ups and hygienist visits. They are thorough with their explanations and won't rip you off. I had a quote from another practice, but Platinum (Harriet) confirmed work wasn't necessary. I had Nadia for my hygiene visit and she was great. She really took time to explain the issues and go through options to prepare me for the clean, which other practices have never done to that extent in all the years I've seen hygienists. I was offered numbing gel for the sensitive areas to be cleaned, which worked a treat.
Visited Yana the dental hygienist this morning. Brilliant service and lovely lady. Teeth squeaky clean and unlike some hygienists the procedure was not painful at all. Highly recommended.,
I would like to thank everyone from the reception team and also yana the hygienist and above all Dental surgeon Dr Ronak Patel who always gave the best treatment possible and is kind and friendly manner always made it a pleasure to attend the practice you will all be deeply missed if it wasn't for me moving out of London I would never have left such a great practice
Thank you all
Dr Ronak and Nadia Begum have been great since I've joined Platinum. They are very personable and do seem to really care. I feel in very safe and professional hands!
From making the appointment through to treatment the whole experience was beyond pleasant experience. The reception staff are very friendly and welcoming and Dr Sarika Shah is so polite and respectful. She had treated me with great dignity. I have never had such a thorough experience in a dentist. Dr Sarika Shah took her time to get to know me and talked me through the whole Invisalign treatment. I decided to have my bite treated at this practice because of the care that they provide but also their amazing flexible financial plans that makes it very affordable to anyone. Would definitely recommend this dental practice. First class service from Platinum Dental Care!
I have an unsightly chip on one of my front teeth from an accident in my teens. The original filling fell out 2 years ago, and I went to an NHS dentist that did a very rushed and poor quality job at patching it. Unsurprisingly, it didn't look or feel very nice, and also didn't last very long. I needed to have it restored again this year.
The dentist here (Dr Roni) was absolutely fantastic. He has done such a spectacular job. I can't see where the filling that he's used to restore my front tooth begins or ends, and it looks 100% natural. The colour and texture is matched so perfectly that one can only describe it as a work of art. In addition, both him and his assistant were very pleasant and comforting.
The reception team were also very helpful with getting me booked in, in spite of all of the Covid19 pressures and difficulties. I can't recommend this dentist enough - they are worth every penny.
Last year I made the decision to start Invisalign treatment with Platinum Dental and it is one of the best decisions I have ever made. From the initial consultation to completion of the treatment Dr Sarika Shah was amazing at guiding me through the whole process. Every step was explained concisely and left me feeling totally comfortable the journey I was on. My treatment lasted just over 6 months and I am incredibly happy with the results. Overall a great dental practice.
The staff were very friendly and helpful.
Dr Patel was excellent with his diagnosis and treatment.
I thoroughly recommend this practice.