Bruxism: Teeth Grinding and Jaw Clenching
Teeth grinding and jaw clenching (bruxism) can cause tooth wear, jaw pain and headaches. We assess the causes and tailor treatment to your needs.
Understanding Bruxism
Bruxism is the involuntary grinding or clenching of your teeth, which can happen while you’re awake or asleep. Over time, it can cause tooth wear, jaw discomfort and changes to your bite. Significant tooth wear can also affect the appearance of your teeth and smile.

What Is Bruxism?
Bruxism refers to the unconscious grinding, gritting, or clenching of teeth during the day or at night. Daytime bruxism is often linked to stress or deep concentration, while nighttime (or sleep) bruxism usually happens without you knowing. If ignored, it can lead to tooth damage, jaw pain, and even long-term issues with the temporomandibular joint. It’s more than just an annoying habit; it’s something worth addressing early.
Causes of Bruxism
Bruxism can have a number of contributing factors, including:
- Stress and anxiety
- Certain medications, especially SSRIs like fluoxetine and paroxetine
- Stimulants like caffeine, nicotine, and drugs such as amphetamines
- Family history and genetic factors (bruxism often runs in families)
- Age, as bruxism is common in children
- Sleep disorders, including sleep apnoea
- Neurological conditions like Parkinson’s disease
- Bite and jaw alignment problems (occlusal disorders)
Do You Suffer From Bruxism?
Many people don’t realise they’re grinding or gritting their teeth, particularly during sleep. Early signs include worn enamel, cracked fillings, and chipped teeth. It can also lead to symptoms that affect the jaw, like tightness, pain, and difficulty opening your mouth.
Bruxism Symptoms
Some of the most common signs and symptoms of bruxism include:
- Headaches that start at the temples
- Pain in the jaw, face, neck, or shoulders
- Difficulty opening your mouth
- Clicking or popping sounds in the jaw
- Jaw pain or stiffness in the morning
- Toothaches or temperature sensitivity
- Earaches without an infection
- Unconscious clenching when you’re focused or stressed

How Bruxism Can Impact Your Life
Bruxism can affect more than just your teeth. Chronic clenching and grinding can lead to daily discomfort and long-term damage if left untreated. It can affect your sleep, change the appearance of your face, and contribute to ongoing jaw and facial discomfort. Here are some of the most common issues associated with bruxism:
TMJ disorders and jaw pain
Facial pain and sore jaw muscles
Excessive wear and tear on teeth
Cracked or broken enamel and restorations
Heightened tooth sensitivity
Tooth loss (in rare cases)
Changes in the shape of your face
Migraines and chronic headaches
Teeth Grinding In Children
It’s common in children and often reduces as they grow. In many cases, no treatment is needed unless grinding is causing pain, significant tooth wear or other concerns. If you’re worried about your child’s teeth grinding, a dental assessment can help determine whether any treatment is needed.

Treatment Options
The good news is that bruxism and teeth grinding can be managed. Treatment depends on the cause, symptoms and severity, but the goal of protecting your teeth, reducing clenching and grinding, and relieving pain.
Get a Mouth Guard for Teeth Grinding
A custom night guard can help protect your teeth from damage caused by grinding while you sleep and reduce pressure on your teeth and jaw.
Orthodontics to Address Teeth Alignment Issues
Orthodontic treatment, such as braces or aligners, can fix bite issues that may be causing your teeth to grind.
Muscle Relaxant Injections
Muscle-relaxing injections such as Botox, relaxes tense jaw muscles and can relieve symptoms from clenching and grinding.
Restorative Dental Work to Repair Damage
Restorative treatments such as bonding, fillings, or dental crowns can protect teeth than have been worn down by grinding.
Behavioral Therapy to Break the Habit
Techniques such as CBT (cognitive-behavioural therapy) can help manage stress and reduce clenching habits.

Don’t Let Bruxism Damage Your Smile
You don’t have to put up with teeth grinding forever. With the right treatment, you can ease discomfort, protect your teeth, and sleep better. Book a consultation with Mona Vale Dental to discuss your symptoms and treatment options.
FAQs
How do I know if I am grinding my teeth in my sleep?
Many people don’t realise they grind their teeth until a dentist notices signs of damage. Common signs include tooth wear, jaw pain or stiffness, and waking up with headaches or sore teeth.
How to stop grinding my teeth in my sleep?
There are several ways to manage teeth grinding during sleep, including a custom night guard, stress management and improving sleep habits.
Your dentist can assess the possible causes of your teeth grinding and recommend treatment based on your symptoms and needs.
What causes teeth grinding?
Teeth grinding can have several contributing factors, including stress and anxiety, certain medications, sleep disorders, bite and jaw alignment issues, and family history. It is also common in children and may reduce as they grow.
Why do SSRIs cause jaw clenching?
SSRIs may contribute to jaw clenching or teeth grinding in some people. The exact reason is not fully understood, but changes in serotonin levels may play a role. If you notice jaw clenching or teeth grinding after starting an SSRI, speak with your doctor or dentist.
Where do I get help for teeth grinding?
Start by talking to your dentist. They can assess your teeth, jaw and symptoms, identify possible causes of your teeth grinding and recommend the right treatment or refer you to a specialist if needed.
What are the signs of teeth grinding?
Common signs of teeth grinding include worn or flattened teeth, jaw pain or stiffness, morning headaches, tooth sensitivity, cracked or chipped teeth, and earaches without an infection. Some people may also notice bite marks on the inside of their cheeks.
What will happen if I continue to grind my teeth?
Ongoing teeth grinding can cause increased tooth wear, chipped or cracked teeth, sensitivity, jaw pain and headaches. In some cases, it can also contribute to problems with temporomandibular joint (TMJ). Early assessment can help identify the cause and reduce the risk of further damage.
Request an Appointment
Ready to transform your smile? Schedule your consultation with Mona Vale Dental at their state-of-the-art practice in Mona Vale. Discover how their treatments can enhance your health and boost your confidence.



