Stress & Oral Habits

January 1, 2020
tooth wear

Teeth grinding and clenching are common habits, but that doesn't mean they are harmless. Stresses from the powerful forces generated by grinding and clenching (also known as “bruxing”) can wear down teeth or even loosen them. Teeth that have enamel worn away or scraped off from this repeated rubbing action may become sensitive to hot or cold. And dental work such as crowns and fillings may get damaged. Bruxism can also lead to jaw pain and/or headaches.


Even if you have experienced some of these signs and symptoms, you may not realize you are a bruxer — particularly if your habit is nocturnal, as is often the case. Yet the evidence of tooth damage may become obvious during your regular checkup and cleaning. Dentists can also help you break the habit, relieve any pain you are experiencing, and repair any damage to your teeth or dental work.

Why do we grind or clench our teeth?

The most common reason for grinding/clenching habits is stress, which can affect our health in various ways. Some people experience stomach pain or skin breakouts; bruxing is yet another manifestation. Sometimes people grind their teeth because of misaligned teeth or other bite problems. Using stimulating substances such as caffeine, alcohol, tobacco and illegal drugs can also put you at risk. Additionally, teeth grinding is believed to be an uncommon side effect of certain medications.

What can be done?

Sometimes simply becoming aware of the habit can help you to get it under control. If stress is the issue, try to find healthy ways of managing it: exercise, meditation, listening to relaxing music, or a warm bath may help. Your teeth will be monitored over time at the dental office to make sure the problem is not worsening.

If damage to your teeth or existing dental work is evident, we may recommend a custom-made nightguard, also known as an “occlusal guard,” may be recommended. It resembles an athletic mouthguard. Made of comfortable plastic, the guard is worn at night to keep your teeth from actually contacting each other. It also helps protect your jaw joints from excessive force.

If a bite problem exists where some teeth are hitting before the others (all of your teeth should hit at the same time), it can sometimes be treated by removing a tiny bit of enamel from an individual tooth that is sticking up a bit (and therefore receiving too much force) to bring it in line with the others. This is known as a bite adjustment. If your malocclusion (bad bite) is more serious, orthodontics might be recommended. Replacing any teeth that are missing can also help stabilize your bite by inhibiting the shifting of teeth that occurs when extra space is left open by missing teeth.

A word about kids: Teeth grinding is very common in children, especially when they are shedding their baby teeth. Since they often outgrow it, treatment is not usually recommended.
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Dr. Haddad

D.M.D

Dr. Haddad’s purpose at Sewell Dental Designs is to empower his patients so they can achieve and maintain excellent dental health and have a smile they are happy to show off. He decided on this path after receiving treatment from a competent and friendly dentist when he was a teen.

Dr. Haddad obtained his Bachelor of Science degree at George Mason University in Virginia and went on to earn his Doctor of Medicine in Dentistry degree (DMD) from Temple University Maurice H. Kornberg School of Dentistry.


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Dr. Joanna

D.D.S

Dr. Joanna Haddad was born and raised in Lebanon and now resides in Philadelphia, PA. She speaks Arabic, French, and English fluently. Dr. Joanna earned her Doctorate of Dental Medicine from the University of Pennsylvania School of Dental Medicine, graduating with honors in Public Health. During her time in dental school, she was highly involved in various organizations and served as the Chapter President of the American Student Dental Association. She is also a proud member of the American Dental Association, American Association of Facial Esthetics and American student dental association.

Dr. Giesberg

D.D.S

Dr. Konstantina S. Giesberg, DDS, is a board-certified dentist anesthesiologist who has earned the privilege of becoming a Diplomate of the American Dental Board of Anesthesiology (DADBA).Dr. Giesberg obtained, with honors, her degree of Doctor of Dental Surgery (DDS) from the University of Buffalo, NY. She then completed her General Practice Residency in Dentistry at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Giesberg then furthered her studies at Wyckoff Heights Medical Center with a Specialty Program in Dental Anesthesiology, involving three years of concentration in deep sedation and general anesthesia.