Review of Bruxism

During regular dental visits, the dentist automatically checks for physical signs of bruxism. If the dentist or patient notices signs of bruxism, the condition may be observed over several visits to be sure of the problem before recommending and starting therapy.

The objective of therapy is to get the bruxer to change behavior by learning how to rest the tongue, teeth and lips properly. When some people become aware of their problem, simply advising them to rest their tongue upward with teeth apart and lips shut may be enough to change their behavior and relieve discomfort. Traditionally, a plastic mouth appliance, such as a NIGHT-GUARD or occlusal splint, that's worn to absorb the force of biting has been used. It forms a barrier between the top and bottom teeth to stop the grinding of the two arches. The nightguard receives the occlusal wear rather than the teeth. But its efficacy has been unpredictable because it's specific design addresses lateral movement (grinding), when it is the degree of intensity of vertical movement (clenching ) which dictates severity of symptoms. A new method and device called the NTI-tss is more predictably effective (a simple modification of pre-existing concepts) - it suppresses clenching intensity by exploiting the nociceptive trigeminal inhibition reflex while preventing canine and posterior tooth occluding