General Dentistry

Bruxism

Bruxism is another word for teeth grinding, which is a common problem that studies show affects at least 10% of the population. Many people aren’t aware they are suffering from bruxism because it happens in their sleep or while concentrating, and it may fall to a dentist to notice the typical signs of tooth wear associated with it.

Bruxism
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Signs and Symptoms of bruxism

Our daily lives can be quite stressful, and it is common to hold tension in our muscles as a response to these stressors. Much like holding tension in your shoulders, we also subconsciously hold tension in our jaw muscles and temple areas. Over time, this can result in these muscles becoming larger and stronger from being overworked.  Symptoms include:

  • Facial pain
  • Headaches
  • Earache
  • Snoring and disrupted sleep
  • Pain and stiffness in the jaw joint and surrounding muscles, which can lead to temporomandibular disorder (TMD)
  • Worn-down teeth, leading to increased sensitivity, tooth loss, broken teeth or fillings

When someone grinds their teeth regularly the outer layer of enamel is lost, exposing the inner layer of dentin, which can become sensitive. This is one of the typical complaints that causes patients to seek help, or they may notice that their teeth are getting shorter.

What happens in a consultation for bruxism?

Bruxism is multifactorial therefore it is important that the issue is diagnosed correctly by looking at multiple causes. It is likely that management of bruxism will encompass few strategies.

At The Bristol Dental Practice, we take a holistic approach in treating our patients. A Bruxism consultation will cover:

  • Comprehensive history of your symptoms and medical history
  • Assessment of your jaw muscles and jaw joint movements,

  • Full dental assessment for any cracks/mobilities, bite irregularities

  • Panoramic radiograph to check your jaw joint and joint disc health

  • Clinical photographs to monitor treatment outcomes

Bruxism

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Managing Tooth Wear and Bruxism

If bruxism (tooth grinding or clenching) is found to be the main cause of tooth wear, the first step is often to wear a dental splint to help prevent further damage. The ideal option in many cases is a Michigan splint – a precision-made stabilisation splint that requires detailed moulds and measurements. This type of splint is typically provided by specialist prosthodontists.

At The Bristol Dental Practice, Dr Mariya Godsafe has a special interest in tooth wear management and extensive experience using these devices. Dr Devin Vaghela also has a special interest in tooth grinding, TMD, and Dental Sleep Medicine.

We offer a range of evidence-based treatments tailored to your individual needs:

Custom Mouthguards for Teeth Grinding

  • Individually made to fit your teeth comfortably.
  • Worn at night to provide a protective barrier, preventing tooth wear and fractures.
  • Cushions the pressure from grinding and clenching, protecting both teeth and jaw muscles.

Occlusal Splints for Bruxism

  • More durable than a standard night guard.
  • Designed by our expert dentists, to improve how the teeth bite together and reduce strain on the jaw joints.
  • Particularly beneficial for patients with severe bruxism or jaw dysfunction.

Masseter Botox Injections for Jaw Clenching

  • A safe, clinically proven, and minimally invasive treatment for patients with overactive jaw muscles caused by clenching or grinding.
  • During treatment, Botox is precisely injected into the masseter muscles – and, if needed, the temporalis muscles, to reduce muscle tension and hypertrophy. This helps relieve pain, lessen the intensity of grinding, and protect the teeth and jaw joints.
  • The injections work by gently relaxing overactive muscles. The goal is not to stop their function entirely, but to reduce excessive contraction while maintaining normal chewing ability. Over time, patients often notice a reduction in muscle size and a slimmer jawline appearance.
  • Results typically last up to 4 months, with most patients noticing improvement within 3–7 days.

Benefits of treating bruxism at
The Bristol Dental Practice

  • Specialist Expertise – Dr Devin Vaghela has a special interest in tooth grinding, TMD, and Dental Sleep Medicine, and is highly experienced in full mouth rehabilitation.
  • Advanced Tooth Wear Management – Dr Mariya Godsafe has a particular focus on tooth wear management and extensive experience using specialist splints and appliances.
  • Proven Experience – Our team has successfully treated hundreds of bruxism cases, helping patients relieve pain, protect their teeth, and restore function.
  • Trusted by Other Dentists – We accept referrals from dental professionals for the management of bruxism and related conditions.
  • Personalised, Evidence-Based Care – We offer a range of tailored treatment options designed around your individual needs and based on the latest clinical evidence.
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Referrals for Bruxism

We’re always happy to receive referrals for any of our dental services, we treat routine to very complex cases and we also help extremely nervous patients who require sedation in order to access dental treatment.