Tooth grinding in children

Tooth grinding in children

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One of the issues that families frequently complain about is that their children grind their teeth during sleep. There are even families who say that sometimes their children grind their teeth during the day. In fact, every child grinds their teeth a little bit during the milk dentition, mixed dentition and permanent dentition. As a result of this innocent tooth grinding, especially in the canine teeth and incisor teeth cause slight wear. In 15% of children, teeth grinding or clenching habits can be seen severely. As a result, excessive abrasions of the teeth, pain in the facial muscles, head and neck and ear pain, and pain in the jaw joint may occur. If preventive treatments are not performed at an early age; children whose growth and development continue to develop may cause permanent damage to both teeth and jaw joints.


No definite reason has been found in the studies conducted to date. It is generally thought that bruxism is a combination of several factors. Studies have focused on local, systemic and psychological factors. Local factors; disorders in closure relationships in teeth, early dental contacts, or a high build-up.

Systemic factors; malnutrition, intestinal parasites, allergies and endocrine disorders. If the intestines are full, the stimuli from the strained intestinal wall start the activity of the digestive tract in the brain. Intestinal contraction increases, digestive enzymes are secreted, gastric acid increases, saliva flow increases, chewing muscles contract or become more easily contracted. This may result in tooth grinding. A patient with a runny nose due to sinusitis is constantly alerted to the nasopharynx and oropharynx. In this case, the child can grind teeth.
In children, it can also cause tooth grinding. During the application of gingival pressure, some biochemical agents are released. As a result, these substances stimulate the nerves in the surrounding tissues and stimulate the chewing muscles and may cause involuntary jaw contractions, ie, tooth grinding.

Psychological factors can be grouped under daily stresses or personal problems. In addition, emotional stress, strong regret, obsessions, insomnia, all kinds of tension and jealousy situations such as situations can cause grinding teeth.


In the treatment of bruxism in children, palliative solutions should be considered. First of all, detailed information about the frequency and severity of creaking should be obtained by talking in the pedodontist-child-family triangle. Then, the presence of abrasions in the teeth should be checked by performing an oral examination. If there is excessive wear on the teeth, these areas need to be treated. In addition, the closure relationship of the teeth should be checked and if there is any disorder, these should be balanced with simple abrasions and corrected. If these corrections do not help, the problem should be solved by performing simple oral snacks. In the meantime, the pediatrician should be consulted for the presence of bowel parasites or other systemic factors mentioned above.

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