Dr. Keahey on TMJ Teeth Grinding
We treat bruxism, tooth grinding, TMJ, all opening-closing pain in the joint as a non-surgical step for us. We do the first step for it. It usually involves either occlusal adjustment or, most likely, some form of a bite splint that’s removable. They can be worn in the evening, during the day, or depending on the piece, we do have varying things that we do with our laboratory to try to keep your bite as comfortable as possible and minimize the wear—more wear on your teeth.
It is a monitored piece, that’s why we like to see you a couple times a year to make sure that we’re checking we’re not getting any more habits—a pair of habits on your teeth, as well, and we want to make sure your appliance is fitting correctly.
The mouthguard or bite splints that we make are custom to you. It’s impression on the top and the lower, as well as the bite. We try to make them as small as possible, they’re not like linebacker pieces or any kind of athletic guard. They are made of a hard material with a soft liner inside so they are comfortable to wear. They can be done in several colors. We prefer clear, it’s a little easier for people to have. I wear one myself and I find them not to be much of a problem.