Not only the causes are dangerous, but also the consequences: dental diseases, neuralgia, sleep disorders. The treatment is chosen individually, non-drug methods and drug therapy are applied.
Night attacks are studied in several areas of medicine: dentistry, otolaryngology, neurology, psychology. Accordingly, various rationales of pathology are put forward:
- Neurogenic origin. The gnashing of teeth in a dream is a consequence of dysfunction of the peripheral or central nervous system. Often, bruxism is combined with other motor and neurological disorders: somnambulism, epilepsy, enuresis, tremor, apnea.
- Psychological causes. Family distress, stress, anxiety lead to involuntary muscle spasms at night. When shrinking, the facial muscles cause a characteristic rattle.
- Osteopaths call birth injuries or complicated labor as the causes of bruxism in children.
- Dentists consider the anomalies of the functioning and structure of the dental-maxillary system to be provoking factors: overbite, over- or under-completeness. Poor orthodontics (poorly set braces) can also cause bruxism.
Creaking teeth can also appear in the process of their eruption or change. This condition is considered physiological and does not require special treatment.
Symptoms and effects
Night bruxism in a child is isolated or repetitive cases of gnashing or clicking. The attack lasts no more than 10 seconds, while blood pressure often rises, breathing becomes faster. The child himself does not wake up, because he cannot control his state in a dream.
After episodic attacks the next morning, the child complains of soreness of the maxillofacial muscles, headache, fatigue. With constant bruxism, the condition of the teeth deteriorates: enamel is erased, sensitivity to temperature changes appears, cracks and crown fractures, loss of fillings are likely. Adjacent tissues are also injured, gums become inflamed.
The long-term effects of bruxism in a child include dysfunction or restriction of mobility of the masticatory apparatus, hypertrophy of the facial muscles, pain in the jaws, neck, and shoulders. Chronic soft tissue injury leads to suppuration, the formation of fibroids in the mouth, “scallops” in the tongue. Sometimes gingivitis or lichen redness on the mucous membrane develops.
Episodic single attacks are not a cause for alarm. It is necessary to consult a doctor when teeth creak often occurs and negatively affects their condition and general well-being.
How to cure bruxism in children? This can be done in different ways after finding out the cause of the disease. If the pathology has a psychogenic character, psychotherapy is necessary. Parents should create a comfortable environment at home, talk more often with the child, discuss various situations, and avoid traumatic events.
Of great importance is the mode of the day. It is impossible to put the kids to bed late, to arrange late dinners. In the evening, you should not watch movies that excite the nervous system, play outdoor games.
Drug therapy can be used to treat bruxism in children. Medicinal products that eliminate muscle spasm and convulsive activity are prescribed:
- B-group vitamins;
- magnesium and calcium preparations;
- sedatives or hypnotics.
Sometimes botulinum toxin injections are used. A positive effect is also given by massage or warm compresses on the jaw area.
Happy need to monitor the behavior of the baby. Teach him to control emotions, keep his jaws relaxed, not clenching his teeth. Specific dental treatment consists in correcting the bite in a child (installing braces, grinding or prosthetics of the teeth). To protect the enamel made individual rubber or plastic mouthguards, worn overnight.
Bruxism and Braces
Many adolescents need bite correction or teeth position correction. For this purpose, special braces are used, the improper installation of which can trigger the disease. If a child walks in braces and creaks at night with his teeth, it is necessary to inform the orthodontist about this in order to eliminate the cause of the pathology.
Is it possible to put braces with existing bruxism? No, the installation of the system is carried out only after treatment and the complete disappearance of symptoms. Otherwise, the disease progresses, and the condition of the teeth deteriorates.
If the child began to grit regularly at night, you need to report this to the pediatrician. He will refer for consultation to one or several specialized specialists who will select the appropriate treatment. In addition, from a very early age you need to monitor the condition of the baby’s teeth, eliminating problems in a timely manner.