Bruxism is a parafunction consisting of teeth grinding and jaw clenching. It is often related to stress and anxiety and usually occurs during sleep. Although on many occasions there are no symptoms, there are people who experience facial, head, or neck pain and tooth wear can occur over time.
The main treatments for bruxism are the use of a muscle relaxant splint which, in addition to reducing grinding and clenching forces, also prevents tooth wear.
Muscle relaxation treatments or treatments to decrease stress and anxiety will also help reduce bruxism.
Treating the consequences of bruxism
The wear of the anterior teeth caused by bruxism can be treated by placing dental veneers, recovering the lost dental aesthetics.
The problem is that although the materials from which veneers are made are strong and durable, just like teeth, bruxism can cause veneers to chip or crack. In addition, the habit of chewing hard elements such as ice or nails must be eliminated, as it can also cause the veneers to break.
Sometimes it is necessary to increase the vertical dimension of the posterior teeth in order to free the contacts of the anterior teeth treated with veneers.
In short, the treatment with dental veneers helps to recover the loss of dental structure caused by bruxism, thus improving the aesthetic appearance of the anterior teeth, but it does not serve as a treatment to make the parafunction of grinding or clenching the teeth disappear.
For this reason, it is important, once the veneers are in place, to protect them with protective splints or discharge splints to minimize bruxism and protect the veneers from possible fractures and wear.