Sleep bruxism is a sleep-related movement disorder involving rhythmic or sustained grinding or clenching of the teeth during sleep. It is common, frequently underdiagnosed, and can contribute to jaw pain, headaches, tooth wear, disrupted sleep, and other orofacial pain conditions.

Nighttime Grinding, Clenching & Oral Movement Disorders

Our providers evaluate and manage both sleep bruxism and awake bruxism, as well as other oral movement disorders that affect the jaw, facial muscles, and quality of life.

Because these conditions often occur alongside temporomandibular disorders and sleep-disordered breathing, our evaluation considers the entire clinical picture rather than treating symptoms in isolation.

Signs You May Have Sleep Bruxism

  • Flattened, chipped, or worn teeth
  • Jaw muscle soreness or fatigue upon waking
  • Tension headaches, especially in the morning
  • Facial tightness or jaw pain
  • A sleep partner reporting grinding sounds during the night
  • Disrupted or unrefreshing sleep
  • Tooth sensitivity without an identifiable dental cause

The Connection to Sleep-Disordered Breathing

Research has strengthened the connection between sleep bruxism and obstructive sleep apnea. For patients affected by both conditions, treating the underlying sleep-disordered breathing may significantly reduce nighttime grinding and improve overall sleep quality.

As part of every evaluation, we screen for signs of sleep apnea and coordinate care with sleep medicine providers whenever appropriate.

Our Management Strategies

  • Custom occlusal splints to protect teeth, reduce joint loading, and decrease muscle strain during sleep
  • Botox injections to reduce grinding force and relieve muscle soreness when clinically appropriate
  • Behavioral strategies and habit-reversal techniques for daytime clenching
  • Medication management for significant pain or sleep disruption
  • Evaluation and co-management of obstructive sleep apnea and related sleep disorders

Interested in Our Services?

If you are experiencing jaw pain, facial pain, headaches, sleep apnea, snoring, or related symptoms, our team can help determine the right next step.