Destructive Clench / Grind Symptoms

Three levels grinding/clenching
  1. Mild
  2. Moderate
  3. Destructive
Symptoms destructive clench-grind
  1. Tooth movement after ortho
  2. Recession/bone loss
  3. Cracks-Broken fillings, teeth, crowns, bridges
  4. Loose implants
  5. Broken, cracked, chipped appliances
  6. Worn out dentition
  7. Failed implants
  8. Broken retainers, brackets, spacers
  9. Atypical toothace
  10. Atypical earache
  11. Cervical erosion
  12. Enlarging tori, bone buttressing
  13. Loose crown or bridges
  14. Build-ups broken off inside crown
  15. Tooth pain after cementation crowns
  16. Worn out night guards-biteguards in short time
Grinding/Clenching:
  1. Daytime: clenching, posturing, bracing, gnashing, nail biting, tongue biting, cheek biting, lip biting
  2. Nighttime grinding is more destructive due power at night exceeds the chewing power by 6 times.
  3. Need to measure power, frequency, and duration to determine damage potential
  4. Sleep studies measure breathing, sleep architecture, and grinding activity (only source data)
  5. Clenching & grinding damage all structures of chewing system: TEETH, BONE, MUSCLE, JOINT

Tension in Muscles

Three processes occur from anxiety/stress:
  1. CORTISOL
  2. ADRENALIN
  3. TENSION MUSCLES
Levels of tension in muscles:
  1. STRESS
  2. ANXIETY
  3. EMOTIONAL HYJACKING
  4. PTSD
Muscle Joint Pain is #2 pain world:
  1. BACK
  2. NECK
  3. HEAD
  4. JAW
Tension in Muscle Pathway:

Stress---Sympathetic---Gamma Efferent--Muscle spindle-- Tr Pt --Muscle Inflammation--PAIN

Ligament Tear:

Stress- Sympathetic-Lat Pterygoid-Pulls Lateral Ligament-Stretch-Tear Lat Lig- Disc Disp--PAIN

Progression Tearing:

Displace Disc Pathway: starts at lateral pole and proceeds to medial pole unless dentists intervenes

Lateral pole -- middle disc -- medial pole

Three levels grinding/clenching
  1. Mild
  2. Moderate
  3. Destructive
Symptoms destructive clench-grind
  1. Tooth movement after ortho
  2. Recession/bone loss
  3. Cracks-Broken fillings, teeth, crowns, bridges
  4. Loose implants
  5. Broken, cracked, chipped appliances
  6. Worn out dentition
  7. Failed implants
  8. Broken retainers, brackets, spacers
  9. Atypical toothace
  10. Atypical earache
  11. Cervical erosion
  12. Enlarging tori, bone buttressing
  13. Loose crown or bridges
  14. Build-ups broken off inside crown
  15. Tooth pain after cementation crowns
  16. Worn out night guards-biteguards in short time
Grinding/Clenching:
  1. Daytime: clenching, posturing, bracing, gnashing, nail biting, tongue biting, cheek biting, lip biting
  2. Nighttime grinding is more destructive due power at night exceeds the chewing power by 6 times.
  3. Need to measure power, frequency, and duration to determine damage potential
  4. Sleep studies measure breathing, sleep architecture, and grinding activity (only source data)
  5. Clenching & grinding damage all structures of chewing system: TEETH, BONE, MUSCLE, JOINT

Tension in Muscles

Three processes occur from anxiety/stress:
  1. CORTISOL
  2. ADRENALIN
  3. TENSION MUSCLES
Levels of tension in muscles:
  1. STRESS
  2. ANXIETY
  3. EMOTIONAL HYJACKING
  4. PTSD
Muscle Joint Pain is #2 pain world:
  1. BACK
  2. NECK
  3. HEAD
  4. JAW
Tension in Muscle Pathway:

Stress---Sympathetic---Gamma Efferent--Muscle spindle-- Tr Pt --Muscle Inflammation--PAIN

Ligament Tear:

Stress- Sympathetic-Lat Pterygoid-Pulls Lateral Ligament-Stretch-Tear Lat Lig- Disc Disp--PAIN

Progression Tearing:

Displace Disc Pathway: starts at lateral pole and proceeds to medial pole unless dentists intervenes

Lateral pole -- middle disc -- medial pole

Pearls of Pain

Destructive Parafunction
Causes most failures in dentistry Movement disorder Strong cause damage to jaw joint Limited training dental schools
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