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Bruxism and TMJ linked to Sleep Apnea
I came across a article about bruxism(the clenching and grinding of teeth) and TMJ is linked to OSA. I would like to know, because I've grinded my teeth for years. I use a mouth guard.
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Replies to This Discussion
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Permalink Reply by Lala on
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Hmmm....isn't that something......I clench and grind my teeth too. Did alot of that during my MSLT study. Did alot of swearing though too. I do not wear a mouth guard.
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Permalink Reply by Steven Y. Park, MD on
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There's definitely a strong link between OSA and bruxism/TMJ. My feeling is that an underlying sleep-breathing condition causes a generalized state of neuromuscular stress and tensions that manifests in muscle twitching/spasming in various parts of the body.
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Permalink Reply by Sandra Ford on
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Thank you Dr. Park, I was fitted for mouth guard in 1989, because I grinded my teeth.....but was diagnosed with sleep apnea in 2008.
Steven Y. Park, MD said:There's definitely a strong link between OSA and bruxism/TMJ. My feeling is that an underlying sleep-breathing condition causes a generalized state of neuromuscular stress and tensions that manifests in muscle twitching/spasming in various parts of the body.
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Permalink Reply by Henning on
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In my opinion there also is a strong link between CPAP use and Bruxism / TMJ.
I personally never had problems in that direction before I went to CPAP treatment. Then I got big problems with TMJ. I think I unconsciously have closed my mouth in order not to have problems with leaks.
In fact I bite my teeth hard together. This gave me also other serious problems.
Henning
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Henning, I agree...even though I wear a mouth guard, seem like I do clench my teeth even more.
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I can recommend you a small NTI device.
http://www.nti-tss.com/index.php?option=com_content&task=view&a...
This device took away my TMJ problems within a few days.
Henning
Sandra Ford said:Henning, I agree...even though I wear a mouth guard, seem like I do clench my teeth even more.
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Permalink Reply by gordon on
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I've talked to several people who grind their teeth at night, I think it's stress. Not sure how either CPAP or a mouth guard is going to stop that. It's really bad, I feel sorry for anyone, and hope bruxism can be dealt with personally, for everyone. It's a symptom, right?
Henning said:I can recommend you a small NTI device.
http://www.nti-tss.com/index.php?option=com_content&task=view&a...
This device took away my TMJ problems within a few days.
Henning
Sandra Ford said:Henning, I agree...even though I wear a mouth guard, seem like I do clench my teeth even more.
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many patients who have UARS and OSA and primary snoring do have parafunctional bruxing habits- it is very common to have both- but- either case could be present alone- patients who have sleep apnea and bruxism may benefit from a mandibular advancement appliance (MAA) that would improve the OSA and UAR and serve as a bruxism appliance at the same time- patients who make a MAA would not wear their older bruxing appliance-
hope this is helpful-
Dr. Martin Bassiur
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Permalink Reply by Corrine Greenhalgh on
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Hi Sandra - I would be interested to know this as well. I have had TMJ for a long time and my sleep issues sort of began with that as the main factor. I thought the headaches I had in the morning were from clenching of my jaw during the night (which I do so hard I broke my mouth guard!) I have read books on TMJ and they didn't mention sleep apnea, but I would be interested to know as well. Do you have the article to share? Please let me know, thanks. Corrine
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Where do you get a MAA? Is it like a mouth guard?
dr. martin bassiur said:many patients who have UARS and OSA and primary snoring do have parafunctional bruxing habits- it is very common to have both- but- either case could be present alone- patients who have sleep apnea and bruxism may benefit from a mandibular advancement appliance (MAA) that would improve the OSA and UAR and serve as a bruxism appliance at the same time- patients who make a MAA would not wear their older bruxing appliance-
hope this is helpful-
Dr. Martin Bassiur
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Permalink Reply by Bradley Dean Moffatt on
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I am a mess. I am a music teacher and it's only the end of October. Once again I awoke at 3:30 - 4:30 a.m. with songs going through my head. I want to pound my head against a wall to make the songs stop. My wife says to try counting. Because I am a musician, I end up counting in rhythym, alternating songs with the tempos.
In addition, my jaw and head aches from my teeth grinding again. I thought with my CPAP machine I would be able to make it through the year. But's only October. My last concert is June 6th 2010. I do sleep well for about 4-5 hours now (instead of the 1-2 hours I was getting before being diagnosed with APNEA.) I can't take this night after night of waking too soon, then lying there with songs in my head and waiting for the 6:20 alarm going off. In the summer my blood pressure had dropped to 127/78. Last weekend it was back up to 148/92 with andrenaline running for no reason at all. 34 years of music coaching has taken its toll, I fear. I really don't know where to turn to. Sorry folks, don't mean to dump.
dr. martin bassiur said:many patients who have UARS and OSA and primary snoring do have parafunctional bruxing habits- it is very common to have both- but- either case could be present alone- patients who have sleep apnea and bruxism may benefit from a mandibular advancement appliance (MAA) that would improve the OSA and UAR and serve as a bruxism appliance at the same time- patients who make a MAA would not wear their older bruxing appliance-
hope this is helpful-
Dr. Martin Bassiur
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Bradley, I'm sorry you're in this condition. I hope someone here can help with your physical problems, maybe Ambien 10mg to sleep? You have tremendous passion for your work. You might be on burn-out. All artists need relief, to gain a new perspective, if you can, financially. I think you need a few months off. It's tough in this economy, I know.
Bradley Dean Moffatt said:I am a mess. I am a music teacher and it's only the end of October. Once again I awoke at 3:30 - 4:30 a.m. with songs going through my head. I want to pound my head against a wall to make the songs stop. My wife says to try counting. Because I am a musician, I end up counting in rhythym, alternating songs with the tempos.
In addition, my jaw and head aches from my teeth grinding again. I thought with my CPAP machine I would be able to make it through the year. But's only October. My last concert is June 6th 2010. I do sleep well for about 4-5 hours now (instead of the 1-2 hours I was getting before being diagnosed with APNEA.) I can't take this night after night of waking too soon, then lying there with songs in my head and waiting for the 6:20 alarm going off. In the summer my blood pressure had dropped to 127/78. Last weekend it was back up to 148/92 with andrenaline running for no reason at all. 34 years of music coaching has taken its toll, I fear. I really don't know where to turn to. Sorry folks, don't mean to dump.
dr. martin bassiur said:many patients who have UARS and OSA and primary snoring do have parafunctional bruxing habits- it is very common to have both- but- either case could be present alone- patients who have sleep apnea and bruxism may benefit from a mandibular advancement appliance (MAA) that would improve the OSA and UAR and serve as a bruxism appliance at the same time- patients who make a MAA would not wear their older bruxing appliance-
hope this is helpful-
Dr. Martin Bassiur
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