Age of child matters.many causes can be considered which can be confirmed after thorough evaluation. Causes can be any problem at school with studies,teacher being too strict,friends mocking due to any reason,attention deficit on part of parents or parents being too strict.management start with psychotherapy and eliminating the cause and facilitation if needed with medication to overcome anxiety.from dental perspective,dentition should be saved by giving night guards.as grinding can damage teeth and place stress over temporomandibular joint ,leading to dysfunction.
Oh my what a poor child! Naeem you will find an excellent overview of this problem, called "bruxism" and usually associated with some kind of life-stressor, at this web site:
http://www.webmd.com/oral-health/guide/teeth-grinding-bruxism
It is a "web-md" website, though with all its general overview and links for specific aspects of the problem you will doubtless find it a bit useful. As I see more detail on this site, I will suggest more specific things for you to look over.
Have you checked for parasites? I know Giardia causes teeth grinding at night. People have got out of the habit of worming them selves and their children. Green and black walnut, wormwood and cloves make a good mixture. Parasites are found at the core of many physical conditions including cancer, psychiatric conditions, chronic fatigue etc. See Dr Simon Yu Accidental cure, Dr Hulder Clarke, Percy Western (Victoria, Australia).
one reason may be the internal stresses that build up or simply the peer pressure or the pressure to perform and prove oneself.
Bruxism causes:habit or psych. stress
Ithink he need:
1.generalize assessment
2.psychological consultation
3.night guard "Tanner appliance"or if he is skeletal clI with deficient mandible functional appliance can serve 2 functions
If needed muscle relaxants and anxiolytic drugs may be given to release muscular hyperactivity. Proper psychological evaluation a must
Repetitive behaviors such as teeth grinding and jaw clenching are very common in children, especially during the preschool and early school age years. These may be associated with normal fears and anxieties (the dark, "monsters" under the bed, etc.). Also related to cortical-striatal maturation (or lack thereof), linking frontal cortices with motor systems (i.e., caudate). Likely these will pass with time, without incurring major damage.
Possible cause could be stress, pressure, nightmares,anciety.
Usually there is no need of any treatment even if the theeth are grinded. Sometimes a nightime splint could help by keeping the theeth apart and the muscles relaxed
In children; non life-threatening parasitic infections are the leading cause of 'teeth grinding' episodes in the vast majority of the cases, especially, in warmer regions and developing countries but it is not unusual to find cases even in the northeastern US and Canada. Parasites can enter the body via certain foods, water, walking barefoot, sharing space with animals, etc. but the reason it is found in many children is because of their “sweet tooth”. A high sugar diet leads to a collection of heated glucose in the intestine which feeds the parasites. In many communities all over the world it is as important to give children an annual de-worming medicine, as the ‘flu-shot’ is to westerners (traditionally this happens before the school season starts). Pyrantel Pamoate and Anthelmintic are ingredients found to effectively eradicate the parasites and are easily obtained in products like Parasitol and Reese’s Pinworm medicine, for example on shelves of drugstore chains everywhere.
http://www.ncbi.nlm.nih.gov/pubmed/1027113
Another possibility of the cause of parasitical infection, albeit a more depressing one, is when a child has been hungry for a prolonged period of time, his body enters a ketonic state which provides a favorable environment to parasites. This is why many cultures do not require young children to "fast" even when their religious beliefs dictate it for adults.
It is simply an adaptive process, stop acting at 12 to 13 when the oclsusion is complete. Whether persist, if you would multidisciplinary treatment. It NO caused by parasite. By no means. One is that children adapt to a new cusp heights io a new machine, THE MOUTH, increasingly less work.
Thank you Fabiana and David. Grinding is normal at this age. The neuromuscular system is preparing a new shape of the dental arch : curves of Spee and Wilson. This new shape is fundamental for a correct occlusion . This " shaping- flattening" of the dental arch accurs as the CNS comes to a mature state ; milk teeth happen to be softer also. At the same time swallow changes and the child starts to walk with pendular coordination , that is , when walking arm is brought forward opposite to advancement of foot. Avoid to introduce any appliance at this age: taking away space for tongue function is crazy; interruption of affferential feedback for CNS IS EVEN WORSE.
Thanks for the question (Naeem) and interesting answers that I have read from this column. I summarize that the causes children's teeth grinding and jaw clenching are partly biological/ physiological (as described by Verona and Fabio) and may be also psychological (anxiety, fears, as described by Olga).
I remember that my aunt used to scold me for grinding my teeth while I was a child. Now I know why I did that :)
Sounds like a condition called BRUXISM. In my day it was thought to be the result of too little calcium in the diet. This makes alot of sense since it's a kid who's bones and teeth are growing rapidly and thus requiring alot of calcium.
May I suggest this child be screened for undiagnosed obstructive sleep apnea? Emerging evidence indicates masseteric activity after respiratory effort related arousal. How old is the child? The screening could look for adenoidal and/or tonsillar hypertrophy. Sleep bruxism may lead to torus formation (either palatal, mandibular or buccal exostoses). Most of the papers on this topic have addressed adult sleep bruxism, but I suspect a similar mechanism may apply to children. In addition, children with allergies (including allergic rhinitis) and otitis media appear to be predisposed to developing bruxism, altho' the mechanism(s) are not clear.
Have the pediatrician and/or ENT or a sleep MD evaluate for sleep disorders. And as an orthodontist ask about allergy and airway issues. Do they snore, stop breathing in their sleep (may be early sign of OSA), day time sleepless, ADHD, etc. Better be safe than sorry later.
Hello Naeem,
Carra, Bruni and Huynh have reported that sleep-disordered breathing signs and symp- toms, such as mouth breathing, snoring, and day- time sleepiness, have been also related to long-face morphology, maxillary transverse deficiency, and retrognathia. Pediatric sleep bruxism subjects have been found to have a skeletal/dental Class II relationship at a frequency significantly higher than control subjects. This retrognathic profile in sleep bruxism children may be seen as a predisposing fac- tor for sleep-disordered breathing.
Sleep bruxism has been described, especially in children, in relation to behavioral problems (ie, hyperactivity, attention deficit, sleepiness, poor school performance), with a frequent comorbidity with ADHD. These ADHD-like behaviors could also be the manifestation of specific psychosocial factors or personality traits that seem to be related to bruxism in children and adolescents. How- ever, sleep bruxism in ADHD patients has also been described as an adverse effect of ADHD treatment, usually with amphetamine-like medications (eg, methylphenidate) In these cases, the term second- ary sleep bruxism is often used. Moreover, ADHD patients frequently show concomitant sleep prob- lems, such as poor sleep quality, snoring, sleep ap- nea, sleepiness, insomnia, other parasomnias, and sleep-related movement disorders. ADHD is of- ten misdiagnosed, and underlying sleep respiratory disorders, such as sleep-disordered breathing, are the main causes of the daytime behavioral problems.
1. Carra M, Bruni O, Huynh N. Topical Review: Sleep Bruxism, Headaches, and Sleep-Disordered Breathing in Children and Adolescents. J Orofac Pain. 2012;267–76.
You can find further information in following papers:
1.Barbosa TDS, Miyakoda LS, Pocztaruk RDL, Rocha CP, Gavião MBD. Temporomandibular disorders and bruxism in childhood and adolescence: Review of the literature. Int J Pediatr Otorhinolaryngol. 2008;72(2008):299–314.
2. Antonio AG, Pierro VSDS, Maia LC. Bruxism in children: a warning sign for psychological problems. J Can Dent Assoc. 2006 Mar;72(2):155–60.
3. Herrera M, Valencia I, Grant M, Metroka D, Chialastri A, Kothare S V. Bruxism in children: effect on sleep architecture and daytime cognitive performance and behavior. Sleep. 2006 Sep 1;29(9):1143–8.
4. De Luca Canto G, Singh V, Conti P, Dick BD, Gozal D, Major PW, et al. Association Between Sleep Bruxism and Psychosocial Factors in Children and Adolescents: A Systematic Review. Clin Pediatr (Phila). 2014;(AHEAD OF PRINT):1–10.
5. Emodi-Perlman a, Eli I, Friedman-Rubin P, Goldsmith C, Reiter S, Winocur E. Bruxism, oral parafunctions, anamnestic and clinical findings of temporomandibular disorders in children. J Oral Rehabil. 2012 Feb;39(2):126–35.
6. Restrepo CC, Vásquez LM, Alvarez M, Valencia I. Personality traits and temporomandibular disorders in a group of children with bruxing behaviour. J Oral Rehabil. 2008 Aug;35(8):585–93.
7. Carra MC, Huynh N, Lavigne G, Co N. Schlaf-Bruxismus und schlafbezogene Atmungsstörungen in der Pädiatrie : eine Übersicht für Behandler. Zeitschrfit für kraniomandibuläre Funktion. 2011;3(3):205–20.
8. Restrepo CC, Vásquez LM, Alvarez M, Valencia I. Personality traits and temporomandibular disorders in a group of children with bruxing behaviour. J Oral Rehabil. 2008;35(8):585–93.
9. Petit D, Touchette E, Tremblay RE, Boivin M, Montplaisir J. Dyssomnias and parasomnias in early childhood. Pediatrics. 2007;119(5):e1016–25.
10. Pirilä-Parkkinen K. CHILDHOOD SLEEP- DISORDERED BREA THING – DENTOFACIAL AND PHAR YNGEAL CHARACTERISTICS. Oulu; 2011.
11. Ommerborn MA, Kollmann C, Handschel J, Depprich RA, Lang H, Raab WH-M. A survey on German dentists regarding the management of craniomandibular disorders. Clin Oral Investig. 2010 Apr;14(2):137–44.
12. Bender SD. Feature Sleep Bruxism : A Topical Review. J Gt Houst Dent Soc. 2012;(May):7–11.
13. Dao TT, Lavigne G. Oral Splints: the Crutches for Temporomandibular Disorders and Bruxism? Crit Rev Oral Biol Med. 1998 Jan 1;9(3):345–61.
14. AAPD. AAPD Reference Manual “ the manual ” American Academy of Pediatric Dentistry. 2010.
15. Papadopoulos MA. Meta-Analyses and Orthodontic Evidence-Based Clinical Practice in the 21 st Century. Open Dent J. 2010;4:92–123.
16. Köhler AA. On temporomandibular disorders. Swed Dent J. 2012;(Supplement 227):1–121.
17. Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxers. Aust Dent J. 2004 Jun;49(2):84–9.
18. Rintakoski K, Hublin C, Lobbezoo F, Rose RJ, Kaprio J. Genetic Factors Account for Half of the Phenotypic Variance in Liability to Sleep-Related Bruxism in Young Adults: A Nationwide Finnish Twin Cohort Study. Twin Res Hum Genet. 2012;(May):1–6.
19. Lobbezoo F. Are bruxism and the bite causally related ? 2012.
20. Lobbezoo F, van der Zaag J, van Selms MK a, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008 Jul;35(7):509–23.
21. Manfredini D, Lobbezoo F, Kinesiology SO. Role of Psychosocial Factors in the Etiology of Bruxism. J Orofac Pain. 2009;23(2):153–66.
22. Vélez a L, Restrepo CC, Peláez-Vargas A, Gallego GJ, Alvarez E, Tamayo V, et al. Head posture and dental wear evaluation of bruxist children with primary teeth. J Oral Rehabil. 2007 Sep;34(9):663–70.
23. Bader G, Lavigne G. Sleep bruxism, an overview of an oromandibular sleep movement disorder. Sleep Med. 2000;4(1):27–43.
24. Kuttila S. Secondary aural symptoms in relation to cranio-cervical and general to cranio-cervical and general disorders . Turku; 2003.
25. Luther F. TMD an occlusion part II. Dammed if we don`t? Functional occlusal problems : TMD epidemiology in a wider context. Br Dent J. 2007;202(E 3):1–6.
26. Ré J-P, Perez C, Darmouni L, Carlier JF, Orthlieb J-D. The occlusal splint therapy. Int J Stomatol Occlusion Med. 2009 Jul 21;2(2):82–6.
27. Ruoff CM, Guilleminault C. Oral Appliances and Sleep-Disordered Breathing. Chest. 2011 Nov;140(5):1110–1.
28. Reychlera H, Tovaru S. Current recommendations for the diagnosis of temporo-mandibular joint disorders –– Review paper. Maedica (Buchar). 2008;3(1):52–8.
29. Manfredini D, Vano M, Peretta R, Guarda-Nardini L. Jaw clenching effects in relation to two extreme occlusal features: patterns of diagnoses in a TMD patient population. Cranio®. 2014 Jan;32(1):45–50.
30. Bumann A, Lotzmann U. TMJ Disorders and Orofacial Pain. The Role of Dentistry in a Multidisciplinary Diagnostic Approach. 1st ed. Rateischak K, Wolf H, editors. Stuttgart: Thime; 2002. 1-379 p.
31. Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent. 2003;90(2):194–200.
32. Dentistry AAOP. Guideline on management of the developing dentition and occlusion in pediatric dentistry. Pediatric dentistry. 2009.
33. Okeson JP. Etiology of Functional Disturbances in the Masticatory System. Management of Temporomandibular Disorders and Occlusion. 6th ed. St. Louis: Mosby & Co.; 2004. p. 130–63.
34. Kritzler U. Übersicht Cochrane Systematic Reviews. 2013.
35. Ommerborn MA, Giraki M, Schneider C, Fuck LM, Handschel J, Franz M, et al. Effects of sleep bruxism on functional and occlusal parameters: a prospective controlled investigation. Int J Oral Sci. 2012 Sep;4(3):141–5.
36. Manfredini D, Winocur E, Maurice T, Goldschleger G, Aviv T, Guarda-nardini L, et al. Epidemiology of Bruxism in Adults: A Systematic Review of the Literature. J Orofac Pain. 2013;27(2):99–110.
37. Friedman M. Sleep Apnea and Snoring. 1st ed. Friedman M, editor. Saunders Elsevier; 2009. 1-463 p.
38. Macedo CR, Silva AB, Machado MA, Saconat H, Prado GF. Occlusal splints for treating sleep bruxism ( tooth grinding ) ( Review ). Cochrane Libr. 2007;(4):1–31.
39. Lobbezoo F, Fellow P, Lavigne GJ, Science N. Do Bruxism and Temporomandibualr Disorders Have a Cause-and-Effect Relationship? J Orofac Pain. 1997;11(1):15–24.
40. Ververs M, Ouwerkerk JL, van der Heiden G, Steenks MH, Wijer A De. Ätiologie der kraniomandibulären Dysfunktion : eine Literaturübersicht. Dtsch Zahnarztl Z. 2004;59(10):556–62.
41. Carlsson GE, Egermark I, Magnusson T, Consultant S. Predictors of Bruxism, Other Oral Parafunctions, and Tooth Wear over a 20-Year Follow-up Period. J Orofac Pain. 2003;17(1):50–7.
42. Barbosa TDS, Miyakoda LS, Pocztaruk RDL, Rocha CP, Gavião MBD. Temporomandibular disorders and bruxism in childhood and adolescence: Review of the literature. Int J Pediatr Otorhinolaryngol. 2008;72(2008):299–314.
43. Lavigne GJ, Kato T, Kolta a., Sessle BJ. Neurobiological Mechanisms Involved in Sleep Bruxism. Crit Rev Oral Biol Med. 2003 Jan 1;14(1):30–46.
44. Raphael KG, Sirois DA, Malvin N, Wigren PE, Dubrovsky B, Lena V, et al. Sleep bruxism and myofascial temporomandibular disorders. J Am Dent Assoc. 2012;143(11):1223–31.
45. Manfredini D, Visscher CM, Guarda-Nardini L, Lobbezoo F. Occlusal factors are not related to self-reported bruxism. J Orofac Pain. 2012 Jan;26(3):163–7.
46. Canto GDL, Fellow P, Singh V, Instructor C, Pain O, Program G, et al. Sleep Bruxism and Sleep-Disordered Breathing: A Systematic Review. J oral facial pain headache. 2014;28(4):299–306.
Kind regards
Ulrich Kritzler
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