Bruxism and Dental Crowns

Bruxism and Dental Crowns

Bruxism, or teeth grinding, can significantly impact the health and longevity of dental crowns. This topic cluster explores the relationship between bruxism and dental crowns, delves into potential complications and risks, and provides insights into managing the impact of bruxism on dental crowns.

Understanding Bruxism

Bruxism refers to the involuntary clenching, grinding, or gnashing of teeth. This condition can occur during sleep (nocturnal bruxism) or while awake (diurnal bruxism). It affects people of all ages and can have adverse effects on oral health, including the potential to damage dental crowns.

Dental Crowns and Their Function

Dental crowns are custom-made, tooth-shaped caps that are placed over damaged or decayed teeth. They serve both functional and aesthetic purposes, restoring the tooth's shape, size, strength, and appearance. While crowns are designed to withstand normal biting and chewing forces, they may be compromised by the impact of bruxism.

Impact of Bruxism on Dental Crowns

Bruxism exerts excessive pressure and friction on dental crowns, which can lead to a range of potential complications and risks:

  • Frequent wear and tear: The constant grinding and clenching of teeth can cause accelerated wear and tear on dental crowns, reducing their lifespan.
  • Fractures and chipping: The repetitive force applied during bruxism can result in fractures or chipping of dental crowns, compromising their structural integrity.
  • Loosening or dislodging: The persistent pressure from bruxism can loosen or dislodge dental crowns, leading to the need for replacement and additional dental work.
  • Gum recession: Bruxism may contribute to gum recession, exposing the margins of dental crowns and increasing the risk of decay and other oral health issues.
  • Temperature sensitivity: Teeth grinding can cause microcracks in the dental crown, leading to increased sensitivity to hot and cold temperatures.

Managing the Impact of Bruxism on Dental Crowns

Given the potential complications and risks associated with bruxism and dental crowns, it is essential to consider proactive measures to mitigate the adverse effects:

  • Nightguards: Custom-fitted nightguards can be worn during sleep to protect dental crowns from the effects of nocturnal bruxism.
  • Stress management: Bruxism is often linked to stress and anxiety. Implementing stress-reducing techniques or seeking professional support can help address the underlying causes of teeth grinding.
  • Dental check-ups: Regular visits to the dentist allow for the early detection of any issues related to bruxism and dental crowns, enabling timely intervention.
  • Adjusting bite alignment: In some cases, adjustments to the bite alignment or occlusion may be recommended to reduce the impact of bruxism on dental crowns.
  • Choosing durable materials: When considering dental crowns for individuals with bruxism, selecting materials known for their strength and resilience can improve the longevity of the crowns.

Conclusion

Bruxism poses a significant challenge to the integrity of dental crowns, with the potential for various complications and risks. By understanding the impact of teeth grinding on dental crowns and implementing proactive strategies, individuals with bruxism can better preserve the functionality and longevity of their dental restorations.

References:

  1. Machado, N., & Moon, W. (2015). Bruxism: Conceptual discussion and review. The Journal of Prosthetic Dentistry, 114(3), 34-47.
  2. Manfredini, D., & Lobbezoo, F. (2010). Relationship between bruxism and temporomandibular disorders: A systematic review of literature from 1998 to 2008. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 109(6), e26-e50.
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