Bruxism and Anxiety
Bruxism: Grinding or Clenching Teeth, is a common anxiety symptom, including anxiety and panic attack symptoms.
Since indications of bruxism include having a sore jaw, tight jaw muscles, sore teeth, waking up with sore teeth, teeth are worn down, flattened, or chipped, headaches, and facial numbness, to name a few.
This article explains the relationship between anxiety and bruxism.
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Buxism Common Symptom Descriptions
You experience any one or combination of the following:
- Sore jaw
- Clenching your jaw
- Voluntary or involuntary grinding of your jaw or teeth
- Earache
- Tight jaw muscles
- Sore teeth
- Sore gums or muscles around your teeth
- Teeth are worn down, flattened, or chipped
- Worn tooth enamel
- Teeth sensitivities
- Headache
- Chronic pains in the face or neck
- Chewed tissue on the inside of your cheek
- Facial numbness
- Numbness on the forehead, lips, side of the face, temple, side of the head
- Scalp numbness
- Shooting pains in your jaw or head
- Clicking, swishing, or grinding sound in your jaw when you open or close your mouth
- One or both jaw joints feel loose like they are slipping, or like they are locking or getting caught or locked
- Misaligned bite; suddenly your teeth don’t line up properly
Bruxism can affect one jaw joint only, can shift and affect the other jaw joint, can migrate back and forth between jaw joints, and can affect both and over and over again.
This symptom can:
- Occur occasionally, frequently, or persistently.
- Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
- Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out of the blue" for no reason.
- Range in intensity from mild, to moderate, to severe.
- Come in waves where it’s strong one moment and eases off the next.
- Occur for a while, subside, and then return for no reason.
- Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.
This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.
All the above combinations and variations are common.
To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.
The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.
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Causes
Medical Advisory
Talk to your doctor about all new, changing, persistent, and returning symptoms as some medical conditions and medications can cause anxiety-like symptoms.
Bruxism is the medical term for grinding, gnashing, or clenching your teeth, distinct from normal activities like eating, chewing, and talking. It can occur consciously or subconsciously during awake hours or unconsciously while sleeping.
Generally, the sufferer isn’t aware of it, except for the presence of symptoms or when someone else notices it, such as when a husband or wife is woken up due to the sound of their spouse grinding their teeth.
There are many causes of bruxism, but the main causes are stress, tension, anxiety, anger suppression, aggressiveness, concentration, and competitive or hyperactive behaviors.[1][2]
Bruxism can also be caused by growth and development issues in children, as a complication of a more serious medical condition.
Hyperstimulation
Since stress is a common cause of bruxism, chronic stress (hyperstimulation) can cause issues with chronic bruxism.
Nervous habit
Even though stress is often the cause of the onset of bruxism, a person can develop grinding or clenching their teeth as a habit. It can then occur as part of daily life despite the lack of stress or other psychological or emotional triggers.
If you are experiencing symptoms like the ones associated with bruxism, we recommend discussing them with your doctor and dentist. While bruxism can cause several uncomfortable symptoms, by itself, bruxism isn’t harmful or dangerous. Left untreated, however, it can cause great harm to teeth, which may require expensive dental work to repair and cause problems with the jaw joint(s).
Bruxism can also be the cause of TMJ (temporomandibular joint).
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Other Factors
Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:
- Medication
- Recreational drugs
- Stimulants
- Sleep deprivation
- Low blood sugar
- Nutritional deficiencies
- Dehydration
- Hormone changes
- Pain
Select the relevant link for more information.
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Treatment
When this symptom is caused or aggravated by other factors, addressing the appropriate factor(s) will eliminate this symptom in time.
There are many ways to reduce and eliminate bruxism. Talking with your doctor and dentist can be helpful.
Since stress, including anxiety-caused stress and hyperstimulation, are common causes of bruxism, working to address the causes of your anxiety and stress can help eliminate this symptom.
Deliberately not grinding or clenching your teeth can help, as well.
Working with an experienced anxiety disorder therapist is the most effective way to address your stress and anxiety issues and make the meaningful change required to eliminate bruxism, especially if it’s become a habit.
There are several natural approaches that might help reduce or eliminate bruxism:
Lifestyle Changes
- Avoid or limit caffeine, alcohol, and tobacco, especially in the evening since these can intensify teeth grinding.
- Do not chew on non-food items like pencils or pens, which can train jaw muscles to clench.
- Practice relaxing your jaw muscles throughout the day by positioning your tongue between your teeth.
Stress Reduction Techniques
- Try meditation or mindfulness practices to reduce overall stress levels.
- One to two 30-minute deep relaxation techniques each day can dramatically reduce stress and jaw tension.
- Practice stretching exercises, such as the neck, jaw and mouth area.
- Aromatherapy with calming essential oils like lavender, cedarwood or chamomile can help reduce stress and tension.
Diet and Supplements
- Consume magnesium-rich foods like leafy greens, yogurt and brown rice to ease inflammation.
- Drink warm milk with turmeric before bed to relax nerves and reduce inflammation.
- Consider supplements like vitamin C, B-vitamins, magnesium or valerian root.
Relaxation Methods
- Apply a warm compress to the jaw area before bed to relax muscles.
- Gently massage jaw muscles with lavender oil to release tension.
- Take a warm bath or shower before sleep to promote overall relaxation.
- Drink calming herbal teas like chamomile or valerian in the evening.
Exercise and Physical Therapy
- Engage in regular light to moderate exercise can help relieve stress and tension.
- Practice jaw exercises to improve flexibility and reduce clenching.
While these natural approaches can be helpful, it's important to consult a dentist or doctor if bruxism persists, as they can provide additional treatments like mouth guards or address any underlying causes.
Combining natural remedies with professional care often yields the best results for managing bruxism.
Recovery Support
The Recovery Support area of our website contains thousands of pages of important self-help information to help individuals overcome anxiety disorder, hyperstimulation, and symptoms.
Due to the vast amount of information, including a private Discussion Forum, many of our Recovery Support members consider it their online recovery support group.
Therapy
Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.[7][8][9]
Addressing your underlying factors (Level Two recovery) is most important if you want lasting success.
Addressing Level Two recovery can help you:
- Contain anxious behavior.
- Become unafraid of anxiety symptoms and the strong feelings of anxiety.
- End anxiety symptoms.
- Successfully address the underlying factors that so often cause issues with anxiety.
- End what can feel like out-of-control worry.
All our recommended anxiety therapists have had anxiety disorder and overcame it. Their personal experience with anxiety disorder and their Master's Degree and above professional training gives them insight other therapists don't have.
If you want to achieve lasting success over anxiety disorder, any one of our recommended therapists would be a good choice.
Working with an experienced anxiety disorder therapist is the most effective way to treat anxiety disorder, especially if you have persistent symptoms and difficulty containing anxious behavior, such as worry.
In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.
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FAQ
Can bruxism cause anxiety?
Anxiety is caused by apprehensive behavior. So, no, bruxism doesn’t cause anxiety. However, if you worry about bruxism and its symptoms, yes, since worry is an example of apprehensive behavior.
Can bruxism become permanent?
No, not if you address the issues and behaviors that are causing it. Similar to any anxiety symptom, bruxism can be eliminated with effort and time.
Are there certain foods I should avoid?
Avoiding hard and crunchy foods can help alleviate bruxism, such as nuts, popcorn, hard candies, pretzels, tough meats. These foods require excessive chewing, which can tire and strain your jaw muscles, potentially leading to more grinding and clenching.
You can also avoid chewy foods such as gum, chewy candies, and peanut butter, which can overwork your jaw muscles and promote clenching habits.
You can also avoid alcohol, which can disrupt sleep patterns and increase muscle tension, leading to more grinding.
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Prevalence
In an online poll we conducted, 58 percent of respondents said they had bruxism due to their anxiety.
NOTE: Until you have successfully addressed the reasons for your bruxism, wearing a Night Guard when sleeping can help reduce the damage to teeth and jaw joints while sleeping. Speak with your dentist about this if you believe bruxism is a problem for you.
Common Anxiety Symptoms
Additional Resources
- For a comprehensive list of Anxiety Disorders Symptoms Signs, Types, Causes, Diagnosis, and Treatment.
- Anxiety and panic attacks symptoms can be powerful experiences. Find out what they are and how to stop them.
- How to stop an anxiety attack and panic.
- Free online anxiety tests to screen for anxiety. Two minute tests with instant results. Such as:
- Anxiety 101 is a summarized description of anxiety, anxiety disorder, and how to overcome it.
Return to our anxiety disorders signs and symptoms page.
anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including Bruxism: Grinding and Clenching teeth anxiety symptoms.
1. "Bruxism (teeth grinding)" Mayo Clinic, retrieved Oct 28, 2020.
2. Legg, Timothy. "What is bruxism, or teeth grinding?" MedicalNewToday, 19 March 2017.