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TMJ & Facial Pain5 min read

Do You Grind Your Teeth at Night? Signs, Damage & Solutions

Teeth grinding (bruxism) affects 1 in 3 adults and can crack teeth, cause jaw pain, and lead to expensive dental work. A custom night guard can prevent it all.

Man receiving a dental examination for teeth grinding assessment

How Do I Know If I Grind My Teeth?

Most people grind their teeth during sleep and don't realize it until damage appears. Your dentist can spot the signs, but here are common symptoms:

Warning signs:

  • Waking up with jaw soreness or headaches
  • Flat, worn, or chipped tooth surfaces
  • Tooth sensitivity that wasn't there before
  • Catching yourself clenching during the day
  • Your partner hears grinding at night
  • Tongue indentations (scalloped edges)

The Real Damage Grinding Causes

Bruxism generates forces up to 250 pounds per square inch — enough to crack teeth. Over time, untreated grinding can lead to:

  • Cracked or fractured teeth — requiring crowns ($1,000–$1,500 each)
  • Worn enamel — exposing sensitive dentin
  • TMJ disorder — chronic jaw pain and dysfunction
  • Receding gums — from the constant pressure
  • Broken dental work — fillings and crowns fail prematurely

Solutions That Work

1. Custom Night Guard (Gold Standard)

A professionally fitted night guard absorbs grinding forces and prevents tooth-to-tooth contact. Made from 3D scans at our office, it fits precisely — unlike bulky store-bought versions.

Cost: $400–$600 (lasts 3–5 years)

2. Therapeutic Botox

For severe clenchers, small Botox injections into the masseter muscles reduce clenching force by up to 80%. Results last 3–4 months.

3. Stress Management

Since stress is the #1 cause of bruxism:

  • Regular exercise
  • Relaxation techniques before bed
  • Limiting caffeine after noon
  • Avoiding alcohol before sleep

Store-Bought Guards vs. Custom Guards

Store-BoughtCustom (Dental Office)
FitGeneric, bulkyPrecise, comfortable
ProtectionBasicFull coverage
Durability1–3 months3–5 years
Cost$20–$40$400–$600
Can cause bite problemsYesNo

If you suspect you're grinding, schedule an evaluation at Yamaguchi Family Dentistry in Tumwater. A $500 night guard today can prevent $5,000+ in dental repairs.

Book AppointmentYamaguchi Family Dentistry · (360) 943-9480 · Tumwater, WA

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Tumwater, WA 98501

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210 Pinehurst Dr. SW, Tumwater, WA 98501