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STRESS AND DENTISTRY

Stress is such a major theme in our lives that stress management has become an industry. We often see the effect of stress on teeth. The stress can be external. Physical or psychological stress can have detrimental results on teeth and oral structures. Stress can be internal. Dental disorders in and of themselves can result in stress to individual teeth.

Bruxism is a technical term in dentistry and refers to grinding teeth or clenching jaws. We all do this from time to time, but major problems ensue when it becomes a habit. The habit is common in adults and affects about 15% of children. It often occurs during sleep. Your spouse may be the first to complain. Bruxism can result from anxiety or other psychological stress, sleep disorders, or from an abnormal bite, missing teeth or teeth that could benefit from orthodontic treatment.

When we see fractured teeth that should otherwise be healthy, teeth that are worn, or certain instances of gum damage or loose teeth…or when you complain of facial pain or TMJ (temporomandibular joint) disorders, we are aware that your teeth may be trying to alert you to reduce the stress you are experiencing.

We evaluate the “dental” causes of stress on your teeth. We might recommend any of a number of treatment alternatives:

  • Occlusal adjustments of minor problems with bite. This treatment involves adjusting the bite so that the patient’s teeth fit together better. However, it is limited to those cases where the maladjustment is slight.
  • Orthodontic treatment. Orthodontic treatment is much more than a cosmetic issue. Straight teeth with correct and stable form of the dental arches are cosmetically pleasing. Functionally, they are better equipped to resist stress, wear, cavities and gum disease for a lifetime of normal use.
  • Occlusal guards, mouth guards, bite guards, occlusal appliances. Such guards may be appropriate when there is evidence of bruxism without a “dental” cause. In these cases, the patient may benefit from stress management therapies or referral to his medical care provider for further evaluation.

Remember that regular six-month dental check-ups will aid in early detection of stress-related dental problems.

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Roland C. Lingle, DDS
997 S. McPherson Church Rd.
Fayetteville, NC 28303
(910) 323-2364
fax: (910) 323-8632