Bruxism
Alerts and Notices
Synopsis
Bruxism may occur in association with other sleep disorders such as snoring and obstructive sleep apnea, with trismus, or with temporomandibular joint disorders. Clinical diagnosis is based on a history of tooth grinding during sleep confirmed by the patient's bed partner, or parents in the case of pediatric patients. Polysomnography is not required for diagnosis but should be performed when etiology is uncertain or when a comorbid sleep disorder, such as obstructive sleep apnea (OSA), is suspected.
Treatment involves repair of dental damage and prevention of damage with occlusal guards and splints.
Codes
ICD10CM:G47.63 – Sleep related bruxism
SNOMEDCT:
191983006 – Bruxism (teeth grinding)
274950005 – Sleep-related bruxism
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
Possible underlying causes include:Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:02/19/2019
Last Updated:04/21/2019
Last Updated:04/21/2019