ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences
Bruxism
Print
Other Resources UpToDate PubMed

Bruxism

Print Images (1)
Contributors: Casey Silver MD, Abhijeet Waghray MD
Other Resources UpToDate PubMed

Synopsis

Bruxism is unconscious repetitive movement or bracing of the jaw muscles, characterized by grinding of teeth and clenching of the jaw, typically while sleeping but also while awake. This is often a transient occurrence in children, rarely continuing into adolescence. In adults, it can cause damage to teeth and contribute to muscular headaches. Symptoms include jaw pain, sleep disturbance, tooth pain, dystonia, and headache. Damage to tooth enamel and dental restorations may be observed on examination.

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

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Possible underlying causes include:

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

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

Subscription Required

Last Reviewed: 02/20/2019
Last Updated: 04/22/2019
Copyright © 2019 VisualDx®. All rights reserved.
Bruxism
Print 1 Images
Bruxism : Headache, Anxiety, Dystonia, Jaw pain, Sleep disturbance
Copyright © 2019 VisualDx®. All rights reserved.