Endodontics (Nerve treatment)
Advanced diagnostics and therapies for tooth wear and jaw pain
Do you wake up with jaw pain? Has your partner told you that you grind your teeth in your sleep? Do you notice unexplained wear on your teeth? These are clear signs of bruxismA disorder that affects millions of people and that, without proper treatment, can cause permanent damage to your teeth and seriously affect your quality of life.
At Sonrisa Para Todos we offer a comprehensive and multidisciplinary approach to the diagnosis and treatment of bruxism, combining the most advanced techniques to alleviate its symptoms and protect your long-term oral health.
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What is bruxism and why does it occur?
Triggering factors of bruxism:
Although there is no single determined cause, bruxism is usually associated with:
Psychological Factors:
- High stress and chronic anxiety
- Unresolved emotional tension
- Perfectionist or hypercompetitive personality
- Unconscious strategy to release tension
Physical Factors:
- Dental malocclusion (bad bite)
- Sleep disorders such as apnea or insomnia
- Excessive caffeine, alcohol or tobacco consumption
- Side effects of certain medications (especially antidepressants)
Neurological factors:
- Imbalances in brain neurotransmitters
- Movement disorders during sleep
- Altered brain activity during certain phases of sleep
Signs and symptoms: detecting bruxism in time
Bruxism can manifest itself in a variety of ways, some more obvious than others. Recognizing these signs early is crucial to prevent further damage:
Dental signs:
- Abnormal wear of tooth enamel, exposing the dentin
- Flattened, fractured or chipped teeth with no apparent cause
- Dental hypersensitivity to temperatures and foods
- Tooth mobility without periodontal disease
- Fracture lines in dental enamel
- Bone growth around the roots visible on radiographs
Muscular and articular signs:
- Pain and fatigue in masticatory muscles
- Stiff jaw especially upon awakening
- Limited mouth opening
- Clicking or popping in the temporomandibular joint (TMJ)
- Hypertrophy of the masseter muscles (bulging cheeks)
- Referred pain in ear, temples, neck or shoulders
Other associated symptoms:
- Frequent headaches, especially in the temporal area
- Sleep disturbances and daytime fatigue
- Bruises on the inner cheeks
- Gingival recession in specific areas
- Audible grinding sound during sleep (partner-reported)
Consequences of untreated bruxism
Ignoring bruxism can lead to significant complications:
- Severe tooth wear requiring complex rehabilitation
- Dental fractures that may require extractions
- Temporomandibular disorders (TTM) chronic
- Loss of vertical dimension facial
- Permanent tooth sensitivity
- Sleep problems persistent
- Chronic pain in head and neck
- Impact on quality of life general
Professional diagnosis of bruxism in Smile For All
In our clinic we perform a comprehensive evaluation that includes:
- Detailed medical history with emphasis on habits and risk factors
- Thorough clinical examination of teeth, muscles and joints
- Occlusion analysis and tooth wear pattern
- Assessment of muscle function by palpation and measurement
- Complementary studies when necessary:
- Panoramic radiographs
- TMJ tomography
- Electromyography of masticatory muscles
- Specific sleep and stress questionnaires
Integrated treatment of bruxism: our multidisciplinary approach
Bruxism requires a personalized approach that combines different therapeutic strategies. At Sonrisa Para Todos we offer a customized treatment plan that may include:
1. Application of botulinum toxin (therapeutic botox)
The latest innovation in the treatment of bruxism:
- Accurate application in hypertrophied masticatory muscles
- Reduces contraction force without affecting normal function
- Rapid pain relief and muscle fatigue
- Visible results 3-7 days after application
- Approximate duration 4-6 months per session
- High success rate scientifically proven
- Safe procedure performed by trained professionals
Customized occlusal splints
Custom-made devices that protect the teeth and relax the muscles:
- Customized design according to each patient's oral anatomy
- Manufactured with high quality and durable materials
- Reduce muscle activity nighttime up to 70%
- Prevent tooth wear additional
- Stabilize the joint temporomandibular
- Overnight use for maximum efficiency
Complementary therapies
Additional techniques that enhance results:
- Specialized physiotherapy in facial and cervical musculature
- Relaxation techniques and stress management
- Neural therapy for cases with severe pain
- Advice on sleep habits and hygiene
- Modification of behavioral factors related to bruxism
- Evaluation and treatment of associated sleep disorders
4. Selective Pharmacotherapy
In specific cases and for limited periods:
- Muscle relaxants selective action
- Anti-inflammatories for acute phases
- Supplements that promote muscle relaxation
5. Dental rehabilitation
When there is significant structural damage:
- Restoration of damaged teeth with resistant materials
- Selective occlusal adjustment to balance masticatory forces
- Rehabilitation of the vertical dimension lost
- Correction of occlusal factors that contribute to bruxism
Recommended treatment protocol
For optimal results, our specialists usually recommend a phased approach:
First Phase: Immediate Control
- Accurate diagnosis
- Botulinum toxin application
- Fabrication and installation of customized occlusal splints
- Acute pain control if present
Second Phase: Maintenance and Prevention
- Regular use of night splint
- Reapplication of botulinum toxin as needed (usually every 4-6 months).
- Physiotherapy and relaxation techniques
- Regular monitoring of tooth wear
Third Phase: Rehabilitation (if necessary)
- Restoration of damaged dental structures
- Correction of contributing occlusal factors
- Long-term maintenance program
Benefits of our integrated approach
- Immediate relief of pain and discomfort
- Effective protection of tooth structure
- Significant improvement in sleep quality
- Reduction of headaches and cervical discomfort
- Treating the underlying cause, not just the symptoms
- Personalized plan according to specific needs
- Multidisciplinary approach with specialists in several areas
Why choose Sonrisa Para Todos for the treatment of bruxism?
- Comprehensive approach combining the most advanced therapies
- Specialists certified in botulinum toxin for dental use
- In-house laboratory for the manufacture of high-precision splints
- State-of-the-art diagnostic technology
- Comprehensive assessment of contributing factors
- Long-term personalized follow-up
- Coordination with other specialists when required (psychology, neurology, physiotherapy)
Financing available
We have financing facilities with the main entities in the country.
Frequently asked questions about the treatment of bruxism
Is the application of botulinum toxin for bruxism painful?
The procedure is minimally invasive and is performed with extremely fine needles. Most patients describe a mild pricking sensation that lasts only a few seconds. For added comfort, we can apply topical anesthetic beforehand.
Will I need to wear the occlusal splint for life?
In many cases, splinting is a long-term commitment, especially if bruxing triggers (such as stress) cannot be completely eliminated. However, the frequency and intensity of bruxism may decrease over time, allowing the wearing protocol to be adjusted.
How long will it take to notice improvement with the treatment?
With the application of botulinum toxin, many patients notice a significant reduction in muscle tension and pain in 3-7 days. The occlusal splint provides immediate protection to the teeth, but complete adaptation and associated muscle relaxation may take 2-3 weeks.
Does health insurance cover treatments for bruxism?
Some medical and dental insurances partially cover the treatment of bruxism, especially when it is associated with diagnosed temporomandibular disorders. We recommend that you check with your insurer for specific coverage for occlusal splints and other treatments.
Don't let bruxism continue to damage your teeth and affect your quality of life. We invite you to a complete evaluation where our specialists will determine the severity of your case and design a personalized treatment plan.
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