A Bruxism (ब्रुक्सिज्म) is excessive teeth grinding or jaw clenching. It is an oral parafunctional activity i.e. unrelated to normal function such as eating or talking. Bruxism is a common behavior; reports of prevalence range from 8% to 31% in the general population. Several symptoms are commonly associated with bruxism, including hypersensitive teeth, aching jaw muscles, headaches, tooth wear, and damage to dental restorations e.g. crowns and fillings. Symptoms may be minimal, without patient awareness of the condition. Siddha Spirituality of Swami Hardas Life System brings out valuable information and remedies about bruxism e.g. types, symptoms, causes, diagnosis, treatment, and free Siddha energy remedies for the wellbeing of our valuable readers.
Bruxism Definition (ब्रुक्सिज्म की परिभाषा)
Bruxism is a repetitive jaw-muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. It has two distinct circadian manifestations, which can occur during sleep, indicated as sleep bruxism, or during wakefulness i.e. indicated as awake bruxism.
Bruxism Types (ब्रुक्सिज्म के प्रकार)
There are two main types of bruxism:
- Nocturnal bruxism i.e. one occurs during sleep, and
- Awake bruxism i.e. one occurs during wakefulness
Dental damage may be similar in both types, but the symptoms of sleep bruxism tend to be worse on waking and improve during the course of the day, and the symptoms of awake bruxism may not be present at all on waking, and then worsen over the day.
Bruxism Symptoms (ब्रुक्सिज्म के लक्षण)
Clenching and grinding (पिसाई)
Most people who brux are unaware of the problem, either because there are no symptoms, or because the symptoms are not understood to be associated with clenching and grinding problem. The symptoms of sleep bruxism are usually most intense immediately after waking and then slowly abate, and the symptoms of a grinding habit which occurs mainly while awake tend to worsen through the day, and may not be present on waking. Bruxism may cause a variety of signs and symptoms, including:
- Tooth fractures, and repeated failure of dental restorations
- Hypersensitive teeth, e.g. dental pain when drinking a cold liquid
- Inflammation of the periodontal ligament of teeth, which may make them sore to bite on, and possibly also a degree of loosening of the teeth
- A grinding or tapping noise during sleep, sometimes detected by a partner or a parent. This noise can be surprisingly loud and unpleasant and can wake a sleeping partner
- Other parafunctional activity which may occur together with bruxism: cheek biting and/or lip biting
- A burning sensation on the tongue
- Indentations of the teeth in the tongue
- Hypertrophy of the muscles of mastication i.e. increase in the size of the muscles that move the jaw, particularly the masseter muscle
- Tenderness, pain or fatigue of the muscles of mastication
- Trismus i.e. restricted mouth opening
- Pain or tenderness of the temporomandibular joints, which may manifest as preauricular pain in front of the ear, or pain referred to the ear
- The clicking of the temporomandibular joints
- Headaches, particularly pain in the temples, caused by muscle pain associated with the temporalis muscle
Detection of bruxism (ब्रुक्सिज्म की जांच)
Bruxism is usually detected because of the effects of the process. The large forces that can be generated during bruxism can have detrimental effects on the components of the masticatory system. Hence, muscles of mastication that act to move the jaw can also be affected since they are being utilized over and above normal function.
Tooth wear (दाँत घिसना)
Many publications list tooth wear as a consequence of bruxism, but some report a lack of a positive relationship between tooth wear and bruxism. Tooth wear caused by tooth-to-tooth contact is termed attrition. This is the most usual type of tooth wear that occurs in bruxism and affects the occlusal surface of the teeth.
People with bruxism may also grind their posterior teeth (back teeth), which wears down the cusps of the occlusal surface. Once tooth wear progresses through the enamel layer, the exposed dentin layer is softer and more vulnerable to wear and tooth decay.
Tooth mobility (दाँत की गतिशीलता)
Tooth movement that occurs during occlusal loading is sometimes termed fremitus. It is generally accepted that increased occlusal forces are able to increase the rate of progression of pre-existing periodontal disease (gum disease), however, the mainstay treatment is plaque control rather than elaborate occlusal adjustments.
Most people with bruxism will experience no pain. The presence or degree of pain does not necessarily correlate with the severity of grinding or clenching. The pain in the muscles of mastication caused by bruxism can be likened to muscle pain after exercise.
Bruxism Causes (ब्रुक्सिज्म के कारण)
Some of the muscles work to elevate the mandible, and others also are involved in lateral (side to side), protrusive or retractive movements. Mastication (chewing) is a complex neuromuscular activity that can be controlled either by subconscious processes or by conscious processes.
In individuals without bruxism or other parafunctional activities, during wakefulness, the jaw is generally at rest and the teeth are not in contact, except while speaking, swallowing or chewing.
It is estimated that the teeth are in contact for less than 20 minutes per day, mostly during chewing and swallowing. Normally during sleep, the voluntary muscles are inactive due to physiologic motor paralysis, and the jaw is usually open.
Awake bruxism (जाग ब्रुक्सिज्म)
Awake bruxism usually involves the clenching, but also possibly grinding, and is often associated with other semivoluntary oral habits such as cheek biting, nail-biting, chewing on a pen or pencil absent-mindedly, or tongue thrusting where the tongue is pushed against the front teeth forcefully.
Dopaminergic system (डोपामिनर्जिक प्रणाली)
Disturbance of the dopaminergic system in the central nervous system has also been suggested to be involved in the etiology of bruxism. Evidence for this comes from observations of the modifying effect of medications that alter dopamine release on bruxing activity, such as levodopa, amphetamines or nicotine, which stimulates the release of dopamine, which is postulated to explain why bruxism is twice as common in smokers compared to non-smokers.
Many studies have reported significant psychosocial risk factors for bruxism, particularly a stressful lifestyle, and this evidence is growing, but still not conclusive. Some consider emotional stress to be the main triggering factor. It has been reported that persons with bruxism respond differently to depression, hostility and stress compared to people without bruxism.
Stress has a stronger relationship to awake bruxism, but the role of stress in sleep bruxism is less clear, with some stating that there is no evidence for a relationship with sleep bruxism.
However, children with sleep bruxism have been shown to have greater levels of anxiety than other children. People aged 50 with bruxism are more likely to be single and have a high level of education.
Genetic factors (आनुवंशिक कारक)
Some research suggests that there may be a degree of inherited susceptibility to develop sleep bruxism. 21–50% of people with sleep bruxism have a direct family member who had sleep bruxism during childhood, suggesting that there are genetic factors involved, although no genetic markers have yet been identified.
Certain stimulant drugs, including both prescribed and recreational drugs, are thought by some to cause the development of bruxism, however, others argue that there is insufficient evidence to draw such a conclusion. Examples may include:
- Dopamine agonists
- Dopamine antagonists
- Tricyclic antidepressants
- Selective serotonin reuptake inhibitors
- Amphetamines including those taken for medical reasons
Other sources state that reports of selective serotonin reuptake inhibitors causing bruxism are rare, or only occur with long-term use.
Occlusal factors (संभावित कारक)
Occlusion is defined most simply as “contacts between teeth”, and is the meeting of teeth during biting and chewing. The term does not imply any disease.
Occlusal interferences are extremely common and usually do not cause any problems. It is unclear whether people with bruxism tend to notice problems with the bite because of their clenching and grinding habit, or whether these act as a causative factor in the development of the condition.
In sleep bruxism especially, there is no evidence that removal of occlusal interferences has any impact on the condition. People with no teeth at all who wear dentures can still suffer from bruxism, although dentures also often change the original bite.
Possible associations (संभव संघ)
Several associations between bruxism and other conditions, usually neurological or psychiatric disorders, have rarely been reported, with varying degrees of evidence. Examples include:
- Atypical facial pain
- Cerebral palsy
- Disturbed sleep patterns and other sleep disorders, such as obstructive sleep apnea, snoring, moderate daytime sleepiness, and insomnia
- Down syndrome
- Eating disorders
- Eustachian tube dysfunction
- Infarction in the basal ganglia
- Intellectual disability, particularly in children
- Leigh disease
- Meningococcal septicemia
- Multiple system atrophy
- Obsessive-compulsive disorder
- Oromandibular dystonia
- Parkinson’s diseases
- Rett syndrome
- Torus mandibularis and buccal exostosis
- Trauma, e.g. brain injury or coma
Bruxism Diagnosis (ब्रुक्सिज्म का निदान)
A diagnosis is usually made clinically, which is mainly based on the person’s history e.g. reports of grinding noises, and the presence of typical signs and symptoms, including:
- Tooth mobility
- Tooth wear
- Masseteric hypertrophy
- Indentations on the tongue
- Hypersensitive teeth
- Pain in the muscles of mastication
- Clicking or locking of the temporomandibular joints
Tape recording (टेप रिकॉर्डिंग)
For tooth grinders who live in the same household with other people, diagnosis of grinding is straightforward: Housemates or family members would advise a bruxer of recurrent grinding. Grinders who live alone can likewise resort to a sound-activated tape recorder. To confirm the condition of clenching, on the other hand, bruxers may rely on such devices as the Bruxchecker, Bruxcore, or a Beeswax-bearing biteplate.
Jaw movements (जबड़े की हरकत)
The diagnosis of sleep bruxism is usually straightforward and involves the exclusion of dental diseases, temporomandibular disorders, and the rhythmic jaw movements that occur with seizure disorders e.g. epilepsy. This usually involves a dental examination, and possibly electroencephalography if a seizure disorder is suspected.
Airflow monitoring, and audio-video recording (वायु प्रवाह की निगरानी, और ऑडियो-वीडियो रिकॉर्डिंग)
Polysomnography shows increased masseter and temporalis muscular activity during sleep. Polysomnography may involve electroencephalography, electromyography, electrocardiography, airflow monitoring, and audio-video recording. It may be useful to help exclude other sleep disorders; however, due to the expense of the use of a sleep lab, polysomnography is mostly of relevance to research rather than the routine clinical diagnosis of bruxism.
Other devices (अन्य उपकरण)
The devices are mostly of relevance to research and are rarely used in the routine clinical diagnosis of bruxism, which includes:
- Bruxcore Bruxism-Monitoring Device (BBMD)
- Bruxcore Plate
- Intra-splint force detector (ISFD)
- Electromyographic devices to measure masseter
Bruxism Treatment (ब्रुक्सिज्म का उपचार)
Since bruxism is not life-threatening, and there is little evidence of the efficacy of any treatment, it has been recommended that only conservative treatment is reversible and that carries a low risk of morbidity should be used. The main treatments that have been described in awake and sleep bruxism are described below:
Dental treatment (दांतो का इलाज)
Most dentists, therefore, prefer to keep dental treatment in people with bruxism very simple and only carry it out when essential, since any dental work is likely to fail in the long term.
Dental guards and occlusal splints (डेंटल गार्ड्स और ऑकलस स्प्लिंट्स)
Proponents’ use of dental guards and occlusal splints claim many benefits. A mandibular advancement device is normally used for the treatment of obstructive sleep apnea, which may reduce sleep bruxism, although its use may be associated with discomfort.
The most simple form of treatment is, therefore, reassurance that the condition does not represent a serious disease, which may act to alleviate contributing stress.
Many different medications have been used to treat bruxism, including:
- Dopamine agents
- Muscle relaxants
Specific drugs that have been studied in sleep bruxism are:
When bruxism is related to the use of selective serotonin reuptake inhibitors in depression, adding buspirone has been reported to resolve the side effect. Tricyclic antidepressants have also been suggested to be preferable to selective serotonin reuptake inhibitors in people with bruxism and may help with the pain.
Botulinum toxin (बोटुलिनम टॉक्सिन)
Botulinum neurotoxin (BoNT) is used as a treatment for bruxism, however, there is only one randomized control trial that has reported that BoNT reduces the myofascial pain symptoms.
Although the evidence of biofeedback has not been tested for awake bruxism, there is recent evidence for the efficacy of biofeedback in the management of nocturnal bruxism in small control groups. Electromyographic monitoring devices of the associated muscle groups tied with automatic alerting during periods of clenching and grinding have been prescribed for awake bruxism.
Bruxism & Free Siddha energy remedies (ब्रुक्सिज्म और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with bruxism or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to bruxism (whether sleep or awake bruxism) with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of bruxism are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products (CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for bruxism (whether sleep or awake bruxism) as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, cheeks, and naval for another 30 to 60 seconds, which finishes within almost 2 – 4 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, cheeks, and naval for 3 – 6 minutes. You may need to have 4 Boosters, which establishes positivity.
5. A daily routine (एक दैनिक दिनचर्या)
In general, a daily routine may look like this:
- Consult your doctor and follow instructions as advised
- Do jaw exercises
- Increase physical activities e.g. exercise, walking, swimming, and consume sattvik diet, etc
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
- Perform Swayamsiddha Agnihotra daily, if feasible
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 3 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about bruxism (both, sleep or awake bruxism), symptoms, causes, diagnosis, and treatments. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
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