Recognizing and Treating Bruxism in Children: A Guide for Parents

Explore the primary causes of bruxism in children. Learn how to recognize the signs of bruxism and how you can help your child if they grind their tee

WEB-463_Recognizing and Treating Bruxism in Children_A Guide for Parents

Squeaking, chewing, crunching, scraping—if you hear any of these sounds coming from your child’s mouth as they sleep, they may be grinding their teeth.  
 
Yet, beyond these sounds, is there any other way to see if your child has bruxism, or do you have to check on them each night to see if you hear any unusual sounds? In this article, we’ll answer this question, along with why children grind their teeth and what you can do to help them overcome this habit. 
 
The short answer, though, is this: If you think your child is grinding their teeth, it’s best to check in with a dentist to ensure everything looks okay. 

What Causes Bruxism?

Bruxism, or teeth grinding and jaw clenching, can occur in children for many reasons. Their teeth may be misaligned, or they may do it in response to pain from teething or an earache. It may also have a medical cause, such as hyperactivity or as a side effect of medication.  
 
Beyond these causes, there’s also a universal reason for teeth grinding—which even you may be susceptible to—and that’s stress. In children, this stress may be from worrying about a change in routine or a test. It may also occur due to arguing with their siblings or, perhaps, with you.  

Signs of Bruxism

In many cases, bruxism in children isn’t diagnosed, and it doesn’t cause problems. Once the reason for their teeth grinding goes away, they stop grinding their teeth; since it doesn’t last long, there is rarely any damage to their teeth’s enamel. 
 
In fact, the teeth grinding is likely more bothersome to you and other family members than it is to your child doing it, and that’s because of the sound. Your child is sleeping while it occurs, so the sound doesn’t bother them, whereas anyone near your child while they grind their teeth gets to experience the sound first-hand. 
 
However, in some cases, bruxism may cause: 

  • Worn-down tooth enamel 
  • Chipped teeth 
  • Headaches 
  • Pain in the ear, jaw, or face 
  • Sensitive teeth 

These are generally problems that your child needs to voice in order for you to be aware of them, so keep an ear out for any complaints they have or any sounds they make while they’re sleeping. Furthermore, if you notice that your child is experiencing pain when chewing, this may be a sign of bruxism—or some other dental concern that should also be investigated further.  

How is Bruxism in Children Treated?

If you notice that your child grinds their teeth, visit their dentist so that they can check for unusual wear and tear and chipped enamel. During the appointment, they may also spray water and air to check the sensitivity of the teeth.  
 
If damage is detected, your dentist will then look into the cause of the grinding. For example, if it is from misaligned teeth, treating this may help with the grinding.  
 
While most cases of bruxism require no intervention, in some cases, treatment may include a nightguard specific for your child and molded to their teeth. They’re similar to the mouthguards used by athletes to protect their teeth and have a similar purpose—to protect your child’s teeth. If your child wakes up with a sore face and jaw, a mouthguard can also help with that. 

How to Help Your Child with Stress-Induced Bruxism

While a nightguard is the standard treatment for bruxism, there’s a lot that you can do to help your child, especially if their bruxism is from stress. Namely, you can help them relax before bed so that their night is full of fun dreams, not jaw-clenching and teeth-grinding.  
 
Here are some things you can do to help your child relax and lower their stress levels. 

Create A Relaxing Environment

Everyone can benefit from this step, as a relaxing environment is crucial for telling your body it’s time to go to sleep—especially if it’s part of a nighttime routine.  
 
Take a look at your child’s night routine, or lack thereof, and see if there’s anything you can add to help them relax before bed. For example, maybe add a warm shower or bath, have them listen to soothing music while brushing their teeth, or read a book together. All of these habits can help calm the mind and prepare for sleep, which can help your child fall asleep, stay asleep, and sleep without grinding their teeth.  

Talk To Your Child

While the above can help your child relax before bed, depending on the cause of their stress, it’s not always a long-term solution. Instead, if your child is stressed, asking them what is bothering them can go a long way in letting them work through their emotions.  
 
Additionally, if you know what is wrong, you can help them work through it. For example, if your child is stressed about an upcoming test, you can help them craft a study schedule and even study together so that they feel less overwhelmed by the upcoming assignment.  

Talk To Their Doctor

While basic stress relievers are often enough to help your child, in rare cases, they may not be. If your child has bruxism and stress severe enough that they cannot sleep or act differently during the day, reach out to your child’s doctor to help determine the cause of their stress and create a plan to help them.  

Stop the Grinding: Helping Your Child with Bruxism

Teeth grinding is common in children, and most children outgrow it without any lasting problems. In many cases, the bruxism may go entirely unnoticed unless a sibling or parent notices the sound of teeth grinding during the night.  
 
However, if your child has bruxism severe enough that they experience pain during the day or have worn down their tooth enamel, reach out to their dentist to determine the cause. In many cases, a mouthguard can be created to help prevent teeth grinding.  
 
You can also take additional steps to help ease your child’s stress levels, such as creating a relaxing bedtime routine and talking to your child to learn about their fears and work together to create a solution. Beyond stopping teeth grinding, opening this path for communication will also improve your child’s well-being.  

FAQ

Can bruxism lead to long-term dental problems in children?

Chronic bruxism can lead to enamel erosion, sensitivity, jaw pain, and alignment issues. Severe cases may require orthodontic treatment or restorative dental work later in life. Early detection and monitoring by a dentist can help prevent these long-term complications.

Are certain personality traits linked to bruxism in children?

Children who are anxious, perfectionistic, or highly energetic may have a higher tendency to grind their teeth. Stress, nervousness, or difficulty managing emotions can lead to jaw clenching as a coping mechanism, both during the day and while asleep.

Can diet impact a child's tendency to grind their teeth?

Yes, diets high in sugar or caffeine can overstimulate children, increasing their energy levels and making it harder for them to relax their jaw muscles. Encouraging a balanced diet with minimal processed sugars and avoiding caffeinated beverages can help reduce bruxism.

Are there specific activities or habits that might worsen bruxism in children?

Certain habits like chewing pencils, biting fingernails, or using teeth to open packaging can put additional stress on the jaw muscles. These activities can exacerbate the grinding habit and potentially lead to jaw discomfort or misalignment over time.

Is there a genetic component to bruxism?

Yes, studies indicate that bruxism may run in families. If parents grind their teeth, their children may inherit similar traits or stress responses that lead to the habit. A combination of genetics and environmental factors often contributes to this behavior.

How can parents identify daytime bruxism in their child?

Signs of daytime bruxism include frequent jaw clenching, audible teeth grinding, or complaints of jaw soreness. Parents may notice this during concentrated activities like studying or playing video games. Observation and a dental evaluation can confirm the condition.

Can bruxism in children resolve on its own?

Bruxism in children often resolves as they grow older and underlying causes, like teething or stress, diminish. However, monitoring by a dentist is crucial to address any potential damage. In most cases, treatment is not needed unless symptoms are severe or persistent

How can I help a child with stress-induced bruxism?

Create a calming bedtime routine with activities like warm baths, soothing music, or reading. Talk to your child to understand and address their concerns, such as school stress or personal worries. In severe cases, consult a doctor for additional support.

How is bruxism treated in children?

Most cases require no intervention and resolve as children grow. If needed, treatments may include custom nightguards to protect teeth or addressing underlying causes, such as stress or misaligned teeth. Regular dental check-ups are essential for monitoring.

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Written by

Jessica G

Medical writer freelancer who has written hundreds of articles on varying topics. Masters of Engineering degree in Biomedical Engineering.

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