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Solutions for Stress-Induced Bruxism: You Can’t Treat Patient Anxiety, But New Technology Can Help You Treat Its Symptoms

November 10, 2020
by Lou Shuman, DMD, CAGS, CEO and Founder of Cellerant Consulting


Of all the ways that COVID-19 is rewriting our expectations for this year, new safety protocols tend to grab the most headlines. There is a story that doesn’t grab the “front page” as often, but is quietly making its way into not only dental journals, but mainstream national media: Tooth grinding.

Between COVID, the economy, and the election, people are carrying immense stress and anxiety. In a September interview with CTV News, Dr. Kal Khaled, president of the Ontario Alliance of Dentists, summarized the issue well, stating, “[Tooth] decay is accelerated by stress, and poor life conditions, such as not sleeping or eating well. Needless to say, teeth have taken a beating over the last few months.”

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In her piece for the New York Times, Tammy Chen, DDS, suggests that this stress is leading to clenching and grinding, which can damage teeth. She also points out how working from home – at a couch or stool instead of a desk – can lead to “awkward body positions” and ergonomics that also contribute to grinding problems at night. The insomnia that many people report at this time is also an issues, as stress can lead to a “battle-ready state or arousal, instead of resting and recharing. All that tension goes straight to the teeth.” For these reasons, Dr. Chen reports having seen “more tooth fractures in the last six weeks than in the previous six years.”

Solutions for Stress-Induced Bruxism

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A High-tech Solution
We are fortunate to be living in a time where technology is available to help manage this problem in a way that builds trust and confidence with our patients.

Bravrr BruxRelief is a wearable diagnostic system that features patented sensors for monitoring temporalis muscle activity from clenching and grinding behaviors associated with bruxism. It provides a simple way for clinicians to diagnose and document a patient’s bruxing activities, tracking patient muscle activity during sleep.

Solutions for Stress-Induced Bruxism

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Typically, a patient will wear the BruxRelief headband and sensors for a three-night assessment done in their own home. Data from the sensors is sent to a connected smartphone app that posts the information to a secure cloud where it can be accessed almost instantly from anywhere by the patient and the clinician. The data captured by the system provides a picture of the frequency and
duration of temporalis muscle contractions while the patient sleeps. After the assessment, the data can be used to convince the patient of the need for a nightguard or other treatment approach.

The system eventually plans to add biofeedback capabilities to help provide cognitive-behavioral training and muscle reeducation to help reduce or eliminate pain from unintended clenching and grinding of teeth.

Solutions for Stress-Induced Bruxism

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I encourage you to go to bruxrelief.com and do some of your own research into the product, but the takeaway here is that a data-driven, AI-powered device is now available for at-home assessment. In a world full of stress, here’s a solution that can actually make your patient’s lives a little easier.

Your solutions to bruxism or cracked teeth may vary, but BruxRelief puts you in a position to be a problem-solver in an uncertain time and offer some relief in the midst of sleepless nights. In my book, that is technology at its best – bringing innovation to bear in a way that informs clinical solutions, but also creates a deeper relationship and sense of trust between clinicians and their patients.


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