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Will bruxism lead to occasional dull jaw pain and teeth wear?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been having a little bit of jaw pain from time to time and also a dull pain in different teeth at different times. I suffer from bruxism and have a custom dental night guard. But for the last month, I am feeling pain as if I am grinding at night. The dental guard split in half but it still fits perfectly. The infrequent systems started before this split. What could be happening? I try to be conscious not to clench or grind during the day, but two weeks ago the dull pain in my molars required me to take Advil. What could be happening? I hope it is not wearing my teeth further. I am more concerned with this than the pain.

Answered by Dr. Beryl F

Education:

BDS

Professional Bio:

Dr. Beryl F is a Dental Surgeon with nine years of clinical experience. She is an expert in diagnosing, preventing, and treating diseases, disorders, and conditions of the oral cavity and adjacent structures and tissues, particularly in the maxillofacial area. She completed her BDS from The Tamilnadu Dr. M. G. R. Medical University, Chennai.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern. This could be a temporomandibular joint (TMJ) issue. Temporo Mandibular joint is the jaw joint between the upper jaw and the lower jaw and involves multiple and complex structures like a disc between two jaws, chewing muscles, and the joining bone structure. A complete TMJ and dental evaluation should be done to determine what is causing your jaw pain and bruxism. Bruxism is not a condition, but one of the main symptoms of a TMJ disorder. It could be because of:

1. Tensed chewing muscles

2. Disparity in the disc

3. Changes in jaw bone structure.

Other than TMJ issues it could be due to:

4. Psychological stress

5. Misaligned teeth

6. Multiple dental treatments

7. Recent dental injury or infection.

Visit a TMJ specialist to identify the cause. Initially, a splint similar to your night guard (called deprogrammer appliance) will be suggested as a diagnostic appliance to identify the cause. Once the cause is determined, the treatment depends on it.

I hope this helps.

Answered by Dr. Beryl F
Medically reviewed by Dr. Vinodhini J.
Published At January 9, 2020
Reviewed At August 19, 2025

Education:

BDS

Professional Bio:

Dr. Beryl F is a Dental Surgeon with nine years of clinical experience. She is an expert in diagnosing, preventing, and treating diseases, disorders, and conditions of the oral cavity and adjacent structures and tissues, particularly in the maxillofacial area. She completed her BDS from The Tamilnadu Dr. M. G. R. Medical University, Chennai.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BDS

Professional Bio:

Dr. Beryl F is a Dental Surgeon with nine years of clinical experience. She is an expert in diagnosing, preventing, and treating diseases, disorders, and conditions of the oral cavity and adjacent structures and tissues, particularly in the maxillofacial area. She completed her BDS from The Tamilnadu Dr. M. G. R. Medical University, Chennai.

This doctor is not available for online consultations on the platform anymore.

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