Nocturnal bruxism and temporomandibular disorders.

J. D. Rugh, J. Harlan

Research output: Contribution to journalReview articlepeer-review

213 Scopus citations


This chapter has discussed the important aspects of nocturnal bruxism and its relation to disorders of the masticatory system and headaches. Bruxism is believed to be a stress-related sleep disorder, occurring in both men and women, in children, and in adults. In most patients, bruxism results only in minor tooth wear; however, it can become extremely severe with damage occurring in essentially every part of the masticatory apparatus. Nocturnal bruxism should not be overlooked as an etiologic factor in muscular headaches. Short-term acute therapy may involve physical therapy, nocturnal electromyographic biofeedback, and medication to relieve anxiety and improve sleep. Long-term management usually includes some form of stress reduction, change in lifestyle, and an occlusal splint or nightguard to protect the teeth and masticatory system.

Original languageEnglish (US)
Pages (from-to)329-341
Number of pages13
JournalAdvances in neurology
StatePublished - 1988

ASJC Scopus subject areas

  • General Medicine


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