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The Long-Term Impact of Grinding and Clenching

NYC woman grinds her teeth in her sleep.

Grinding or clenching your teeth, known as bruxism, is a condition that often goes unnoticed until its effects become visible. Over time, this repetitive pressure can cause significant damage to your teeth, jaw joints, and surrounding structures. 

At New York Smile Institute, our dental team specializes in identifying and treating bruxism early, using advanced diagnostic tools and precision therapies to preserve both your comfort and your teeth’s functionality.

Bruxism and Its Causes

Bruxism typically occurs subconsciously, often at night, though some people also clench their teeth during the day due to stress or concentration. Contributing factors include anxiety, bite misalignment, sleep disorders, and certain medications. Because many people are unaware of their habit, it’s often a dentist who first identifies the problem during a routine exam.

The Hidden Damage Over Time

While occasional clenching may seem harmless, chronic grinding exerts forces far greater than normal chewing pressure. Over months and years, this can lead to:

  • Worn enamel – Flattened or chipped teeth from constant friction.
  • Tooth sensitivity – Loss of enamel exposes underlying dentin, increasing discomfort with temperature changes.
  • Fractures or cracks – Repeated pressure can lead to microfractures that eventually compromise tooth integrity.
  • TMJ discomfort – Jaw stiffness, pain, or clicking sounds may develop as the temporomandibular joints are strained.
  • Gum recession and bone loss – Excessive force can contribute to periodontal wear and structural changes.

Left untreated, these issues often result in a prematurely aged smile, difficulty chewing, and even changes in facial contour due to muscle overuse or joint imbalance.

Advanced Diagnosis and Customized Care

At New York Smile Institute, diagnosis begins with a comprehensive bite evaluation and digital imaging to assess tooth wear patterns and jaw function. Our dentists use occlusal analysis technology to pinpoint pressure imbalances that contribute to grinding.

Treatment may include a custom nightguard, designed to protect teeth and reduce strain while sleeping. In more advanced cases, bite therapy or occlusal adjustment may be recommended to correct misalignment. If your bruxism is stress-related, collaboration with medical or behavioral specialists may also be advised to address underlying causes.

Protecting Your Smile for the Future

Teeth grinding may seem like a minor concern, but its long-term effects can be significant if left unmanaged. With early intervention, it’s possible to protect your teeth, relieve muscle tension, and preserve jaw health for decades to come.

If you suspect you grind or clench your teeth, schedule a consultation with New York Smile Institute by calling (212) 319-6363. Our team offers advanced diagnostic precision and personalized care to help restore comfort, balance, and long-term oral health.