{"id":24392,"date":"2026-02-28T22:53:55","date_gmt":"2026-03-01T02:53:55","guid":{"rendered":"https:\/\/cliniqueomicron.ca\/bruxisme-grincement-des-dents\/"},"modified":"2026-03-02T00:01:37","modified_gmt":"2026-03-02T04:01:37","slug":"bruxism-teeth-grinding","status":"publish","type":"page","link":"https:\/\/cliniqueomicron.ca\/en\/bruxisme-grincement-des-dents\/","title":{"rendered":"Bruxism (Teeth Grinding): Causes, Symptoms, and Treatment | Clinique Omicron"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"24392\" class=\"elementor elementor-24392\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-52cb448 e-flex e-con-boxed e-con e-parent\" data-id=\"52cb448\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d6b7ec elementor-widget elementor-widget-html\" data-id=\"2d6b7ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n@import url('https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=swap');\n\n.co-wrap * {\n  font-family: 'Poppins', sans-serif;\n  box-sizing: border-box;\n}\n.co-wrap {\n  max-width: 1100px;\n  margin: 0 auto;\n  padding: 30px 0 60px;\n  margin-top: 10px;\n}\n.co-label {\n  font-family: 'Cinzel', serif;\n  font-size: 14px;\n  font-weight: bold;\n  letter-spacing: 1px;\n  text-transform: uppercase;\n  color: #4D6577;\n  margin-bottom: 14px;\n  display: block;\n}\n.co-wrap h1 {\n  font-size: 32px;\n  font-weight: 500;\n  color: #323C52;\n  margin: 0 0 22px;\n  line-height: 1.2;\n  letter-spacing: 0.5px;\n}\n.co-intro {\n  font-size: 16px;\n  font-weight: 400;\n  line-height: 1.75;\n  color: #4D6577;\n  margin-bottom: 36px;\n  padding-bottom: 32px;\n  border-bottom: 1px solid rgba(77,101,119,.2);\n}\n.co-wrap h2 {\n  font-size: 20px;\n  font-weight: 600;\n  color: #323C52;\n  margin: 32px 0 12px;\n  letter-spacing: 0.3px;\n}\n.co-wrap p {\n  font-size: 15px;\n  font-weight: 400;\n  color: #4D6577;\n  line-height: 1.7;\n  margin-bottom: 14px;\n}\n.co-list {\n  list-style: none;\n  padding: 0;\n  margin: 12px 0 24px;\n}\n.co-list li {\n  font-size: 15px;\n  font-weight: 400;\n  color: #4D6577;\n  padding: 10px 14px 10px 38px;\n  margin-bottom: 8px;\n  border-radius: 6px;\n  position: relative;\n  background: rgba(77,101,119,.06);\n  border-left: 3px solid #4D6577;\n}\n.co-list li::before {\n  content: \"\u2713\";\n  position: absolute;\n  left: 12px;\n  font-weight: 700;\n  color: #4D6577;\n}\n.co-table {\n  width: 100%;\n  border-collapse: collapse;\n  margin: 14px 0 22px;\n  font-size: 14px;\n  border-radius: 8px;\n  overflow: hidden;\n}\n.co-table thead tr {\n  background: #323C52;\n  color: #fff;\n}\n.co-table thead th {\n  padding: 11px 16px;\n  text-align: left;\n  font-weight: 600;\n  font-size: 13px;\n}\n.co-table tbody tr:nth-child(even) { background: rgba(77,101,119,.06); }\n.co-table tbody tr:nth-child(odd) { background: #fff; }\n.co-table td {\n  padding: 10px 16px;\n  color: #4D6577;\n  border-bottom: 1px solid rgba(77,101,119,.12);\n  font-size: 14px;\n  vertical-align: top;\n}\n.co-table td:first-child {\n  font-weight: 600;\n  color: #323C52;\n}\n.co-infobox {\n  display: flex;\n  gap: 12px;\n  background: rgba(77,101,119,.06);\n  border-radius: 8px;\n  border-left: 4px solid #4D6577;\n  padding: 14px 18px;\n  margin: 18px 0 28px;\n  font-size: 14px;\n  font-weight: 400;\n  color: #4D6577;\n  line-height: 1.65;\n}\n.co-infobox .ico { font-size: 18px; flex-shrink: 0; }\n.co-urgence {\n  background: #fff8f8;\n  border-left: 5px solid #c0392b;\n  border-radius: 6px;\n  padding: 20px 26px;\n  margin: 24px 0 32px;\n}\n.co-urgence .co-urgence-titre {\n  font-size: 13px;\n  font-weight: 700;\n  color: #c0392b;\n  letter-spacing: 1.5px;\n  text-transform: uppercase;\n  margin-bottom: 10px;\n}\n.co-urgence p {\n  color: #5a2020;\n  font-size: 14px;\n  margin: 0 0 10px;\n  line-height: 1.7;\n}\n.co-urgence p:last-child { margin-bottom: 0; }\n<\/style>\n\n<div class=\"co-wrap\">\n  <span class=\"co-label\">Dentistry - Temporomandibular Disorders<\/span>\n  <h1>Bruxism (teeth grinding)<\/h1>\n\n  <div class=\"co-intro\">\n    Bruxism is an oral motor behavior characterized by the repetitive and involuntary grinding, clenching, or rubbing of the teeth, involving activity of the masticatory muscles that occurs outside of normal chewing function. It occurs in two main forms depending on when it occurs: sleep bruxism, which occurs at night without the person being aware of it, and waking bruxism, which occurs during the day in the form of teeth clenching often linked to concentration or stress. These two forms can coexist in the same individual and do not share exactly the same mechanisms or therapeutic approaches. Bruxism affects between 8 and 31% of the general population, depending on the studies and diagnostic criteria used, with a higher prevalence among children\u2014who most often outgrow it spontaneously during adolescence\u2014and among adults experiencing chronic stress. Long considered an isolated dental condition, bruxism is now understood as a multifactorial phenomenon involving neurobiological, psychosocial, genetic, and behavioral components. Its consequences can be significant: pathological tooth wear, jaw muscle pain, chronic headaches, and temporomandibular joint (TMJ) disorders. Early diagnosis and appropriate management can limit dental complications and substantially improve quality of life.\n  <\/div>\n\n  <h2>Pathophysiology and mechanisms<\/h2>\n  <p>Bruxism results from a complex interaction between the central nervous system, the masticatory muscles, and external triggering factors. Its understanding has evolved considerably over the past two decades:<\/p>\n\n  <ul class=\"co-list\">\n    <li>Sleep bruxism is classified as a sleep-related movement disorder: it occurs mainly during light sleep stages (N1 and N2) and during transitions between cycles, in the form of bursts of rhythmic masticatory muscle activity (RMMA).<\/li>\n    <li>Dopaminergic and serotonergic neurotransmitters play a central role in regulating masticatory muscle activity during sleep, explaining the link with certain medications that act on these systems.<\/li>\n    <li>Awake bruxism is more associated with emotional regulation and stress management mechanisms, with a behavioral habit component often unconsciously reinforced.<\/li>\n    <li>The forces exerted during bruxism can reach 250 to 400 kg\/cm\u00b2, far exceeding normal chewing forces (20 to 40 kg\/cm\u00b2), which explains rapid tooth wear and muscle pain.<\/li>\n    <li>A genetic susceptibility is established: twin studies show significant heritability of sleep bruxism, independent of environmental factors.<\/li>\n  <\/ul>\n\n  <h2>Causes and risk factors<\/h2>\n  <p>Bruxism is multifactorial. No single cause explains it on its own, but several factors increase the risk or severity:<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Category<\/th>\n        <th>Associated factors<\/th>\n        <th>Assumed mechanism<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Psychosocial<\/td>\n        <td>Chronic stress, anxiety, perfectionist personality, emotional hyperactivity, stress-related sleep disturbances<\/td>\n        <td>Activation of the sympathetic autonomic nervous system, increasing muscle tone; unconscious emotional regulation behavior<\/td>\n      <\/tr>\n      <tr>\n        <td>Medicinal<\/td>\n        <td>Selective serotonin reuptake inhibitors (SSRIs: fluoxetine, sertraline, paroxetine), serotonin-norepinephrine reuptake inhibitors (SNRIs), antipsychotics, methylphenidate (Ritalin)<\/td>\n        <td>Disruption of dopaminergic and serotonergic pathways modulating oral motor activity during sleep<\/td>\n      <\/tr>\n      <tr>\n        <td>Psychoactive substances<\/td>\n        <td>Excess caffeine, alcohol, tobacco, cocaine, ecstasy (MDMA), amphetamines<\/td>\n        <td>Central nervous system stimulation and disruption of sleep architecture; direct effects on neurotransmitters<\/td>\n      <\/tr>\n      <tr>\n        <td>Sleep disturbances associated<\/td>\n        <td>Obstructive sleep apnea (OSA), restless legs syndrome, sleepwalking, parasomnias<\/td>\n        <td>Repeated micro-arousals disrupting sleep architecture and promoting episodes of masticatory muscle activity<\/td>\n      <\/tr>\n      <tr>\n        <td>Neurological and psychiatric<\/td>\n        <td>Parkinson's disease, autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), Rett syndrome<\/td>\n        <td>Dysfunction of dopaminergic circuits and basal ganglia involved in motor control<\/td>\n      <\/tr>\n      <tr>\n        <td>Genetics<\/td>\n        <td>Family history of bruxism in a first-degree relative<\/td>\n        <td>Estimated heritability of 50\u201360% for sleep bruxism in twin studies<\/td>\n      <\/tr>\n      <tr>\n        <td>Dental occlusion<\/td>\n        <td>Malocclusions, ill-fitting dental restorations, loss of posterior teeth<\/td>\n        <td>Historically overestimated role; current data does not support direct causal link, but occlusal anomalies may aggravate pre-existing bruxism<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Clinical forms<\/h2>\n  <p>Bruxism is distinguished by the timing of its occurrence and the type of muscular activity involved, each having its own characteristics and clinical implications:<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Shape<\/th>\n        <th>Time of occurrence<\/th>\n        <th>Activity Type<\/th>\n        <th>Key Features<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Sleep bruxism<\/td>\n        <td>During sleep, mainly in N1-N2 phases and during cycle transitions<\/td>\n        <td>Rhythmic or tonic grinding of the teeth, often audible to the partner<\/td>\n        <td>Unconscious; patient often unaware until a loved one reports it or dental signs appear; hot flashes of 3 to 15 rhythmic contractions per episode<\/td>\n      <\/tr>\n      <tr>\n        <td>Awake bruxism<\/td>\n        <td>During waking hours, often during concentration, driving, or screen work<\/td>\n        <td>Teeth clenching without grinding in most cases (tonic bruxism)<\/td>\n        <td>Partially conscious; more easily accessible to behavioral interventions; direct link to stress and emotions<\/td>\n      <\/tr>\n      <tr>\n        <td>Mixed form<\/td>\n        <td>Simultaneous presence of both forms<\/td>\n        <td>Combination of nighttime grinding and daytime clenching<\/td>\n        <td>Dental and muscular involvement often more severe; combined management necessary<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>Sleep bruxism and awake bruxism are two distinct entities that should not be confused. They differ in their neurobiological mechanisms, triggering factors, and responses to treatments. A patient who clenches their teeth during the day does not necessarily have nocturnal bruxism, and vice versa. This distinction is essential for guiding management toward the interventions best suited for each form.<\/span>\n  <\/div>\n\n  <h2>Symptoms and clinical signs<\/h2>\n  <p>Bruxism can remain silent for a long time or be revealed during a routine dental examination. Its manifestations affect several anatomical structures:<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Structural damage<\/th>\n        <th>Signs and symptoms<\/th>\n        <th>Features<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Dents<\/td>\n        <td>Wear of occlusal and incisal surfaces, flattening of cuspal tips, tooth fractures, enamel fissures, dentin hypersensitivity to cold and hot<\/td>\n        <td>Wear is symmetrical and affects multiple teeth simultaneously, unlike acid erosion which follows different patterns.<\/td>\n      <\/tr>\n      <tr>\n        <td>Masticatory muscles<\/td>\n        <td>Jaw muscle pain and stiffness upon waking, visible masseter hypertrophy (jaw swelling), fatigue during chewing, partial trismus<\/td>\n        <td>Pain is typically at its worst in the morning with sleep bruxism; more so at the end of the day with awake bruxism.<\/td>\n      <\/tr>\n      <tr>\n        <td>Temporomandibular joint<\/td>\n        <td>TMJ clicking or popping when opening and closing the mouth, limited mouth opening, preauricular pain on palpation<\/td>\n        <td>Bruxism is one of the main risk factors for temporomandibular disorder (TMD).<\/td>\n      <\/tr>\n      <tr>\n        <td>Headaches<\/td>\n        <td>Morning headaches, either helmet-shaped or temporal, often mistaken for tension headaches<\/td>\n        <td>Result from prolonged contraction of the temporalis and masseter muscles during the night<\/td>\n      <\/tr>\n      <tr>\n        <td>Dental support structures<\/td>\n        <td>Accelerated alveolar bone resorption, increased tooth mobility, gingival recession<\/td>\n        <td>Chronic occlusal overload transmitted to periodontal structures<\/td>\n      <\/tr>\n      <tr>\n        <td>Dental restorations<\/td>\n        <td>Fractures fr\u00e9quentes de couronnes, bridges, facettes ou implants dentaires ; usure pr\u00e9matur\u00e9e des obturations<\/td>\n        <td>Signe indirect souvent r\u00e9v\u00e9lateur lors d'un suivi dentaire<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Diagnosis<\/h2>\n  <p>Le diagnostic du bruxisme repose principalement sur l'anamn\u00e8se et l'examen clinique. Il est le plus souvent pos\u00e9 par le dentiste lors d'un examen de routine, parfois par le m\u00e9decin devant des c\u00e9phal\u00e9es matinales ou des douleurs faciales chroniques :<\/p>\n\n  <ul class=\"co-list\">\n    <li>Anamn\u00e8se : interrogatoire sur les sympt\u00f4mes, leur horaire (matin ou soir), le niveau de stress, la qualit\u00e9 du sommeil, les m\u00e9dicaments en cours, la consommation de caf\u00e9ine, d'alcool ou de tabac<\/li>\n    <li>Rapport du partenaire de sommeil : bruits de grincement nocturnes, souvent le premier signe rapport\u00e9<\/li>\n    <li>Examen dentaire clinique : \u00e9valuation de l'usure dentaire selon des indices standardis\u00e9s (Basic Erosive Wear Examination, BEWE), recherche de fissures, de fractures et d'hypersensibilit\u00e9<\/li>\n    <li>Palpation des muscles masticateurs : mass\u00e9ters, temporaux, pteryggo\u00efdiens ; recherche de points douloureux, d'hypertrophie ou de contractures<\/li>\n    <li>\u00c9valuation de l'articulation temporo-mandibulaire : amplitude d'ouverture buccale (normale sup\u00e9rieure \u00e0 40 mm), bruits articulaires, douleur \u00e0 la mobilisation<\/li>\n    <li>Questionnaires valid\u00e9s : Oral Behaviors Checklist pour le bruxisme de l'\u00e9veil ; agenda du sommeil pour identifier les facteurs associ\u00e9s<\/li>\n    <li>Polysomnographie avec \u00e9lectromyographie des mass\u00e9ters : examen de r\u00e9f\u00e9rence pour le bruxisme du sommeil, r\u00e9serv\u00e9 aux cas complexes ou aux \u00e9tudes de recherche ; rarement n\u00e9cessaire en pratique courante<\/li>\n    <li>Appareils ambulatoires de type Bruxoff ou BiteStrip : alternatives moins co\u00fbteuses \u00e0 la polysomnographie pour enregistrer l'activit\u00e9 \u00e9lectromyographique nocturne \u00e0 domicile<\/li>\n    <li>D\u00e9pistage de l'apn\u00e9e du sommeil si sympt\u00f4mes \u00e9vocateurs : ronflement, somnolence diurne, pauses respiratoires nocturnes signal\u00e9es par le partenaire<\/li>\n  <\/ul>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>Selon les recommandations actuelles de la Soci\u00e9t\u00e9 internationale de recherche sur le bruxisme (SRRB), le diagnostic clinique de bruxisme possible repose sur l'anamn\u00e8se seule, le diagnostic probable sur l'anamn\u00e8se et l'examen clinique, et le diagnostic d\u00e9finitif sur la polysomnographie avec EMG. En pratique courante, le diagnostic probable est suffisant pour initier une prise en charge. La polysomnographie est r\u00e9serv\u00e9e aux cas avec suspicion d'apn\u00e9e du sommeil associ\u00e9e ou aux situations atypiques.<\/span>\n  <\/div>\n\n  <h2>Treatments<\/h2>\n  <p>Il n'existe pas de traitement curatif unique du bruxisme. La prise en charge vise \u00e0 prot\u00e9ger les dents, r\u00e9duire la douleur, identifier et traiter les facteurs d\u00e9clenchants, et modifier les comportements associ\u00e9s :<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Treatment<\/th>\n        <th>Terms<\/th>\n        <th>Objectives and remarks<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Goutti\u00e8re occlusale (plaque de stabilisation)<\/td>\n        <td>Appareil amovible en r\u00e9sine acrylique dure, fabriqu\u00e9 sur mesure par le dentiste, port\u00e9 la nuit sur la m\u00e2choire sup\u00e9rieure ou inf\u00e9rieure<\/td>\n        <td>Prot\u00e8ge les dents de l'usure, r\u00e9duit les forces transmises \u00e0 l'ATM et aux muscles ; ne supprime pas le bruxisme mais en limite les d\u00e9g\u00e2ts ; traitement de premi\u00e8re intention le plus r\u00e9pandu<\/td>\n      <\/tr>\n      <tr>\n        <td>Stress management techniques<\/td>\n        <td>M\u00e9ditation de pleine conscience, relaxation musculaire progressive, coh\u00e9rence cardiaque, yoga, biofeedback \u00e9lectromyographique<\/td>\n        <td>Particuli\u00e8rement efficaces dans le bruxisme de l'\u00e9veil et les formes associ\u00e9es au stress chronique ; r\u00e9duction document\u00e9e de l'activit\u00e9 musculaire masticatrice<\/td>\n      <\/tr>\n      <tr>\n        <td>Th\u00e9rapie cognitivo-comportementale (TCC)<\/td>\n        <td>Identification et modification des sch\u00e9mas de pens\u00e9e et de comportement favorisant le serrement des dents ; techniques de prise de conscience corporelle<\/td>\n        <td>Traitement de choix du bruxisme de l'\u00e9veil ; efficacit\u00e9 d\u00e9montr\u00e9e sur la r\u00e9duction de la fr\u00e9quence des \u00e9pisodes de serrement et des douleurs associ\u00e9es<\/td>\n      <\/tr>\n      <tr>\n        <td>Botulinum toxin injections<\/td>\n        <td>Injections intramusculaires de toxine botulique de type A dans les mass\u00e9ters et parfois les temporaux, r\u00e9p\u00e9t\u00e9es tous les 4 \u00e0 6 mois<\/td>\n        <td>R\u00e9duit la force de contraction musculaire et l'hypertrophie des mass\u00e9ters ; efficacit\u00e9 bien document\u00e9e sur la douleur et l'usure dentaire ; r\u00e9serv\u00e9 aux cas r\u00e9sistants aux autres traitements ou \u00e0 l'hypertrophie mass\u00e9t\u00e9rine marqu\u00e9e<\/td>\n      <\/tr>\n      <tr>\n        <td>Medication management<\/td>\n        <td>Clonaz\u00e9pam \u00e0 faible dose au coucher (efficacit\u00e9 \u00e0 court terme), buspirone, clonidine, gabapentine ; r\u00e9vision ou substitution des m\u00e9dicaments induisant le bruxisme (ISRS)<\/td>\n        <td>Aucun m\u00e9dicament n'a l'indication formelle dans le bruxisme ; les traitements pharmacologiques sont des options de dernier recours \u00e0 court terme en raison des effets secondaires et du risque de d\u00e9pendance<\/td>\n      <\/tr>\n      <tr>\n        <td>Traitement de l'apn\u00e9e du sommeil<\/td>\n        <td>Pression positive continue (PPC\/CPAP), orth\u00e8se d'avanc\u00e9e mandibulaire<\/td>\n        <td>Lorsque le bruxisme est associ\u00e9 \u00e0 une apn\u00e9e du sommeil, le traitement de l'apn\u00e9e r\u00e9duit souvent significativement le bruxisme nocturne par normalisation de l'architecture du sommeil<\/td>\n      <\/tr>\n      <tr>\n        <td>Biofeedback \u00e9lectromyographique<\/td>\n        <td>Appareils portables d\u00e9tectant l'activit\u00e9 musculaire masticatrice et \u00e9mettant un signal sonore ou vibratoire pour interrompre l'\u00e9pisode de serrement<\/td>\n        <td>Particuli\u00e8rement adapt\u00e9 au bruxisme de l'\u00e9veil ; permet au patient de prendre conscience de son comportement et de le modifier activement<\/td>\n      <\/tr>\n      <tr>\n        <td>R\u00e9habilitation dentaire<\/td>\n        <td>Restauration des pertes tissulaires par composite, couronnes ou facettes apr\u00e8s stabilisation du bruxisme ; r\u00e9\u00e9quilibrage occlusal si n\u00e9cessaire<\/td>\n        <td>Ne constitue pas un traitement du bruxisme mais r\u00e9pare ses cons\u00e9quences ; doit \u00eatre r\u00e9alis\u00e9e apr\u00e8s mise en place d'une protection efficace pour \u00e9viter la r\u00e9cidive rapide des dommages<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Bruxisme chez l'enfant<\/h2>\n  <p>Le bruxisme touche fr\u00e9quemment les enfants, avec une pr\u00e9valence estim\u00e9e entre 15 et 40 % selon les tranches d'\u00e2ge. Ses particularit\u00e9s p\u00e9diatriques m\u00e9ritent d'\u00eatre connues :<\/p>\n\n  <ul class=\"co-list\">\n    <li>Tr\u00e8s fr\u00e9quent entre 3 et 6 ans lors de la dentition temporaire, souvent b\u00e9nin et transitoire<\/li>\n    <li>Fr\u00e9quemment associ\u00e9 \u00e0 des facteurs respiratoires : respiration buccale, rhinite allergique chronique, hypertrophie des amygdales ou des v\u00e9g\u00e9tations ad\u00e9no\u00efdes<\/li>\n    <li>Lien \u00e9tabli avec le TDAH, les troubles du spectre autistique et les troubles anxieux chez l'enfant<\/li>\n    <li>La majorit\u00e9 des enfants pr\u00e9sentant un bruxisme pendant la dentition temporaire n'en ont plus \u00e0 l'adolescence : r\u00e9solution spontan\u00e9e fr\u00e9quente sans traitement sp\u00e9cifique<\/li>\n    <li>La goutti\u00e8re occlusale est rarement indiqu\u00e9e chez l'enfant en denture temporaire ou mixte en raison de la croissance continue des m\u00e2choires<\/li>\n    <li>Prise en charge orient\u00e9e vers les facteurs d\u00e9clenchants : gestion du stress scolaire, traitement des probl\u00e8mes ORL, hygi\u00e8ne du sommeil<\/li>\n  <\/ul>\n\n  <h2>Complications en l'absence de traitement<\/h2>\n  <p>Un bruxisme non pris en charge peut entra\u00eener des cons\u00e9quences progressives et parfois irr\u00e9versibles :<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Complication<\/th>\n        <th>Description<\/th>\n        <th>D\u00e9lai d'apparition<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Usure dentaire s\u00e9v\u00e8re<\/td>\n        <td>Perte irr\u00e9versible de l'\u00e9mail et de la dentine pouvant exposer la pulpe dentaire, entra\u00eener des douleurs intenses et n\u00e9cessiter des traitements de canal<\/td>\n        <td>Mois \u00e0 ann\u00e9es selon l'intensit\u00e9 du bruxisme<\/td>\n      <\/tr>\n      <tr>\n        <td>Temporomandibular joint disorder (TMJD)<\/td>\n        <td>Douleurs chroniques de l'ATM et des muscles masticateurs, limitation de l'ouverture buccale, claquements persistants ; peut devenir invalidante<\/td>\n        <td>Mois \u00e0 ann\u00e9es ; chronification possible<\/td>\n      <\/tr>\n      <tr>\n        <td>Fractures and tooth loss<\/td>\n        <td>Fractures coronaires ou radiculaires n\u00e9cessitant des extractions, compromettre les implants et proth\u00e8ses existants<\/td>\n        <td>Variable ; acc\u00e9l\u00e9r\u00e9 si malocclusion ou restaurations fragilis\u00e9es<\/td>\n      <\/tr>\n      <tr>\n        <td>C\u00e9phal\u00e9es chroniques<\/td>\n        <td>Maux de t\u00eate quotidiens ou presque quotidiens par tension musculaire persistante des temporaux et mass\u00e9ters<\/td>\n        <td>Semaines \u00e0 mois en cas de bruxisme intense<\/td>\n      <\/tr>\n      <tr>\n        <td>Alt\u00e9ration de la qualit\u00e9 du sommeil<\/td>\n        <td>Fragmentation du sommeil par les \u00e9pisodes de bruxisme, somnolence diurne, fatigue chronique<\/td>\n        <td>Pr\u00e9sent d\u00e8s les premi\u00e8res semaines dans les formes s\u00e9v\u00e8res<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <div class=\"co-urgence\">\n    <div class=\"co-urgence-titre\">Signes n\u00e9cessitant une consultation rapide<\/div>\n    <p>Certaines situations li\u00e9es au bruxisme m\u00e9ritent une \u00e9valuation m\u00e9dicale ou dentaire sans d\u00e9lai : douleur aigu\u00eb intense de la m\u00e2choire avec impossibilit\u00e9 d'ouvrir ou de fermer la bouche (trismus), fracture dentaire douloureuse avec exposition de la pulpe, douleur faciale chronique et invalidante alt\u00e9rant significativement le sommeil et les activit\u00e9s quotidiennes, ou suspicion de luxation de l'articulation temporo-mandibulaire apr\u00e8s un \u00e9pisode de b\u00e2illement ou de mastication intense. Ces tableaux n\u00e9cessitent une prise en charge dentaire ou m\u00e9dicale urgente.<\/p>\n    <p>Pour tout autre sympt\u00f4me de bruxisme comme des douleurs matinales \u00e0 la m\u00e2choire, des c\u00e9phal\u00e9es r\u00e9currentes au r\u00e9veil ou une usure dentaire constat\u00e9e, une consultation \u00e0 Clinique Omicron permet une \u00e9valuation compl\u00e8te et une orientation vers les professionnels appropri\u00e9s. En cas de d\u00e9tresse aigu\u00eb non contr\u00f4lable, composez le 911 ou rendez-vous \u00e0 l'urgence la plus proche.<\/p>\n  <\/div>\n\n  <h2>Consult at Clinique Omicron<\/h2>\n  <p>Clinique Omicron assure l'\u00e9valuation des douleurs oro-faciales, des c\u00e9phal\u00e9es matinales r\u00e9currentes et des troubles du sommeil pouvant \u00eatre associ\u00e9s au bruxisme, dans plusieurs points de service au Qu\u00e9bec. Un m\u00e9decin ou un infirmier praticien sp\u00e9cialis\u00e9 (IPS) peut \u00e9valuer votre tableau clinique, d\u00e9pister une apn\u00e9e du sommeil associ\u00e9e, r\u00e9viser les m\u00e9dicaments pouvant induire ou aggraver le bruxisme, et vous orienter vers un dentiste sp\u00e9cialis\u00e9 en dysfonctions temporo-mandibulaires, un psychologue pour une th\u00e9rapie cognitivo-comportementale, ou un sp\u00e9cialiste en m\u00e9decine du sommeil selon votre profil. Des consultations en personne et en t\u00e9l\u00e9m\u00e9decine sont disponibles. Pour prendre rendez-vous dans l'un de nos points de service \u00e0 Montr\u00e9al, sur la Rive-Sud ou ailleurs au Qu\u00e9bec, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#4D6577;font-weight:600;\">cliniqueomicron.ca<\/a>.<\/p>\n\n  <style>.co-disclaimer{font-size:13px;color:#8a9aaa;font-style:italic;border-top:1px solid rgba(77,101,119,.15);padding-top:24px;margin-top:40px;line-height:1.6;}<\/style>\n  <p class=\"co-disclaimer\">The content of this page is provided for informational purposes only and is not intended to replace the advice of a qualified healthcare professional. Consult a physician for any symptoms, questions or decisions you may have regarding your health.<\/p>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>M\u00e9decine dentaire \u2013 Troubles temporo-mandibulaires Bruxisme (grincement des dents) Le bruxisme est un comportement moteur oral caract\u00e9ris\u00e9 par le grincement, le serrement ou le frottement r\u00e9p\u00e9titif et involontaire des dents, impliquant une activit\u00e9 musculaire des muscles masticateurs qui s&rsquo;exerce en dehors de toute fonction masticatoire normale. Il se pr\u00e9sente sous deux formes principales selon le&hellip;&nbsp;<a href=\"https:\/\/cliniqueomicron.ca\/en\/bruxisme-grincement-des-dents\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Bruxism (Teeth Grinding): Causes, Symptoms, and Treatment | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"Bruxisme (grincement des dents) | Omicron","_metasync_otto_description":"Douleurs \u00e0 la m\u00e2choire, maux de t\u00eate au r\u00e9veil ou dents us\u00e9es ? D\u00e9couvrez tout sur le bruxisme : causes, diagnostic et prise en charge au Qu\u00e9bec.","_metasync_otto_keywords":"bruxisme, grincement des dents, douleurs mandibulaires, sympt\u00f4mes bruxisme, traitement bruxisme, causes bruxisme, gestion bruxisme, Clinique Omicron","_metasync_otto_og_title":"Bruxisme (grincement des dents) : | Brossard | Clinique Omicron","_metasync_otto_og_description":"","_metasync_otto_twitter_title":"Bruxisme: Causes & Solutions Clinique Omicron #Sant\u00e9Dentaire","_metasync_otto_twitter_description":"Douleurs \u00e0 la m\u00e2choire ou dents us\u00e9es ? Apprenez-en plus sur le bruxisme avec Clinique Omicron ! #Bruxisme","rank_math_title":"","rank_math_description":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_aioseo_title":"Bruxisme (grincement des dents) : causes, sympt\u00f4mes et traitement | Clinique Omicron","_aioseo_description":"Douleurs \u00e0 la m\u00e2choire, maux de t\u00eate au r\u00e9veil ou dents us\u00e9es ? D\u00e9couvrez tout sur le bruxisme : causes, diagnostic et prise en charge au Qu\u00e9bec.","_metasync_seo_title":"","_metasync_seo_desc":"","_metasync_breadcrumb_title":"","_metasync_primary_category":0,"_metasync_primary_product_cat":0,"_metasync_otto_disabled":"","_metasync_hreflang":"","_metasync_plugin_sync_ts":"{\"aioseo\":\"2026-05-04T21:51:50+00:00\"}","_metasync_robots_advanced":"","footnotes":""},"class_list":["post-24392","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/pages\/24392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/comments?post=24392"}],"version-history":[{"count":4,"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/pages\/24392\/revisions"}],"predecessor-version":[{"id":25914,"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/pages\/24392\/revisions\/25914"}],"wp:attachment":[{"href":"https:\/\/cliniqueomicron.ca\/en\/wp-json\/wp\/v2\/media?parent=24392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}