How to Tell if You Have Bruxism and Need a Night Guard

Posted on December 17th, 2025.

 

Waking up with a sore jaw, tight facial muscles, or a dull headache is easy to dismiss as “sleeping funny,” especially when it happens only once in a while. When those symptoms show up most mornings, though, your body may be trying to tell you something important. One common cause is bruxism, the habit of clenching or grinding your teeth.

Bruxism often happens at night, so you may not realize you are doing it until the side effects start to show. You might notice flattened or chipped teeth, new sensitivity, or comments from a partner who hears grinding while you sleep. Left alone, these changes can gradually damage your teeth and jaw joints.

Learning how to tell if you have bruxism and when you might need a night guard can protect your smile and improve your sleep. Once you understand the signs, a dentist can confirm what is happening and recommend a custom night guard to shield your teeth and give your jaw a much-needed break.

 

Recognizing the Signs of Bruxism

"Bruxism" is the medical term for clenching or grinding your teeth, often without realizing it. Sleep bruxism happens when you are fully asleep, while awake bruxism occurs during the day, usually under stress or deep concentration. Both can put a lot of extra force on your teeth and jaw. Over time, that pressure shows up as a collection of symptoms you might already be noticing.

Morning jaw pain or soreness is one of the most common early signs. Your jaw may feel tight, tired, or achy when you wake up, or you might notice discomfort when you chew breakfast. Sometimes it can be hard to open your mouth fully right away. This happens because the muscles that control your jaw have been working hard all night instead of resting.

Frequent headaches, especially around the temples or behind the eyes, are another red flag. These tension-type headaches are easy to blame on stress, screens, or poor sleep. When they regularly show up in the morning and fade as the day goes on, they can be linked to nighttime clenching. The constant pressure from grinding irritates muscles in the jaw and face, which can radiate as head pain.

Your teeth themselves may start to tell the story. Flattened biting surfaces, small chips, tiny fractures, or edges that look worn down are classic signs of teeth grinding. You might also notice that certain teeth feel more sensitive to hot or cold than they used to because the enamel has started to thin. In more advanced cases, fillings or crowns can crack or loosen under repeated stress.

Other subtle indicators can appear in the soft tissues. A line on the inside of your cheeks from biting, soreness in the gums, or mild gum recession can all be associated with bruxism. Some people also develop pain in front of the ears or clicking in the jaw joint, which may point toward temporomandibular joint (TMJ) issues aggravated by grinding.

Because many of these signs can be easy to overlook or explain away, paying attention to patterns is key. If you consistently wake up with jaw discomfort or morning headaches or notice changes in how your teeth look or feel, it is worth taking seriously. A dentist can examine your teeth, ask about your symptoms, and help determine whether bruxism is the cause.

 

Understanding Sleep Bruxism and Its Effects

Sleep bruxism is a type of movement disorder that happens while you are asleep, usually during lighter stages of sleep. Because it is involuntary, you cannot simply “decide” to stop. You may have no memory of clenching or grinding, which is why many people do not suspect bruxism until a dentist or sleep partner points it out. Yet even without your awareness, the forces involved can be surprisingly strong.

Research has shown that sleep bruxism can be linked with other sleep disturbances, such as snoring or obstructive sleep apnea. When breathing or sleep rhythm is disrupted, the body sometimes reacts with brief arousals that trigger clenching. Stress and anxiety can also contribute, especially when tension carries into the night. 

The long-term effects of sleep bruxism show up most clearly in your teeth. Constant grinding wears down the protective enamel layer, making teeth more vulnerable to cavities, cracks, and breaks. Some people develop flattened “shortened” teeth or sharp edges that irritate the tongue and cheeks. Others may need fillings, crowns, or even root canals to repair damage caused by years of unprotected grinding.

Your jaw joints and muscles can be affected as well. Repeated clenching puts strain on the temporomandibular joints, which connect your jaw to your skull. Over time, that stress can lead to TMJ symptoms such as clicking or popping when you open and close, tenderness near the ears, or episodes where the jaw feels locked or stuck. Chewing tough foods or talking for long periods can become uncomfortable.

Daytime bruxism behaves a little differently but can add to the problem. Clenching while driving, working at a computer, or dealing with stress might be something you notice only when you suddenly relax your jaw. Because you are awake, awareness and habit changes can help, such as reminding yourself to keep your teeth slightly apart and your tongue resting gently on the roof of your mouth. Even with those strategies, nighttime grinding often still needs its own protection.

Recognizing that sleep bruxism is both a dental and a health issue is important. Addressing it may involve dental care, stress management, and sometimes a conversation with your physician about sleep quality or possible sleep apnea. A coordinated approach helps protect your teeth and supports your overall health, rather than just masking symptoms.

 

How Night Guards Can Help

A night guard is a custom-fitted dental appliance that you wear over your teeth while you sleep. It acts as a barrier between your upper and lower teeth, so when you clench or grind, the guard takes the force instead of your enamel. This simple device can dramatically reduce the damage bruxism causes, even if the grinding itself does not stop completely.

By absorbing and redistributing pressure, a night guard helps prevent enamel wear, fractures, and chips. It can also lessen the strain on your jaw muscles and joints. Many people who start using a properly fitted night guard notice fewer morning headaches and less jaw soreness over time. The guard gives your muscles a new, more relaxed position to rest in, instead of letting them clamp down directly on your teeth.

You might be a good candidate for a night guard if you notice recurring jaw pain, morning headaches, tooth wear, or unexplained chipping or cracking. A partner who hears grinding sounds at night is another strong clue. Rather than guessing, a dental exam can confirm whether your teeth show patterns of wear that match bruxism. Your dentist may also ask about stress levels, sleep quality, and other symptoms to build a full picture.

While over-the-counter “boil-and-bite” guards exist, they are not tailored to your bite and often feel bulky or slip during the night. A custom night guard made by a dentist is designed specifically for your mouth, using impressions or digital scans of your teeth. This precise fit makes it more comfortable, more stable, and more effective at distributing force where it needs to go.

The process of getting a custom night guard is straightforward. First, your dentist examines your teeth and discusses your symptoms. Next, they take impressions or scans, which are sent to a dental lab to create your guard. At a follow-up visit, the guard is checked and adjusted if needed, and you receive instructions on how to wear, clean, and store it. With normal care, a quality guard can last several years.

Choosing a night guard is an investment in preventing more serious dental problems down the line. Repairing worn, cracked, or broken teeth often requires crowns, fillings, or other procedures that are far more involved than making a protective appliance. By addressing bruxism early with a custom night guard, you help preserve your natural teeth, support your jaw health, and wake up with less pain and more energy.

RelatedNeed Relief from Teeth Grinding? Try a Night Mouthguard

 

Protect Your Smile and Your Sleep

Jaw pain, morning headaches, and worn or chipped teeth are not just random annoyances; they are common warning signs of bruxism. Recognizing those signals and understanding how sleep grinding affects your teeth and jaw is the first step toward protecting your smile. A custom night guard provides a simple, effective way to shield your teeth and give your jaw muscles relief while you sleep.

At Southern Dental Direct, we make it easy to get professional guidance and custom night guards designed specifically for your bite. We focus on clear explanations, comfortable solutions, and long-term protection for patients in Gulfport, Mississippi and across the United States. Our goal is to help you address teeth grinding before it leads to more complicated and costly problems.

Contact us today to schedule your consultation and protect your smile! 

For immediate assistance, feel free to reach out at (228) 357-1010 or email [email protected]

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