clenchingtobreathe wrote: ↑Sat Jul 21, 2018 7:36 am
Any clenchers out there who have had success alleviating it with CPAP???
I am a clencher too. (Not a grinder.) I have heard that one possible cause of clenching is trying to open the airway. Never figured out how that worked. CPAP did not make me stop clenching. I do believe I have stopped clenching, though, so I'll tell you my story. It's both a cautionary tale, and a success story...to some degree.
Like you, I injured a front tooth by clenching. Not the tooth, but the nerves around it. When I first did it, it hurt even to touch the tooth lightly with my tongue. The dentist said I just have to let it heal. It took years for the sensitivity to go away completely, but it has.
I could no longer wear any normal night guard. (I had injured my tooth by sleeping without a night guard because it was irritating my gums.)
I found a night guard at Wal-Mart that was just two bite pads and a connector thing to keep you from choking on the bit pads. I took the connector thing off and just kept the bit pads in between my top and bottom back teeth.
Sometimes I perceived that I was clenching sooner and harder with the bite pads than nothing at all. But nothing at all was not an option. Any time I'd sleep without them I'd wake up with searing pain in my injured front tooth.
I went to the dentist after a few years of not seeing one for money reasons. He remarked on how strange my bite was. The teeth didn't match up and there was space between the molars when my mouth was closed. I told him about the bite pads and he said I was pushing my teeth into my gums. I was making them shorter. This could make it hard to chew food eventually. I told him my dilemma and he said I should just try to find something with more give, and something that distributes the weight over more teeth.
I tried the Aveo-TSD (Tongue Stabilizing Device) which suctions your tongue so that it stays between your two teeth. But I clenched down so hard on my tongue that it was as sore as my front tooth.
So I started making bite pads out of folded gauze squares from the drug store. I still felt like I'd start clenching as soon as I put them in, like a reflex. But I tested not having anything in my mouth, and my front tooth wasn't ready.
Fast forward a few years and I had some money so I decided to see yet another dentist about my TMJ problem. I explained my mouth-guard criteria to him:
1) It can't touch my front teeth.
2) It can't take up space that my already big tongue needs.
3) Preferably, it advances the lower jaw forward, to help with sleep apnea.
After A LOT of discussion, I ended up trying a device that touched my front teeth, took up tongue-space, and set my jaw back instead of forward. It's amazing that he finally talked me into trying it, but I'm glad I did. It was the turning point for my clenching.
The school of thought he subscribes to is that clenching happens when the bite doesn't match up, so your teeth keep trying to "find each other". They want to nestle in. Your jaw also doesn't relax until it is in it's natural position.
The device he made me sits on your bottom front teeth. The top of it is a flat surface into which he carves a little groove for your front teeth. It doesn't lock them there. It just tells your front teeth where home is. (Home position for your jaw, that is.) When you sleep, your jaw tries to close and your teeth expect to find each other. With this device, your front teeth tap the plastic plate and your jaw reflexively opens again. You'll sort of slow-chatter as your jaw keeps trying to bite down, and finding the only point of contact to be the front tooth. After a while, your jaw will give up. Your front tooth will tend to nestle into the custom made groove which puts the jaw in it's natural position (although slightly opened). Then your jaw relaxes.
Its been about six years since then. I'm not SURE that I've eliminated clenching entirely. But I don't wake up with a sore tooth or tongue from biting or clenching them. I keep that dental device in case I want to try it again. I should be wearing some kind of soft night guard to protect my teeth. But these days, I keep the sides and front of my tongue between my top and bottom teeth and I don't bite too hard on my tongue.
I hope my story helps!