How your teeth come together and how well you chew is known as your ‘bite’, or occlusion. Problems with your bite can result from crowding, an over or under developed jaw, missing teeth and improperly erupted teeth. Unaddressed bite issues can lead to tooth loss and infection.
It can also cause tooth wear, damage and breakage, due to clenching and grinding. Chewing that isn’t optimal can also lead to digestive problems.
One patient who came to the office had been clenching and grinding so much that the enamel, the outer, hard tissue of several teeth had worn away. This exposed the dentin, or softer tooth, which caused sensitivity. Someone else who wondered what could be causing pain in all his teeth was asked if he might be clenching or grinding. The answer was ‘Yes.’ He was beginning to lift heavier weights and when he did that, he clenched!
Grinding or ‘bruxism’ can also cause jaw pain or pain around the ears. Problems that result from crowding, missing teeth, or an over/ under developed jaw can often be addressed by orthodontic treatment. Using either traditional wires or Invisalign aligners, the teeth can be shifted into a position that is best for the bite. Invisalign treatment consists of progressive trays that are popular because they are simple to use.
The temporomandibular joints (TMJ) are the only 2-sided joint in the body and it takes the brunt of all biting and chewing. When the area becomes inflamed, it is known as temporomandibular dysfunction (TMD). This can also lead to head and neck pain or wearing of the cartilage or bone in the jaw joint. Wear and tear on these joints will also affect chewing over time.
Another factor that could cause a bite issue is recent dental work that’s set too high. Not only are high spots a nuisance, they can also produce pain and soreness in the tooth just worked on. This pain usually will not go away until it is adjusted, so be sure to let your dentist know if there is pain or discomfort that lasts more than a couple of days.
USC-trained DDS and former U.S. Navy dentist, Dr. Evans brings a wealth of experience from caring for service members worldwide. Now settled in Encinitas with her husband (an Oral & Maxillofacial Surgeon) and their four children, she’s committed to creating a warm, family-focused dental environment. With a gentle approach, keen empathy, and a belief that treating the whole person matters, Dr. Evans looks forward to helping you achieve your best oral health.
