There is a high prevalence of temporomandibular joint (TMJ) disorders in MS, such as pain and difficulty opening the mouth and TMJ sounds, which can be attributed to myofascial and neck pain. Some studies also report teeth grinding, dental hypersensitivity, and xerostomia [12,13].
While most of the nocturnal bruxism cases seen in the general population are apparently idiopathic, it has been reported to be associated with a range of neurological diseases such as Huntington's disease, cranio-cervical dystonia and post-anoxic brain damage, but not multiple sclerosis (MS).
Bruxism can be associated with some mental health and medical disorders, such as Parkinson's disease, dementia, gastroesophageal reflux disorder (GERD), epilepsy, night terrors, sleep-related disorders such as sleep apnea, and attention-deficit/hyperactivity disorder (ADHD).
It's often linked to: stress and anxiety – this is the most common cause of teeth grinding. sleep problems like snoring and sleep apnoea. taking certain medicines, including a type of antidepressant known as selective serotonin reuptake inhibitors (SSRIs)
A study by Spanish researchers showed that people who have MS have high rates of dental caries (tooth decay) and periodontal (gum) disease. These problems can impact overall health in a number of ways. “Good oral hygiene has been shown to be very important,” says Kashani.
Socket sclerosis is usually asymptomatic and does not require any treatment. The only potential complication arises during orthodontic treatment, wherein sclerosed socket of the premolar teeth may be an obstacle in closing the space by movement of teeth through the extraction space.
Patients who have MS sometimes lack saliva. Dry mouth makes chewing, swallowing, and speaking more difficult. It can also lead to tooth loss because saliva isn't helping wash away decay-causing food residue and bacteria. Patients with advanced MS often have trouble swallowing.
Self-reported sleep bruxism is associated with vitamin D deficiency and low dietary calcium intake: a case-control study. BMC Oral Health.
Train yourself not to clench or grind your teeth. If you notice that you clench or grind during the day, position the tip of your tongue between your teeth. This practice trains your jaw muscles to relax. Relax your jaw muscles at night by holding a warm washcloth against your cheek in front of your earlobe.
The use of botulinum toxin therapy may be the most important advancement in the treatment of bruxism, and neurologists are well-equipped to provide this service.
Wrinkling your nose and baring your teeth is also part of the examination, to test if your facial nerve is okay. Vision is tested by asking the patient to identify letters or numbers on a board, just like eye tests at an ophthalmologist's (eye doctor).
In relation to Parkinson's, the rigidity and spasms of the disease itself can affect the muscles of the jaw, causing the jaw to clamp shut.
Numbness of the face, body or extremities (arms and legs) is one of the most common symptoms of MS. It may be the first MS symptom you experienced. The numbness may be mild or so severe that it interferes with your ability to use the affected body part.
Trigeminal neuralgia (TN) - a stabbing pain in the face or jaw area that can occur as an initial symptom of MS or as a relapse. While it can be confused with dental pain, this pain is neuropathic in origin (caused by damage to the trigeminal nerve).
Always try to make sure that the tip of your tongue sits between your teeth, as this will enable the muscles in your jaw to relax. It is also important to stop or at least reduce habits that involve you clenching your jaw, such as chewing gum.
Botox® injections can be used to stop the cause of Bruxism by relaxing the over-active jaw muscles. This will take the pressure off the jaw, break the habit and at the same time, stop any discomfort and minimise any further damage to your teeth.
The common causes for bruxism are emotional stress (anxiety and anger), drug use, physical stress (illness, nutritional deficiencies or dehydration), sleep problems, teething (in babies), bad tooth alignment and problems with dental work. Some people can also get bruxism as a side effect of antidepressants.
Magnesium supplements can help relax the small, fast twitch muscles in your jaw and reduce grinding further.
This indicates a possible psychological role in the etiology of bruxism. Previous studies showed that calcium and magnesium deficiencies could be implicated in the development of bruxism through regulating the nervous system and muscular function [15,16,17].
Magnesium. Magnesium deficiency can lead to tense, spastic muscles. It also contributes to bone strength, nerve function, and cartilage health. In combination with calcium, these two supplements can work together to help relax your jaw muscles and relieve your TMJs of excess strain and tension.
Difficulty thinking. Fatigue. Pain, which may be acute or chronic, caused by the nerves that carry sensation "short circuiting." Types of pain can include band-like pain around the chest, or MS hug, caused by spastic nerves along with other types of painful sensations in the neck, arms, legs and feet. Sexual problems.
Multiple sclerosis, a chronic disease of the central nervous system, is notable for its erratic and unpredictable symptoms. The obvious symptoms can include difficulty walking, loss of coordination, muscle spasms, weakness and changes in speech. But, not all symptoms are easily visible.