Cracked Teeth from Bruxism: Causes, Symptoms, and Management

What Is Bruxism?

Bruxism is teeth grinding or clenching, often occurring during sleep (sleep bruxism) or while awake. Over time, excessive pressure on the teeth can lead to cracks, fractures, and worn enamel.

Patients in Sydney commonly notice tooth sensitivity, pain while chewing, or visible cracks, prompting urgent dental evaluation.

How Bruxism Causes Cracked Teeth

  • Excessive force: Constant grinding or clenching wears down enamel and weakens teeth

  • Misaligned bite: Uneven pressure concentrates stress on certain teeth

  • Nighttime grinding: Repetitive micro-trauma during sleep increases risk of cracks

  • Underlying TMJ issues: Muscle tension can worsen bite stress

Signs and Symptoms of Cracked Teeth

  • Pain when chewing or biting

  • Sensitivity to hot or cold foods/drinks

  • Visible lines or fractures in teeth

  • Occasional swelling or irritation of surrounding gums

  • Difficulty chewing on one side

Early detection is crucial to prevent tooth loss or infection.

Management and Treatment Options

1. Dental Bonding / Composite Build-Up

  • Restores minor cracks and worn areas

  • Reinforces tooth structure

  • Improves aesthetics and function

2. Crowns

  • Recommended for moderate to severe cracks

  • Protects the tooth from further damage

  • Restores proper bite and occlusion

3. Night Guards

  • Custom-fitted guards protect teeth from grinding

  • Reduces risk of future cracks

  • Relieves jaw tension and TMJ stress

4. Bite Adjustment

  • Minor reshaping of teeth to distribute forces evenly

  • Often combined with orthodontic or restorative treatment

5. Root Canal Therapy

  • Needed if cracks extend into the pulp or cause infection

  • Saves the tooth while relieving pain

Preventing Future Cracks

  • Wear a custom night guard if you grind teeth

  • Manage stress and reduce jaw clenching

  • Avoid hard foods or chewing on non-food items

  • Regular dental check-ups for early detection

  • Address TMJ issues to reduce muscle tension

Final Thoughts

Cracked teeth from bruxism are preventable and manageable with early intervention. Restorative treatments like composite build-ups, crowns, and bite adjustments, combined with night guards and TMJ therapy, can relieve pain, restore function, and prevent future damage. Patients in Sydney should consult a dentist promptly if they notice cracks or tooth sensitivity.