When Dr. Birnbaum may tell you that you are “cracking under pressure,” in the context of oral health, this refers to the occurrence of dental fractures or broken teeth as a result of increased stress and strain against your teeth. This condition is the complex relationship between psychological factors—such as stress and anxiety—and their impact on oral health.

The oral cavity is subjected to various forms of stress on a daily basis, including chewing strength, temperature changes, and habits such as teeth grinding or clenching—also called bruxism. Under normal circumstances, the teeth are equipped to withstand these pressures due to their inherent strength and the surrounding supportive structures, including the periodontal ligament and alveolar bone. However, when stress levels become heightened, the resilience of the teeth may be compromised, increasing the risk of dental fractures.

Bruxism is characterized by the involuntary grinding, clenching, or gnashing of teeth. It often occurrs during sleep or periods of heightened stress. Chronic bruxism subjects the teeth to excessive and repetitive forces, leading to wear and tear of the enamel and eventually resulting in cracks or fractures. Additionally, the increased muscle activity associated with bruxism can exacerbate temporomandibular joint (TMJ) dysfunction, which can exacerbate other dental issues. These behaviors can increase the likelihood of trauma to the teeth and weaken their structural integrity, making them more susceptible to fractures.

Dr. Birnbaum can help preventing and managing stress-related dental fractures. Patients should attend regular dental check-ups to detect and address any signs of dental damage early on. In case signs of teeth grinding are detected, Dr. Birnbaum can make a custom night guard at his office.

Contact Dr. Birnbaum today at (617) 965-1400 or book your appointment for your professional dental checkup or cleaning today.