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FAQ:  Tori


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Tori Ask The Dentist Corinne Scalzitti Question:
Bruxism/Mandibular Tori: I am 38 years old and have apparently been grinding my teeth for several years.

The only symptoms I had were sensitive teeth. I have recently developed Mandibular Tori and have started grinding and clenching my teeth so hard that it wakes me several times a night.

My dentist gave me a night guard and my physician gave me anti-anxiety medications. My teeth, jaws, neck and shoulders are tense and sore. I am worried because my mother has TMJ and Fibromyalgia and I do not want to get TMJ.

Will the Tori stop growing now that I am wearing a night guard? Who should I see next - an orthodontist or a craniofacial specialist? ...Visitor from TX

Answer:
If you have tori, I am afraid that you have been bruxing for many years. These typically take a long time to develop.

It sounds like your dentist and physician are on the right track. I don't know which anti-anxiety med you are on. I like Valium, 2 mg. at bedtime for 2 weeks as a muscle relaxant to try to break the pain/bruxing cycle. Skelaxin may also be a good choice.

This and a hard night guard do well for my patients. Growth of the tori may decrease with a hard night guard, but the pressure on the bone even with a guard may continue, and the bone may still respond by growing more slowly in response to pressure.

An orthodontist may be a good person to help you. Also, a dentist who likes to treat TMJ patients would be a good idea. Hope this helps you.

Corinne Scalzitti, DMD, MAGD

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