Bruxism Treatment in Winston-Salem, NC

Do you wake up with jaw tension, headaches, or worn-down teeth? You may be suffering from bruxism — a common but damaging habit of grinding or clenching your teeth, often during sleep. Left untreated, bruxism can lead to serious problems with your bite, smile, and comfort.
At Trenton B. Bottoms, DDS, we offer personalized bruxism treatment in Winston-Salem to protect your teeth, relax your jaw muscles, and prevent long-term complications. Dr. Bottoms takes a conservative, whole-mouth approach — focusing not just on symptom relief, but on the root cause.
What Is Bruxism?
Bruxism is the involuntary habit of grinding or clenching your teeth, often during sleep but sometimes during the day (awake bruxism). While mild bruxism may go unnoticed, chronic grinding can lead to:
- Worn, flattened, or chipped teeth
- Tooth sensitivity or pain
- Jaw soreness or tightness
- Morning headaches
- Tension in the neck, shoulders, or temples
- TMJ dysfunction and bite problems
- Cracks or fractures in natural teeth or restorations
Bruxism is often linked to stress, anxiety, sleep disorders, or an uneven bite. If you’ve searched for a dentist near me to help protect your teeth and improve sleep comfort, we’re here to help with clear answers and non-invasive treatment.
How We Treat Bruxism
Custom Night Guards (Occlusal Splints)
The most common treatment for nighttime bruxism, a custom-fitted night guard protects your teeth and reduces pressure on the jaw joint during sleep.
- Durable, comfortable, and tailored to your bite
- Prevents further tooth wear or damage
- Helps relax the jaw muscles and reduce tension
- Can also relieve associated TMJ symptoms
Unlike over-the-counter guards, professionally made night guards are custom-designed for stability, comfort, and long-term use.
Bite Adjustment (Occlusal Equilibration)
If your teeth don’t come together evenly, bite imbalance may be contributing to grinding. Minor adjustments to high spots on specific teeth can help reduce clenching triggers.
- Often combined with splint therapy
- Helps correct uneven contact points
- Prevents premature wear or stress on specific teeth
TMJ Therapy
Bruxism and TMJ dysfunction often go hand-in-hand. We evaluate and treat both together when needed — for more comprehensive relief.
Stress & Lifestyle Guidance
We’ll also discuss non-dental contributors like stress, sleep habits, and posture — and refer to specialists if deeper medical factors may be at play.
Why Choose Dr. Bottoms for Bruxism Treatment?
- Conservative, Personalized Care
We believe in protecting your teeth with the least invasive and most effective approach — tailored to your specific habits and bite. - Custom-Fit Technology
Digital impressions allow for precise night guard fabrication, ensuring long-term comfort and durability. - Whole-Mouth Evaluation
We look at the full picture — from your jaw joint to bite balance — so we don’t just treat the symptoms but solve the source. - Follow-Up Support
Your night guard isn’t a “set it and forget it” device. We monitor your progress and adjust as needed for ongoing success.
Frequently Asked Questions
Can bruxism really damage my teeth?
Yes — chronic grinding can lead to cracked teeth, worn enamel, and premature failure of crowns or fillings.
How do I know if I grind my teeth at night?
Common signs include jaw tension, worn teeth, morning headaches, or a partner hearing grinding noises during sleep.
Do I need a custom night guard?
Yes. Custom guards are far more effective, comfortable, and durable than over-the-counter options — and they’re designed to protect your bite alignment.
Is bruxism connected to TMJ?
Often. Grinding and clenching can cause or worsen TMJ issues, and vice versa.
Does insurance cover bruxism treatment?
Many plans cover custom night guards. We’ll help check your benefits and offer financing options if needed.
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Protect Your Smile While You Sleep
Bruxism doesn’t just wear down your teeth — it wears down your comfort and health. With a custom plan from Dr. Bottoms, you can sleep easier, protect your smile, and wake up pain-free.
Call us today at 336-765-8358 or schedule a consultation online to learn more about bruxism treatment in Winston-Salem.
