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Oral health (gum disease/teeth grinding) stress related?

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M.C
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PostPosted: 12:27 - 15 Feb 2017    Post subject: Oral health (gum disease/teeth grinding) stress related? Reply with quote

Thought I'd start a new topic rather than hijacking the grinds my gears thread. So I've had gum disease for a while, the dentist said there was some bone loss but only advised flossing. It's receding upwards from the bottom of my lower gums (pic' attached) but seems to have stabilised.

The dentist mentioned stress as a cause, and as I also grind my teeth I was wondering if anyone had any practical solutions (I thought the dentist would prescribe antibiotics or something), and opinions of stress as a likely cause? I'm not doubting it however stress seems to be the go-to diagnose when medical professionals aren't really sure whats going on.

P.S. dunno if the attachment's working? Confused
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stevo as b4
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PostPosted: 19:42 - 15 Feb 2017    Post subject: Reply with quote

I wouldn't totally rule out Stress as a contributing factor though. Also stuff like bleeding gums, sores and mouth ulcers etc could point to a low level immune system?

I get anything from 4-10+ colds a year, and it's far more likely to co-incide with other issues like bleeding gums and mouth ulcers than when I'm feeling more healthy.

I've been diagnosed with an anxiety problem that I suppose is work stress related, and you do seem to notice symptoms more or have panic attacks etc during or after stressful situations, and the symptoms can appear hours or days later IMO.
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UncleFester
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PostPosted: 08:46 - 16 Feb 2017    Post subject: Reply with quote

If gum disease, adjust your brushing technique to hit the gums at an angle - that and get some floss type sticks / micro pipe cleaner tooth pick things.

Not diabetic are you?
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waffles
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PostPosted: 10:14 - 16 Feb 2017    Post subject: Reply with quote

Do you grind your teeth at night? If so I think you can get gumshields to wear at night to try to stop that or at least minimise the impact of it. Look at the possible causes of stress in your life and see if there are some resolutions to them or at least establish a positive night routine that lets you sleep better. I subconsciously ground my teeth a few years back and my dentist commented on it, it was at the same time as I was struggling at work so don't rule out stress. I have since changed jobs and havent woken up with a sore jaw in quite some time.

The micro cleaner toothpick things are interdental brushes or tepe brushes. I use them and they are brilliant at getting in between teeth if you arent a fan of floss. You can buy packs of them at Boots for a few quid each and the different colours represent diffferent sizes depending on the gaps between your teeth. Or maybe use Cortisol mouthwash?
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grr666
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PostPosted: 10:21 - 16 Feb 2017    Post subject: Reply with quote

Get a good electric toothbrush. Oral B ones are pretty decent. I have been under the dental hospital for the last
18 months and am still on a course of treatment undoing the damage of 25 years without a dentist visit because fear.
The first step for me was binning the manual brush, using a premium specialist toothpaste formulation to help treat
the inevitable gum disease. Electric toothbrushes definitely clean your teeth better and they weaken the calcium build
ups too giving the hygenist an easier job with the sonic mouth lance thingy. I've started using teepee interdental brushes
after each time I eat to poke out all the embedded debris, they are making a big difference. Thumbs Up
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derillius24
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PostPosted: 11:40 - 16 Feb 2017    Post subject: Reply with quote

The issues you've mentioned have fairly complex mechanisms associated with them and both are often multi-factorial in their aetiology.

Clenching and grinding (bruxing) - collectively referred to as parafunctional habits - are very strongly associated with stress and anxiety. Often they'll rear their heads as you sleep and targeting the root cause of any psychosocial issues will likely be the only way to eradicate them - clearly easier said than done.

However, there are other measures you can take to prevent adding to the burden felt by your jaw muscles and the soft and hard tissues supporting your teeth: eat a soft diet intermittently (not mush, just an active avoidance of things like crusty bread and apples); avoid maximum mouth opening (catch yawns before you go full crocodile); and avoid chewing gum like the plague. Bite splints can be easily provided by clinicians if indicated by pain, or intra-oral signs your dentists will be able to pick up on.

Periodontal (gum) disease is also a complex condition. Unfortunately any damage done by periodontal disease (i.e. bone loss, soft tissue destruction around the tooth roots) is currently* irreversible but the disease can be stopped from progressing further with effective interventions. As mentioned, a good quality electric toothbrush used properly will be a good thing. Ask your dentist how to brush effectively and how to reach the bits you miss - do ask, virtually zero patients brush their teeth perfectly and if you're suffering from Periodontal disease you need to make sure you're completely eliminating plaque accumulation. Floss and inter-dental brushes? The supporting evidence that exists is of very low quality however anecdotally, regular use of either is a good thing.

Many things affect one's susceptibility to Periodontal disease.

    Oral hygiene levels
    Immunocompromise or immunosuppression
    Poorly controlled Diabetes
    Smoking (shoots the vascularity to the soft tissues supporting the teeth)
    Stress (exacerbates almost every chronic condition known to man, including Cancer)
    Genetics - this is the kicker as if you're genetically predisposed, you've potentially got a battle on your hands regardless of how hard you work at it.

^^ *this list is by no means exhaustive*

Parafunctional habits may also affect the periodontal tissues supporting your teeth by overburdening them so an inter-relationship may exist between the two.

Antibiotics for either of these conditions are generally not indicated


*there is lots of work being done on developing guided tissue regeneration techniques however we're likely a long way from this being common practice
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M.C
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PostPosted: 16:44 - 16 Feb 2017    Post subject: Reply with quote

UncleBFester wrote:
Not diabetic are you?

I am not. However I have a few weird health things going on/bit of a medical mystery ATM.

waffles wrote:
Do you grind your teeth at night? If so I think you can get gumshields to wear at night to try to stop that or at least minimise the impact of it. Look at the possible causes of stress in your life and see if there are some resolutions to them or at least establish a positive night routine that lets you sleep better. I subconsciously ground my teeth a few years back and my dentist commented on it, it was at the same time as I was struggling at work so don't rule out stress. I have since changed jobs and havent woken up with a sore jaw in quite some time.

The micro cleaner toothpick things are interdental brushes or tepe brushes. I use them and they are brilliant at getting in between teeth if you arent a fan of floss. You can buy packs of them at Boots for a few quid each and the different colours represent diffferent sizes depending on the gaps between your teeth. Or maybe use Cortisol mouthwash?

Yeah I grind them at night. I was told about my teeth grinding years ago and that was during a period of unemployment, having recently had to leave my job it might have brought it back on (assuming it stopped Confused).

I use Corsodyl daily which helps with the bleeding gums. I used to use a Colgate gummy one but they stopped making it, and the main Cordosyl stains your teeth quite badly (well as bad as a diet of tea and coca cola).

grr666 wrote:
Get a good electric toothbrush. Oral B ones are pretty decent. I have been under the dental hospital for the last
18 months and am still on a course of treatment undoing the damage of 25 years without a dentist visit because fear.
The first step for me was binning the manual brush, using a premium specialist toothpaste formulation to help treat
the inevitable gum disease. Electric toothbrushes definitely clean your teeth better and they weaken the calcium build
ups too giving the hygenist an easier job with the sonic mouth lance thingy. I've started using teepee interdental brushes
after each time I eat to poke out all the embedded debris, they are making a big difference. Thumbs Up

I've fairly recently gone back to a manual toothbrush. Electric toothbrushes are good but I found charging them, buying replacement heads a pain. The one I had before last (an Oral B) took 18 hours to charge Shocked

derillius24 wrote:
Smoking (shoots the vascularity to the soft tissues supporting the teeth)

I don't smoke but I got asked that by the dentist. Is it a standard question or do they only ask people with rubbish yellowy teeth? Smile

Thanks for the responses Karma I will go to the dentist and get a gum shield made-up, I've been putting it off as during my last visit (a little over a year ago) he mentioned I might need a filling, and as it'll be my first I'm a little err... apprehensive.

That was also only my second visit since the age of twelve, but I think it's time to take better care of my teeth, Bodyguards photos have scared me into action.
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Alpineandy
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PostPosted: 17:15 - 18 Feb 2017    Post subject: Reply with quote

I think the 'do you smoke?' question is standard. With my teeth it's guaranteed that I do but they still ask every time.

You don't mention how often you use the mouthwash. I'd take some to work (buy a few bottle in poundland) and use it 2 or 3 times a day there as well as the usual home washes.
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Itchy
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PostPosted: 17:21 - 18 Feb 2017    Post subject: Reply with quote

I used to grind my teeth when I was extremely stressed.

I started biting my tongue to pieces instead. The logic being your tongue is made of meat and it grows back... teeth don't.

I eventually resolved the problem by working in a considerably less stressful job.
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M.C
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PostPosted: 21:43 - 18 Feb 2017    Post subject: Reply with quote

Alpineandy wrote:
You don't mention how often you use the mouthwash. I'd take some to work (buy a few bottle in poundland) and use it 2 or 3 times a day there as well as the usual home washes.

At least once a day Embarassed I try twice but don't always have time to brush in the morning. I think the mistake I made was originally when I had bleeding gums, I stopped using the mouthwash after the bleeding stopped. Then it started again and I noticed the gum disease, which could have been there before as being right down at the bottom of my mouth it was sort of hidden.

Itchy wrote:
I used to grind my teeth when I was extremely stressed.

I started biting my tongue to pieces instead. The logic being your tongue is made of meat and it grows back... teeth don't.

I eventually resolved the problem by working in a considerably less stressful job.

The gum problems started when I was dealing with an insurance claim, which was uber stressful. I think for me to de-stress I'd have to move away somewhere (out of London), which I am seriously considering for numerous reasons.
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stephen_o
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PostPosted: 00:33 - 09 Feb 2018    Post subject: Reply with quote

I grind my teeth due to stress, I have been self employed for the last 14 years, 11 of them in my current occupation with a massive amount of issues which there is no need for me to go into. I grind my teeth nearly constantly but things are not helped because my jaw is not 100% lined up and my two front top teeth buck slightly, my mouth is overcrowded as I haven't lost any teeth since childhood. I tend to grind on my right side and have worn the back teeth well down, also I have some gum receeding due to over exhuberant brushing.

For the grinding I have a prescribed gumshield which I wear at night if things are particularly bad but fortunately things are more settled at the moment than they have been.

The whole situation is further complicated though because I am allergic to fur, fluff, dust, lactose, fructose and a hole lot more and relevant to this post is SLS (Sodium Laurel Sulphate) which is found in all Colgate and many other toothpastes and soaps, shower gels - this shit is in things you wouldn't think of and guess what - I am allergic to that as well and it manifests itself along with any gut problems that flare - currently an almost daily occurance as stomach and intestinal bloating and mouth ulcers. As I write this I have a number of ulcers which have all flared this week some from last night after I ate a Tesco Free From Choco bar which contained Inulin.

The SLS in toothpaste flares me up within 20 minutes of brushing.

The solution for me is to use flouride and sls free toothpaste - a couple of kids ones in the supermarket or from holland and barrett and I cant use mouthwash.
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stephen_o
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PostPosted: 00:42 - 09 Feb 2018    Post subject: Reply with quote

Just reading the thread properly - My immune system has crashed the last 3 winters on the trot. The two previous years have both involved me having fortnightly blood tests and being referred to hospital specialists - my Dr said if it happened this year he might refer me back to the Gastro team - I am really trying to avoid that although if the ulcers don't shift by the weekend I will have to go. Had 7 weeks of them now.

Also my Dr suspects and tests me for diabeties each time, I show every sign of it, and its in the family but so far so good although what I have got is enough of a handful.
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M.C
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PostPosted: 01:53 - 09 Feb 2018    Post subject: Reply with quote

stephen_o wrote:
I grind my teeth due to stress, I have been self employed for the last 14 years, 11 of them in my current occupation with a massive amount of issues which there is no need for me to go into. I grind my teeth nearly constantly but things are not helped because my jaw is not 100% lined up and my two front top teeth buck slightly, my mouth is overcrowded as I haven't lost any teeth since childhood. I tend to grind on my right side and have worn the back teeth well down, also I have some gum receeding due to over exhuberant brushing.

For the grinding I have a prescribed gumshield which I wear at night if things are particularly bad but fortunately things are more settled at the moment than they have been.

The whole situation is further complicated though because I am allergic to fur, fluff, dust, lactose, fructose and a hole lot more and relevant to this post is SLS (Sodium Laurel Sulphate) which is found in all Colgate and many other toothpastes and soaps, shower gels - this shit is in things you wouldn't think of and guess what - I am allergic to that as well and it manifests itself along with any gut problems that flare - currently an almost daily occurance as stomach and intestinal bloating and mouth ulcers. As I write this I have a number of ulcers which have all flared this week some from last night after I ate a Tesco Free From Choco bar which contained Inulin.

The SLS in toothpaste flares me up within 20 minutes of brushing.

The solution for me is to use flouride and sls free toothpaste - a couple of kids ones in the supermarket or from holland and barrett and I cant use mouthwash.

That's interesting actually, I have been feeling bloated after brushing my teeth and wondering why. The only thing's I used to use Sensodyne (because I liked the packaging (autist alert)), which's meant to be SLS free and I think I still had it then. I've been getting itchy after a bath though, and I used some soup when staying with a relative who has issues finding a suitable shower gel etc., and didn't have any itchiness afterwards. Something to look into Thumbs Up

Also still gotta go back to the dentist Embarassed
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stephen_o
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PostPosted: 11:57 - 09 Feb 2018    Post subject: Reply with quote

Sensodyne for kids (couldn't remember it last night) contains no SLS or other similar ingrediants to trigger my ibs and ulcers. When my bloating was diagnosed finally (after 25 years back and fro with Dr's then a refferal to the Gastro team I had 7 days of waste inside my guts - the improvement since being put on the Fodmap diet are no bloating (unless tripped up by a secret load of shit*) waist from 38" (and overhanging) to 29" and flat, weight from 96kg to 60kg. But the damage over the years undiagnosed has left me with permanant gut damage, diverticular disease, haitus hernia, Gastro-Osophegus Reflux and others. If you are feeling bloated or have gas after doing something then you are reacting.

* = you will be amazed at how many "healthy" foods contain sugars and manufactured sweetners which have a frankenstein effect on the body.
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Jewlio Rides Again LLB
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PostPosted: 12:58 - 10 Feb 2018    Post subject: Reply with quote

M.C wrote:
stephen_o wrote:
I grind my teeth due to stress, I have been self employed for the last 14 years, 11 of them in my current occupation with a massive amount of issues which there is no need for me to go into. I grind my teeth nearly constantly but things are not helped because my jaw is not 100% lined up and my two front top teeth buck slightly, my mouth is overcrowded as I haven't lost any teeth since childhood. I tend to grind on my right side and have worn the back teeth well down, also I have some gum receeding due to over exhuberant brushing.

For the grinding I have a prescribed gumshield which I wear at night if things are particularly bad but fortunately things are more settled at the moment than they have been.

The whole situation is further complicated though because I am allergic to fur, fluff, dust, lactose, fructose and a hole lot more and relevant to this post is SLS (Sodium Laurel Sulphate) which is found in all Colgate and many other toothpastes and soaps, shower gels - this shit is in things you wouldn't think of and guess what - I am allergic to that as well and it manifests itself along with any gut problems that flare - currently an almost daily occurance as stomach and intestinal bloating and mouth ulcers. As I write this I have a number of ulcers which have all flared this week some from last night after I ate a Tesco Free From Choco bar which contained Inulin.

The SLS in toothpaste flares me up within 20 minutes of brushing.

The solution for me is to use flouride and sls free toothpaste - a couple of kids ones in the supermarket or from holland and barrett and I cant use mouthwash.

That's interesting actually, I have been feeling bloated after brushing my teeth and wondering why. The only thing's I used to use Sensodyne (because I liked the packaging (autist alert)), which's meant to be SLS free and I think I still had it then. I've been getting itchy after a bath though, and I used some soup when staying with a relative who has issues finding a suitable shower gel etc., and didn't have any itchiness afterwards. Something to look into Thumbs Up

Also still gotta go back to the dentist Embarassed


You washed in soup?
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RhynoCZ
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PostPosted: 23:59 - 10 Feb 2018    Post subject: Reply with quote

stephen_o wrote:
I grind my teeth due to stress, ...


Although teeth grinding causes mechanical damage/wear, stress is actually influencing your imune system, in a way you are more prone to inflammation and blood composition imbalance (for instance loosing to much of vitamin D, which is responsible for healthy teeth, skin and other bits of your body).

Stress hormones do cause rheumatism, of all sorts, even arthritis. And, as mentioned before, smoking isn't really helping. Thumbs Up

The ulcers are of bacteriological origin, not stress related at all and the diabetes type II (= you were not born with this) is not necessarily hereditary.
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kawashima
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PostPosted: 13:48 - 11 Feb 2018    Post subject: Reply with quote

Not about grinding though..
I sometimes had mouth ulcers maybe due to biting my cheek inside/tongue. I made mouth piece but it wasn't good for me. I started
-taking vitaminB2/B6 tablets before sleeping
-brushing + flossing + water flosser (with hot water+tip with brush)
-training myself slightly opening my mouth with lips closed while asleep.
-taping my upper and lower lips with taping tape to limit max open.
-wear an mask and tape it on my face with taping tape.
Then I can keep my mouth clean and moist. (not to make your mouth dry while asleep is important imo)
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stephen_o
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PostPosted: 14:57 - 11 Feb 2018    Post subject: Reply with quote

Just to put the record straight.

I don't smoke, I never have done.
I have always had mouth ulcers regularly since I was a small child, my medical records are littered with references from the Dr's to visits over mouth ulcers. I have had a number of conversations with my current Dr and others in the NHS about the frequency and severity of them and the consensus is that a mouth ulcer is my bodies way of dealing with a "toxin" inside it. It is a known side effect of toothpastes and soaps with SLS and also for people with IBS, Coeliac disease or non coeliac gluten sensitivity. I have IBS and am allergic to Fodmaps so have to avoid Fructans, Fructose, Gos, Polyls and others and I am Lactose Intolerant. It is now becoming clear that any exposure to anything that upsets me will result in ulcers and I have doubled down on my strict diet. The current batch of ulcers are now fading away - hopefully there will be no more for a while - I have suffered since September one way or another.

I do often get a dry mouth in the middle of the night and usually keep a glass of water by the bed.
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Ste
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PostPosted: 15:01 - 11 Feb 2018    Post subject: Reply with quote

kawashima wrote:
taping my upper and lower lips with taping tape

It's only a matter of time until everything is made from tape.

Wub
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Freddyfruitba...
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PostPosted: 16:07 - 11 Feb 2018    Post subject: Reply with quote

stephen_o wrote:
Just to put the record straight.

Has Sjögren's syndrome been ruled out?
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J4mes
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PostPosted: 18:39 - 11 Feb 2018    Post subject: Reply with quote

M.C wrote:

At least once a day Embarassed I try twice but don't always have time to brush in the morning.



Get out of bed 3 minutes earlier you grubby cunt Thumbs Up
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stephen_o
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PostPosted: 20:30 - 11 Feb 2018    Post subject: Reply with quote

Freddyfruitbat wrote:
stephen_o wrote:
Just to put the record straight.

Has Sjögren's syndrome been ruled out?


I had not heard of this, I fit the criteria both with my eyes and mouth, I have been complaining to my optician for the last few years and have suffered for many many years with sticky eyes but generally assumed it to be hay fever which affects me in the grass pollen season.

I will look into this more. Thanks
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hellkat
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PostPosted: 04:31 - 12 Feb 2018    Post subject: Reply with quote

*wonders what a cooked arsehole smells like*

Another recommendation for interdental brushes as an alternative to flossing.
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FretGrinder
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PostPosted: 14:23 - 12 Feb 2018    Post subject: Reply with quote

hellkat wrote:
*wonders what a cooked arsehole smells like*



You can guarantee Ste has the appropriate images...
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