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Bruxism is defined as repetitive jaw-muscle activity characterized by grinding or clenching of the teeth and/or by bracing or thrusting of the mandible . Bruxism is most common during sleep, when it is referred to as sleep-related bruxism. The authors describe a case of bruxism likely induced by the antidepressant venlafaxine and successfully treated with gabapentin. Case Description A case of bruxism, anxiety, insomnia and tremor is reported in a man with bipolar disorder that developed a few days after he initiated venlafaxine therapy for depression. I’m on low dose Gabapentin for TMJ associated nerve pain. Have been for around 3 years now. It’s really helped me in terms of pain management. I haven’t noticed any negative effects in terms of my general dental health. Lyrica is a much stronger version of Gabapentin I think. From the literature, gabapentin-induced myoclonus is self-limiting. Low-dose benzodiazepine or renal replacement therapy should be considered in cases of severe myoclonus. In conclusion, clinicians should be aware of reversible causes of acute dysphagia including jaw myoclonus. Gabapentin could be a cause of drug-induced jaw myoclonus. I have been taking 1500-1800mg Gabapentin for 10 days and it has magically decreased my clenching by at least 75%. My Jaw is now looser than ever and I don’t wake up as tight. My issue has always been extremely tense muscles around my joint. My joint structure and function have always been average. If bruxism is severe, options include certain dental treatments, therapies and medicines. These can help to prevent more tooth damage and relieve jaw pain or discomfort. If bruxism is caused by a mental health or medical condition, treating that condition may stop or lessen grinding and clenching. On Feb, 26, 2016: 37,299 people reported to have side effects when taking Gabapentin (Neurontin). Among them, 48 people (0.13%) have Teeth Grinding And Clenching. Benzodiazepines are widely prescribed for a variety of conditions, particularly anxiety and insomnia. Despite numerous case reports, the evidence for treatment of bruxism is still low. Different treatment modalities (behavioral techniques, intraoral devices, medications, and contingent electrical stimulation) have been applied. A clinical evaluation is needed to differentiate between awake bruxism and sleep bruxism and rule out any medical disorder or medication that could be behind its bruxism may have sponta-neously resolved with continued use of venlafaxine, even without the addition of gabapentin. However, the improvement in bruxism and anxiety were clearly temporally related to ini-tiating this treatment. Larger controlled trials of gabapentin in patients with iatrogenic, and possibly idiopathic, bruxism are needed to Gabapentin may be an effective treatment option for bruxism with its anxiolytic, antispasmodic effects. Gabapentin also increases sleep quality and it is also a treatment option for comorbid Bruxism is reported as a side effect among people who take Gabapentin (gabapentin), especially for people who are female, 60+ old, have been taking the drug for 1 - 6 months also take Ambien, and have Narcolepsy. When taken at bedtime they are very effective (in short term periods) in reducing tooth grinding and clenching and the consequent symptoms of pain and muscle tension in the morning. My patients often report that anti-anxiety medication “takes the edge of my pain and muscle tension.” For many people, short-term use of over-the-counter pain medications or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may provide temporary relief from jaw and muscle discomfort. However, antidepressant-associated bruxism, jaw pain, or jaw spasm, while reported in dental literature, is less commonly recognized among neurologists. We summarize the clinical features and treatment of antidepressant-associated bruxism and associated jaw pain through a systematic review of case reports. Bruxism is a repetitive jaw‐muscle activity characterised by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. It can occur during sleep, indicated as sleep bruxism, or during wakefulness, indicated as awake bruxism. Gabapentin decreased pain at 12 weeks in a randomized controlled trial vs. placebo, with dosages ranging from 300 to 4,200 mg per day. The reduction was 51% vs. 24% for placebo. 28. For many On the basis of this case and the available literature, the authors conclude that bruxism secondary to antidepressant therapy may be common. Thus, dentists should inquire about the use of these medications in patients who have bruxism. Gabapentin may offer promise in the treatment of this condition. Recently, an international expert commission has redefined bruxism as repetitive jaw muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible that can occur during wakefulness (i.e., awake bruxism) or during sleep (i.e., sleep bruxism) [1••]. Gabapentin was prescribed to this patient on the basis of literature reports of efficacy in treating anxiety15,16 and mood symptoms.17,18 Some data suggest an association between bruxism and anxiety or stress.19-22 Occlusal guards are a commonly used treatment for bruxism.3 However, for patients who continue to complain of tooth or jaw pain, or How SSRIs can Trigger Teeth Grinding and Bruxism. By James Fricton DDS, MS. Research surfaces the surprising link between using antidepressants and teeth grinding. What it means to use muscle relaxers for TMJ. Bruxism is a common jaw movement disorder characterized by repetitive clenching of the jaw and grinding of the teeth.
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