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  • Bruxism Treatment & Airway Health

What Is Bruxism

Bruxism, commonly known as teeth grinding or clenching, is a condition affecting both children and adults, often occurring unconsciously during sleep. This repetitive grinding of the teeth exerts pressure on the jaw, leading to a variety of symptoms and potential health concerns if left untreated. In children, signs of bruxism might appear subtly, while adults may experience pronounced symptoms, including jaw discomfort, headaches, and even worn-down teeth over time.
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Recognising Bruxism in Children and Adults

Bruxism can present differently in children and adults, with varying symptoms and degrees of severity. In children, it may manifest as restless sleep, irritability, or even complaints of jaw soreness upon waking. Adults, however, may notice more intense symptoms such as persistent jaw pain, difficulty chewing, and recurring headaches. Additionally, many people are unaware of their grinding habit until a healthcare provider, like an osteopath, identifies the issue based on other symptoms.

Common Symptoms and Health Implications

The symptoms of bruxism extend beyond just teeth grinding. Frequent headaches, facial pain, and jaw tension are common indicators of this condition. Bruxism can also lead to broader health issues, such as TMJ (temporomandibular joint) disorders, sleep disturbances, and even dental problems, including enamel wear and tooth sensitivity. For individuals with airway issues, these symptoms may be compounded, as restricted breathing pathways often exacerbate jaw tension and grinding.

Primary Causes of Bruxism

The causes of bruxism are varied, encompassing physical, emotional, and lifestyle factors. Stress and anxiety play a significant role, as many people clench their jaws unconsciously when stressed. For others, poor sleep quality, alcohol and caffeine intake, and certain medications can also trigger grinding. In both children and adults, a misaligned airway is a crucial factor contributing to bruxism, as restricted breathing can prompt the body to clench the jaw in an unconscious effort to maintain an open airway. This connection between airway health and bruxism underscores the need for a holistic approach to treatment, such as osteopathy, that addresses both the physical and physiological aspects of the condition.
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How Airway Issues Lead to Bruxism

The Role of Airway Obstruction in Teeth Grinding

Airway obstruction plays a significant role in bruxism, particularly in cases where the airway is restricted during sleep. When a person’s breathing is obstructed, the body instinctively engages the jaw muscles to reposition the mouth and throat in an attempt to improve airflow. This unconscious response can lead to habitual clenching or grinding, as the jaw muscles work to keep the airway open. For children, even slight airway restrictions, such as enlarged tonsils or chronic nasal congestion, can trigger this grinding behaviour as the body seeks to maintain a clear breathing pathway.

Sleep Apnea and Its Link to Bruxism

Sleep apnea, a common sleep disorder characterised by intermittent breathing pauses, is closely linked with bruxism. During episodes of apnea, the body experiences momentary drops in oxygen, prompting the jaw to clench as part of an unconscious effort to restart breathing. Both children and adults with obstructive sleep apnea (OSA) are at a heightened risk of developing bruxism, as the repetitive strain of the jaw muscles becomes part of the body’s mechanism to maintain airflow. Studies indicate that addressing sleep apnea can reduce the frequency of teeth grinding, as the root cause of the airway restriction is managed.

The Body's Response to Breathing Difficulties During Sleep

When airway issues affect breathing during sleep, the body may respond with heightened muscle tension, particularly in the jaw. This physiological response is part of the body’s effort to stabilise the airway and prevent complete obstruction. The muscles around the neck and jaw tighten, resulting in clenching and grinding that further strains these areas. For children and adults alike, this cycle of airway restriction and muscle tension can lead to chronic jaw pain, headaches, and disturbed sleep, highlighting the importance of addressing airway health as part of a comprehensive approach to bruxism treatment.
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If you or a loved one are struggling with chewing and swallowing difficulties, contact Key Osteopaths in Surrey to schedule a consultation and explore how myofunctional therapy can help.
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The Relationship Between TMJ Disorders and Airway Problems

How Airway Obstruction Affects Jaw Alignment

Airway obstruction significantly impacts jaw alignment, which in turn can contribute to temporomandibular joint (TMJ) disorders. When the airway is restricted, particularly during sleep, the body often repositions the jaw to open the breathing pathway, a process that can misalign the jaw over time. This misalignment places stress on the temporomandibular joint, as it compensates to keep the airway clear, leading to a higher likelihood of TMJ issues. Children who experience airway restrictions may develop habitual jaw clenching or grinding, which can strain the TMJ and contribute to improper jaw development.

TMJ Disorders as a Consequence of Airway Issues

TMJ disorders can arise as a direct consequence of airway issues due to the prolonged stress on the jaw muscles and joint. When the jaw moves repeatedly to compensate for restricted airflow, it places excess strain on the TMJ, resulting in joint inflammation, muscle pain, and tension headaches. This relationship between the airway and TMJ function illustrates why individuals with chronic airway issues, such as sleep apnea or nasal congestion, are at greater risk for developing TMJ disorders. For children, early signs of TMJ dysfunction, such as jaw clicking or facial pain, may indicate underlying airway concerns that should be assessed.

Addressing Airway Health to Alleviate TMJ-Related Bruxism

Improving airway health is essential for alleviating TMJ-related bruxism, as addressing the root cause of airway obstruction can reduce jaw clenching and grinding. Treatment approaches like myofunctional therapy, which focuses on strengthening the muscles of the tongue and throat, can improve breathing function and support proper jaw alignment. For children, early intervention with airway-focused therapies can prevent the onset of TMJ issues, as these therapies help create a clear breathing pathway that reduces the need for jaw compensation.
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Anna is a delightful and competent professional who gives first rate, comprehensive treatment at every visit. I went in as a “wonky donkey” and walked out feeling six foot… read more

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Myofunctional Therapy A Holistic Approach to Bruxism

What Is Myofunctional Therapy

Myofunctional therapy is a non-invasive treatment that targets the muscles of the face, mouth, and throat to improve breathing, chewing, and swallowing functions. This therapy is particularly effective for individuals with bruxism linked to airway issues, as it works to retrain and strengthen these muscles to maintain an open airway naturally. By addressing underlying muscle function, myofunctional therapy offers a sustainable solution to the habitual grinding and jaw clenching associated with bruxism.

How Myofunctional Therapy Improves Airway Function

Through a series of targeted exercises, myofunctional therapy strengthens the muscles that support proper breathing patterns and maintain optimal tongue posture. For those experiencing bruxism due to airway restrictions, these exercises promote better airflow and reduce the need for jaw repositioning, thereby lowering the occurrence of teeth grinding. By enhancing the tone and coordination of the tongue, throat, and facial muscles, myofunctional therapy creates a stable, unobstructed airway pathway, helping to prevent the jaw from shifting during sleep and reducing the risk of TMJ-related bruxism.

Evidence Supporting Myofunctional Therapy for Bruxism Relief

Research, including a study published in the Journal of Clinical Sleep Medicine, has demonstrated the benefits of myofunctional therapy for managing bruxism, particularly in cases linked to airway obstruction and sleep-disordered breathing. This study highlighted that participants undergoing myofunctional therapy reported a reduction in teeth grinding episodes, improved sleep quality, and reduced apnea-hypopnea index (AHI) scores, which measure the severity of sleep apnea. Further support from the NIH’s National Library of Medicine in its study on Treatment of Chronic Pain Associated with Bruxism through Myofunctional Therapy shows significant improvements in reducing the frequency and intensity of bruxism-related pain.
These findings underscore the effectiveness of myofunctional therapy for both children and adults with airway-related bruxism, highlighting that, by targeting key muscle functions and enhancing airway stability, the therapy offers sustainable, long-term relief.
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If you or a loved one are struggling with chewing and swallowing difficulties, contact Key Osteopaths in Surrey to schedule a consultation and explore how myofunctional therapy can help.
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Additional Factors Contributing to Bruxism

Lifestyle Influences Stress Caffeine Alcohol Smoking

Lifestyle factors often play a significant role in exacerbating bruxism. Stress and anxiety can trigger muscle tension, particularly in the jaw, leading to involuntary teeth grinding both during the day and at night. Stimulants like caffeine, commonly found in coffee, tea, and energy drinks, can intensify nervous system activity, increasing the likelihood of grinding. Alcohol and smoking, especially close to bedtime, have also been shown to disrupt sleep patterns and contribute to bruxism by impacting relaxation and the quality of restorative sleep cycles. Awareness of these influences can help patients reduce the frequency and severity of grinding episodes.

Medications and Substances Linked to Teeth Grinding

Certain medications and substances can intensify bruxism, particularly those that affect the central nervous system. Common culprits include antidepressants, anti-psychotics, and amphetamines, which may induce grinding as a side effect. Illicit stimulants, such as cocaine, also increase muscle tension and lead to repetitive jaw clenching and grinding. Patients who suspect medication may be contributing to their bruxism should consult their healthcare provider for alternative options or supportive therapies.

Identifying and Managing These Risk Factors

Managing bruxism effectively involves identifying and addressing lifestyle factors, stressors, and any contributing substances. An integrative approach, such as incorporating relaxation techniques or modifying stimulant intake, can have a significant impact on reducing grinding frequency. An osteopath can support patients in identifying these triggers and may recommend complementary therapies, such as myofunctional therapy or stress management techniques, to reduce the underlying causes of bruxism and promote long-term relief.
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My wife and I – plus my two grown-up daughters – have all seen Anna at one point or another over the last two/three years. She is absolutely fantastic. What… read more

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Rosie treated our baby boy for and it made a huge difference. After the treatment he started sleeping better and crying less. A big relif

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Comprehensive Treatment Strategies for Bruxism

Integrating Myofunctional Therapy with Other Treatments

Myofunctional therapy serves as a powerful complementary treatment for managing bruxism by strengthening the muscles associated with breathing and jaw alignment. This therapy, supported by evidence-based studies, can help reshape breathing habits and improve airway function. When combined with osteopathic techniques, stress management, and possibly dental appliances, myofunctional therapy creates a holistic approach that targets the structural and functional aspects of bruxism. Together, these therapies provide a multi-faceted approach that enhances treatment effectiveness and promotes long-term relief.

Collaborating with Healthcare Professionals for Effective Care

Effective bruxism management often requires collaboration among healthcare professionals, including osteopaths, dentists, sleep specialists, and myofunctional therapists. Osteopaths can assess and treat musculoskeletal factors related to jaw alignment and airway issues, while dentists can address the dental effects of grinding and may provide supportive appliances. Sleep specialists help diagnose and treat sleep apnea, ensuring a comprehensive approach to care. By working together, these professionals offer a well-rounded, patient-centred strategy that addresses all contributing factors of bruxism for a sustainable and holistic solution.
For patients struggling with bruxism and its potential impact on overall health, a consultation with any of our osteopaths can be the first step in accessing a comprehensive, collaborative treatment plan that targets both the symptoms and root causes of teeth grinding.
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Anna van Piggelen Osteopath Myofunctional Therapist in Surrey v2

Anna van Piggelen

Osteopath & Myofunctional Therapist in Surrey
With a deep commitment to patient care, Anna van Piggelen brings expertise in both osteopathy and myofunctional therapy, helping individuals improve their health and well-being.
Graduating in Osteopathy from the University College of Osteopathy in 2010, Anna later pursued specialised training in myofunctional therapy with the Academy of Orofacial Myofunctional Therapy and advanced studies with the Airway Circle.
Anna’s approach is deeply personal—having undergone palate expansion and myofunctional therapy herself to address childhood thumb-sucking-related jaw and ENT issues, she understands the challenges firsthand. This fuels her dedication to supporting both children and adults facing airway concerns.
She collaborates closely with ENT consultants, dentists, and orthodontists, ensuring each patient receives the right care at the right time. Myofunctional therapy may not always be the immediate solution, but it can play a crucial role later in treatment.
Beyond myofunctional therapy, Anna integrates osteopathy to provide structural, hands-on support, assisting with posture correction and tightness. She uses cranial osteopath in coordination with other specialists to aid orthodontic care and frenulum releases, ensuring comprehensive and collaborative treatment tailored to individual needs.

Super helpfull, friendly and informative. Cant recommend highly enough.

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I found the experience reassuring .Ana was very supportive and professional.I feel the care received was excellent

Deborah Sawin Avatar Deborah Sawin

Rosie treated our baby boy for and it made a huge difference. After the treatment he started sleeping better and crying less. A big relif

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Key Osteopaths Your Partner in Managing Bruxism and Airway Health

Our Holistic Approach to Treating Bruxism

At Key Osteopaths, we understand that effective bruxism treatment goes beyond addressing the symptoms alone. Our holistic approach focuses on uncovering and managing the underlying factors—such as airway health, muscle tension, and jaw alignment—that contribute to teeth grinding. By taking an integrative view of your health, we provide personalised care that supports long-term relief and enhanced wellbeing.

Tailored Myofunctional Therapy Programs for Children and Adults

We offer tailored myofunctional therapy programs for both children and adults, designed to strengthen the muscles that support optimal airway function and jaw alignment. Our programs are built to suit each individual’s needs, whether it’s helping children develop healthy breathing habits or supporting adults in reducing bruxism and improving sleep quality. Myofunctional therapy can be an empowering, non-invasive tool for managing bruxism and related issues.

Schedule a Consultation to Explore Your Treatment Options

If you or a loved one is experiencing symptoms of bruxism, a consultation with our experienced team at Key Osteopaths can provide insight into effective, personalised treatment options. We’re here to help you explore the potential benefits of osteopathic care and myofunctional therapy, guiding you towards relief and improved airway health. Schedule your consultation today to start your journey toward comprehensive bruxism care.
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