Bruxism & Teeth Grinding
Stop the Damage Before It Compounds

Dr. Ho begins with a comprehensive bite assessment using T-Scan occlusal analysis technology, which maps bite force distribution across all teeth simultaneously. This identifies premature contacts, overloaded teeth, and eccentric forces that contribute to grinding. The analysis also evaluates jaw joint health, muscle tenderness, and existing wear patterns to determine the severity and impact of the bruxism.

A custom-fitted hard acrylic night guard is fabricated using digital impressions of your teeth. Unlike over-the-counter thermoplastic trays, a hard acrylic guard is precisely adjusted to your bite, distributing forces evenly and preventing the jaw from sinking into a destructive grinding position. Custom guards are three times more effective than OTC trays and are comfortable enough to wear consistently.

When bite analysis reveals high spots or deflective contacts that trigger bruxism episodes, selective equilibration — precise micro-adjustment of tooth surfaces — can reduce the occlusal triggers that provoke grinding. This is a conservative, irreversible procedure performed only when clearly indicated by the bite analysis data and clinical history.

For patients with severe jaw muscle hypertrophy or who are grinding through their night guards, botulinum toxin injections into the masseter muscles reduce muscle force by 30–50%, dramatically decreasing the destructive forces applied to teeth during sleep. Results last 3–6 months and can be combined with night guard therapy. This adjunct is evidence-supported for sleep bruxism management.

Regular monitoring assesses enamel wear progression and restoration durability. Once bruxism is controlled, worn tooth surfaces can be rebuilt with composite bonding, porcelain veneers, or crowns — depending on the extent of damage. Dr. Ho coordinates bruxism management with any necessary restorative work, ensuring that restorations are placed only after destructive habits have been addressed.