Teeth Grinding

Periodontics and Implant Dentistry in St. Louis, MO

Bruxism is a common condition which affects both adults and children. Also known as teeth grinding or clenching, bruxism is an involuntary condition linked to a variety of other concerns, including stress and misaligned teeth. When left untreated, grinding or clenching your teeth can cause damage to your enamel, as well as the jaw and surrounding structures. In severe cases, it can lead to fractures or tooth loss. Bruxism often occurs while sleeping and can go unnoticed for long periods of time. If your dentist identifies signs of grinding or clenching, they can recommend a treatment plan to alleviate your symptoms and protect your smile from further damage. 

Understanding Bruxism

Bruxism refers to a condition in which individuals clench or grind their teeth while awake or asleep. In most cases, patients are unaware of clenching or grinding but may notice associated symptoms, such as:

  • Tooth pain or sensitivity
  • Pain or soreness in the jaw, neck, or face
  • Earaches or ringing in the ears
  • Sores on insides of the cheeks or lips from biting
  • Restricted jaw movement
  • Dull headaches that start at the temples
  • Clicking in the jaw joints
  • Enlargement of the jaw muscles, called masseter hypertrophy

Your dentist may also notice wearing or damage to your teeth due to excessive pressure, such as cracks, chips, loose teeth, or flattening of the chewing surfaces. If you have a sleeping partner, they may hear clicking, grinding, gnashing, or other sounds which are indicative of bruxism.

Teeth Grinding
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Causes of Teeth Grinding

While the exact reasons for bruxism are not fully understood, it is likely caused by a combination of physical, psychological, and genetic factors. A common cause of grinding and clenching in adults is stress. Misalignment of your teeth can also result in bruxism. There are several risk factors for bruxism, such as:

    • Certain medications

    • Consumption of tobacco, caffeine, or alcohol

    • Recreational drug use

    • Negative feelings, such as stress, tension, and anger

    • Family history

    • Medical conditions, including Parkinson’s disease, dementia, and gastroesophageal reflux disorder (GERD)

    • Sleep-related disorders, such as sleep apnea

Bruxism is especially common in young children and usually resolves before adulthood. Of course, adults can develop the condition as well.

What Are the Effects of Bruxism?

In some cases, grinding and clenching are so mild that treatment is not required. However, the constant pressure exerted on your teeth and jaw muscles can lead to serious health concerns. The consequences of untreated bruxism can include:

    • Damage to teeth, restorations, and the jaw

    • Persistent headaches

    • Severe facial or jaw pain

    • Loose teeth

    • Tooth loss

    • Receding gums

    • Temporomandibular joint (TMJ) disorder

    • Insomnia

In some cases, the effects of bruxism fade as soon as the condition is treated. By lessening pressure on your teeth, for example, you can reduce or eliminate issues such as sensitivity and pain. However, damage to your teeth can have long-term, or even permanent, effects and require additional dental treatments in the future.

Bruxism Treatment Options

For some patients, reducing their stress levels can provide sufficient relief from grinding and clenching.

Your dentist can examine your oral health and determine the optimal treatment plan for you. For some patients, reducing their stress levels can provide sufficient relief from grinding and clenching. However, in many cases, treatment is required.

Oral Appliance Therapy

There are a few ways to protect your teeth from the forces of grinding and clenching. Your dentist may recommend a custom night guard to wear while you sleep. This treatment is especially helpful if your bruxism symptoms mainly occur at night. In addition, splinting can redistribute the force of your bite by connecting multiple teeth together. Your dentist can place a temporary or permanent splint depending on your needs.

Orthodontics or Bite Adjustments

When your teeth do not fit together properly, you unconsciously adjust your bite throughout the day in an attempt to find a comfortable position. This process can cause you to grind or clench. If your symptoms are due to misalignment, orthodontic treatment or another form of bite adjustment can help reduce or eliminate bruxism.

Medications

If your bruxism does not respond to other treatments, your dentist may recommend you take a muscle relaxant before bed. Additionally, if your clenching or grinding is related to anxiety, your doctor may prescribe a medication to relieve stress. Bruxism is also a side effect of certain medications. Switching to a different prescription may alleviate your issues.

BOTOX® Injections

There is some evidence to suggest that injection of BOTOX, a form of botulinum toxin, can help patients with severe bruxism that does not respond to other treatments. Since BOTOX limits muscle movement, it may be able to help reduce your symptoms. BOTOX injections are a temporary solution for bruxism and will require ongoing treatment.

Treating Underlying Conditions

Bruxism caused by another medical condition, such as sleep apnea or GERD, may resolve by simply treating the underlying condition. Be sure to provide your dentist with your full medical history so they can identify possible causes of your clenching or grinding.

How to Prevent Bruxism

There are a few home-care techniques that can help prevent clenching and grinding, including:

    • Stress reduction and anxiety management techniques, such as meditation

    • Limiting or avoiding caffeine and alcohol, especially in the evenings

    • Special exercises to ease jaw tension

    • Developing a regular sleeping schedule

These methods may not work for everyone, especially if your bruxism is severe. Your dentist can evaluate your oral and overall health and recommend solutions tailored to your specific needs.

Protect Your Smile

Bruxism can have damaging effects but the condition can be treated. Schedule an appointment today to learn more about how you can find relief.

What Patients Are Saying!

Periodontics and Implant Dentistry in St. Louis, MO

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Elizabeth Tarpley profile picture
Elizabeth Tarpley
12 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I can’t say enough great things about the staff here. Friendly, kind, compassionate, patient, empathetic and above all - amazing at their jobs. Front desk staff, billing staff, treatment coordinator, assistants and of course Dr. Schlaikjer - thank you so very much for making the extraction, bone graft and implant process the best experience possible for a very anxious person. 🙌🏼👏
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Kelsie Wall profile picture
Kelsie Wall
2 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
If I could leave more than 5 stars I would. Alyssa has been amazing at every appointment. She eases my fears before I can even express them and answers every question I have. I cannot rave enough about my experience. I never dread my appointment, which I cannot say the same about my regular dentist. Thank you so much for your amazing care!
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Maryann profile picture
Maryann
8 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Long overdue review of this excellent practice. I have had four separate procedures over the last 18 or so months, All utilizing IV sedation. As a retired nurse I was very concerned that best practices were implemented for patients under conscious sedation. Dr. Schlaikjer has a crash cart with the appropriate reversal agents and code supplies. The monitors in the room were the same I used in the critical care setting. The Dr is ACLS certified and his staff are BLS certified. The staff including the front desk were top notch. The ladies at the desk went above and beyond helping me with my insurance claim. Both my dentist and orthodontist recommended Dr. Schlaikjer and I am so grateful they did.
Google
Jonathan Baker profile picture
Jonathan Baker
9 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Justin Schlaikjer and his team are exceptional—thorough, gentle, and genuinely caring. My gum graft procedure went smoothly with excellent results and minimal downtime. Their kindness and non-judgmental approach make every visit a positive experience. Highly recommend!
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Elaine Siebert profile picture
Elaine Siebert
30 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Where to start… Office is extremely friendly, super professional, and great with communication. Dr. Schlaikjer is upfront, honest, and a perfectionist there’s no one else I would rather trust with my dental care.
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Hayleigh Locke profile picture
Hayleigh Locke
12 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ve had a gum graft, bone graft and implant done by Justin and I am extremely satisfied. It’s been a year since my implant and any dentist or orthodontist that sees my implant compliments it and the healed tissue around it. Very minimal pain from the surgeries but the healing process is kinda long. Overall 10/10 experience and I recommend anyone that needs a graft or implant to go to Justin.
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joseph bova conti profile picture
joseph bova conti
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer is amazing! So kind, professional and friendly! My experience with an implant was flawless. From day one I had confidence in Dr. Schlaikjer! Add to that - the staff!!! The staff is awesome, efficient and so accommodating! This has been an incredible experience. I highly recommend Dr. Schlaikjer and his staff!!!
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Charles Clarke profile picture
Charles Clarke
26 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I have a been a practicing Dental Specialist for over 30 years in South County. I am only treated by the best people in the field. I was blown away by how easy it was having implants placed Dr Schlaiker and his trusty Robot. In my case I had implants replacing congenitally missing molars on both sides of my lower jaw. I had seen an implant surgeon previously who thought it was too close to the nerve to be done (which could have left my lip permanently paralyzed) . After having the 3D CBCT taken and then evaluated by Dr Schlaiker he assured me that with the use of his Robot technology it was indeed possible. In fact, he could do it all in one appointment under IV sedation!!! Yesterday morning I had the procedures performed with zero discomfort! I am the typical male and am terrified of medical and dental procedures that I am awake for. I did not remember anything! Last night my wife told me I had her stop at the Steak and Shake for a milkshake after the appointment. I did not even remember that!! I took the pain medicine prescribed last night and nothing this morning. I am sitting here eating ice cream :) Life is good. Thank you to Dr Schlaiker and his amazing office staff (including the robot) for making what could have been a scary appointment….enjoyable!
Google
Charlie M profile picture
Charlie M
22 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Wonderful people. Dr S carefully explains every procedure. It's weird, but my two favorite Docs are my periodontist and my urologist. My teeth and gums are in much better shape than when I first came in a few years ago.
Google
Pourya Maryam Shamsi profile picture
Pourya Maryam Shamsi
22 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dude. I was referred to Dr. Justin for gum grafting. I was like “another waste of money on something hooey”. Boy I was wrong. He did his work which took about 2 months for the whole two part procedure and wow. What a difference. My gums look all shiny and new. As if I never had a recession. Loved it. Now I want to do the rest of my teeth/gum 😂😂. Looks really nice.
Google
Tim Schoemehl profile picture
Tim Schoemehl
10 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
This Dr is amazing. I would recommend him to anyone in need of periodontal work! His staff is also amazing! Thank all of you very much!
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Dragica Junuzovic profile picture
Dragica Junuzovic
29 May 2022
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Thank you dr Schlaikejer for you profesional work .Everything is so simple with you, except your last name.😉 And,you are sorounding with good tim of assistence. I will recomended you to peaple who wants have a beautiful smile😅
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Toni Brinker profile picture
Toni Brinker
8 November 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
By far, the BEST experience I’ve ever had at a medical office. The staff/doctor was so accommodating, and made me feel super welcome and comfortable. At one point during my visit I told them I felt like I was at a spa! They treat their patients so well and give you their undivided attention. I was dreading this visit, but it was actually enjoyable! Dr. Schlaikjer was very informative and took his time, he was funny (as well as the staff), and I know I can trust him, which can be hard to find when it comes to healthcare. They truly, truly care about their patients, and I will definitely be back.
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Mike Manion profile picture
Mike Manion
22 October 2021
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Dr Schlaikjer and his staff are very professional and friendly. If I knew how painless and easy the procedure was, I would have come in sooner. They are GREAT! Thanks, Patti Manion
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Mirsada Perkanovic profile picture
Mirsada Perkanovic
9 July 2021
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Dr Schlaikjer and his team did outstanding job! I was very impressed from start to finish. After I talking to my friends and intervjuing several oral surgeons, I was pleased that I chose Dr Schlaikjer and his team. I could not have made a better choose. I wish, I could give this place more than 5 stars! Can not thank them enough. I had an extractions, 5 implant placed and bone graft done.Everything was amazing. He and his entire team are incredibly kind, helpful and attentive and they make you feel like you are visiting a friend rather than a surgeon. No better place to go for a dental extraction and tooth implants. As good as it gets. I HIGHLY recommend this place to anyone who is need of this type of service. I am very happy with my dental implants and I will be forever grateful!
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Ronald Wunsch profile picture
Ronald Wunsch
9 March 2021
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I was referred by my dentist who gave Dr S a rave review. After a thorough examination it was determined that my bone had to be built up to, accommodate an implant. It was a difficult task but Dr S handled it with expertise, compassion and an explanation of each and every procedure before he began. After major oral surgery he sent me home with his cell phone number to call if I was in pain. I have the utmost confidence in dr S and encourage anyone needing a Periodontist to go to him.
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Stan Nieweglowski profile picture
Stan Nieweglowski
20 May 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer is a true professional. This was my first procedure of the sort and he, along with his staff, made it a breeze. I barely felt a thing.
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Courtney EurekaSmile profile picture
Courtney EurekaSmile
10 December 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
My son was involved in a car accident and had to have gum grafting. Dr Schlaikjer and his team were very informative, professional and went out of their way to make my son and I feel comfortable and important. They are very personable and easy to talk to. My son has had great results with his procedure and we are so thankful to have found Dr. Schlaikjer!
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Chris Elbring profile picture
Chris Elbring
3 December 2019
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Dr Schlaikjer is very skilled and it is apparent when you are in his care. Always felt comfortable. Gum graft went super well and exceeded expectations. This sort of stuff is never fun, but if I had to get periodontal work again, I know where I would go.
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Raul Alvarez profile picture
Raul Alvarez
16 July 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Really enjoyed (who even says that about a dentist) visiting Dr. Schlaikjer's office. Staff is personable and professional... along with Dr. Schlaikjer's care and expertise. Highly recommend.
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Kyle Brown profile picture
Kyle Brown
8 March 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer and his staff are absolutely incredible!!! There aren't enough fantastic words to describe him and his practice, I highly reccomend them to everyone!
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Patti Redel profile picture
Patti Redel
27 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
First time I have gone to Dr. Schlaikjer. I can’t say enough about the professional, caring work he and his staff do. The entire team, from Danyell, to Natasha, Ashley and Dr. Schlaikjer took the time to meet with me, explain everything as they went along and calmed my nerves. I highly recommend his services. Top notch!
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Ben Cohn profile picture
Ben Cohn
10 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Very skilled, very meticulous practitioner with a great, reassuring manner. Helpful, attentive staff. Good outcomes for all 3 procedures he's done for me. Highly recommend.
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Gerald Tanner profile picture
Gerald Tanner
13 December 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Great dentist and office. Had 2 procedures and both went smoothly. Very skilled and has very reassuring manner.
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K Smith profile picture
K Smith
30 October 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
By far his most difficult patient yet, and yet I'd go back in a heartbeat. Friendly staff across the board. Patient, understanding, sympathetic, etc.
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Dr. Jon Copeland profile picture
Dr. Jon Copeland
10 April 2017
Google star 1Google star 2Google star 3Google star 4Google star 5
Great periodontist. Easy to get to location.
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Elizabeth Tarpley profile picture
Elizabeth Tarpley
12 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I can’t say enough great things about the staff here. Friendly, kind, compassionate, patient, empathetic and above all - amazing at their jobs. Front desk staff, billing staff, treatment coordinator, assistants and of course Dr. Schlaikjer - thank you so very much for making the extraction, bone graft and implant process the best experience possible for a very anxious person. 🙌🏼👏
Google
Kelsie Wall profile picture
Kelsie Wall
2 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
If I could leave more than 5 stars I would. Alyssa has been amazing at every appointment. She eases my fears before I can even express them and answers every question I have. I cannot rave enough about my experience. I never dread my appointment, which I cannot say the same about my regular dentist. Thank you so much for your amazing care!
Google
Maryann profile picture
Maryann
8 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Long overdue review of this excellent practice. I have had four separate procedures over the last 18 or so months, All utilizing IV sedation. As a retired nurse I was very concerned that best practices were implemented for patients under conscious sedation. Dr. Schlaikjer has a crash cart with the appropriate reversal agents and code supplies. The monitors in the room were the same I used in the critical care setting. The Dr is ACLS certified and his staff are BLS certified. The staff including the front desk were top notch. The ladies at the desk went above and beyond helping me with my insurance claim. Both my dentist and orthodontist recommended Dr. Schlaikjer and I am so grateful they did.
Google
Jonathan Baker profile picture
Jonathan Baker
9 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Justin Schlaikjer and his team are exceptional—thorough, gentle, and genuinely caring. My gum graft procedure went smoothly with excellent results and minimal downtime. Their kindness and non-judgmental approach make every visit a positive experience. Highly recommend!
Google
Elaine Siebert profile picture
Elaine Siebert
30 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Where to start… Office is extremely friendly, super professional, and great with communication. Dr. Schlaikjer is upfront, honest, and a perfectionist there’s no one else I would rather trust with my dental care.
Google
Hayleigh Locke profile picture
Hayleigh Locke
12 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ve had a gum graft, bone graft and implant done by Justin and I am extremely satisfied. It’s been a year since my implant and any dentist or orthodontist that sees my implant compliments it and the healed tissue around it. Very minimal pain from the surgeries but the healing process is kinda long. Overall 10/10 experience and I recommend anyone that needs a graft or implant to go to Justin.
Google
joseph bova conti profile picture
joseph bova conti
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer is amazing! So kind, professional and friendly! My experience with an implant was flawless. From day one I had confidence in Dr. Schlaikjer! Add to that - the staff!!! The staff is awesome, efficient and so accommodating! This has been an incredible experience. I highly recommend Dr. Schlaikjer and his staff!!!
Google
Charles Clarke profile picture
Charles Clarke
26 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I have a been a practicing Dental Specialist for over 30 years in South County. I am only treated by the best people in the field. I was blown away by how easy it was having implants placed Dr Schlaiker and his trusty Robot. In my case I had implants replacing congenitally missing molars on both sides of my lower jaw. I had seen an implant surgeon previously who thought it was too close to the nerve to be done (which could have left my lip permanently paralyzed) . After having the 3D CBCT taken and then evaluated by Dr Schlaiker he assured me that with the use of his Robot technology it was indeed possible. In fact, he could do it all in one appointment under IV sedation!!! Yesterday morning I had the procedures performed with zero discomfort! I am the typical male and am terrified of medical and dental procedures that I am awake for. I did not remember anything! Last night my wife told me I had her stop at the Steak and Shake for a milkshake after the appointment. I did not even remember that!! I took the pain medicine prescribed last night and nothing this morning. I am sitting here eating ice cream :) Life is good. Thank you to Dr Schlaiker and his amazing office staff (including the robot) for making what could have been a scary appointment….enjoyable!
Google
Charlie M profile picture
Charlie M
22 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Wonderful people. Dr S carefully explains every procedure. It's weird, but my two favorite Docs are my periodontist and my urologist. My teeth and gums are in much better shape than when I first came in a few years ago.
Google
Pourya Maryam Shamsi profile picture
Pourya Maryam Shamsi
22 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dude. I was referred to Dr. Justin for gum grafting. I was like “another waste of money on something hooey”. Boy I was wrong. He did his work which took about 2 months for the whole two part procedure and wow. What a difference. My gums look all shiny and new. As if I never had a recession. Loved it. Now I want to do the rest of my teeth/gum 😂😂. Looks really nice.