Ever woken up with a sore jaw or a dull headache that seems to come from nowhere? Maybe your partner’s mentioned that you make strange grinding noises at night. If any of this sounds familiar, you might be suffering from teeth grinding without even knowing it.
We see this a lot in our Columbus office. Patients come in for a routine checkup, and when we look at their teeth, the signs aren’t hard to miss. Worn-down chewing surfaces. Tiny chips. Flattened edges where there used to be natural peaks and valleys. And most of the time, the person hasn’t got a clue it’s happening.

What Teeth Grinding Actually Does
Bruxism is the fancy word for it. But fancy or not, the damage is real. Think about how much pressure your jaw can put out when you clench. Now imagine doing that for hours every night while you’re asleep. Teeth weren’t designed to grind against each other like that.
Over time, here’s what we see happening:
- First, the enamel starts wearing thin. That’s the hard outer layer that protects your teeth. Once it’s gone, it doesn’t grow back.
- Then the inner layers get exposed, which can lead to sensitivity when you eat or drink something cold or sweet.
- Next come the chips. Small at first. But they can grow deeper.
- Eventually, a tooth might fracture all the way through, and that’s when crowns or even extractions enter the picture.
- Finally, the jaw itself starts hurting. The muscles that open and close your mouth get overworked. That’s where the headaches and face pain come from.
How to Know If You’re Grinding
You might not realize you’re doing it. But here are some clues we ask patients about:
- Jaw soreness when you wake up
- Headaches, especially around the temples
- Teeth that look shorter or more flat than they used to
- Chipped teeth that came out of nowhere
- A partner who says you grind at night
If two or three of those sound familiar, there’s a good chance bruxism is happening.
What We Can Do About It
The good news is that we can help. Most people don’t need major dental work if they catch the problem early enough.
The simplest solution is a nightguard. Not the flimsy kind you boil at home and mold yourself. Those usually don’t fit well and can make things worse. We make custom nightguards in our office that fit your teeth perfectly. You wear it while you’re sleeping, and it creates a barrier between your top and bottom teeth. No more grinding enamel against enamel.
For patients who’ve already worn down their teeth, Dr. Caves may recommend crowns or other restorations to build things back up. But catching it early often means avoiding that route altogether.
Why Drugstore Guards Aren’t the Answer
We’ve had patients bring in over-the-counter guards that they bought online or at the pharmacy. Almost always, the fit’s poor. Some are too soft, which actually encourages more clenching. Others are too bulky and get uncomfortable.
A custom guard from a dentist is different. It’s made from harder material that lasts longer. It fits your bite so your jaw stays in a relaxed position. And it’s covered by many dental insurance plans, including the Tricare and VA plans we accept.
Listen to What Your Jaw’s Telling You
Grinding might not feel like an emergency. But over months and years, the damage adds up. We’ve seen patients lose teeth that could’ve been saved if the grinding had been addressed earlier.
If you wake up with a sore jaw or notice your teeth looking flatter than they used to, call our Columbus office at 706-407-4851 or schedule an appointment online. We’ll take a look, let you know what’s happening, and help you protect your smile before more damage gets done.
