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Why Your Child Might Grind Their Teeth at Night

Teeth grinding — also known as bruxism — is surprisingly common in children, especially during sleep. Contact The Dental Anesthesia Center to learn more.

We often work with parents concerned about nighttime grinding at The Dental Anesthesia Center in St. Louis. Here’s what you need to know about why it happens, what signs to watch for, and how we can help, especially when treatment may require a gentle, sedation-based approach.

teeth grinding
I have NEVER had a positive experience with dentist…until now!! I was mind blown how kind the staff was, not just to me but to everyone! I have debilitating anxiety when it comes to dentists because of bad previous experiences, so I was very nervous. But, all the staff, including Dr. Thom, were very gentle, kind, and understanding. They took time to listen to all my concerns and address them, helping to put me at ease. I was also amazed how professional the whole office ran and how completely reliable they were. They easily guided me through the process and everything went so smoothly, including my sedation. I have never been treated so kindly by any dental office before, I was struggling to believe I wasn’t in some kind of dream. But. They really were that nice.

My recovery from sedation and all
The dental work they did to save my tooth was amazing, not a single issue! Dr. Thom even called personally to check on me a day later.

Coming back to put my permanent crown in was the same experience. They were all so kind,
Good about explaining everything they were doing and make the experience light and dare I say…fun.

I would drive 2.5 hours again in a heartbeat to do my work here. Best dental experience I’ve ever
had hands down!!!!!!! Thank you Dr. Thom for giving my life and tooth back. I’m so excited to not be in so much excruciating pain anymore!
Response from the owner:We can’t thank you enough for your kind and heartfelt words. Our entire team is dedicated to creating a gentle, supportive, and positive experience for every patient, so it means the world to hear your visit felt that way. We’re so glad you felt cared for and comfortable throughout the process, and we truly appreciate you making the trip to see us. Thank you for trusting us—it’s an honor to care for patients like you!
Dr. Hoffmann and his team takes great care of my special needs daughter. We have been coming here for over 20 years. The staff is so kind and patient with her and explains everything to help her stay calm.
Response from the owner:Thank you so much for sharing your kind words and for trusting our team for so many years. We’re honored to care for your family and appreciate the opportunity to make each visit a positive experience.
I have had the best experience with Dr Behl and her staff! I have awful dental anxiety from some past experiences and they are so kind and supportive. Rebecca is incredible to work with. I highly recommend them to everyone I know!!
Response from the owner:Thank you so much for sharing your kind words! We’re happy to know you felt supported and comfortable during your visit. Our team strives to create a welcoming environment for everyone, and we truly appreciate your recommendation.
We always receive excellent care at the Dental Anesthesia Center.
Response from the owner:Thank you for your kind words! We truly appreciate your trust in our team and are grateful for the opportunity to provide care.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.

What Is Pediatric Bruxism?

Bruxism is the involuntary grinding, gnashing, or clenching of teeth. It usually occurs during sleep in children, often without them even realizing it. It can affect both baby and permanent teeth, and while many kids eventually outgrow it, it can cause dental issues if left untreated.

Common Causes of Teeth Grinding in Children

Understanding the root cause of your child’s bruxism is the first step toward addressing it. Some common factors include:

🧠 Stress or Anxiety

Even young children can experience stress, from school pressure to social challenges. Grinding can be an unconscious response to anxiety or tension.

🦷 Misaligned Teeth or Bite Issues

If your child’s upper and lower teeth don’t align properly, the friction between them during sleep can lead to grinding.

😴 Sleep Disorders or Interrupted Sleep

Children with sleep apnea, night terrors, or other sleep disruptions may grind their teeth more frequently.

🍬 Caffeine or Diet-Related Triggers

Surprisingly, high caffeine intake (like sodas or chocolate) or specific food sensitivities can contribute to bruxism in some children.

💊 Medical Conditions or Medications

Conditions like cerebral palsy, ADHD, or certain neurological disorders can be associated with bruxism. Some medications, especially those for hyperactivity, may also contribute.

Signs Your Child Might Be Grinding Their Teeth

Because bruxism often happens at night, it can be hard to spot, but there are key warning signs:

  • Grinding or clicking noises during sleep
  • Complaints of jaw pain, headaches, or earaches
  • Chipped, worn, or flattened teeth
  • Increased tooth sensitivity
  • Trouble sleeping or restlessness at night

When Should You Be Concerned?

Occasional grinding isn’t unusual, especially in younger children with baby teeth. However, persistent or severe grinding should be evaluated by a dentist, particularly if it causes pain, tooth damage, or sleep issues.

If your child has a medical condition, developmental delay, or experiences anxiety, addressing bruxism early can prevent long-term complications.

How We Help at The Dental Anesthesia Center

Our team specializes in pediatric and special needs dentistry, providing a safe, stress-free environment for evaluation and treatment. Here’s how we approach bruxism:

🪥 Dental Exam & Bite Assessment

We check for wear patterns, alignment issues, and underlying dental problems that may be contributing to grinding.

🧼 Custom Night Guards (if appropriate)

For older children with permanent teeth, we may recommend a custom mouthguard to protect their teeth during sleep.

🧘 Stress Management and Lifestyle Tips

We’ll help you identify potential stressors and offer calming bedtime routines or dietary changes to reduce grinding.

😌 Sedation Dentistry for Anxious Children

If your child is particularly anxious or has sensory sensitivities, we offer mild sedation options to make exams and treatment easier and more comfortable.

Tips for Parents at Home

  • Establish a calming bedtime routine with consistent sleep and screen-free time.
  • Avoid caffeine, especially in the evening.
  • Use a warm compress on the jaw if your child reports soreness.
  • Monitor for stressors and talk to your child about their feelings.
  • Keep up with regular dental checkups, especially if grinding is frequent.

When to Consider a Specialist

If your child has special healthcare needs, developmental delays, or extreme dental anxiety, they may benefit from treatment in a special needs dental setting like The Dental Anesthesia Center. Our team is uniquely trained to provide care under mild to deep sedation, ensuring safety and comfort.

Concerned About Your Child’s Nighttime Teeth Grinding? Let’s Talk.

Whether it’s mild or severe, occasional or ongoing, teeth grinding can affect your child’s dental health and quality of sleep. The good news is — you’re not alone, and there are solutions.

Contact The Dental Anesthesia Center Today

📞 Call The Dental Anesthesia Center in St. Louis today to schedule a pediatric dental evaluation. We’re here to support your child’s health with compassion, expertise, and advanced sedation options when needed.

Updated: May 19, 2025