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
Dr Thoms specializes in dental anesthesia for patients with Special Needs. My daughter has been a patient of his for many years.
His experience, depth of knowledge and understanding the needs of Special Needs patients is excellent.
He presents clear and detailed information for his procedures and treatment options along with expectations during aftercare.
Follow up instructions include a personal phone call from him as well as additional calls from his office staff. I highly recommend Dr Thoms and definitely give him 5 stars.
My hygienist, DeLaina Joost, takes excellent care of my teeth with her advanced skills, gentle touch and great “chair side” manner. She is a consummate professional, and such a compassionate person. I look forward to my visits at DAC!
Response from the owner:Thank you for your kind words! We’re so glad to hear you had a positive experience with our team and appreciate you taking the time to share your feedback.
I want to thank everyone at the Dental Anesthesia Center for taking care of me yesterday—Meaghan helped me get the forms filled out correctly and in on time, Daisy for guiding me in and getting me out safely, Dr. Hoffman for taking care of my teeth and dealing with my really terrible gag reflex, and EVERYONE who helps make this happen. I don't know all of your names, but I do know that it takes all of you working together to make my dental care possible and have good results.

I'm always nervous when I first arrive, even though every procedure has had a good outcome. I've never had any pain or excessive bleeding as a result. The one thing I realized yesterday is that all of you are warm, friendly, positive, you have what is called a good vibe, which helps me a great deal.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re so glad our team could help you feel comfortable and supported throughout your visit. Providing a safe, positive environment is very important to us, and your feedback means a great deal. We truly appreciate your trust in our care!
Dr. Thoms and his entire staff at The Dental Anesthesia Center have been absolutely wonderful!! They're all so kind and knowledgeable. I would give them 10 stars if I could!!!
Response from the owner:Thank you so much for your kind words! We truly appreciate you taking the time to share your experience. It means a lot to hear this feedback.
Dr Mike Hoffman is the best dentist I’ve ever been to. His whole practice focuses on the patient’s needs. He is the consumate professional with expertise across the dental spectrum and in anesthesia. I highly recommend him and his practice.
Response from the owner:Thank you for your thoughtful review and recommendation! We’re grateful for your kind words and are proud to provide patient-centered care with a focus on comfort and safety.

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