If you’ve ever woken up with a sore jaw, sensitive teeth, or a dull headache, you might be experiencing more than just a rough night’s sleep.
Jenny used to wake up feeling like she’d run a marathon with her jaw—every tooth throbbed, and her head felt like someone was tapping it from the inside. She’d sip endless coffee to push through mornings, always wondering if pain was her new norm. What she didn’t realize was that grinding her teeth at night was silently causing the damage.
Teeth grinding and clenching — also known as bruxism — affects millions of people, yet most don’t realize that their pain is directly tied to this habit.
Left untreated, grinding can do more than just make mornings uncomfortable. Over time, it can lead to cracked or broken teeth, costly dental repairs, TMJ disorders, and chronic pain that impacts your quality of life.
The good news? You don’t have to live with it. In this guide, we’ll break down the most common symptoms of teeth grinding, explore the causes, explain the risks of ignoring it, and — most importantly — share effective strategies for relief and prevention.
What Is Teeth Grinding and Clenching?
Teeth grinding and clenching, medically known as bruxism, is the involuntary habit of biting down with excessive force or sliding the teeth back and forth. It often happens subconsciously — either during the day when you’re stressed or focused, or at night while you sleep.
There are two main types:
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Awake bruxism: Usually linked to stress, concentration, or even posture. People may clench their jaw without realizing it during work, exercise, or times of tension.
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Sleep bruxism: More common and often more damaging, since the grinding occurs during deep sleep and can go unnoticed until symptoms appear. (American Academy of Sleep Medicine).
Unlike a simple “bad habit,” bruxism is powerful. Studies show that the human jaw can exert up to 250 pounds of force, which puts enormous stress on teeth, jaw joints, and muscles. Over time, that pressure can cause wear, cracks, and persistent pain.
What makes bruxism tricky is that many people don’t connect their pain to grinding until real damage is done. They may visit the dentist for a broken filling, a chipped tooth, or jaw soreness without realizing grinding is the root cause.
Common Types of Pain from Teeth Grinding
Grinding and clenching may seem harmless at first, but over time the pressure can radiate throughout the mouth, jaw, and face. Here are the most common ways pain shows up:
1. Tooth Pain
One of the first signs of bruxism is tooth sensitivity or pain. Constant grinding wears down enamel, leaving teeth exposed and vulnerable. This can cause:
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Heightened sensitivity to hot, cold, or sweet foods.
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Dull, lingering toothaches without an obvious cavity.
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Cracks or fractures in enamel, fillings, or crowns.
Left untreated, grinding can lead to broken teeth that require costly restorations like crowns or implants.
👉 Learn more about why teeth are sore in the morning.
2. Jaw Pain
Your jaw muscles are not designed to stay tense for hours at a time. When grinding or clenching, they’re essentially “working out” all night. This can cause:
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Morning soreness and stiffness.
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Difficulty opening the mouth wide.
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A clicking or popping sound in the jaw joint.
Chronic strain often leads to inflammation in the temporomandibular joint (TMJ), intensifying discomfort.
👉 For a deeper look, see our guide on jaw pain causes and treatment.
3. Facial Pain
Because the jaw muscles connect to the face, bruxism pain often radiates outward. Common symptoms include:
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Aching in the cheeks and temples.
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Tenderness around the ears.
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A feeling of overall facial tightness or fatigue.
This is why many people mistake bruxism for sinus or ear issues.
Related: [Ear Pain? Teeth Grinding Might be the Cause]
4. Headaches & Migraines
Grinding at night contracts muscles in the jaw, neck, and temples, which can trigger tension headaches. For some, the pain escalates into migraines — especially if the bruxism is long-standing and untreated.
👉 Not sure if grinding is the cause? Read our guide: How do I know if I’m grinding my teeth at night?
5. TMJ Pain
Teeth grinding doesn’t always cause temporomandibular joint disorder (TMD), but it can aggravate it. Signs of TMJ pain include:
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Sharp or aching pain near the jaw joint.
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Clicking, popping, or grinding noises when moving the jaw.
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Limited jaw movement or locking.
Many patients describe it as “an earache that isn’t really in the ear.”
👉 Learn more in our article: Do Night Guards Really Help with TMJ Pain?
Frequently Asked Questions
Can teeth grinding cause ear pain?
Yes. The jaw joint (TMJ) is located near the ears, and the pressure from grinding can radiate pain into the ear area, even when there’s no ear infection.
Why do my teeth hurt when I wake up?
Morning tooth pain is a common sign of nighttime grinding. Clenching for hours while you sleep puts extreme pressure on teeth and nerves, causing soreness and sensitivity when you wake up. 👉 We cover this more in Why Are My Teeth Sore When I Wake Up?
What’s the difference between TMJ pain and grinding pain?
Grinding pain often feels like sore teeth, jaw tightness, or morning headaches. TMJ pain is usually concentrated in the jaw joint itself and may include clicking, popping, or difficulty opening the mouth. Grinding can also trigger or worsen TMJ issues.
How can I stop grinding my teeth at night naturally?
Stress reduction, good sleep habits, avoiding caffeine/alcohol before bed, and jaw relaxation exercises may help reduce grinding. But the most effective protection is wearing a custom night guard.
Can grinding really break teeth?
Yes. Over time, the constant pressure can crack enamel, chip fillings, and even fracture teeth completely. A protective guard prevents this damage.
Other Pain-Related Issues
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Jaw popping: Sometimes grinding causes the jaw to click or pop. 👉 Learn more about what causes jaw popping.
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Weather-related pain: Cold temperatures can worsen stiffness and inflammation. 👉 See our article on why jaw pain worsens in cold weather.
How Teeth Grinding Causes Pain
Bruxism isn’t just an annoying habit — it’s a powerful force that can wreak havoc on your teeth, jaw, and face. Here’s how the pressure translates into pain:
1. Extreme Bite Force
When you clench or grind, your jaw can generate up to 250 pounds of force — far more than what’s needed to chew food. This constant stress compresses teeth, joints, and muscles beyond their natural limits, setting the stage for pain and damage.
2. Enamel Wear and Tooth Damage
Grinding erodes the enamel layer of teeth, exposing the sensitive dentin beneath. Without enamel’s protective barrier, teeth become more vulnerable to sensitivity, fractures, and decay. In severe cases, the grinding can even cause teeth to crack or break entirely.
3. Muscle Overuse and Strain
Your jaw muscles are some of the strongest in the body. But when they’re forced to contract for hours on end, they become overworked — much like any muscle after an intense workout. The result: soreness, stiffness, and radiating facial pain that lingers long after the grinding stops.
4. Nerve Irritation
When teeth crack or enamel thins, the inner nerves become more exposed to pressure and temperature changes. This can trigger sharp, shooting pains or dull aches that seem to have no clear source.
Together, these factors explain why bruxism can cause such a wide variety of symptoms — from aching teeth to full-blown migraines. And without intervention, the damage tends to compound over time.
Signs You May Be Grinding Your Teeth
Many people don’t realize they’re grinding until the pain sets in or a dentist points it out. Since bruxism often happens during sleep, the signs are usually indirect. Here’s what to watch for:
✅ Flattened or worn teeth – Edges look shorter or uneven.
✅ Chipped or fractured teeth – Damage that isn’t caused by trauma or cavities.
✅ Increased tooth sensitivity – Hot, cold, or sweet foods cause discomfort.
✅ Tightness or soreness in the jaw – Especially noticeable in the morning.
✅ Headaches upon waking – Usually tension-type headaches starting at the temples.
✅ Clicking or popping jaw – Movement of the temporomandibular joint (TMJ).
✅ Indentations on the tongue or cheek – Signs of biting while clenching.
✅ Gum recession or loose teeth – From constant pressure and micro-movements.
✅ Reports from a sleep partner – They may hear grinding noises at night.
👉 If you notice several of these signs, there’s a strong chance you’re grinding or clenching — even if you aren’t aware of it while it’s happening.
The Risks of Ignoring Teeth Grinding Pain
Bruxism isn’t something that just “goes away” on its own. Ignoring the signs can allow the damage — and the pain — to build until it becomes much harder (and more expensive) to fix. Here’s what can happen if grinding is left untreated:
1. Permanent Tooth Damage
Grinding slowly wears down enamel until teeth become thin, sensitive, and prone to fractures. In severe cases, teeth can chip, break, or even require extraction. Restoring this kind of damage often means costly dental procedures like crowns, implants, or bridges.
2. Worsening TMJ Disorder
The temporomandibular joint (TMJ) bears the brunt of clenching pressure. Over time, this stress can inflame the joint, leading to chronic pain, locking of the jaw, and long-term mobility issues.
3. Expensive Dental Treatments
What begins as a small crack or filling repair can snowball into root canals, crowns, and implants if grinding continues unchecked. Preventive care (like a night guard) is far less costly than reconstructive dental work.
4. Chronic Pain Cycle
Grinding doesn’t just damage teeth — it puts the entire jaw, face, and neck under strain. This often develops into a cycle of daily headaches, migraines, and muscle tension that can affect sleep quality, mood, and overall health.
👉 The bottom line: untreated grinding isn’t just a nuisance — it can permanently alter your teeth and jaw, while also draining your wallet and energy.
Relief & Prevention Options
The good news: teeth grinding pain doesn’t have to be permanent. While there’s no single “cure” for bruxism, there are many effective ways to relieve symptoms and prevent further damage.
1. Short-Term Relief
If you’re dealing with immediate soreness or tension, try:
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Warm compresses on the jaw to relax tight muscles.
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Gentle jaw stretches to improve mobility.
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Over-the-counter pain relievers (when appropriate) for temporary comfort.
These measures don’t stop grinding, but they can ease the pain in the moment.
2. Lifestyle Adjustments
Because stress and daily habits often trigger bruxism, small changes can make a big difference:
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Stress management: Meditation, yoga, journaling, or breathing exercises.
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Avoiding stimulants: Cut back on caffeine and alcohol, especially before bed.
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Improved sleep hygiene: Keeping a consistent bedtime and reducing screen time before sleep.
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Posture checks: Avoiding jaw clenching while concentrating or exercising.
3. Dental Solutions
Protecting the teeth directly is the most reliable way to prevent damage from grinding. Options include:
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Over-the-counter mouthguards: Affordable and accessible, but often bulky and uncomfortable.
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Custom night guards: Made to fit your exact bite for maximum comfort and effectiveness. These guards provide a barrier between teeth, reduce pressure, and prevent further wear.
4. Medical Help
In some cases, grinding is severe enough to require professional intervention:
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Dental evaluation: To repair damaged teeth and fit a custom guard.
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TMJ specialist consultation: For jaw-related complications.
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Botox injections: In certain cases, these can relax overactive jaw muscles and reduce grinding.
👉 While short-term relief can help with pain, the most effective prevention combines lifestyle improvements with a custom-fitted night guard to protect your teeth and jaw from ongoing damage.
Custom Night Guards: Your Best Defense Against Pain
While lifestyle changes and short-term relief can help, the most effective way to stop bruxism from damaging your teeth is by wearing a custom night guard.
Why Custom Guards Work Best
Unlike store-bought boil-and-bite guards, a professionally made custom guard is:
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Precision-Fit → Molded from your unique dental impression, ensuring comfort and stability.
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Durable → Designed to withstand heavy grinding forces without breaking down quickly.
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Comfortable → Slimmer and less bulky than over-the-counter options, making it easier to sleep with.
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Effective → Provides a strong, protective barrier that absorbs and redistributes bite force, reducing tooth wear and jaw strain.
Why Choose Sentinel Mouthguards
At Sentinel, we’ve been protecting smiles since 2012. Our guards are:
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Made in the U.S.A. in our FDA-registered dental lab.
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Crafted from BPA- and BPS-free materials, safe for long-term use.
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Backed by a 100% satisfaction guarantee — if it doesn’t feel right, we’ll work with you until it does.
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More affordable than the dentist’s office (without sacrificing quality).
How It Works
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Order online and receive a simple at-home impression kit.
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Take your impression in minutes and mail it back in the prepaid envelope.
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Our lab custom-crafts your guard and ships it straight to your door.
Thousands of customers have found lasting relief by protecting their teeth with Sentinel night guards. If you’re ready to stop the pain before it worsens, a custom guard is the smartest investment you can make for your smile.
When to See a Dentist Immediately
While many cases of teeth grinding can be managed with a custom night guard, there are times when professional care is essential. Don’t delay seeing a dentist if you experience any of the following:
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Fractured or broken teeth → A cracked tooth can worsen quickly and may require a crown, root canal, or extraction if left untreated.
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Persistent, severe jaw pain → Ongoing pain may signal TMJ disorder or another joint issue that needs targeted treatment.
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Changes in your bite → If your teeth feel like they don’t fit together the way they used to, grinding may already be shifting them out of alignment.
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Loose teeth or gum changes → Constant pressure can weaken the bone and tissue supporting your teeth.
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Pain that doesn’t improve → If you’ve tried relief strategies and still experience daily pain, it’s time for a professional evaluation.
👉 A dentist can diagnose damage, recommend restorative treatments, and ensure you have the right protective solution moving forward.
Related Article: [What Does TMJ Pain Feel Like?]