Teeth grinding at night is very common in children and, unlike in adults, is mostly related to the jaw growth physiology during the mixed dentition period when baby teeth fall out and permanent teeth erupt (the jaws’ effort to find their place). However, if the wear is very severe, psychological stress factors may also be involved. In a clinical approach, a detailed questionnaire is conducted with the family; questions are asked about the child’s school changes, the birth of a sibling, family conflicts, exam anxiety, or digital hyperactivity due to intensive tablet/phone use. If such psychological triggers are identified as underlying bruxism, the pediatric dentist refers the family to child psychologists or guidance counselors. Calming pre-sleep routines at home (warm shower, reading a book, limiting screen time) is the first step in reducing stress-induced bruxism.
