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Help! My 5-Year-Old Grinds Their Teeth at Night: A Parent’s Guide

If you’ve noticed your child making grinding noises during sleep or waking up with a sore jaw, you’re not alone. Teeth grinding—or bruxism—is surprisingly common in young children. While it often resolves on its own, it’s natural for parents to wonder whether they should intervene. Let’s explore why kids grind their teeth, when to take action, and practical steps to support your little one.

Why Do Kids Grind Their Teeth?
Teeth grinding in children is rarely a sign of something serious, but understanding potential triggers can help you address it. Here are the most common causes:

1. Teething and Dental Development
Even at age 5, some children experience discomfort as their adult molars begin to emerge. Grinding might be a subconscious attempt to relieve pressure in the jaw.

2. Stress or Anxiety
Kids process emotions differently than adults. Changes like starting school, family transitions, or even overstimulation from screen time can manifest as nighttime grinding.

3. Misaligned Bite
If your child’s upper and lower teeth don’t fit together comfortably, grinding may occur as their jaw seeks a “comfortable” resting position.

4. Sleep Disorders
In some cases, grinding is linked to breathing issues like sleep apnea. Watch for snoring, mouth breathing, or restless sleep as possible clues.

When to Take Action
Most children outgrow bruxism by age 6–7, but there are signs that warrant a visit to a pediatric dentist or doctor:
– Tooth damage: Chipped enamel, flattened teeth, or increased sensitivity.
– Persistent pain: Complaints of headaches, earaches, or jaw soreness.
– Sleep disruptions: Frequent waking, exhaustion during the day, or behavioral changes.

Practical Steps to Help Your Child
1. Create a Calming Bedtime Routine
Stress reduction is key. Try:
– A warm bath with lavender-scented products.
– Reading a book together or practicing deep breathing.
– Avoiding stimulating activities (e.g., rough play, screen time) 1–2 hours before bed.

2. Rule Out Physical Discomfort
– Check for teething: Gently massage your child’s gums with a clean finger or offer a chilled (not frozen) teething ring.
– Hydration: Offer water before bed—dry mouth can worsen grinding.
– Allergies: Congestion from allergies might force mouth breathing, straining jaw muscles. A humidifier or saline spray could help.

3. Observe Their Daytime Habits
– Jaw tension: Does your child clench their teeth when concentrating? Gently remind them to relax their mouth.
– Chewing habits: Limit gum-chewing or chewing on non-food items (e.g., pencils), which can tire jaw muscles.

4. Consult a Pediatric Dentist
A dentist can:
– Check for tooth misalignment or enamel wear.
– Recommend a custom nightguard (rarely needed for young kids but helpful in severe cases).
– Refer you to an ENT specialist if breathing issues are suspected.

5. Address Emotional Needs
If stress seems to be the root cause:
– Use open-ended questions like, “Did anything make you feel worried today?”
– Provide reassurance through consistent routines and quality one-on-one time.
– Consider play therapy if anxiety persists.

What Not to Do
– Don’t panic: Occasional grinding is normal and rarely harmful.
– Avoid punishment: Your child isn’t grinding on purpose—shaming them could increase stress.
– Skip over-the-counter mouthguards: These can be a choking hazard for young children unless approved by a dentist.

The Bottom Line
While nighttime teeth grinding can sound alarming, it’s usually a temporary phase. Focus on creating a soothing sleep environment and monitoring for red flags. Most importantly, stay attuned to your child’s overall well-being. With patience and gentle support, this habit will likely fade as your child grows—and you’ll both rest a little easier.

If grinding continues beyond age 7 or interferes with daily life, consult a pediatrician to explore underlying causes like sleep disorders or neurological factors.

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