SSRIs, Teeth Grinding, and Periodontal Health
Why This Matters to Patients of Dr. Nilesh Dalal in Coral Springs
SSRIs are commonly prescribed for depression and anxiety. They work by increasing serotonin levels in the brain, but that shift can indirectly affect dopamine, another neurotransmitter that helps regulate muscle movement. When dopamine balance is disrupted, some patients develop involuntary jaw clenching or grinding, often during sleep.
Many people do not realize this is happening until they notice:
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Jaw pain or tightness in the morning
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Frequent headaches
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Tooth wear or chipping
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Gum soreness or changes in the way their teeth fit together
Because periodontics is the foundation of dentistry, Dr. Dalal pays close attention to these signs, especially when they begin after a change in antidepressant medication. His long experience as adjunct faculty at Nova Southeastern University’s College of Dental Medicine and his membership in the inaugural chapter of Omicron Kappa Upsilon (OKU)—an honor reserved for the top 5% of the dental class—underscore his focus on evidence‑based, detail‑oriented diagnosis.
What Are SSRIs and Why Do They Matter in Dentistry
SSRIs are commonly prescribed to treat depression and anxiety. While they are effective for mental health, they can sometimes affect muscle activity in the jaw. This happens because serotonin levels influence dopamine, a neurotransmitter that helps regulate muscle movement.
When dopamine levels are disrupted, involuntary jaw clenching or grinding may occur, often during sleep. Many patients do not realize this is happening until they experience jaw pain, headaches, worn teeth, or gum discomfort.
Signs of SSRI‑Related Bruxism
Common symptoms that may suggest SSRI‑associated grinding include:
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Jaw tightness or soreness, especially on waking
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Morning or late‑day headaches
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Tooth sensitivity, flattened biting surfaces, or small chips
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Gum inflammation or tenderness
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A sense that the bite has “shifted” or no longer feels even
For patients who already have gum disease, previous periodontal therapy, or restorations, this extra mechanical stress can accelerate damage. Dr. Dalal’s periodontal specialty allows him to detect subtle patterns of wear and stress on the gums and supporting bone before major problems develop.
Why Gum Health Matters When Grinding Is Present
Chronic grinding concentrates excessive forces on teeth, gums, and the underlying bone. While bruxism does not directly cause gum disease, it can:
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Worsen existing inflammation
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Contribute to gum recession
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Make periodontal pockets harder to stabilize
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Increase mobility in already compromised teeth
Patients seeking gum disease treatment in Coral Springs often benefit from a combined approach: treating inflammation and infection while also controlling mechanical overload from grinding. As a periodontist, Dr. Dalal designs treatment plans that protect both the soft tissue and the bone that anchor teeth and implants.
The Connection Between Bruxism and Gum Disease
Bruxism does not cause gum disease, but it can accelerate damage when inflammation is already present. Excessive force can deepen periodontal pockets and make gum disease harder to manage.
Patients seeking gum disease treatment in Coral Springs often benefit from a combined approach that addresses both inflammation and mechanical stress from grinding. This may include periodontal therapy along with protective appliances.
Protecting Dental Implants from Grinding Forces
Dental implants rely on healthy bone and controlled bite forces for long‑term success. Excessive clenching or grinding can overload the implant and surrounding bone, increasing the risk of:
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Bone loss around the implant
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Loosening of components
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Fracture of restorations or screws
Patients who are considering implants or who already have them are strongly encouraged to address bruxism early. Dr. Dalal routinely incorporates:
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Custom night guards designed to redistribute forces
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Regular periodontal and radiographic monitoring around implants
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Bite adjustments when needed
This helps protect implant investments and maintain stability over time.
How Dr. Dalal Helps Manage SSRI‑Related Bruxism
Effective management starts with awareness. During a comprehensive exam, Dr. Dalal looks for:
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Wear facets on enamel
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Gum and bone changes inconsistent with plaque alone
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Jaw muscle tenderness and range of motion issues
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Signs of overload on teeth or implants
Treatment typically focuses on protecting the mouth while preserving necessary mental health care:
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Custom night guards or occlusal splints to reduce pressure on teeth, gums, and implants
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Periodic periodontal evaluations to track gum and bone health
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Communication with the prescribing physician when symptoms are significant, so any possible medication adjustments are guided medically
Dr. Dalal’s background in both Indian and U.S. clinical settings and his academic experience help him coordinate comfortably with physicians and tailor advice to each patient’s medical history.
When to Seek Professional Guidance
You should consider a periodontal evaluation with Dr. Dalal if, after starting or changing an SSRI, you notice:
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New or worsening jaw pain or tightness
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Morning headaches or facial muscle soreness
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New tooth sensitivity or visible wear
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Gum tenderness, bleeding, or recession
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Worries about existing implants under heavier bite force
Early evaluation allows bruxism to be managed before it causes significant structural damage—and without stopping essential antidepressant therapy.
Balancing Mental Health and Oral Health
Mental and oral health are closely connected. Addressing medication‑related side effects does not mean choosing one over the other. With the right care team, patients can:
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Stay on critical antidepressant therapy
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Minimize grinding‑related damage
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Protect teeth, gums, and implants for the long term
At Designer Smiles in Coral Springs, Dr. Nilesh Dalal combines advanced periodontal training, decades of clinical experience, high‑level academic credentials, and a preventive philosophy to help patients from Coral Springs, Parkland, Pompano Beach, Boca Raton, and surrounding communities understand the link between SSRIs and bruxism—and take proactive steps to protect their smiles.
Final Thoughts
Teeth grinding related to SSRI use is often overlooked, but its impact on oral health can be significant. Jaw clenching, worn enamel, gum inflammation, and bone stress do not always cause immediate pain, which is why early evaluation matters.
When identified early, bruxism can be managed effectively without interrupting essential mental health treatment. A coordinated approach that includes dental protection, periodontal monitoring, and patient education helps preserve comfort, function, and long-term stability.
For patients with existing gum disease, a history of periodontal therapy, or dental implants, addressing grinding is especially important. Protecting the supporting structures of the teeth and implants helps prevent avoidable complications and supports lasting oral health.
About Designer Smiles
Advanced Periodontal Care Serving Coral Springs and Surrounding Communities
Designer Smiles is a specialized dental clinic in Coral Springs, Florida, providing advanced periodontal care with a strong focus on prevention, precision, and long-term outcomes. The practice is led by a highly experienced team dedicated to supporting patients with complex gum conditions, bite-related concerns, and implant-focused care.
While the clinic is based in Coral Springs, Designer Smiles proudly serves patients from Parkland, Pompano Beach, Boca Raton, and several nearby high-income and growing communities who seek specialized periodontal expertise.
Frequently Asked Questions
Can antidepressants cause teeth grinding or jaw clenching?
Yes. Certain antidepressants, especially SSRIs, have been linked to teeth grinding and jaw clenching. This happens because these medications can alter neurotransmitter balance in the brain, which affects muscle control. Many patients experience grinding during sleep and may not realize it until symptoms appear.
What are the early signs of bruxism related to SSRIs?
Common early signs include jaw soreness, morning headaches, tooth sensitivity, worn or flattened teeth, and tight facial muscles. Some patients also notice gum tenderness or changes in their bite. A dental evaluation can often identify grinding before visible damage becomes severe.
Is teeth grinding dangerous for gum health?
Teeth grinding does not directly cause gum disease, but it can worsen existing inflammation. Excess pressure on the teeth can stress the gums and supporting bone, making gum disease harder to manage. This is why patients experiencing grinding often benefit from evaluation by a periodontist.
How is SSRI-related bruxism treated by a dental professional?
Treatment typically focuses on protecting the teeth and gums rather than stopping medication. Dentists and periodontists often recommend custom night guards to reduce pressure on the jaw. Monitoring gum health and coordinating care with a medical provider may also be part of the plan when symptoms persist.
Can teeth grinding affect dental implants?
Yes. Grinding places additional force on dental implants and the surrounding bone. Over time, this can increase the risk of implant complications. Patients with dental implants are strongly encouraged to address bruxism early to protect long-term implant stability.
