Unit 5 / 55 Hampden Road, Nedlands Mon–Fri 7:00am–5:00pm · Evenings by appt
ADA Member · Australasian Sleep Association 08 6389 0555
Dental Difference
Services / Sleep Disorders
★ Dr Lego's area of specialist focus

Sleep bruxism & sleep apnoea treatment

If you grind your teeth at night, wake unrefreshed, or have been told you snore heavily, there may be a dental connection. Sleep bruxism and sleep disordered breathing are closely related — and a dentist with the right training plays a central role in diagnosis and treatment.

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Dental sleep medicine assessment
Dr Lego's credentials
Grad. Dip.
Dental Sleep Medicine, UWA
Member
Australasian Sleep Association
10 years
UWA TMJ Dysfunction Clinic
Sleep bruxism

Teeth grinding & clenching during sleep

Sleep bruxism affects an estimated 14–20% of children and around 8% of adults. Unlike the occasional clenching most people do when stressed, it's a sleep-related movement disorder driven by the central nervous system — not by the teeth themselves. There's growing evidence it may represent the body's attempt to protect the airway during sleep.

What causes it

Sleep arousals from apnoea, reflux, insomnia or pain
Caffeine, nicotine, alcohol, medications, hormonal changes
Psychosocial stress
Genetics — a 20–50% hereditary component

How it affects your teeth

Tooth wear, cracking and fractures
Failure of fillings, crowns and restorations
Sensitivity, pain and gum recession
TMJ (jaw joint) problems

How we treat sleep bruxism

Treatment varies with your dental and medical situation. Dr Lego works closely with sleep physicians, ENT specialists, physiotherapists and oral surgeons to address the underlying causes — not just the dental symptoms.

Medical assessment (anaemia, thyroid)
ENT / sleep physician airway referral
Splint therapy to protect teeth
Strengthening or replacing weakened teeth
Biofeedback and self-awareness strategies
Regular dental monitoring
Sleep bruxism and TMD frequently coexist. If you have jaw symptoms alongside grinding, Dr Lego assesses both together. Learn about TMJ treatment →
Snoring & sleep apnoea

Snoring isn't always harmless

Sometimes it's a sign of obstructive sleep apnoea (OSA) — where the upper airway repeatedly collapses during sleep. OSA affects an estimated 2–4% of middle-aged adults and, left untreated, is associated with significant health risks. Snoring in children is considered abnormal and usually associated with OSA.

Signs & symptoms of OSA
Loud, frequent snoring
Witnessed pauses in breathing
Choking or gasping in sleep
Waking unrefreshed
Daytime sleepiness & fatigue
Morning headaches
Difficulty concentrating
Mood changes or irritability
High blood pressure

Oral appliance therapy (OAT)

Following medical referral and a diagnostic sleep study, Dr Lego provides custom-made mandibular advancement splints that hold the lower jaw slightly forward during sleep to help keep the airway open. A recognised treatment for:

Primary snoring Upper airway resistance syndrome Mild–moderate OSA Severe OSA where CPAP isn't tolerated

Frequently asked questions

How do I know if I grind my teeth at night?+
Common signs include waking with a sore jaw or headache, tooth sensitivity, visible wear, and cracked or failing restorations. A bed partner may hear grinding. Dr Lego can identify signs during a routine check-up.
What is a mandibular advancement splint?+
A custom-made oral device worn during sleep that holds your lower jaw slightly forward to keep the airway open — used to treat snoring and OSA as an alternative to CPAP.
Do I need a sleep study?+
If sleep apnoea is suspected, a diagnostic sleep study is usually required before treatment can begin. Dr Lego can refer you to an appropriate sleep physician.
Can children have sleep bruxism?+
Yes — reported in 14–20% of children. In children it's more commonly associated with sleep disordered breathing and should be assessed rather than dismissed.
I have jaw pain as well as grinding — which page should I look at?+
If your main concern is jaw pain, clicking or locking, start with our TMJ dysfunction page. Sleep bruxism and TMD are closely related and Dr Lego assesses both together.
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