Hearing the sound of teeth grinding together at night, coming from a sleeping child's room, startles many parents the first time. Nighttime bruxism — grinding or clenching teeth during sleep — is actually one of the most common behaviors in childhood, and in most cases doesn't require any intervention.
What childhood bruxism is
Bruxism is the involuntary grinding or clenching motion of the teeth, which in children almost always happens during sleep, in the transitions between sleep cycles. The sound can be surprisingly loud, but that doesn't automatically mean damage is occurring. Many parents first notice it purely by ear, from another room, well before ever seeing it happen.
Why it happens
The exact causes aren't always clear, but among the most commonly associated factors are: tooth growth and alignment (especially during the eruption of baby or permanent teeth), tension or stress built up during the day, and in some cases a relationship with breathing during sleep.
How common it is, and how long it lasts
Bruxism affects a significant share of preschool and school-age children, often peaking around periods of tooth transition. In most cases it tends to fade on its own with age, as the dental arch stabilizes.
