Tongue Biting During Sleep - Causes , symptoms and treatments
Many of us have experienced accidentally biting our tongue while eating or talking, which can be both painful and annoying. This often results in a swollen bump on the bitten area. While children sometimes chew their tongues when hungry or even bite them in their sleep, adults may also experience tongue biting during sleep for various reasons. This post explores why adults bite their tongues during sleep, the symptoms, and available treatment options.
Causes of Tongue Biting During Sleep
Bruxism
Bruxism involves involuntary grinding or clenching of teeth and is a common cause of tongue biting during sleep. Muscle contractions from bruxism can trap the tongue between the teeth, resulting in bites. Statistics show that sleep bruxism affects nearly 50% of children, 8% of middle-aged adults, and 3% of older adults.
Sleep Apnea
Sleep apnea can contribute to tongue biting. Patients with sleep apnea often have larger tongues and relaxed mouth muscles, disrupting sleep patterns and increasing the chances of involuntary movements during sleep. Research has shown a link between facial mandibular myoclonus and tongue biting in sleep.
Medications
Certain prescription medications, particularly those for mental health conditions or neurological disorders, can cause involuntary muscle movements or altered sleep patterns that lead to tongue biting. Studies on rats indicate that MDMA (ecstasy) can also increase the tendency to bite or chew.
Stress and Anxiety
High stress and anxiety levels can increase muscle tension, contributing to bruxism and subsequently tongue biting. These conditions can cause tongue biting both during the day and at night.
Anatomical Factors
The size, shape, or positioning of the tongue or teeth may make an individual more prone to biting their tongue during sleep. Misaligned teeth, also known as malocclusion, can be treated by an orthodontist using dental aligners and braces to improve alignment.
Symptoms of Tongue Biting During Sleep
Pain or Discomfort
The primary symptom is pain or discomfort in the affected area, ranging from mild soreness to severe pain.
Swelling or Inflammation
The sensitive nature of the tongue means repeated biting can cause swollen bumps, leading to further discomfort and difficulty with eating or speaking. These bumps typically heal within two to four days.
Bleeding or Lacerations
Severe tongue bites can result in bleeding or lacerations, potentially requiring medical attention if the bleeding persists.
Interrupted Sleep
Pain or discomfort from tongue biting can disrupt sleep, resulting in poor sleep quality and daytime fatigue.
Treatment for Tongue Biting During Sleep
Dental Mouthguards
Custom-fitted dental mouthguards or splints are highly effective in preventing the tongue from becoming trapped between the teeth, thus protecting it from bites.
Medication
Healthcare providers may prescribe medications to address the underlying causes, such as bruxism or sleep disorders. Painkillers like oral acetaminophen and ibuprofen can help alleviate pain.
Stress Management
Incorporating stress-reducing techniques such as relaxation exercises, meditation, or counseling can help reduce muscle tension and anxiety that contribute to tongue biting.
Dietary Changes
Adding more magnesium-rich foods or supplements to the diet may reduce muscle spasms and the likelihood of tongue biting.
Behavioral Modifications
Practicing good sleep hygiene, maintaining a consistent sleep schedule, and avoiding substances that disrupt sleep (such as alcohol or caffeine) can help prevent tongue biting during sleep.
Conclusion
If you find yourself biting your tongue in your sleep or clenching your teeth during the day, consult a dentist. Persistent severe bleeding from tongue bites may indicate a more serious issue. A dentist can identify the causes of tongue biting and provide tailored treatments to promote faster healing. Understanding the causes and implementing preventive measures can help ensure a more restful and comfortable sleep.
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