Why do I grind my teeth in my sleep?

Last updated September 3, 2026.

Sleep grinding is most often stress-driven, with sleep problems, some medicines, smoking, and caffeine or alcohol as amplifiers. Per NHS guidance, the diagnosis usually arrives through a partner who hears it or a dentist who sees the wear: flattened, chipped teeth and cracked fillings. Morning jaw ache, temple headaches, and tooth sensitivity are the other tells. A custom night guard or splint from your dentist protects the teeth while you work on the drivers: stress, sleep schedule, late caffeine and alcohol. Loud snoring or witnessed breathing pauses alongside grinding deserve a GP conversation about sleep apnoea.

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