In most cases, children outgrow bruxism without the need for treatment. However, treatment is sometimes necessary to prevent symptoms such as jaw pain or destruction of tooth enamel. When treatment is required, it focuses on managing clenching and grinding behaviors to the greatest extent possible.

Children who experience pain or wearing of the dental enamel may need to wear a custom-fitted mouth guard that protects their teeth during sleep. These mouth guards – also known as occlusal splints or nightguards –are usually effective in protecting a child’s teeth. There are many different types. Some fit over the top teeth, while others fit over the bottom teeth. Some are made of a soft rubbery material while others are made of a hard plastic material.

Over-the-counter mouth guards also are available and are less expensive than custom-made guards. However, they may not fit as well around the teeth and can dislodge during grinding or clenching.

In rare cases, children may be so stressed that they may benefit from psychotherapy and possibly medication. Children who learn techniques to better manage anxiety are likely to reduce their clenching and grinding.