Dentists across Massachusetts have observed an increase in stress-related oral health issues their patients are experiencing. In response to the question of whether a possible trend relating to increased stress and reports of teeth grinding from patients or observed by dental team members, the Massachusetts Dental Society (MDS) surveyed members. This was an informal member survey, not a scientific study, and the results should be viewed only as a snapshot of what some MDS members are observing in their practices. Nevertheless, the findings provide a useful perspective on current trends.
Key Findings from the Member Survey
- Increase in teeth grinding cases.
A majority of survey respondents reported seeing more patients with symptoms of teeth grinding in the past year. Nearly half (49%) reported a moderate increase, and 13% noted a significant increase. Approximately 38% reported no change, while only 1% reported a decrease. - Stress is a prominent factor.
When asked what proportion of their patients attribute teeth grinding to stress or anxiety, nearly two-thirds indicated that stress plays a major role. Specifically, 24% said “nearly all” of their bruxism patients report stress as the cause, while 38% said “most.” This aligns with broader findings that connect rising stress levels with oral health concerns. - Related oral health issues are on the rise.
Members also reported increases in other stress-related conditions. The most commonly cited were:
• Teeth grinding/clenching (76%)
• Chipped or cracked teeth (64%)
• Jaw pain or TMJ symptoms (62%)
• Headaches (46%)
Notably, only 19% of respondents said they have not observed increases in these conditions. - Patients are talking about stress more frequently.
Nearly half of the dentists reported that patients themselves are now more likely to mention stress or anxiety as a cause of grinding or jaw pain. About 14% said patients mention stress “much more often,” and 38% said “somewhat more often.” Another 43% said the frequency is about the same as in previous years.
What It Means
While this survey is not scientific and should not be interpreted as formal research, the responses highlight that stress remains a significant factor impacting oral health.
As stress continues to affect communities, dentists are often among the first health professionals to observe its impact. The results of this MDS member survey provide valuable insights into how stress affects patients’ oral health and underscores the importance of an integrated approach to care.
For dental professionals, this trend underscores the importance of inquiring about patients’ lifestyle factors and stress when diagnosing oral health concerns. It also suggests opportunities for patient education—helping individuals understand the link between stress management and oral health, and offering strategies such as nightguards, relaxation techniques, and other support as appropriate.