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Why do we grind
our teeth in our sleep?

For anyone ever woken by that creak
No. 331Brain & BodyPart 47 of 47Fact-checked Oct 20, 2026
Video2:33 · English voice (AI) · English subtitles

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Grinding your teeth at night doesn't mean you have worms. Creak. Creak. The person next to you is fast asleep, but the grinding keeps you awake. Older folks often say it's roundworms in the belly.

But most people who grind have no worms at all. And doctors advise against taking deworming pills for it on your own. So why do the teeth move by themselves? The switch isn't in the belly. It's in the head. Let's rewind one bout of grinding and see what came right before it.

In a sleep study, wires are taped to the sleeper. Brain, heart, and jaw are all recorded. Rewind a few minutes. The body's stress system quietly starts to rev up. Rewind four seconds. The brain wakes up for a moment. So lightly and briefly, you never notice.

Rewind one second. The heart suddenly speeds up. Only then does the jaw clamp down. Once, twice, a whole string. The order is always the same: brain first, then heart, teeth last.

It's a bit like a car parked at night. The engine idles low, then someone suddenly hits the gas. The rev needle jumps first, and the whole car shudders.

The brain's kick on the gas in sleep is called a micro-arousal. Your heartbeat is the rev needle. Your jaw is the shuddering car. On a sleep study chart, it looks like this: the brain line wiggles first. The heartbeats crowd together. The jaw line sprouts a row of spikes. Except a driver presses a car's pedal. This kick comes from the body itself.

Everyone has micro-arousals, many times a night. Even among people who don't grind, six in ten make gentle chewing movements in their sleep. People who grind just get kicked more often, and harder.

What makes the kicks come more often? Stress, alcohol, smoking, coffee before bed, and snoring with pauses in breathing are all linked to it. Why the jaw, of all things? Scientists are still guessing. Some think a few chews keep the mouth moist and the throat open. Grinding is more common in kids, and many grow out of it.

If your teeth ache in the morning, your jaw hurts, or your teeth are wearing flat, see a dentist. Follow their advice. Dentists often make a night guard. It can't stop the kick on the gas, but it protects the teeth. So that creaking isn't worms. It's your brain hitting the gas in the middle of the night.

In your home, who grinds: a grown-up, or a kid?

1

It isn’t
worms

Creak, creak, in the middle of the night. The person next to you is fast asleep, and their grinding wakes you up.

In China, older folks often say it means roundworms in the belly. But most people who grind have no worms at all. And doctors advise against taking deworming pills for it on your own.

The switch isn’t in the belly.
It’s in the head.

2

Rewind one
bout of grinding

In a sleep study, wires are taped to the sleeper. Brain, heart and jaw are all recorded. Rewind one bout of grinding, and the order is always the same.

① Minutes beforeThe body’s stress system quietly revs up.
② 4 seconds beforeThe brain wakes for a moment, so lightly you never notice.
③ 1 second beforeThe heart suddenly speeds up.
④ ThenThe jaw clamps down: once, twice, a whole string.

Brain first, then heart, teeth last.

3

Like hitting the gas
at night

CAR
Gas → needle jumps
→ car shudders
Parked, engine idling low, then someone hits the gas.
YOU, ASLEEP
Micro-arousal → heart
speeds up → jaw clamps
The brain’s kick on the gas is called a micro-arousal.

One difference: a driver presses a car’s pedal. This kick comes from the body itself. For another night-time jolt, see that falling feeling.

4

Everyone has them.
Grinders get more.

~1 in 5people grind in their sleep
~6 in 10non-grinders still make gentle chewing moves

Micro-arousals come many times a night. People who grind just get kicked more often, and harder.

Stress, alcohol, smoking, coffee before bed, and snoring with pauses in breathing are all linked to it. Why the jaw, of all things? Scientists are still guessing. Some think a few chews keep the mouth moist and the throat open.

Grinding is more common in kids, and many grow out of it. More on kids’ teeth: why we grow baby teeth.

5

When to see
a dentist

Guards the teeth.
Can’t stop the kick.
If your teeth ache in the morning, your jaw hurts, or your teeth are wearing flat, see a dentist. Dentists often make a night guard to protect the teeth. Follow their advice.
That creak isn’t worms.
It’s your brain hitting the gas at night.
In your home, who grinds: a grown-up, or a kid?
Explained Simply · Also see why we dream every night
Sources: Zieliński et al., global prevalence of sleep and awake bruxism, J Clin Med 2024; Lavigne et al., rhythmic masticatory muscle activity during sleep, J Dent Res 2001; Carra, Huynh, Lavigne, sleep bruxism overview, Dent Clin North Am 2012; Mayo Clinic, “Bruxism”; American Academy of Pediatric Dentistry.
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