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Yes, from your side you have to help the patient identify the cause of their problem, by asking them simple question concerning them. Make sure to tell the patient that you are going to ask them some out other than dental routine questions that be about their work, life or lifestyle to help solving. if they are not comfortable enough to talk about it just hint certain things that need to address or refer them to specialist in all most rare the cases.
As for Orthodontic applicable, a custom hard night guard for upper or lower is enough , I make upper night guards for my patients for x weeks or months depending on the case. I will not avoid it it is to protect the teeth from attrition.
The problem can be solved identifying what caused it in first place. Stress reduction and anxiety management may reduce bruxism in people prone to the condition.
Speaking from experience as a dentist and previous bruxism suffer
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