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Awake bruxism in esports is emerging as a significant health concern for professional and amateur gamers worldwide. This condition involves the repetitive or sustained clenching of the jaw during wakefulness, which often stems from intense cognitive demands. Recent research highlights that esports practitioners are frequently exposed to prolonged screen time. Consequently, these prolonged digital sessions may influence wake-time oral behaviors and lead to chronic discomfort. Understanding the prevalence and underlying triggers is therefore essential for clinicians managing this unique athlete population.
A recent cross-sectional study involving 239 esports players revealed that approximately 58% of participants exhibited frequent awake bruxism behaviors. Researchers utilized the Oral Behaviours Checklist (OBC) to quantify these habits effectively. Specifically, the results showed a strong correlation between jaw clenching and psychological markers. In addition to general stress, players with higher levels of generalized anxiety and nomophobia were significantly more likely to experience frequent episodes. Therefore, the psychological state of the gamer directly impacts their physical oral health.
Managing awake bruxism in esports requires a comprehensive, multidisciplinary approach. While traditional dental interventions like occlusal splints remain relevant, addressing the psychosocial aspects is equally vital. Clinicians should prioritize screening for temporomandibular pain and assess daily digital habits. Moreover, nomophobia, characterized by the fear of being without a mobile phone, appears to contribute to the sustained muscle tension observed in these players. Because this digital anxiety is prevalent, lifestyle modifications must be part of the treatment plan.
Additionally, preventive strategies should focus on digital well-being and stress reduction techniques. Incorporating relaxation exercises and regular breaks during gaming sessions can help mitigate the physical toll of competitive play. Consequently, educating players about the link between anxiety and jaw tension may encourage earlier intervention. Finally, early screening for generalized anxiety can lead to significantly better outcomes for players suffering from persistent jaw-related discomfort.
Nomophobia, or the anxiety associated with being away from digital devices, creates a state of constant physiological arousal. This heightened stress response often manifests as sustained jaw clenching or bracing, which are core components of awake bruxism.
Players can reduce jaw tension by practicing conscious muscle relaxation and taking scheduled "digital detox" breaks. Using biofeedback techniques or apps to monitor jaw position during gaming can also help in breaking the habit of clenching.
Gamers should consult a dentist or a sports medicine specialist if they experience persistent jaw pain, frequent headaches upon waking, or visible wear on their teeth. Early diagnosis is key to preventing long-term temporomandibular joint (TMJ) disorders.
Disclaimer: This content is for informational and educational purposes only. It does not constitute professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition. Refer to the latest local and national guidelines for clinical practice.
References
Quadras ICC et al. Prevalence of Awake Bruxism and Psychosocial and Behavioural Factors in Esports Players: A Cross-Sectional Study. J Oral Rehabil. 2026 Feb 06. doi: 10.1111/joor.70163. PMID: 41646003.
Guzel C, et al. Association between video game addiction, stress, and bruxism in adolescents: a cross-sectional study. BMC Oral Health. 2025;25(1):454.
Soto-Goñi XA, et al. Adaptive Stress Coping in Awake Bruxism. Front Neurol. 2020;11:568831.

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