Biting Tongue in Sleep: 8 Causes and Treatment Options (2024)

Table of Contents

Why Does a Person Bite Their Tongue Unconsciously During Sleep?

Causes Of Biting Tongue In Sleep

1. Sleep Apnea

2. Nocturnal Seizures

3. Sleep Rhythmic Movement Disorder

4. Sleep Bruxism

5. Misaligned Bite

6. Facio-Mandibular Myoclonus

7. Lyme Disease

8. Drug Use

Symptoms Of Biting Tongue In Sleep

1. A Sleep Study

2. Apply Ice To Affected Areas

3. Rinse Mouth With Salty Water

4. Mouth Guards And Splints

5. Reduce Stress

6. Meet a Doctor

When Should One Seek For Immediate Medical Attention?

Preventing Biting Tongue In Sleep

Bottom Line

Most people bite their tongues accidentally while eating or talking. However, did you know? It is common to bite the tongue in sleep too? Conditions like facial muscle spasms can be the reason for biting tongue in sleep.

Biting tongue in sleep is a common problem in children. But it can also affect adults as well. When someone bites the tongue during the daytime, he or she is mostly conscious.

But when a person bites their tongue unconsciously during the night, it may be to some underlying medical condition. People who bite their tongues at night are at risk of developing an infection, or ulcers on their tongues.

Why Does a Person Bite Their Tongue Unconsciously During Sleep?

There may be various underlying reasons which may result in biting tongue in sleep.

One common reason is when your tongue is enlarged or swollen. It is easier to bite down on it frequently in this case while you are sleeping.

If one wants to prevent biting tongue in sleep, the person must first find the cause of it. Frequent biting may be an indication of sleep apnea, bruxism, nighttime seizures, or stress. And it is important to acknowledge that sleep-related disorders can be dangerous and not only affect your oral health but also your entire health.

Biting Tongue in Sleep: 8 Causes and Treatment Options (1)

Causes Of Biting Tongue In Sleep

There are several reasons which may result in a person biting tongue in sleep.

The common causes of involuntary tongue biting are:

1. Sleep Apnea

Biting tongue in sleep is common in many people suffering from sleep apnea.

People with sleep apnea often have a large tongue or the muscles in their mouth are abnormally relaxed during sleep. It causes lapses in breathing and oxygen deprivation.

Common symptoms of sleep apnea are:

  • Snoring
  • A large neck circumference
  • Headaches
  • Teeth grinding

Sleep apnea can cause your jaws to clench together when your body is deprived of air.

2. Nocturnal Seizures

These epileptic seizures are caused by unusual electrical activity in the brain cells. This usually causes the muscles of the body to tighten or weaken temporarily.

Nighttime seizures may be an indicator of epilepsy. These people may not have any other symptoms during the daytime which makes it harder to determine the cause of tongue injuries.

People who suffer from epileptic seizures lose control over their behaviors and movements and tend to bite their tongues unconsciously. These bites usually occur on the tip of the tongue or the sides. If a person has chronic diseases he or she is more likely to experience biting on parts of the tongue, especially the edges. It can cause muscle tension and jerking movements.

The condition can be diagnosed by observing their brain waves. The primary treatment for this medical disorder is a prescription medication.

3. Sleep Rhythmic Movement Disorder

People suffering from these sleep disorders experience sudden jerks, rapid movements, or twitching when they are asleep. It usually occurs in the head and neck area.

Sleep rhythmic movement disorder is most common in children and can involve head banging, head rolling, and body shaking. This may lead to injuries in the eyes, tongue, and brain. The effect of this sleep disorder decreases with growing age.

They are involuntary and usually occur just before or during sleep and last up to 15 minutes. Brain and eye damage may occur in serious but rare cases.

Adults who experience sleep rhythmic movement disorder are advised to have controlled sleep restrictions or prescribed medication which can be used to treat their condition.

4. Sleep Bruxism

When a person grinds or clenches his teeth involuntarily while sleeping, it is called sleep bruxism. This teeth-grinding habit can lead bruxers to accidentally bite or scrape the tongue. In most cases, it is accompanied by other sleeping disorders like sleep apnea which can cause pauses in breathing.

Frequent teeth gnashing can lead to intense pain, tongue bleeding redness, or a swollen tongue or lip. Some common symptoms of Bruxism are headaches, jaw pain, and flattened or worn teeth. You may also suffer from tongue scalloping due to this disease.

5. Misaligned Bite

A misaligned bite can cause bruxism as well as tongue biting while sleeping. It can also restrict the movement of your tongue. It forcefully sits unnaturally in the mouth which eventually results in more frequent tongue biting.

The improper alignment of the upper and lower teeth can cause these painful symptoms.

6. Facio-Mandibular Myoclonus

Facio-Mandibular Myoclonus is a parasomnia distinguished by forceful muscle jerks of masticatory muscles in sleep. This problem commonly comes with recurrent nocturnal tongue biting.

It is a rare and under-recognized parasomnia and is often misdiagnosed as nocturnal seizures.

7. Lyme Disease

Lyme disease is a bacterial infection that negatively affects the brain and nervous system. It results in incorrect or misfired nerve signals throughout the body.

People experience involuntary movements while sleeping as a side effect that can cause them to bite their tongues.

8. Drug Use

Recreational drugs like MDMA and other stimulants can lead to excessive gnashing of teeth and biting tongue in sleep.

These drugs speed up the activity in the central nervous system which causes an adrenaline rush. The body reacts by grinding the teeth, clenching the jaw, and biting the tongue and cheeks.

The drug can increase anxiety at times. As the drugs act at a low level, people don’t often realize the damage they have been inflicting on their oral health.

Biting Tongue in Sleep: 8 Causes and Treatment Options (2)

Symptoms Of Biting Tongue In Sleep

The habit of biting the tongue while sleeping can be downright irritating and painful. People who bite their tongue, do it on the sides that are closer to the tip of the tongue.

You can more likely observe a white line down the side of your tongue where your teeth keep biting it. It can also cause pain when you are speaking or eating. It can happen at any stage of life.

You cannot easily determine that you have been biting tongue in sleep. However, there are various signs which indicate that you suffer from this problem. These may include:

• Tongue ulcer in that region
• Redness or a swollen tongue
• Tongue bleeding
• Pain
• Raw, scalloped edges on the tongue
• Cuts or marks on the tongue

Treatment For Biting Tongue In Sleep

Tongue biting can cause injuries. The healing process depends on the severity of the injury. Minor tongue injuries heal on their own within a week. But severe injuries may require medical attention like stitches or medication. This may take several weeks or even months to fully heal.

Nighttime tongue biting may bleed. Usually, we don’t require medical treatment for this as they heal normally. If the bite is minor, you can treat it at home. However, there are certain treatments recommended too.

1. A Sleep Study

You can consult your neurologist if you suspect having seizures in your sleep. They will conduct a sleep study for you to determine what is exactly happening in your brain when you are asleep.

The sleep study consists of an EEG machine that monitors your brainwave activity in the different stages while sleeping. This will disclose the many possible reasons for your tongue-biting habits and make it easier to find a cure.

2. Apply Ice To Affected Areas

If you suffer from tongue injuries like swelling, cuts, or redness, you can topically apply ice on the affected area. Treating the area with a cold compress will reduce the pain. Ice will also reduce the inflammation and swelling in the tongue.

3. Rinse Mouth With Salty Water

If you have an open wound, you can use a warm salt water rinse for about 20 seconds. The warm and salty water will kill the bacteria and prevent any infection to creep in. It also speeds up the healing process.

4. Mouth Guards And Splints

Having night guards and splints can be an effective tool to prevent biting tongue in sleep. For a person suffering from bruxism, mouthguards are the best option to prevent further damage.

The problem of clenching or biting the tongue can be easily solved if one buys a custom-fitted mouthguard for tongue biting.

5. Reduce Stress

Anxiety and depression are precursors of bruxism. Tongue biting may be associated with high levels of stress and anxiety. One can learn stress management through yoga, meditation, or other relaxation methods.

6. Meet a Doctor

If you suspect that you have done serious damage to your oral health, you must visit a doctor. They can help to assess the state of your mouth and identify any underlying problems.

One should get immediate medical assistance on facing these symptoms:

• Tongue appears red or swollen
• It is very painful
• Tongue starts bleeding excessively
• Looks visibly deformed
• When the tongue bleeds for a second time after the original bleeding has stopped
• When it feels warm
• Is accompanied by a fever
• When you see red streaks or pus on the tongue

Preventing Biting Tongue In Sleep

If you tend to bite your tongue during sleep, you can go to a dental office and grab a mouth guard to prevent biting. The oral device will slip easily over the teeth and prevent you from biting your tongue.

The device prevents the tongue from moving around the mouth during sleep. This will eventually prevent the teeth from biting it.

Bottom Line

Many people are unaware of these issues and detect what’s going on because of chronic sores and pain. It is important to determine the underlying cause of the pain and treat the condition accordingly.

Take measures to prevent your tongue from biting and visit the doctor if needed.

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Suggested reading: Importance of Acknowledgement in Relationships

Biting Tongue in Sleep: 8 Causes and Treatment Options (2024)

FAQs

How do you treat tongue biting in your sleep? ›

Tongue biting treatment

Treatment for tongue biting involves treating the underlying condition. Those suffering from sleep bruxism or sleep apnea may benefit from wearing a mouthguard at night. Talk to a dentist or doctor about which are best for your condition.

Why do I suddenly bite my tongue in my sleep adults? ›

These are referred to as nocturnal seizures. Like any other seizure, nocturnal seizures cause individuals' muscles to tighten and they experience erratic, uncontrollable movements, including tongue biting. Medication can help control seizures and limit tongue biting.

Why do I wake up with bites on my tongue? ›

The top reasons someone may experience tongue biting during sleep include: Nighttime seizures. Grinding your teeth. Rhythmic movement disorder.

Is biting your tongue a symptom of MS? ›

MS attacks cause lesions to form in your nervous system, and the symptoms you experience are based, in part, on where those lesions develop. Some people with MS experience involuntarily biting their tongue.

How long does it take for a bitten tongue to heal? ›

Less severe tongue injuries tend to heal on their own within a week, while more severe injuries will need a dentist's attention and may require stitches and medication. These may take several weeks or even months to fully heal. A tongue bite may also bleed, even if it's small.

What type of seizure is tongue biting? ›

The presence of tongue bite strongly suggests epilepsy (occurs in up to 41% of generalised tonic clonic seizures), although it may occasionally occur in syncope (2–6%). The site of the laceration should be noted, as it is typically lateral in epilepsy, but at the tip of the tongue in syncope.

Can sleep apnea affect your tongue? ›

A 2014 study led by Schwab compared obese patients with and without sleep apnea, and found that the participants with the condition had significantly larger tongues and a higher percentage of tongue fat when compared to those without sleep apnea.

When should I be worried about biting my tongue? ›

If there's major tissue damage or continuous bleeding, you should see a doctor. However, in most instances, you can treat your tongue bite at home using these steps: Start by washing your hands and putting on gloves. Rinse your mouth with water to clear any blood or debris.

Does biting your tongue mean something? ›

Bite Your Tongue Meaning

This expression means to prevent yourself from saying something, usually to another person, because you think saying it would negatively affect the situation. It may be a criticism of the person, a secret you promised not to tell, or other information you feel would be harmful to the situation.

What age does MS usually start? ›

MS can appear at any age but most commonly manifests between the ages of 20 and 40. It affects women two to three times as often as men. Almost one million people in the United States have MS, making it one of the most common causes of neurological disability among young adults in North America.

What are signs of MS in woman? ›

What are some of the common symptoms of MS?
  • fatigue.
  • numbness and tingling.
  • loss of balance and dizziness.
  • stiffness or spasms.
  • tremor.
  • pain.
  • bladder problems.
  • bowel trouble.

What are the home remedies for tongue bite? ›

If there is pain and swelling, wrap the cloth around some ice. If it's a deep cut and you need to stop your tongue from bleeding, try rinsing (not drinking) your mouth with 1 part hydrogen peroxide and 1 part water. For pain relief after meals, you can try rinsing your mouth with warm salt water.

Can you get rid of bites on tongue? ›

Most tongue bites won't require treatment. If there's minor bleeding or pain, you may treat the bite with some first aid tools (like a gauze pad) or pain reliever. If the tongue is badly injured and swelling or bleeding excessively, you should seek immediate emergency care.

Does biting your tongue in your sleep mean you had a seizure? ›

These are referred to as nocturnal seizures. Like any other seizure, nocturnal seizures cause individuals' muscles to tighten and they experience erratic, uncontrollable movements, including tongue biting. Medication can help control seizures and limit tongue biting.

What is the best tongue position for sleeping? ›

Known as “tongue positioning,” there is a right and wrong way. When closing the mouth, the teeth should be slightly apart while the tongue rests on the roof of the mouth but not against the teeth. Not only does this correct form of tongue positioning ensure better oral health, but it also prevents teeth from shifting.

What is the correct tongue position when sleeping? ›

Proper Tongue Posture While Sleeping

It should be resting at the roof of your mouth, particularly behind the front top teeth. In fact, there's a connection happening in that area behind the teeth when the tongue is resting there. By making this connection, it helps signal the release of dopamine and serotonin.

What does your tongue look like with sleep apnea? ›

Patients with OSA often present with a scalloped tongue5, as pictured here (data on file). A scalloped tongue will appear swollen or puffy. Often, patients unconsciously push their tongues into their mandibular teeth as they strain to breathe while asleep.

How do you fix a tongue thrust at night? ›

Make sure your tongue is pushing against the gum. Next, bite your teeth together and keep your lips apart. Lastly, swallow but be sure to keep your teeth together and lips apart. Performing this exercise two times in the morning and in the evening can stop tongue thrusting in its tracks.

Why do I chew in my sleep? ›

Causes of teeth grinding

stress and anxiety – this is the most common cause of teeth grinding. sleep problems like snoring and sleep apnoea. taking certain medicines, including a type of antidepressant known as selective serotonin reuptake inhibitors (SSRIs)

Why do I keep accidentally biting the inside of my mouth? ›

Some people bite or chew on the insides of their cheeks due to stress, anxiety, or even depression. If this might be the case, see your medical doctor. The answer is often to treat the underlying condition, and help is available for these conditions.

How do I stop biting my cheeks when I sleep? ›

How to stop cheek biting
  1. chewing gum to replace cheek chewing — your dentist will recommend sugarless.
  2. taking deep breaths when you feel the urge to chew on your cheek.
  3. identifying triggers that make the habit kick in, and then replacing the cheek biting with another activity.
Apr 11, 2018

Is there a cure for tongue thrust? ›

Tongue thrust can be treated in different ways with early diagnosis, removal of underlying causes, correcting tongue posture, and breaking of habit with the use of orthodontic appliances.

Can tongue thrust be cured? ›

Generally, the tongue-thrust swallowing pattern may be handled in two ways: Correction by MyoFunctional Therapy or Tongue Therapy, which is an exercise technique that re-educates the tongue muscles. It is similar to “physical therapy” for the tongue, which is taught by a trained therapist.

Does anxiety cause tongue thrusting? ›

Rubbing and thrusting of the tongue against the teeth occurs as a manifestation of anxiety in the tense, apprehensive, pent-up individual; it occurs par ticularly when the person is subject to emo tional stress.

Is sleep bruxism serious? ›

Bruxism can happen while awake or asleep, but people are much less likely to know that they grind their teeth when sleeping. Because of the force applied during episodes of sleep bruxism, the condition can pose serious risks to tooth and jaw health and may require treatment to reduce its impact.

Does bruxism go away? ›

If you are suffering from bruxism, do not assume that it will go away on its own. Speedy diagnosis will be the first step in a successful route toward recovery. The longer bruxism continues untreated, the higher chance there will be serious dental and health problems as a result.

Which medication may lead to bruxism? ›

Bruxism is an under-recognised adverse drug reaction particularly associated with use of antipsychotics and selective serotonin reuptake inhibitors. A recent systematic review of case reports found it was most commonly reported with fluoxetine, venlafaxine and sertraline.

Is biting the inside of your mouth anxiety? ›

It can also be a sign of misaligned teeth. However, repeated chewing inside of the mouth is a sign of anxiety. Like hair pulling and skin picking, cheek biting can be a physical manifestation of stress. In these cases, the act of biting your cheek is known as a body-focused repetitive behavior (BFRD).

What does it mean you bite your tongue? ›

When you use the phrase 'Bite Your Tongue' you mean to keep quiet, particularly in. the event someone is saying something rude or unpleasant. Example of use: “I know you want to yell at him, but you'll just have to bite your tongue.”

Why do I keep biting my tongue and inner cheek? ›

Chronic Biting

Just as many habitually chew on their nails, many repetitively chew on the insides of their cheeks. Stress and anxiety can leave many gnawing at the soft skin inside their mouth, leaving their cheeks hurting, irritated, and swollen. Most of the time, people do it mindlessly and out of boredom.

What is the psychology behind biting your cheek? ›

The behavior is more common for people who experience higher levels of stress and anxiety. Some people are compelled by the need for a smooth feeling of the inner cheek lining. Any perceived impurity such as a bump or scratch may produce the uncontrollable urge to remove the imperfection by biting the area.

What is chronic cheek biting? ›

Chronic cheek biting is a body-focused repetitive behavior that has an association with obsessive-compulsive disorder. Cheek biting and the biting of other areas in the mouth affect 750 out of every 1 million people . Research suggests that this behavior is more common in females than in males.

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