Equilibration and TrP treatment must take place together. Otherwise, they may both be ineffective. Sometimes splinting makes things worse for them. Patients have been known to bite right through a splint in one night. Often, processed, reinforced splints are required.
Teeth clenching is a default mechanism of the brain.
When it doesn't know what to do to respond to mixed or erratic signals, it may clench the jaw a sort of twiddling of the cranial thumbs. Look for masseter TrPs and temporalis TrPs. Problems swallowing, chewing pain, jaw clicking, TMJ symptoms, soreness inside the throat, excessive saliva secretion and sinusitis-like pain, drooling during sleep, and choking on saliva can all result from an internal medial pterygoid TrP, which is often overlooked. Trigger Points and Toothaches Unexplained toothaches can be caused by several TrPs, chiefly in the temporalis, digastric, and masseter muscles. Each TrP has its own particular toothache pattern.