Scalloped Tongue: What This Common Symptom Says About Teeth Grinding

Scalloped Tongue: What This Common Symptom Says About Teeth Grinding

Key Takeaways 

  • A scalloped tongue often indicates pressure from nighttime teeth grinding or jaw clenching. 

  • The appearance of a scalloped tongue may signal underlying issues like bruxism, tongue posture problems, or airway restriction. 

  • Common scalloped tongue causes include muscle tension, poor sleep posture, and chronic clenching. 

  • Using a custom night guard can help prevent the grinding that leads to a scalloped tongue and protect long-term oral health. 

If you’ve ever looked in the mirror and noticed your tongue has a wavy, rippled, or pleated edge, you’ve spotted what dentists and doctors call a scalloped tongue. While the symptom itself is harmless, those distinct, indented edges that mimic the shape of your teeth are a visual clue that your tongue is pressing too hard against your teeth. 

It’s an often-overlooked sign of underlying issues like jaw tension and nighttime teeth grinding, also known as bruxism. If your tongue has wavy edges, asking Why is my tongue scalloped?” is the first step toward relieving the hidden pressure behind it. 

What Causes Scalloped Tongue? 

Among the most common scalloped tongue causes is sustained, excessive pressure from the tongue pressing against the teeth, often leading to what's known as crenated tongue. This pressure can be the result of a few overlapping factors: 

  • Tongue Pressing Against Teeth Due to Clenching: When you clench or grind your teeth, the muscles surrounding your jaw and mouth become tense. This tension can involuntarily narrow the space inside your mouth, forcing your tongue to press harder against the biting surfaces of your teeth. The longer this compression lasts, the more pronounced the indentations become. 

  • Swelling or Inflammation: When the tongue is slightly swollen, it has nowhere to go but out, which pushes it more firmly against the inner surface of your teeth. 

  • Jaw Positioning and Airway Compensation: In some cases, the pressure can be a sign of the jaw attempting to compensate for an airway that is slightly restricted during sleep. The tongue may reposition itself in an attempt to keep the airway clear, which increases its contact with the teeth. 

While the presence of a scalloped tongue is most often linked to jaw and muscle tension, less common causes can include nutritional deficiencies or medical conditions such as an underactive thyroid. However, the mechanical pressure from clenching is the most likely culprit for most people. 

The Connection Between Tongue Scalloping and Teeth Grinding 

The link between scalloped tongue and bruxism is direct and mechanical. Here’s how tongue scalloping and bruxism work together: 

  • Nighttime Clenching Squeezes the Tongue: As you sleep, if you are a clencher or grinder, you exert a massive force on your upper and lower teeth. This constant pressure causes the jaw muscles to tighten and the jaw to narrow slightly, effectively squeezing the tongue against the sides and edges of the teeth. 

  • Muscle Tension and Jaw Pain: The same forces causing the scalloped tongue are also leading to other common signs of bruxism, such as morning jaw tightness or fatigue and chronic tension headaches that start in the temples. 

  • Accompanied by Tooth Wear: Over time, the constant force of bruxism can also lead to visibly worn-down, flattened, chipped, or fractured teeth, as well as increased tooth sensitivity due to enamel wear. 

If you are seeing a scalloped tongue along with these other signs of bruxism, it's an indication that an intervention is necessary to protect your oral health and provide relief. 

When Scalloped Tongue May Signal Airway/Sleep Issues 

For some people, a scalloped tongue isn't just about clenching; it can be an early indicator of poor tongue posture or potential airway resistance during sleep. 

When the tongue falls backward and narrows the airway, the body can subconsciously tighten the jaw muscles to push the tongue forward and keep the airway open. This muscular effort creates the continuous pressure that results in the scalloped look. 

While an official diagnosis is best left to a sleep specialist or doctor, recognizing this correlation can motivate you to pay closer attention to your sleep quality and breathing. 

At-Home Checks for Teeth Grinding Symptoms 

If you suspect your scalloped tongue is connected to bruxism, a simple, non-diagnostic, 3-step self-assessment can help confirm your instincts: 

  1. Check Your Tongue Edges: Examine your tongue under good light. Do you see clear indentations, ripples, or waves along the sides? Are they more noticeable in the morning? 

  1. Assess Jaw and Head Pain: When you wake up, do your jaw muscles feel sore, tight, or tired? Do you regularly experience unexplained tension headaches, particularly around your temples? 

  1. Inspect Your Teeth: Do your teeth feel more sensitive to hot or cold? Have you noticed any visible chipping or flattening of the chewing surfaces? If you have a sleep partner, ask if they hear you making a grating sound while you sleep. 

Try tracking your mornings for a week. If you consistently experience these symptoms, it’s a strong signal that you are likely clenching or grinding. 

What to Do About Scalloped Tongue 

Addressing the underlying cause of your scalloped tongue, be it stress, jaw tension, or clenching, is key to relief and long-term oral health. 

Here are a few steps you can take: 

  • Stress & Habit Reduction: Since bruxism is often stress-related, incorporating stress-management techniques like meditation or stretching can help reduce the frequency and intensity of clenching. 

  • Sleep Posture Tweaks: Sleeping on your back may help improve tongue positioning and relieve pressure on the jaw muscles. 

  • Hydration and Inflammation Basics: Ensure you are well-hydrated, as dehydration can contribute to muscle tension. 

  • When to See a Dentist/Doctor: If you have severe pain, significant tooth damage, or suspect your sleep quality is affected, it is essential to consult a dentist or a medical doctor. 

Why a Custom Night Guard Helps 

A custom night guard is one of the simplest and most effective solutions for managing the consequences of bruxism, and it is a key part of treating symptoms such as a scalloped tongue. 

An expertly designed night guard for teeth acts as a cushion to protect your smile and relieve tension. 

  • Prevents Tooth Pressure into the Tongue: The guard physically separates your upper and lower teeth, preventing the direct clenching action that causes the tongue to be squeezed and pressed against the teeth. This separation helps reduce the pressure that causes the scalloping. 

  • Reduces Clenching Load: The guard's material absorbs the intense forces generated by clenching and grinding, which helps relax the jaw muscles and reduces associated pain and tension headaches. 

  • Protects Teeth: It protects the hard, non-replaceable surface of your tooth (enamel) from being ground down and prevents damage to dental restorations like crowns and veneers. 

Online Custom Guards, such as those from Clear Comfort Night Guards, offer the professional quality and precise fit of a dentist-made guard at a significantly more affordable price point. This allows you to get the protection you need without the high cost and multiple office visits. 

Protect Your Smile with Clear Comfort Night Guards 

A scalloped tongue is your body's way of signaling that something is creating excessive pressure in your mouth, and for most, that pressure is a result of teeth grinding. 

You don't have to live with the damage, pain, or discomfort of bruxism. Investing in a high-quality night guard for teeth is one of the easiest and most effective ways to protect your long-term oral health. 

Clear Comfort Night Guards is committed to providing a perfect balance of comfort, lab-quality materials, and unbeatable affordability, cutting out the expensive dentist middleman while maintaining the professional precision your smile deserves. 

Discover which Clear Comfort Night Guard is best for your needs and start experiencing the relief you deserve. 


Clear Comfort Night Guards

About Us

Clear Comfort Night Guards dental lab is located in Los Angeles County, California. Our lab has been servicing dentists for over 10 years by delivering thousands of perfectly fitted custom night guards, dentures, crowns, bridges, and other dental appliances.

Shop our products