Bruxism occasional tooth grinding. It has been shown that the majority (86%) of sleep bruxism episodes occur during periods of sleep arousal. One study reported that sleep arousals which were experimentally induced with sensory stimulation in sleeping bruxists triggered episodes of sleep bruxism. Sleep arousals are a sudden change in the depth of the sleep stage, and may also be accompanied by increased heart rate, respiratory changes and muscular activity, such as leg movements. Initial reports have suggested that episodes of sleep bruxism may be accompanied by gastroesophageal reflux, decreased esophageal pH (acidity), swallowing, and decreased salivary flow. Another report suggested
The Grinding Wheel has received generally positive reviews from critics. Blabbermouth.net writer Ray Van Horn Jr. gave the album a rating of nine-and-a-half out of ten, and said, "If you think Overkill expended its tanks producing output with such astonishing velocity, you don't know this band very well. For its eighteenth album, "The Grinding Wheel", Overkill does the unthinkable: it outdoes itself. Consider that some fans dropped off after 1991's "Horrorscope", which is those poor saps' folly. For the diehard wrecking crew, "The Grinding Wheel" is going to be a gift to cling to throughout 2017." He finished his review, saying that the