BACKGROUND Awake bruxism is a common clinical condition that often goes undetected, often leading to pain or damaged teeth and restorations. METHODS The authors searched electronic databases regarding the treatment and effects of awake bruxism compared with those of sleep bruxism. The authors used the search terms diurnal bruxism and oral parafunction. The authors combined information from relevant literature with clinical experience to establish a recommended protocol for diagnosis and treatment. RESULTS The authors found articles regarding the diagnosis and treatment of bruxism. The authors combined information from the articles with a review of clinical cases to establish a treatment protocol for awake bruxism. CONCLUSIONS Literature and clinical experience indicate a lack of patient awareness and, thus, underreporting of awake bruxism. As a result, myriad dental consequences can occur from bruxism. The authors propose a need for increased awareness, for both patients and professionals, particularly of the number of conditions related to awake bruxism. PRACTICAL IMPLICATIONS Clinicians should look for clinical signs and symptoms of awake bruxism and use minimally invasive treatment modalities.