AbstractIntroductionBruxism is a spectrum of masticatory muscles activities. According to the recent evidence and international consensus, there is no indication to treat bruxism unless clinical consequences are present. The aim of the present study was to investigate the approach of Italian dentists to bruxism in their clinical practice.MethodsAn anonymous online survey was developed, composed by 26 items grouped into five sections: (1) Characteristics of the respondent (Q1–Q6); (2) Bruxism frequencies (Q7–Q11); (3) Bruxism assessment (Q12–Q15); (4) Bruxism management (Q16–Q20); (5) Occlusal splints therapy (Q21–Q26).ResultsA total of 384 practitioners, including specialists and non‐specialists, participated in this survey. The majority of the respondents reported that 1–3 out of ten patients presented with bruxism. The diagnosis is mainly performed with non‐instrumental methods, and facial pain and dental wear are the major clinical consequence associated with bruxism. Almost the entire sample of respondents report to offer occlusal splints to bruxism patients, and 41% refer to perform occlusal adjustments. Almost half of the respondents have never proposed any form of cognitive‐behavioural therapy.ConclusionThe results of the current survey highlighted several inconsistencies in Italian dentists' approaches to bruxism, suggesting the need for better education of practitioners and for the development of a standardized protocol to assess and manage bruxism in dental practices.