Bruxism treatment with Botox®

Bruxism (=teeth grinding) is the unconscious clenching and grinding of the upper and lower jaw. The teeth are pressed together with a lot of pressure and rubbed against each other.

The cause of teeth grinding is the uncontrolled tensing of the chewing muscles.

There are many reasons for the development of bruxism. From stress conditions and psychological causes to poorly fitting dentures or crowns or fillings that don't fit - the cause is often a combination of different factors.

If left untreated, teeth grinding can have far-reaching consequences for the teeth, the body and even the entire musculoskeletal system.

Brief overview of treatment with Botox:

Duration of treatment:
15-45 minutes

Anaesthesia:
as a rule none

Follow-up treatment:
not special

Load restrictions:
none - no sport for one day

What are the causes of bruxism?

The causes of bruxism are varied and can include both physical and psychological factors. Stress and anxiety are the most common triggers, as they often lead to unconscious tension in the jaw muscles. Other possible causes include sleep disorders, such as sleep apnoea, and misalignment of the teeth or jaw. Certain neurological and medical conditions as well as the consumption of stimulants such as caffeine or alcohol can also favour bruxism. In some cases, bruxism can also occur as a side effect of certain medications.

Stress-related teeth grinding

Stress-induced teeth grinding, also known as bruxism, often occurs when there is a high level of emotional stress. Stress or anxiety lead to tension in the jaw muscles, which causes unconscious grinding or clenching of the teeth, usually during sleep. Causes include work pressure or family problems.

Why should teeth grinding be treated?

Teeth grinding, also known as bruxism, should definitely be treated as it can lead to a variety of health problems. These include tooth damage such as wear and cracks, jaw joint pain, headaches and tension in the chewing muscles. In the long term, untreated bruxism can also cause sleep disorders and significantly impair quality of life.

What are the symptoms of bruxism?

Bruxism often manifests itself through night-time teeth grinding or jaw clenching, which often goes unnoticed by the person affected. Other symptoms can include teeth marks on the inside of the cheeks, worn tooth surfaces, sensitive teeth, pain in the jaw and face and frequent headaches. Many sufferers also complain of tension in the neck and shoulder area. In some cases, jaw clenching or locking may even occur.

What is done during an injection with Botox?

During bruxism treatment, botulinum is injected directly into the chewing muscle with three to four punctures. The medication ensures that the muscle is slowed down and can no longer contract as strongly, which means that it is no longer trained as strongly and slowly breaks down muscle substance.

How does botulinum toxin work?

It acts like a muscle brake that weakens or even completely slows down the transmission of the command to contract from the nerve to the muscle - depending on the dose and desired effect. Depending on the dosage, the product selected and the individual metabolism, it breaks down again exactly where it was introduced over the course of four to six months.

When does the effect start?

In the treatment of bruxism (teeth grinding), the effect of botulinum toxin usually sets in within 3 to 7 days. Patients notice a noticeable relaxation of the chewing muscles and a reduction in symptoms. The maximum effect is often achieved after around 2 weeks.

How long does the effect last?

The effect of botulinum toxin in the treatment of bruxism usually lasts for around 3 to 6 months. However, this period can vary from patient to patient, depending on individual factors such as metabolism and the activity of the masticatory muscles. After this time has elapsed, further treatment may be necessary to continue to alleviate the symptoms.

When will I be fit for work again?

Immediately after treatment. You should only avoid sport and physically strenuous work for the next 24 hours. Apart from the puncture, no pain is to be expected.

Is anaesthesia necessary?

No anaesthetic is generally required for botulinum injections.

Conclusion on treatment

Treatment with Botox is useful when conventional methods such as dental splints or physiotherapy do not produce the desired results. Botulinum toxin injections can be an effective solution, particularly in cases of severe tension in the chewing muscles and a high frequency of teeth grinding. The targeted relaxation of the muscles reduces the pressure on the teeth, which not only reduces the wear and tear on the teeth but can also alleviate jaw joint pain and headaches.

Botulinum has been used to successfully treat neurological disorders for decades.

Do you suffer from bruxism or have questions?

We will be happy to answer all your questions. Arrange your personal consultation.