Botox for Bruxism

5 Jun 2024 | Featured, Treatments

Cambiamento dell’ovale del viso., squadrata dalle forze eccesive del muscolo. Prima e dopo trattamento tossina botulinica.


Botox to treat bruxism!?! Yes, we do in Studio Moll….


But what is meant by Bruxism?

Bruxism is the involuntary, and often unnoticed, act of clenching and grinding of teeth exorting extreme high forces (>100kg/mm2) on the enamel. It can present itself in various forms, more or less mild, but your dentist will be able to diagnose it if you have doubts. It is a very common disorder.

Episodes of bruxism can repeat several times during the night, but also during the day. Reaching the most acute form during REM sleep, the dream phase. The sound a person produces is loud and very disturbing. It might wake you up, or wake up your partner or the whole household. Yes, this means sleepless nights as like with SNORING. (referral NL-article)

In daytime we might brux during moments of strong stress (sport) or concentration (work).



1/ Excessive irreversible wear of enamel. TGrinding or clenching your teeth make the dental arches (see image) to collapse and vertical facial hight diminishes while horizontal features augments. Because the muscles, on the sides of your cheeks, swell (=hypertrophy). As would any bodybuilder’s muscle, following excessive loads and so the face takes on a squared and angled appearance. (Ridge-like in tv sitcom Bold & Beautiful).

Lips curl inward or outward and while speaking as sometimes even with laughing you don’t show any teeth.

You simply loose your smile….!!

2/Pain in the joints near your ears (=TMJ), causing headaches and numerous other pathologies like clicks and irreversible wear of joints etc.

3/Pain in teeth: Wearing them down, they become very sensitive and eventually the nerve might be exposed. This means root-canal treatments because the tooth’s lenght is halved down in size. Abfraction caused by excessive forces. (see newsletter)

4/NO dental implants: It is a contraindication for implant therapy. Bruxists patients have a higher chance to loose or break their implants because of excessive forces . (see NL interview with implant)


Usually, a night guard is prescribed to prevent nocturnal bruxism. But during the day….? The teeth will be damaged any way, if they are not protected also during the day.

We have found that for those who are day-grinders or clenchers, a remedy is represented by the infiltration of Botox, which can be used in association with, or as an alternative to classic therapies (night guard, orthodontics, muscle relaxant drugs).


What is the effect of Botolinum toxin in Bruxism?


Botulinum toxin is a medicine that slows down or eliminate the muscles impulses reducing it’s contractions and strenght. It’s effect is temporary and completely reversible within 6 months of administration.


How is the infiltration carried out and in which muscles and does it hurt?


The infiltration is usually a painless procedure.

The masseter muscle in your cheeks is infiltrated in 3 single points. And if necessary also the muscles on the side of your forehead, involved in especially the clenching activities, is infiltrated in 1 point. You can identify the muscles yourself placing a finger there while clenching and relaxing.

The full effect of the treatment is usually seen or felt after 2 weeks. The relaxation of these treated muscles also softens the features and gives the lower contour of the face a less squared, more oval and harmonious appearance The treatment can be repeated after 6 months.


Are there side effects?

They are very rare and of modest extent: soreness after infiltrations. Like a bruise it disappears after several days. Some muscle fatigue may rarely occur during chewing in the first 2 weeks, but after it disappears.


Of course we use Botox also for all it’s well known famous aesthetic facial treatments. Simply to create relaxed and invigorated facial skin. From the front to the neck. And we apply it also to treat the sagging jaw contours and neck, where fillers are not indicated.