Botulinum toxin treatment for bruxism

Botulinum toxin treatment for bruxism is an effective method for relieving the symptoms of teeth grinding and clenching. The procedure helps relax the jaw muscles, reducing pain and tooth wear. It is a quick and minimally invasive solution.

Text reviewed by specialist:

dr Dagmar Marandi

Oral, maxillofacial, and jaw surgeon, Prosthodontist

Published

Text updated

When to see a specialist

  • Jaw muscle pain and tension: caused by teeth grinding or clenching.
  • Headaches and migraines: especially in the morning, related to jaw muscle tension.
  • Tooth wear and fractures: to prevent further damage to the teeth.
  • Temporomandibular joint (TMJ) problems: pain, clicking, or limited movement.
  • Changes in facial shape: due to hypertrophy (enlargement) of the jaw muscles.
  • Improved sleep quality: by reducing night-time teeth grinding.
  • Improved comfort and quality of life: by relieving chronic symptoms.

Common symptoms

  • Changes in facial appearance

    If you notice changes in the jaw muscle area or facial symmetry.
  • Jaw joint and jaw muscle problems

    If there is jaw joint pain, clicking sounds, tension, stiffness, or chronic discomfort in the jaw area.
  • Jaw muscle tension or fatigue

    When you experience tension, stiffness, or fatigue in the jaw muscles, especially at the end of the day.
  • Morning headaches and jaw muscle discomfort

    If you frequently wake up with morning headaches or jaw muscle pain that persists or recurs regularly.

How to prepare for your appointment

  • Bring with you: ID card or other identification document.
  • Write down: your main questions and concerns you wish to discuss with the doctor.
  • Information about: previous dental procedures, medications used, and your general health is helpful.
  • Avoid: aspirin and other blood thinners according to the doctor’s instructions before the procedure.

What to expect during your appointment

Consultation and diagnostics

We discuss your symptoms, assess the condition of the jaw muscles, and take photos if necessary.

Treatment planning

The diagnosis is explained and suitable botulinum toxin treatment is proposed.

Procedure explanation

The doctor explains the procedure and answers any questions.

Injections

Botulinum toxin is precisely injected into the jaw muscles.

Aftercare instructions

Guidance is provided for post-procedure care.

Follow-up appointment

A follow-up visit is scheduled to evaluate treatment effectiveness.

Specialists providing this service

On the life long mission

Payment & Appointment Info

Payment methods

This service is not covered by Meliva Health Insurance. Check your personal coverage limits in the ERGO app.

Referral

You can book this service as a self-paying patient without a doctor’s referral.

Clinics offering this service

  • Open Kaarli Dental Clinic

    Kaarli Dental Clinic

    Address: Toompuiestee 4, 10142 Tallinn

    Phone number: +3726199119

Frequently Asked Questions

What is bruxism?

Bruxism is teeth grinding or clenching that can occur during the day or night and may cause various problems.

How does botulinum toxin treat bruxism?

Botulinum toxin is injected into the jaw muscles, where it blocks nerve signals that cause muscle contraction, thereby reducing muscle tension.

Is the treatment painful?

The injections are usually minimally painful and the procedure is quick. If needed, a topical anaesthetic can be used.

How quickly does the treatment work?

The effect typically begins within 3–7 days, with the full effect reached within 2 weeks.

How long does the effect last?

The effect usually lasts 3–6 months, after which the procedure needs to be repeated.

Is botulinum toxin safe?

Yes, botulinum toxin is widely used in medicine and is safe when administered by a qualified specialist.

Can I eat immediately after the procedure?

Yes, you can eat and drink immediately after the procedure. However, it is recommended to avoid intensive chewing for the first few hours.

Is botulinum toxin the only treatment for bruxism?

No, other treatment options include night guards, stress management, and physiotherapy. Botulinum toxin is one effective alternative.

Will the treatment change my facial appearance?

The goal is to relax the jaw muscles, which may in some cases reduce the width of the lower face, creating a slimmer facial appearance.

Do I still need to wear a night guard after treatment?

This depends on your individual situation and the doctor’s recommendation. In some cases, wearing a night guard may still be necessary after botulinum toxin treatment.