Treating teeth grinding (bruxism) with botulinum toxin - effective help against tense chewing muscles
The most important facts at a glance
Teeth grinding affects about 20-30 % of the population and, if left untreated, leads to serious consequences such as tooth damage, chronic headaches and problems with the temporomandibular joint. Treatment with botulinum relaxes the overactive masticatory muscles by up to 40 % and noticeably reduces unconscious grinding after just one week. In combination with a bite splint, this therapy is considered the gold standard for chronic bruxism.
| Method | Relaxation of the chewing muscles with botulinum toxin |
| Duration of treatment | 10-15 minutes, no downtime |
| Start of effect/peak | 3-5 days / 10-14 days |
| Durability | 3-6 months (average 4 months) |
| Follow-up check | After 2 weeks for dose optimisation |
| Sociability | Immediately after treatment |
Grinding your teeth at night is more than just an annoying habit - it is a serious strain on your teeth, jaw and overall quality of life.
Treatment with botulinum toxin has established itself in recent years as one of the most effective non-surgical methods for chronic teeth grinding. Unlike a bite splint, which only protects the teeth, we treat the cause of the discomfort - the overactive muscles. The result: less pain, better sleep and teeth that are protected in the long term.
What is bruxism - and why do so many people grind their teeth?
Bruxism - the chronic Teeth grinding - denotes the unconscious grinding, pressing or rubbing with the Teethwhich mainly occurs at night during sleep. These as Sleep bruxism This well-known form affects millions of people worldwide and often goes unnoticed for a long time. Those affected wake up in the morning with a tense jaw, without remembering the night's sleep. Teeth grinding to remember.
The causes: A complex interplay
The causes for Teeth grinding are diverse and often interlinked. Stress and psychological Tension are considered the main trigger, as the brain unconsciously tries to process the stresses of the day during sleep. The chewing muscles can clench with a force of up to 480 kilograms per square centimetre - many times the normal chewing force. Especially Stress in professional life leads to increased Teeth grinding at night.
Other factors that we regularly observe at Medical NOVA are Sleep disordersmalalignment of the temporomandibular joint, certain medications or genetic predisposition. Sleep disorders often reinforce the Sleep bruxismbecause the deep sleep phases are disturbed and the Tension cannot be reduced. In recent years in particular, we have noticed a significant increase in younger patients in whom the symptoms have been exacerbated by occupational stress. Stress and digital overload.
Symptoms and consequences of teeth grinding in everyday life
The consequences of untreated bruxism manifest themselves on several levels and significantly impair quality of life. Firstly, the tooth enamel suffers from the constant mechanical stress. The Teeth become abraded, sensitive to cold and heat and can even break off in advanced stages.
Damage to teeth and dentures
Fillings and crowns are made by the loosened or damaged by enormous forceswhich leads to frequent visits to the dentist and costly repairs. Many of those affected only realise the extent of the damage at the dentist when considerable substance has already been removed from the teeth. Teeth has been lost.
Muscular and nervous complaints
The muscular complaints are often even more stressful than the tooth damage. Many of those affected suffer from chronic Headachewhich radiate from the tense jaw to the temples and neck. The overactive chewing muscles lead to pain when opening the mouth. Mouthswhen chewing and even when speaking. A pronounced tension often develops in the entire shoulder and neck area. The permanent Tension of the musculature leads to chronic Headachethat can influence the entire day.
| Affected areas | Common symptoms | Long-term consequences |
|---|---|---|
| Teeth | Abraded tooth enamel, sensitivity | Tooth damage, tooth loss, frequent repairs |
| Masticatory muscles | Tension, feeling of pressure, hardening | Chronic pain, limited function |
| Temporomandibular joint | Cracking, pain when chewing | Osteoarthritis, functional disorders (CMD) |
| Head & neck | Morning headaches, tension, tension | Chronic tension headaches, migraines |
| Sleep quality | Restless sleep, exhaustion | Chronic fatigue, reduced performance |
The temporomandibular joint itself can be damaged by constant strain, leading to cracking noises, restricted mouth opening and, in the worst case, degenerative changes. This craniomandibular dysfunction (CMD) is particularly insidious as it is often difficult to treat and causes chronic discomfort.
Treatment with botulinum toxin: how the "chewing muscle Botox" works
The treatment of bruxism with botulinum toxin has proven to be Highly effective therapy option established. In contrast to purely aesthetic applications, the medical benefits are the main focus here. The active principle is based on the targeted relaxation of the overactive masticatory muscles, in particular the masseter muscle - the strongest masticatory muscle in the human body.
The active principle: relaxation instead of paralysis
During the injection, botulinum toxin type A precisely into the tense areas of the masticatory muscles. The active ingredient blocks the transmission of signals between the nerve cell and muscle by inhibiting the release of the neurotransmitter acetylcholine. This leads to a controlled, partial relaxation of the muscle.
It is important to understand that the treatment does not completely eliminate muscle strength, but reduces it to a minimum. reduced to a normal, healthy level. You can continue to chew and speak normally after the treatment - only the excessive, harmful Teeth grinding is prevented. The Mouth can be moved without restrictions and the natural chewing function is fully preserved.
Fact check on bruxism treatment
| Active ingredient | Botulinum toxin type A |
| Onset of action | Noticeable after 3-5 days, full effect after 10-14 days |
| Duration of effect | 3-6 months (average 4 months) |
| Recommended repetition | 2-3× per year for sustainable results |
| Relaxation of the muscles | Up to 30-40 % reduction in muscle activity |
Scientific evidence and study situation
Scientific studies published in renowned journals such as the Journal of Oral Rehabilitation provide impressive evidence of the effectiveness of this treatment method. Controlled studies have shown that the masticatory muscles relax by up to 30-40 % after botulinum toxin treatment. In most patients, this leads to an improvement in the chewing muscles after the first treatment. significant reduction of night-time grinding and the associated symptoms.
The additional aesthetic effect: face slimming
An additional positive effect that many patients appreciate is the aesthetic narrowing of the jawline. Years of overactivity often cause the masseter muscle to enlarge, resulting in an angular, wide lower jawline. The relaxation caused by botulinum toxin allows the muscle to become slimmer again over time - an effect that is known as "Face Slimming" or "Jawline Contouring" and is often perceived as a pleasant side effect.
Treatment procedure at Medical NOVA
At Medical NOVA, every bruxism treatment follows a structured, multi-stage processwhich guarantees the highest quality standards and optimum safety. Our many years of experience in the precise treatment of sensitive facial areas will be of particular benefit to you.
Initial consultation
Medical history, examination of the masticatory muscles, treatment plan
Preparation
Disinfection, marking of the injection points
Injection
Precise treatment (10-15 minutes)
Aftercare
Check-up after 2 weeks, follow-up
Step 1: Detailed anamnesis and diagnostics
Treatment begins with a detailed initial consultation at our practice in Bülach. The doctor first examines the chewing muscles by palpation and assesses the degree of tension. A thorough medical history clarifies the individual complaintsprevious therapy attempts and possible contraindications. It is particularly important to differentiate between nocturnal Sleep bruxism and pressing during the day, as this can influence the treatment strategy.
We take time for this analysis phase - typically 20 to 30 minutes - to get a comprehensive picture of your situation. Possible concomitant diseases such as Temporomandibular joint problems or chronic headaches are recorded in order to develop a holistic treatment plan. We also take into account factors such as Stress and Sleep disordersthat the Teeth grinding can be strengthened.
Step 2: Professional preparation
On the day of the actual treatment, the skin is first thoroughly disinfected. The doctor then marks the exact injection points on the masseter muscle and, if necessary, on the temporal muscles. This precise planning is crucial for the success of the treatment and distinguishes a Professional application from improper treatment.
Step 3: The actual treatment
The injection itself only takes around 10 to 15 minutes and is carried out using fine needles. Most patients find the short injection well tolerated - comparable to an injection with a needle. Botox-treatment on the face. Typically, 15 to 30 units of botulinum toxin are injected at several points per side, with the exact dosage depending on the size and activity of the chewing muscles.
Step 4: Aftercare and follow-up appointment
Aftercare plays an important role in the success of the treatment. In the first 24 hours after the injection, you should refrain from sport, sauna, intensive massages in the facial area and excessive exposure to heat. The treated area should not be pressed or massaged in order to avoid Diffusion of the active ingredient in neighbouring muscle groups.
- First 24 hours: No sporting activity or sauna visits
- Do not massage or touch treated areas vigorously
- Upright posture for 4 hours after treatment
- No extensive facial treatments in the treatment area
- Attend a follow-up appointment after 2 weeks to optimise the dose
After around two weeks, a follow-up appointment takes place at which we evaluate the effect and make adjustments if necessary. This follow-up check is particularly important for the initial treatment, as each muscle reacts individually to the botulinum toxin and we can thus optimise the effect. optimal dose for you can determine.
Frequent, harmless side effects
Most side effects occur immediately after treatment and disappear on their own within a few hours to days. These include slight swelling at the injection sites, temporary reddening of the skin and occasionally small haematomas. These can be observed in around 10 % of patients and usually subside within a week.
Rare side effects can be Temporary difficulties chewing hard food or a feeling of heaviness in the jaw. These symptoms usually only occur in the first few days and disappear as soon as the muscles have adapted to the new situation.
Contraindications: When should caution be exercised?
Bruxism treatment with botulinum toxin is not suitable for everyone. Contraindications include pregnancy, breastfeeding, known allergies to botulinum toxin, neuromuscular diseases such as myasthenia gravis and certain medications that can influence the effect. A detailed medical history in advance ensures that the treatment is suitable for you. Suitable and safe is.
Effect & durability - what you can expect
The effect of botulinum toxin develops gradually and naturally. Unlike other treatments where the result is immediately visible, the effect unfolds over several days, creating a very natural transition.
| Timing | Effect | Special features |
|---|---|---|
| Day 1-2 | No noticeable change | Botulinum toxin needs time to take effect |
| Day 3-5 | First noticeable relaxation | Slow reduction of muscle activity |
| Day 10-14 | Maximum effect achieved | Optimal time for check-up appointment |
| Month 3-6 | Full effect lasts | Individual variation depending on metabolism |
Long-term strategy for sustainable results
The average duration of effect is 3 to 6 months, although this period depends on various individual factors. For lasting relief, we recommend Repeat treatment every 4-6 monthsuntil the muscles have become accustomed to the reduced activity in the long term. With regular treatments, we often observe an extension of the duration of effect.
When a combination with a dental splint makes sense
The optimal therapy for bruxism often follows a multimodal approachThis is a treatment that combines various treatment methods. A bite splint mechanically protects the teeth from direct contact and thus prevents abrasion of the tooth enamel. It therefore protects the tooth substance from further damage, but does not treat the cause - the overactive chewing muscles.
The gold standard: combination of both methods
This is the strength of the combined therapy: the dental splint protects the teeth, while botulinum toxin reduces muscle activity. This combination is now regarded as Gold standard for chronic bruxism. The dental splint is customised by the dentist and provides protection, particularly in the initial phase of botulinum toxin therapy, until the full effect is felt.
Many patients report that after starting the botulinum toxin treatment, they noticeably Carry less frequently or more easily as the muscle tension is reduced. After several treatment cycles, some people only need the splint occasionally as a safety measure.
Further supporting measures
Other supporting measures include Stressmanagement techniques, physiotherapy for the neck and jaw muscles as well as targeted relaxation exercises to counteract Tension. Progressive muscle relaxation according to Jacobson has proven particularly effective for stress-related Sleep bruxism proven and can help to Tension in the jaw. The treatment of Sleep disorders Improved sleep hygiene can also reduce the Teeth grinding and reduce the Teeth long-term protection. Biofeedback training has proven itself as a complementary method.
Cost of treatment: Investment in your health
The cost of treating teeth grinding with botulinum toxin varies depending on the required dosage and extent of treatment. As a rule, both sides are treated, with between 30 and 60 units of botulinum toxin being used per session.
Transparent pricing
In addition to the treatment itself, the investment also includes specialist counselling, follow-up checks and individual dose adjustment. We attach great importance to fair pricing and avoid hidden costs or subsequent surprises. A personal consultation provides you with a precise and binding cost estimate that is tailored to your individual needs.
Frequently asked questions (FAQ)
Based on our many years of experience, we have compiled the most frequently asked questions from our patients. These should help you to Informed decision and to eliminate possible uncertainties.
How quickly does the treatment for teeth grinding work?
The first effects are typically noticeable after 3 to 5 days, when the muscles begin to relax. The full effect unfolds after around 10 to 14 days. Many patients report the following after just one week Significantly less voltage in the jaw and a more restful sleep. Maximum relaxation of the masticatory muscles is achieved after two weeks.
Can I still eat and chew normally after the treatment?
Yes, the treatment does not impair normal chewing function. The botulinum toxin only reduces the Excessive, harmful muscle activity when grinding, but not the regular strength to chew. In the first few days, very hard foods may be somewhat more difficult to chew, but normal eating is possible without restrictions. The Mouth retains its full mobility.
How long does the effect last and how often do I need to re-treat?
The average duration of effect is 3 to 6 months, with most patients benefiting from the treatment for around 4 months. For lasting relief, we recommend 2 to 3 treatments per year. With regular use, we often observe that the intervals can become longer as the muscles become accustomed to the reduced level of activity.
Is the treatment painful?
Most patients perceive the treatment as well tolerable. The injections are carried out with very fine needles and feel similar to a Botox treatment on the face - a short prick that passes quickly. If you are very sensitive to pain, we can apply an anaesthetic cream beforehand.
Does the treatment also help with stress-related teeth grinding?
Yes, especially good. Stress-related Sleep bruxism responds excellently to the treatment, as the overactive muscles are relaxed. The Tension in the jaw loosens, the Headache are decreasing, and the Teeth are protected. With simultaneous Sleep disorders We recommend additional relaxation techniques and stress management methods to minimise night-time stress. Teeth grinding further reduced.
Can the treatment relieve headaches?
Yes, many patients report a significant reduction in their morning Headache. As the Tension of the masticatory muscles is often the cause of tensionHeadache When the skin is irritated, relaxation with botulinum toxin often leads to a noticeable improvement. The Mouth can relax, and the energy generated by Teeth grinding caused pain disappear. Stress-related HeadacheThis is an effective way of treating the symptoms of jaw tension.
Can the treatment be combined with other therapies?
Yes, the combination is not only possible, but often even recommended. The combination with an occlusal splint in particular is regarded as Gold standard for chronic bruxism. The splint protects the Teeth mechanically, while the botulinum toxin treats the cause. The combination with other aesthetic treatments such as Forehead wrinkle treatment or Frown lines treatment is possible without any problems.
Are there long-term risks with repeated treatment?
No, there are no known long-term risks when used properly by experienced specialists. Botulinum toxin has been used medically for over 30 years and is Very well researched. The treatment is completely reversible and there is no evidence of cumulative damage with regular use. On the contrary: in the long term, the treatment can help to retrain the muscles and reduce grinding.
What happens if I stop the treatment?
When you stop the treatment, the muscle activity gradually returns to its original level. The teeth grinding may then occur again. However, there are No negative consequences by discontinuing the treatment. Some patients find that the grinding is less intense after a period of regular treatment, as new habits have become established.
Does the health insurance company cover the costs?
As a rule, the costs of bruxism treatment with botulinum toxin are not covered by statutory health insurance, as it is a treatment that is not covered by statutory health insurance. Non-authorised indication (so-called off-label use). However, some supplementary insurances cover part of the costs. We recommend that you clarify this with your insurance company in advance. Despite the self-payment, the investment is often more favourable than the long-term costs of dental damage and follow-up treatment.
Why Medical NOVA is the right choice for you
Our philosophy is based on the conviction that true health and well-being is achieved through the Balance of body and soul is created. This holistic approach is also reflected in our approach to bruxism treatment. We take the time to carry out a detailed diagnosis and develop a personalised treatment plan together with you.
Our central location in the Zurich Unterland makes us easily accessible for patients from Zurich, Winterthur and the entire region. Each treatment is planned and carried out individually so that you feel completely comfortable and understood feel.
Medical Director Medical NOVA GmbH
Specialist in ophthalmology and optometry | ophthalmic surgeon | specialist in aesthetic medicine
Over 15 years of international experience | 10,000+ successful eye operations
Further information about the author | Our team | About Medical NOVA
Treating teeth grinding with botulinum toxin is a Proven, safe and highly effective methodto get to the root of the problem and prevent long-term damage. The treatment is suitable for anyone who suffers from the consequences of bruxism and is looking for an effective, minimally invasive solution.
If you would like to find out more about our other treatment options - from Hyaluronic acid-Treatments via RF microneedling up to Thulium laser - please visit our website or contact us directly.