Botox for Bruxisim? Any Recommendation or Experinece in the Field?

Hello i have spontaneous strong bruxisim that have destroyed my large teeth , my dentist recomended i wear gotier protective to my teeth during my sleep !! Forever !! Ofcourse not , some new articles show that botox may cure such problem if it was injected in muscle of the mouth by experinced plastic surgeon ...iam looking for any doctor who had witnessed positive results ? I was wondering if it may make my lower cheecks thinner as well ??

Doctor Answers 7

Botox for Teeth Grinding

Thanks for the question. Bruxism, or teeth grinding, is a really exciting indication for Botox. We have successfully treated many patients who have were experiencing significant pain in the temporomandibular joint  (TMJ) due to grinding, despite the use of night guards. I typically inject 15-30 units with 3-4 injections per masseter (bite) muscle, depending on the size of the patient's muscles. The Botox begins to work within 2-3 days and most patients go 6-12 months between treatments, as they are able to break the habit of grinding. The muscles generally reduce in size, so we do have many patients who are non-grinders who come in for Botox just to achieve a slimmer jawline. It's important to avoid spread of the Botox to the smile muscles, so the injections should be performed carefully by an experienced provider. 

Best regards,

Dr. Mehta

Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 48 reviews

Botox for Bruxism

Botox  works very well to treat this, and you are right, it will also narrow the bottom half of your face. In fact, many patients use it in the jaw muscles strictly for facial shaping. It does take a fair amount of Botox so it can be expensive, but generally patients are quite happy with the treatment. Best of luck to you.

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Bruxism Treatment with Botox

   Botox can help with bruxism.  If you want masseteric reduction as well, you have to stay on top of it every 3 or 4 months for a year or so.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Botox to help correct Bruxism

Although it is an off label use, Botox can be injected into the masseter muscles to help alleviate bruxism or teeth grinding.  By relaxing these muscles the tension on the temporomandibular joint (TMJ) can be relieved and the bulk of the muscle reduced.   The result can last for 6 months or substantially longer. Best wishes.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.8 out of 5 stars 56 reviews

Botox to the masseter muscles

Your best first step is to meet with a reputable, experienced, and well-trained injector to discuss all of your options. Botox is commonly used to minimize the muscles you are referring and to to treat bruxism.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox can help with bruxism

Thank you for your question. Botox is a neurotoxin that interferes with the communication of motor nerves to their muscles. It is not FDA approved for injection into the masseter muscles but it is commonly done either for grinding of the teeth at night which may cause headaches or TMJ problems or to shrink the muscles to narrow the width of the lower face as an 'off-label' use of the product. It is very successful for this purpose and patients tend to be very happy with their treatments. Make sure that you see a physician that is experienced in this treatment.

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 38 reviews

Botox for Bruxism


Thanks for the question.  Bruxism is a serious problem that cause a lot of painful symptoms.  Botox can definitely be used to treat it.  It is effective and safe.  See my Blog on this topic for more information

Hope this helps

Brian Arslanian, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.