Why didn't bruxism Botox work on me?

Question

I had two sessions of Botox for bruxism in the last month. The first time my doctor injected 30 units but I saw no results even after a month. I came back and he gave me 50 units. It's been 1 week and I haven't seen any results and I'm also still clenching and grinding my teeth at night. The doctor said I should stop trying Botox if this doesn't work for me. Why Isn't it working on me? And are there any other options for me? Thank you!

Brian S. Biesman, MD · Answer

Botox can be highly effective as a preventative treatment for teeth grinding.  The amount of product required can vary dramatically from patient to patient.  Injection of the masseter muscles requires significant knowledge and expertise and I suggest seeing someone who is highly experienced with this procedure.

Jason Emer, MD · Answer

Botox results vary.  In most instances even for masseter improvement the standard starting dose is 20/30 Units PER SIDE.  In korea they do more. I suggest speaking to an expert.  Best, Dr. Emer.

Mary P. Lupo, MD · Answer

The experience and the judgment of the injector is critical. Not all doctors know how to treat this. Many patients need very high doses and results will improve if coordinated with a mouth guard during the evening. I am assuming you went to a docotr who uses real botox and not an internet counterfeit product and they knew where to inject? Most people need 3 injection sites per side. I have been doing this for 9 years in this area and have never seen a non-responder.

Edwin Ishoo, MD · Answer

The proper physician to diagnose TMJ disorders, occlusion and Bruxism is a dentist or oral surgeon which is the only specialist who should be treating such a diagnosis with Botox as this is functional and not "cosmetic Botox" which would be more appropriate for dermatologist or Plastic Surgeon.

Melvin Elson, MD · Answer

Although nothing in medicine is 100% and works all the time this should work.  the type of doctors who treat this vary but you need to be sure you are seeing a board certified dermatologist or plastic surgeon and I have used as much as 100 units on each side

Why didn't bruxism Botox work on me?

Answers (5)

Answer: Bruxism treatment

Answer: Bruxism treatment

Answer: Botox and Bruxism

Answer: Botox and Bruxism

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Why didn't bruxism Botox work on me?

Answers (5)

Answer: Bruxism treatment

Answer: Bruxism treatment

Answer: Botox and Bruxism

Answer: Botox and Bruxism

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.