How much botox would need in my masseters to to correct bruxism, and about how much would it cost? (photos)

Question

Hello. I have had a bad problem with bruxism for a long time now. I ignored the problem for a long time and because of this its at the point I suffer from increasing tooth pain,am getting face pain & headaches from the habit. Im also worried I will ruin my teeth. A mouth guard only helps at night & I unconsciously grind my teeth all day long. I heard botox can prevent grinding & am wondering how many units of botox I would need and a proce estimate. I dont want a lot, just enough to kick this

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question! While a consultation is required, I would say at least 60-80 units. In our practice that would be around $500. Again, a consultation would be best to determine the appropriate amount of product for you.

Hung William Song, MD · Answer

When treating the masseter muscles for cosmetic reasons (to shrink visibly enlarged muscles) you may need up to 50 units, but since you are primarily interested in functional improvement, I would start with about 15 units (7.5 on each side) this may be enough to stop the grinding. If you need more, you can always add more after 2 weeks. the cost at our practice for 15 units is $299

Ron Shelton, MD · Answer

All patients are examined by me in consultation prior to determining how many units of Botox they may need. The lowest I have injected for treatment of the masseter chewing muscles for grinding and clenching teeth (bruxism) is 12 units per side but the majority of patients will need 20 or more units.

Kristin M. Baird, MD · Answer

Botox can be an effective treatment for bruxism. Teeth grinding and clenching can have very damaging effects on dentation, result in TMJ, and lead to headaches. Typically treatment requires 20-25 units of Botox per side. The results tend to last 4-6 months. Price varies per practice and geographic location but can range from $500-$800 per treatment. Please consult a physician experienced in Botox treatment for this condition.

Jason Emer, MD · Answer

Botox can help improve this, but the amount of Botox needed will vary. This needs an in-person evaluation. Botox results resolve in 3-4 months. See an expert. Best, Dr. Emer

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you have hypertrophy of your masseter muscles, then botox can be an effective treatment.  I recommend 15-20U per side.  Cost varies based on geographic region and surgeon expertise.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Monika Soni, MD · Answer

Thank you for your question. Yes, Botox can help with Bruxism. Typically 20-30 units of Botox is injected into each masseter muscle. On average Botox lasts 3-6 months. I recommend having a consultation with an expert to determine the best treatment plan for you. Best of Luck!

Kevin Tehrani, MD, FACS · Answer

Thank you for your detailed question and corresponding photos. Botox can help people with bruxism but because it is a larger muscle compared to the other facial muscles, it does take a larger dose. Botox relaxes the masseter muscle and causes it to slim down, de-bulking the lower half of your face as well as helping you with teeth grinding. It takes at least 25 units per side of the face and lasts 4-6 months. Some people with stronger masseter muscles require higher doses which is why I recommend seeing a board-certified plastic surgeon or expert injector in-person so they can examine your muscles in action and determine the correct dose for you. At our practice, we also provide consults via FaceTime or Skype for patients who live outside of NY. For more information, please visit our webpage.

Alex Roher, MD · Answer

Botox is definitely an effective treatment for Bruxism. Typically, 20-30 units are administered to each Masseter muscle. The treatment greatly reduces the effects of Bruxism, including grinding, and clenching, but will not affect your ability to chew food normally. Results can last 4-6 months. The average cost for this treatment is about $500-$720. An additional benefit of Botox in the Masseter is the appearance of a slimmer jawline. Of course, consult a well trained physician for best treatment plan.

Jessica H. Kim, MD, FAAD · Answer

Yes, botox can help with bruxism.  Depending on the individual patient, approximately 20-30 units of botox is injected to the masseter muscle per side.  Results can last 4-6 months.  As always, consult with an experienced physician.

How much botox would need in my masseters to to correct bruxism, and about how much would it cost? (photos)

Answers (15)

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