I am suffering from clenching and grinding.Treatment options?

Question

I wear a night guard but still wake up with a sore jaw and muscles. My face is also getting bigger and bigger from muscle growth.

Mitchel Goldman, MD · Answer

Botox in the masseter muscles is an ideal treatment to stop you from grinding your teeth at night (bruxism). Your jaw will unclench and relax. The grinding will stop, and so will the pain You’ll also get a softer, jawline. Please consult a board-certified dermatologist who is an expert at using Botox to treat bruxism.

Swapna Gopathi, MD · Answer

Botox is a great option for clenching and grinding at night when injected directly into the masseter muscles. This will also help with slimming the lower face to add a more feminine look, as unfortunately with years of grinding and clenching at night, those muscles can enlarge/hypertrophy.
Best of luck!

Georgios Ziakas, MD, FACS · Answer

Botox injections targeting the masseter muscles are a great option to alleviate bruxism (night teeth grinding). Consultation with a plastic surgeon experienced in this type of injections is advisable.

Benjamin Barankin, MD, FRCPC · Answer

Botox is a terrific option for treating clenching/grinding (bruxism), and has the added benefit of reducing associated headaches/migraines that some people have, and in shaping the face to the often preferred heart shaped face as opposed to the square jaw in females. A dermatologist experienced in these Botox injections precisely into the masseter muscle would be your best bet.

Kory Kitagawa, MD · Answer

Botox can be used to relax and weaken the masseter muscles so they don’t clench and grind your teeth at night. It’s a very effective therapy, but must be administered by a board-certified dermatologist who has experience treating bruxism.

Lisa Freeman, MBBS · Answer

You seem like a perfect patient for this treatment. In your picture the shape of your face looks like your masseter muscles are enlarged, making your face look squarer in appearance than it once had been. This fits with your symptoms of grinding and clenching. Injecting the masseters with anti wrinkle products is very simple and it will decrease the muscle over activity , diminish the symptoms and over time, decrease the muscle size and thus reduce the square face shape.
Obviously you would need to consult your injecting doctor to have an assessment for this.
Good luck

Praven Chetty, MD · Answer

Dear sumbmullBotox works fantastically well to relax overactive masseter muscles thus slimming down the face whilst decreasing clenching and grinding.  All the best.

Spa 35 - Boise · Answer

This problem can easily be fixed with injections of botox into the masseter muscle. This will stop clenching and grinding of your teeth which will also help with the pain.

Tiffany Ballard, MD · Answer

Since you are wearing a night guard and still having symptoms, as well as noticing changes in your facial shape, it sounds like you would be a great candidate for neuromodulator injection, such as Botox or Dysport, into your masseter muscles. The neuromodulator will work to relax and eventually atrophy the muscle to alleviate your grinding, and with time, improve the bulkiness of the muscle along the angles of your jaw. Be sure to see a board certified specialist in this area, as inappropriately placed injections can affect your smile and have unwanted consequences.

Kurt Kuhlman, DO · Answer

Botox into the temporalis muscles and masseter muscles can help with this. You may be able to get this covered by insurance under the diagnosis of bruxism.

I am suffering from clenching and grinding.Treatment options?

Answers (16)

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