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Botox Treatment for TMJ / Bruxism

Treatment Summary

  • Injection Icon



  • Treatment Results


    2-3 Weeks | 3-4
    Months Multiple
    sessions may be
    required |
    9 – 12 months

  • Treatment Procedure Time icon

    Procedure Time

    10-15 Minutes

  • Treatment Risk and Complications icon

    Risk &

    Allergic Reactions,
    Bruises, Infection &
    Temporary smile

  • Full recovery from treatment icon

    Full Recovery

    No Downtime

  • Back to Work from Treatment icon

    Back To Work



Bruxism (from the Greek βρυγμός (brugmos), gnashing of teeth) is grinding of the teeth, typically accompanied by clenching of the jaw.

Teeth Clenching
Teeth grinding or bruxism is a problem that afflicts a large percentage of individuals. Upto 5-20% of adults and upto 30% of children in the age group of 5-6 suffer from nocturnal bruxism. Aggravated by stress, this condition frequently runs in families. People that clench their teeth during the day or at night mostly do so without knowing that they are doing it – they can’t help themselves. Those that only grind at night only know that they are doing it if they wake up with jaw soreness or if their dentist notices that they are wearing down their teeth. Bruxism and TMD can result in headaches, earaches, facial pain, chipped teeth and chewed tissue on the inside of the mouth. Chronic grinding will often lead to a hypertrophied masseter muscle – the main muscle that is used for chewing. This is a muscle that is located at the angle of the jaw. Grinding builds this muscle and makes it stronger, like lifting weights does for the biceps. The stronger the muscle gets, the more damage clenching causes to the teeth. Headaches and facial pain also tend to get worse with time.

Though BOTOX® injections are best known for their cosmetic applications, BOTOX® Therapeutic can relieve painful conditions triggered by the muscles of the jaw. As a therapeutic tool, BOTOX® is an integral part of dental implant surgery, TMJ treatment.

CosmeDocs has been using Botox in London to treat chronic teeth grinding successfully for many years with minimal complications. Not only are our patients experiencing great relief from jaw pain, jaw soreness, tension and headaches, but they are seeing a dramatic change in the way that their face looks. The square, severe appearance of their lower face softens into a more normal and aesthetically pleasing jaw line. This change occurs over two or three sessions of London Botox, as the masseter muscle shrinks and weakens gradually. This treatment is not intended to break the habit of teeth grinding (though there are reports of patients grinding less).

Our treatment of teeth grinding is relatively painless with a single (usually) injection on each side. Results from Botox treatment of bruxism start with a few days after injection and last for about 3-6 months. Initially patients are advised to return within a shorter period of time for reassessment and maintenance dose. The dose intervals get prolonged with repeated treatments. Your doctor will be best able to inform you about the treatment plan based on your individual case.

We do recommend you consult with your dentist regarding appropriate mouthguards and devices that may help reduce wear and tear of the teeth during grinding. Certain night time device may help in reducing your grinding which maybe a simpler alternative. For those that require further intervention please do not hesitate to book an appointment with CosmeDocs for a consultation.

bruxism Suffer Chart

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Approximately 1/10 People Suffer From Bruxism? Are You One Of Them? Ask Yourself The Following Questons?

  • Do your jaw muscles ache in the morning?
  • Do you have difficulty in eating, first thing?
  • Do your teeth show premature wear.
  • Do you suffer from frequent headaches or facial pain?
  • Has your bed partner ever complained about you making strange grinding noises in your sleep.
  • Do you fall into any of the high-risk groups for treatment of jaw reduction.

High Risk Group

Bruxism illustration
Some groups of people are more likely to suffer from bruxism than others. Those most at risk are:

  • People with another sleep disorder, such as:
  • Snoring
  • Obstructive sleep apnoea
  • Sleep talking
  • Violent behaviour during sleep
  • Sleep paralysis
  • Hypnogogic/hypnopompic hallucinations (semi-consciousness between sleep and wake)
  • People with a stressful lifestyle
  • Smokers
  • People with a high alcohol intake
  • People who drink 6 or more cups a day of tea or coffee
  • People who take medication for sleep, depression and/or anxiety

Please do visit our page on Jaw Reduction for masseter hypertrophy for further information.

masseter reduction before and after
3 months post masseter reduction for medical indications. Please click here to read the patient’s full history.

Bruxism Vector Image

TMJ/Jaw Tension Treatments/Bruxism Treatment By Botox Massetter Muscle

Increasingly, BOTOX® is used as an alternative treatment for TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into facial muscles afflicted with soreness and discomfort, BOTOX® relieves TMJ and jaw tension for many patients. The injections often reduce headaches resulting from teeth grinding, and, in cases of severe stress, BOTOX® can even minimise lock jaw. Although BOTOX® treatment for these conditions is presently experimental, evidence indicates that it can be extremely effective.

TMD or Temporomandibular Joint Disorder is an acute or chronic inflammation of the temporomandibular joint (TMJ; the joint connecting the lower jaw to the skull). The disorder and resultant dysfunction results in significant pain and impairment for many.

How Does BOTOX® Treat Jaw Tension and TMJ Disorder?

Located on both sides of the head at the point where the jawbone meets the skull, the temporo-mandibular joint (TMJ) is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw. BOTOX® relieves jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.

The BOTOX® alternative treatment for TMJ disorders and jaw tension is usually quick, straightforward, and effective. A non-surgical procedure, BOTOX® injections are administered in a doctor’s office, and treatment requires no hospital stay. Most patients experience noticeable improvement within two to three weeks of their first treatment, although relief can take up to many more weeks and may require several treatments.

We have been performing masseter reduction for cosmetic and medical indications since 2007 with excellent patient feedback. We do recommend you consult with your dentist regarding appropriate mouthguards and devices that may help reduce wear and tear of the teeth during grinding.

Frequently Ask Questions (FAQs)


Botox For Bruxism And TMJ

  • Female From £350
  • Male From £350

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