Tooronga Family Dentistry in Glen Iris

Botox for Bruxism: Effective, Safe Relief for Teeth Grinding and Clenching in Glen Iris?

Recent research confirms that Botulinum toxin (Botox) injections offer effective and safe relief for Bruxism—a repetitive jaw-muscle activity involving clenching, grinding, or thrusting of the jaw. Bruxism may occur during sleep (sleep bruxism) or while awake (awake bruxism), possibly resulting in several orofacial problems including tooth wear, sensitive or painful teeth, fractured restorations, loss of tooth support, TMJ disorders, and muscle pain.

Why Do People Grind Their Teeth?

Common triggers include:

  • Genetic predisposition

  • Neurochemical imbalances

  • Psychological factors like stress, anxiety, or depression

  • Smoking, alcohol, caffeine

  • Certain medications and illicit drugs

Traditional treatments—such as oral splints, medications, and behavioural approaches—do not always provide a complete cure. Since bruxism often involves high, centrally mediated motor activity in the jaw muscles, reducing this activity is critical. Botox works by blocking nerve-to-muscle messages, decreasing contractions, and relaxing the jaw.

When Is Treatment Necessary?

Many people experience mild tooth wear with age, but excessive or early wear can cause pain, sensitivity, or affect your smile. Early intervention is key—the sooner you address tooth wear due to bruxism, the simpler and less costly it may be. Severe cases may require complex dental repairs.

Recognizing Bruxism — Ask Yourself:

  • Are you aware of grinding or clenching your teeth during sleep or while awake?

  • Has anyone told you that you grind your teeth at night?

  • Do you wake with jaw pain, clenching, or stiffness?

  • Any worn-down, chipped, or cracked teeth?

Common warning signs and symptoms:

  • Shorter, worn teeth

  • Cracked, chipped, or fractured fillings/crowns

  • Morning jaw or neck pain

  • Grinding noise during sleep

  • Tongue or cheek ridging (linea alba)

  • Muscle fatigue on waking

Management and Treatment for Teeth Grinding

  • Wear a custom hard night occlusal splint to protect teeth and crowns (avoid store-bought splints).

  • Repair damaged teeth with fillings or crowns as needed.

  • Consult a TMJ physiotherapist.

  • Try relaxation techniques like meditation, yoga, or breathing exercises.

  • Address psychological triggers with a medical professional if needed.

  • Make regular dental visits for monitoring and protection advice.

  • Warm packs and short-term anti-inflammatory use can help with tender jaw muscles.

Botox for Bruxism:

  • Botox injections can safely reduce jaw muscle activity, lowering grinding intensity during sleep.

  • Combining Botox with a custom splint provides maximal protection for jaws and teeth.

For more guidance or to explore if Botox is right for your bruxism, please schedule an appointment our practice or call 98227006.