Treatment
Bruxism treatment with botulinum toxin
Bruxism treatment with botulinum toxin relaxes the overly tense masseter muscles, reducing teeth grinding, pain and lockjaw.

At a glance
Duration
a dozen or so minutes
Anaesthesia
Yes (local)
Back to everyday life
Immediately
Results visible
after about 1–2 weeks
Recommended series
1 treatment, repeated every 4–6 months
This treatment helps with
Where we perform this treatment
MEDESTETIS Klinika Dr Kuschill & Dr Grodecka
Garncarska 8, Kraków
Performed by
MEDESTETIS Klinika Dr Kuschill
Włodarzewska 81, Warszawa
Performed by
What the treatment involves
Bruxism is the involuntary, excessive tensing and grinding of the teeth, most often during sleep. It leads to masseter muscle pain, lockjaw, tooth wear and headaches.
Botulinum toxin administered into the masseter muscles reduces their excessive tension, so that grinding and the associated ailments subside. The action is temporary and reversible.
Indications
We most often use the treatment for:
- bruxism, that is teeth grinding and clenching
- lockjaw and masseter muscle pain
- hypertrophy and excessive activity of the masseter muscles
- headaches and tension in the temporomandibular joint area related to bruxism
How the treatment works
The treatment is preceded by a consultation and an assessment of masseter muscle tension.
After local anesthesia we administer the product with a few injections into the masseter muscles. The procedure lasts a dozen or so minutes and requires no recovery — it is compared to the feeling of a mosquito bite.
Results
The first effects appear within a few days, and full relaxation of the masseter muscles usually after about 1–2 weeks.
The effect usually lasts 4–6 months, because during that time the neuromuscular connections gradually rebuild. The treatment can then be repeated.
Aftercare
The treatment does not take you out of daily activities. Remember to:
- for 24 h avoid intense physical exertion and alcohol
- for about 2 weeks avoid the sauna, solarium and heating the treated area
- do not massage the injection sites for several hours after the treatment
In addition, follow the general rules for care after botulinum toxin. The relaxation of the masseters builds over about 2 weeks; if you notice anything worrying, contact the clinic:
- for the first 24 hours postpone air travel
- for about 2 weeks do not massage the cheeks and jaw area and skip cosmetic treatments there
- for 14 days avoid the sauna, solarium, hot baths and warming the face
- postpone any planned dental or surgical procedures under anesthesia by about 2 weeks
Contraindications
We do not perform it in cases including:
- diseases and disorders of neuromuscular conduction
- pregnancy and breastfeeding
- allergy to the product's components
- local skin infections in the injection area
- blood clotting disorders
The final qualification is carried out by the doctor during the consultation.
Pricing
Bruxism treatment with botulinum toxin
The final cost is agreed during the consultation, once your plan is set.
Frequently asked questions
Is bruxism treatment with botulinum safe?+
Yes. It is a well-studied and reversible method, performed by a doctor after prior qualification.
Will I be able to bite normally after the treatment?+
Yes. The doses are selected to relax the excessive tension of the masseters while preserving normal chewing function.
When will I feel relief?+
The first effects appear after a few days, and full muscle relaxation after about 1–2 weeks.
How long does the effect last?+
Usually 4–6 months. After that time the treatment can be safely repeated.
Does the treatment hurt?+
We use local anesthesia, so the injections are practically painless and compared to a mosquito bite.
How much does Botox for bruxism cost?+
The treatment costs from 1200 zł. The price covers the qualification, injections into the masseter muscles performed by a doctor and post-treatment recommendations.
What do the before and after effects look like?+
The first change is reduced masseter tension and the resolution of morning pain — usually within 2 weeks. With repeated treatments the overloaded muscle gradually shrinks, so that in some people the lower part of the face becomes visually slimmer. Teeth grinding and clenching weaken, which also protects the enamel.
Sources
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