CosmeDoctors | Teeth grinding/Bruxism/TMJ

Teeth grinding/Bruxism/TMJ


Bruxism (from the Greek βρυγμός (brugmós), gnashing of teeth) is grinding of the teeth, typically accompanied by

clenching of the jaw. 

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 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.

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

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
    • 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
    • Violent behaviour during sleep
    • Sleep paralysis
    • Hypnogogic/hypnopompic hallucinations (semi-consciousness between sleep and wake)

Though a few small injections, CosmeDoctors can relieve painful conditions triggered by the muscles of the jaw. As a therapeutic tool, these injections are also an integral part of dental implant surgery, TMJ treatment.

CosmeDoctors have been using these injections in Australia 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 injections, as the masseter muscle shrinks and weakens gradually.

Our treatment of teeth grinding is relatively painless with a single (usually) injection on each side. Results from 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 CosmeDoctor will be best able to inform you about the treatment plan based on your individual case.

During your free initial consultation, our specially trained CosmeDoctor will evaluate your unique needs, desired end results, and explain your options. He will also help you determine which treatment, or combination of treatments, will work best to achieve the outcome that you desire. You will have the opportunity to view before and after photos, so that you will know exactly what to expect.


Bruxism Treatment Jaw Muscle Reduction

The square jaw can actually look good on some men. In fact the band of muscle below the eye also gives a somewhat manly character. But it’s a different matter if it’s the demure feminine jaw line that you are looking for.

The injections can weaken the jaw masseter muscle giving a softer angle at the jaw and a less square jaw.  Patients generally notice softening of the masseter muscle at one week and softening of the jawline at around 6-8 weeks. Some researchers have noticed “permanent changes” to the jaw line in 2-3 treatments. However, it is advised that patients expect long term benefit but not permanent changes if treatments are ceased. Patients with underlying bruxism, clenching of the teeth, may never obtain permanent results due to the fact the muscle is strengthened.

Some personal habits can contribute to your enlarged jaw muscles – the masseter. Excessive chewing of hard items/food and chewing gum can lead to an enlarged masseter muscle. Bruxism, discussed later, can also enlarge the muscles for the same reason – excessive use which causes the muscle to hypertrophy.

The CosmeDoctors method for these injections into the masseter is quick and relatively painless(described as a pinch, sting by some patients) and with no downtime with patients popping in the office during lunchtime, reducing the jaw angle.



TMJ (temperomandibular joint)/Jaw Tension Treatments/Bruxism Treatment By Botox Massetter Muscle

Increasingly, these injections are 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, treatment relieves TMJ and jaw tension for many patients. The injections often reduce headaches resulting from teeth grinding, and, in cases of severe stress, they can even minimize lock jaw.

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 Do Muscle Relaxants 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. Muscle relaxant injections relieve jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.

These treatments for TMJ disorders and jaw tension is usually quick, straightforward, and effective. A non-surgical procedure, the 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 longer and may require several treatments.