BRUXISM TREATMENT

What is bruxism ?

Bruxism is a disorder affecting 5% of the population. It refers to teeth grinding caused by the involuntary contraction of the masticatory muscles : the masseter and the frontal muscle. There are two types of bruxism : centered bruxism : characterized by teeth clenching, eccentric bruxism : involving lateral jaw movements.
Bruxism can occur during the day, often triggered by stress or intense concentration, but it is most commonly nocturnal. It may be temporary or persist over time. In children, bruxism is physiological, serving to facilitate the elimination of baby teeth.

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Key Points

Bruxism Treatment in Geneva 

Bruxism, or teeth grinding, is a common issue that can have serious consequences on oral health and the overall well-being of those affected. Recognizing the symptoms of bruxism is essential in order to consider an appropriate treatment. Medical techniques, including Botox injections and

muscle relaxation treatments, are effective options for managing and reducing the effects of bruxism.
This page outlines the causes, symptoms, and treatments of bruxism with the goal of improving the quality of life for patients suffering from this condition.

photo causes teeth grinding

Why do I grind my teeth ?

The exact causes of bruxism remain unknown.

  • Stress and anxiety : stress and anxiety are among the leading causes of bruxism. Periods of intense or prolonged stress can trigger involuntary muscle tension, including in the jaw. Individuals experiencing high daily stress, financial concerns, work-related pressures, or relationship problems are more likely to develop this condition.
  • Sleep disorders : sleep disorders, such as sleep apnea, are also linked to bruxism. Obstructive sleep apnea, in particular, can cause micro-awakenings, during which the body attempts to restore normal breathing, potentially leading to teeth grinding.
  • Dental and jaw problems, such as misalignment of teeth (malocclusion).
  • Genetic predisposition.
  • Medications : certain drugs, especially antidepressants and psychotropic medications.
  • Stimulant substances : consumption of caffeine, tobacco, and alcohol can worsen teeth grinding, especially when consumed in large quantities.
  • Certain behaviors and habits : habits such as chewing on pens, gum, or biting nails can contribute to bruxism. These behaviors may cause chronic muscle tension in the jaw, increasing the risk of teeth grinding.
photo consequences teeth grinding

Is bruxism serious ?

Bruxism is responsible for several disorders and complications. 

  • Morning headaches.
  • Unrestorative sleep.
  • Aesthetic consequences due to hypertrophy of the masticatory muscles (increased volume of the masseter and temporal muscles) : temporal muscle hypertrophy appears as bulging at the temples; masseter muscle hypertrophy leads to widening of the lower third of the face, particularly in the posterior region.
  • Noisy teeth grinding, which can disturb a sleeping partner.

What are the effects of bruxism on oral health ?

  • Premature tooth wear..
  • Wear of the temporomandibular joint (TMJ), which can lead to osteoarthritis : pain while chewing, limited ability to open the mouth, clicking or popping sounds when opening or closing the mouth, joint inflammation and hearing problems.
photo botox for bruxism treatment

How to get rid of bruxism ?

It is essential to consult a dentist, oral surgeon, or physician if you suspect you suffer from bruxism in order to receive an accurate diagnosis and an appropriate treatment plan. To treat bruxism, a dentist may recommend wearing a dental splint at night to protect the teeth from wear. However, this does not stop muscle contractions.

Relaxation techniques such as hypnosis and sophrology, as well as anxiolytics and muscle relaxants, are often suggested, but they prove ineffective.

The only effective treatment is Botox injections into the masseter and/or temporal muscles, which are responsible for chewing.

Botulinum toxin temporarily blocks the nerve signals that trigger muscle contraction.

How do Botox injections for bruxism work ?

Initial consultation
During the first consultation, the doctor assesses the severity of bruxism and examines the jaw muscles.
A discussion about the patient’s medical history and expectations is conducted to establish a tailored treatment plan.

Injection
The treatment area is disinfected.
The Botox is injected directly into the masseter muscles using a fine needle.
The procedure is quick, usually lasting a few minutes, and does not require anesthesia.

Post-treatment
Patients can resume their normal activities immediately after the procedure.
It is recommended to avoid massaging or touching the injected areas for a few hours to allow the Botox to settle properly.

Risks and side effects

Side effects are minor : as with any injection, mild bruising or sensitivity may occur at the injection site. Some patients may experience temporary muscle weakness in the treated area, leading to mild discomfort while chewing for a few days.

There are no serious complications when Botox is administered by an experienced physician. 

What are the contraindications for bruxism treatment with botulinum toxin injections?

The contraindications are the same as for botox injections.

  • Pregnancy and breastfeeding.
  • Severe blood coagulation disorders.
  • Egg allergy.
  • Skin lesions on the injection site.

Advantages of botox injections for bruxism

  • Reduction of pain and discomfort : Botox injections decrease involuntary muscle contractions, thereby reducing jaw pain, headaches, and other discomforts associated with bruxism.
  • Improvement of sleep quality.
  • Prevention of dental wear.
  • emporary and reversible effects : the effects of Botox typically last between three and six months. After this period, the muscles regain their normal function, allowing the treatment to be adjusted according to the patient’s needs.

Results : before and after Botox injections for bruxism

The result of the treatment is not permanent. It lasts six months, and maintenance sessions every six months are necessary to sustain the benefits.

The effect on teeth grinding or clenching appears a few days after the injection.
The slimming effect on the jawline becomes visible one month after the injection and reaches its optimal result after two months

Muscle contraction stops, the lower third of the face appears slimmer (weakened muscles reduce in volume), and the effects of bruxism are corrected. A single session is sufficient. 

Prices of botulinum toxin injections for bruxism

Type of consultation Generally practiced rates
Botox masseter/bruxism
500 CHF for the 1st vial
350 CHF for each additional vial
One to three bottles are required
Are there effective natural treatments for bruxism?

Certain natural techniques can help reduce bruxism, such as relaxation, yoga or sophrology. Breathing and meditation exercises can also help reduce the stress and anxiety often associated with bruxism.

Bruxism can have an impact on mental health by causing stress, anxiety and sleep disturbances. Bruxism sufferers may feel frustrated by the damage to their teeth and the physical discomfort associated with the condition.

Encouraging good oral hygiene from an early age is essential to prevent bruxism in children. Limiting the consumption of sugary and hard foods, as well as encouraging a relaxing routine before bedtime, can also help reduce the risk of bruxism developing in younger children.

Certain natural practices, such as relaxation techniques, breathing exercises and jaw massage, can help reduce symptoms. However, it is essential to consult a healthcare professional for appropriate treatment.

Bruxism can be associated with sleep disorders such as obstructive sleep apnoea, as well as psychological conditions such as anxiety and depression. 

You should consult a healthcare professional if you notice any signs of bruxism, such as jaw pain, frequent headaches or worn teeth. Consultation is also recommended if your partner notices you grinding your teeth while you sleep.

Yes, bruxism can affect children. The causes can be teething pain, allergies or stress factors. Fortunately, bruxism in children is often temporary.

Bruxism is often diagnosed by a dentist during a routine dental check-up. Signs may include worn teeth, tooth fractures and muscle tension in the jaw.

To avoid bruxism during sleep, we recommend :

  • Manage stress and practise relaxation techniques: meditation, yoga or breathing exercises to reduce stress.
  • Establish a regular sleep routine: go to bed and get up at the same time every day.
  • Create an environment conducive to sleep: sleep in a dark, quiet, cool room.
  • Avoid stimulants before bedtime: limit consumption of caffeine, tobacco and alcohol in the evening.
  • Use a night guard: a night guard prevents damage caused by bruxism.

No, bruxism can also occur during the day. Daytime bruxism is often linked to repetitive behaviours or stressful situations, such as chewing on pens or clenching your teeth while concentrating. It is important to be aware of these habits and to correct them to avoid complications.

Treatment for bruxism often depends on the cause. Here are a few ways of dealing with it.

  • Wearing dental trays: These devices are worn at night to protect the teeth.
  • Stress management: Relaxation techniques such as yoga, meditation or cognitive therapy can help reduce stress and anxiety.
  • Correct lifestyle habits: Avoid caffeine and alcohol before bedtime and maintain good sleep hygiene.
  • Muscle relaxation exercises: Specific exercises can help relax the jaw muscles.
  • Botox injection.

If you suffer from bruxism, we recommend that you consult the following health professionals:

  • Dentist: can diagnose bruxism, assess dental damage and suggest solutions such as aligners.
  • Orthodontist: an orthodontist can help with problems of dental alignment.
  • General practitioner: for general advice and recommendations on managing stress or other underlying conditions.
  • Psychologist or psychiatrist: if bruxism is linked to stress or anxiety.

There is no specific medication to treat bruxism directly, but some can help manage the symptoms. These medicines must be prescribed by a doctor.

  • Muscle relaxants.
  • Antidepressants or anxiolytics: if bruxism is linked to anxiety or depressive disorders, these drugs may be useful.
  • Analgesics: to relieve pain associated with muscle tension or associated headaches.

Yes, bruxism can cause fatigue. 

  • Muscle fatigue: Clenching and grinding your teeth can cause fatigue in the muscles of the jaw and face.
  • Sleep disorders: poor quality sleep is responsible for tiredness in the morning.
  • Chronic pain: the pain associated with bruxism can also contribute to a general feeling of tiredness.

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