Tooth grinding is one of our most frequently performed treatments at Cityskin in Melbourne. We treat hundreds of patients per year with anti-wrinkle injections into the masseter muscle (bite muscle) to reduce tooth grinding and clenching.
The medical term for tooth grinding is bruxism and it is a common problem. It is estimated that 12% of women and 6% of men are tooth grinders1. Thankfully there are a number of ways that you can reduce symptoms.
What is Bruxism?
Bruxism is the term given to grinding teeth. It can be very distressing for patients and cause wear of the teeth and headaches. Patients often complain of a morning headache because they have been tensing and grinding the teeth at night.
Why does bruxism cause headaches?
If you place your fingers on your temples and grind your teeth you can feel the muscle ‘temporalis’ contracting. Imagine that you are contracting this muscle over and over again in your sleep and you get a good understanding of why patients wake up with headaches.
How do anti-wrinkle injections treat bruxism / tooth grinding?
Anti-wrinkle injections reduce the strength of the bite muscle – also known as the masseter muscle. This reduces the ability to grind the back teeth at night which can reduce the symptoms of tooth wear, jaw ache and headache that patients can experience as a result of grinding.
How can bruxism be treated?
Tooth grinding can be helped by using a mouthguard at night which protects the teeth. The mouthguard can change the position of your bite making it more difficult to clench the back teeth together. Your dentist can recommend someone that can fit you with one. You can also purchase over the counter mouthguards from the pharmacy but these aren’t custom fitted for your teeth.
Bruxism can be treated by using a dental mouthguard provided by the dentist. At Cityskin we can treat tooth grinding with anti-wrinkle injections. Using between 3 and 5 small injections into the masseter muscle it can relax the muscle and reduce biting at night..The masseter muscle is responsible for bitiing and can be felt contracting at the back of the jaw when you bite.
The video below shows Dr Jonathan Brown from Cityskin treating a patient’s bite muscle with anti-wrinkle injections in Melbourne. You can see from the video that the treatment is quick and very well tolerated by the patient. Dr Brown ices the skin before injecting to reduce any discomfort.
Which Cityskin clinics in Melbourne offer tooth grinding / bruxism treatment?
Cityskin offers tooth grinding / bruxism treatment at our clinic across Melbourne. We treat hundreds of patients each year for tooth grinding so you can be reassured that you are in safe hands.
How long does it take for bruxism treatment to work after anti-wrinkle injections?
It takes at least 10 days for tooth grinding injections to take effect after anti-wrinkle injections. At 6 weeks after treatment has fully kicked in and you should have an improvement from your symptioms. If you are still experiencing clenching at the 6 week mark we recommend coming back for a review. Sometimes the bite muscle needs a little more treatment. A small number of patients start to experience tension in their temples after the bite muscles have been treated. If this is the case we can place anti-wrinkle injections in the muscle near the temple, known as ‘temporalis’ to reduce symptoms.
How long does a Bruxism treatment last after anti-wrinkle injections?
Anti-wrinkle injections for tooth grinding / bruxism tend to last 2-4 months with the correct amount of units injected. Results can vary depending on the strength of the bite muscle, whether medication is causing you to clench and individual response to the anti-wrinkle product.
Is bruxism treatment painful?
Masseter injections for bruxism really are not painful. There may be a small sting when we place the injection in the muscle but that is about it. Injections are less painful than expected from a Cityskin survey.
Will I bruise after bruxism treatment?
There is a very small chance of a tiny pinprick bruise after anti-wrinkle injections but this is not common.
How much do tooth grinding injections cost in Melbourne?
Tooth grinding treatment at Cityskin in Melbourne costs $599 for 50 units. You may need more or less units depending on the strength of the muscle. Consultations at Cityskin are free of charge.
In this video Dr Brown discusses how a knowledge of anatomy if key to reducing the risk of affecting your smile when having masseter muscle (bite muscle) injections.
Anti-depressants and tooth grinding
When we look for causes of tooth grinding it is good to ask whether you have started any new medication recently. Studies show that anti-depressant medications such as fluoxetine, sertraline and venlafaxine can be a cause of clenching and grinding1.
Clenching can occur 3-4 weeks after starting anti-depressants and tends to resolve a few weeks after stopping. If you have any concerns about medication causing your tooth grinding symptoms please continue taking your medication and discuss this with your GP.
1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914744, SSRI-associated bruxism, Neurol Clin Pract. 2018 Apr; 8(2): 135–141