Bruxism (Teeth grinding)

Bruxism is a term used to describe the habit of grinding teeth, clenching, or gnashing the teeth. It is a condition that often occurs unconsciously, both during the day and while sleeping at night. Bruxism can range from mild to severe and can have various causes and effects 15% of the population.

The exact cause of bruxism is not always clear, but it can be associated with factors such as stress, anxiety, misaligned teeth, sleep disorders, and or masseter muscle spasm or hypertrophy. It is important to consult with a dentist or healthcare professional if you suspect you may have bruxism.

Teeth Grinding Or Clenching

This can produce a grinding or scraping sound, which may be audible to others or noticed by a sleep partner.

Jaw Pain Or Stiffness

Frequent clenching and grinding can lead to jaw muscle discomfort, facial pain, or headaches, especially upon waking up in the morning.

Tooth Sensitivity

The excessive forces exerted during bruxism can cause tooth sensitivity to hot or cold temperatures.

Worn-down Teeth

Over time, bruxism can wear down the tooth enamel, leading to flattened or chipped teeth / tooth fracture. In severe cases, it can even result in tooth fractures or tooth loss.

Gum Recession

The constant pressure and movement of the teeth can cause the gums to recede, exposing the tooth roots and increasing the risk of tooth decay and sensitivity.

Fatigue And Exhaustion:

Due to lack of sleep and gnashing the teeth, leads to exhaustion, tiredness and chronic headache.

Botulinum A toxin is injected into the masseter muscles, which are the responsible for chewing and clenching the jaw, it temporarily weaken the muscles, reducing the intensity of jaw clenching and grinding.

It is worth noting that while antiwrinkle injections can provide relief from the symptoms of bruxism, they do not address the underlying causes of the condition. It is important to work with your healthcare professional to identify and address any underlying factors contributing to your bruxism for comprehensive treatment.


  • Improve sleep and performance
  • Protects teeth from enamel loss, fracture and loss of teeth
  • Improve headache and jaw stiffness
  • Jaw slimming

Adverse Effects

Any medical / cosmetic procedure or treatment has its own adverse events. With anti-wrinkle treatment the potential side effects are:

  • Bruising, swelling which will improve within a week or two and applying a cold compress will lessen the symptom.
  • Fatigue on chewing – depends on the dose injected and site of injection, usually resolves with in few weeks

What To Expect During Treatment:

  • Dr Narayan will prepare the skin to minimise the risk of infection
  • Fine needle is injected into skin – the dose required depends on the client need, size of the masseter muscle, severity of the muscle spasm.
  • Expect to have minimal discomfort / stinging sensation during injection
  • Expect to have bruising and swelling but not always.

After Care Instructions:

Botulinum A toxin (anti-wrinkle treatment) is a minimally invasive treatment with minimal adverse events.

  • Expect treatment response within 5 days and complete response within 2 weeks.
  • Avoid alcohol for at least 12 hrs after the treatment, prefer if you can avoid for 24hrs
  • Avoid sweating, excessive physical activity, massaging for 12 hrs
  • Avoid lying flat for 4 hrs after treatment

Frequently Asked Questions

Generally, the duration of treatment ranges between 15 – 30 minutes, although it may vary depending on the  client’s treatment requirement.

Usually, anti-wrinkle lasts from 10 to 12 weeks depending on the treatment area and individuals, extent of the facial movement and the volume loss

Try to have anti-wrinkle treatment regularly every 12 weeks to avoid rebound symptom. Avoid taking blood thinning medications (fish oil, aspirin) if appropriate after consulting with your doctor.

  • TMJ Physiotherapy
  • Mandibular splint / mouth guard

The desired effects and the number of units required varies with individual, ongoing treatment and sedentary lifestyles.

The desired aesthetic effects and the dose required varies with individual, based on ongoing skin care treatment and sedentary lifestyles.

Dr Narayan is a trained Cosmetic doctor, with special interest in the Skin and Hair rejuvenation. He uses the latest technology and high-quality products; client centred and provide individualised treatment with high standard of care.

We will book an appointment with Dr Narayan for a consultation to discuss about your concerns, medical health condition and assess the suitability for the treatment to achieve the desired aesthetic outcome.

We will arrange a follow up appointment in 2 weeks to assess the response.


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