Dental Bruxism Treatment

TMD related issues such as bruxism (tooth grinding) is becoming an ever increasing issue in the UK.

Temporomandibular disorder (TMD) is a problem affecting the ‘chewing’ muscles and the joints between the lower jaw and the base of the skull. 1 in 7 people suffer with related symptoms such as headaches, jaw ache, clicking, worn down teeth and can have quite a noticeable squarer jaw shape where the muscles are ‘overworked’.

Botulinum Toxin injections (more commonly referred to as ‘Botox’) for the forehead and around the eyes are our most popular aesthetic treatments. However, Dr Khanna has developed ways to also treat TMD related issues such as bruxism with ‘Botox’ injections.

By specifically targeting certain muscles in the jaw muscles we are able to relax them, correct any asymmetry and even slim the face. (Learn more)

Before and After Photos


What is dental bruxism?

Bruxism or teeth grinding is a common problem and can happen for a number of reasons.

The signs and symptoms include:

  • Facial pain
  • Headaches
  • Worn-down teeth, which can include tooth sensitivity
  • Difficulty in opening your mouth
  • Earache
  • Tightness and stiffness in the shoulders
  • Pain and stiffness in the jaw joint and surrounding muscles (known as the temporomandibular joint)
  • Sleep disruption (both to you and your partner)

What does the treatment involve?

We have a global approach where it comes to Bruxism. During your consultation we will look at not only the teeth and how you bite, but also the muscles around the jaw, neck and shoulders.

There are two ways to approach this condition. The traditional way is to use a specially designed splint which is worn in the mouth every night. This not only protects your teeth but also is designed and custom made to help relieve your symptoms.

We also use ‘Botox’ to target the key muscles that contribute to your grinding habit. ‘Botox’ works by temporarily relaxing the muscle and can last up to 4 months. You may need to repeat this treatment however we have noticed that symptoms significantly reduce over time permanently.

The gold standard for treatment and the key for a more permanent outcome is to use both the splint and the use of ‘Botox’ alongside each other.

What is Botulinum Toxin (AKA ‘Botox’)?

‘Botox’ is a purified protein which is injected into the muscle. This allows the muscle to temporarily relax, which can help to soften muscle pain, facial expressions and can also improve the signs of aging.

How effective is ‘Botox’?

The product usually takes 2-3 days to start working and the effects can last up to 4 months depending on the strength of your muscles and your individual response to the product.

Are there any side effects?

Like all medicines, ‘Botox’ can cause side effects, however, any reactions are generally minimal and temporary. You may find that there can be some slight discomfort as the needle enters the skin and you may have some bruising or bleeding where the needle has been placed.

Very rarely, ‘Botox’ may result in muscle weakness. All other rare, although possible side effects can be found within the patient information leaflet which comes with the product. Please feel free to contact us and we will be happy to give this too you.

If you are concerned or feel you are having a reaction please do not hesitate to contact us or your GP.

What to expect on the day

Before the treatment any make up will be removed and the area will be cleansed. The product is placed into the muscle with a fine needle. You shouldn’t experience any discomfort. However, if you are sensitive we can use a topical anaesthetic cream, although in most cases this is not necessary.

The treatment itself will take 15 minutes and you can return to your usual activities immediately afterwards.


After having treatment with ‘Botox’ you are advised to avoid any rubbing of the area and to avoid any beauty treatments e.g. facial massage, Sauna’s and extreme temperatures for up to 2 weeks.

You will be invited to attend a review appointment 3 weeks later for any adjusting that may be necessary.

See prices and payment options.


split the cost of your bruxism treatment with gocardless 0%


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"I had been diagnosed with bruxism by my dentist and had been wearing a plastic mouthpiece every night for over five years. I read about the BK Clinic in a national newspaper and made an appointment… The team were very warm, friendly and put me at ease. Professor Khanna diagnosed my problem within minutes… Within 2 weeks I was pain-free, sleeping better and my ugly mouthpiece was ditched… I would not hesitate in recommending the DrBK Clinic, Professor Khanna is extremely knowledgeable and passionate about what he does and I only wish I had discovered his services sooner." - Sarah

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Professor Bob And his wonderful caring team is the only clinic to go. I am always reassured and always feel welcome. I feel I am in the magic hands of Professor Bob. Pain free fabulous results. He simply loves his profession loves people and cares. What more an you ask for. Professor Bob achieves his work of art." - Renee

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