Bruxism – nocturnal grinding of teeth2020-06-25T08:13:13+00:00

Botulinum for the treatment of nocturnal teeth grinding (bruxism)

Bruxism is the medical term for nocturnal grinding of teeth. A painful temporomandibular joint (TMJ, jaw joint) and damaged teeth are indicators for nocturnal grinding of teeth. The consumption of alcohol, nicotine and caffeine are possible risk factors. Chronic stress or an anxiety disorder are other explanations for this disorder. However, the precise causes have not been identified.

How should a patient with bruxism proceed?

Firstly, a dental or an orthodontal examination is necessary. The dentist should check the alignment of the teeth in the upper and lower jaw. He may confirm the diagnosis bruxism or find another reason for your symptoms. See lists of dentists below: SSO Schweizerische Zahnärzte-Gesellschaft.

Bruxism can be treated with a dental rail or with botulinum

One treatment option for bruxism is a dental guard which is worn at night. It protects the teeth from damage by grinding. Discuss this option with your dentist. If the dental guard does not help, an injection with botulinum into the masseter muscles can alleviate your pain. This medication begins to take effect after one week and lasts for 3 to 6 months in average.

How does botulinum work in patients with bruxism?

Botulinum (used product: BOCOUTURE®) reduces the activity of the masseter muscles which are located at the jaw angles. These muscles allow you to bite and chew. This is how you can feel them working: Place your hand on the cheek in front of the ear and bite on your teeth a few times. Botulinum attenuates the power of these muscles. Obviously, they are not supposed to become too weak to chew your food. At the first treatment, only a partial dose of botulinum is injected. At the follow-up consultation, the treatment will be completed as necessary.

Unfortunately, no reliable information is available on alternative treatment methods such as biofeedback or hypnotherapy.

Note: Health insurance rarely assumes the cost for this treatment, which is normally at the patient’s expense.


Is there a downtime after treatment?2020-02-13T13:34:27+00:00

Usually, there are no visible traces 30 minutes after treatment. However, there is often swelling after lip treatment occurring 24 to 48 hours afterwards.

What is the cost?2020-02-13T13:35:04+00:00

The cost depends on the number of hyaluron injection sets or the facial areas treated with botulinum, respectively. Depending on the place of residence of the patient or the location of the place of your choice, I calculate a travel allowance. Please get in touch for an individual quote.

What should I do or not do before and after a botulinum treatment?2020-02-13T13:36:34+00:00

Avoid alcohol 24 hours before and after a botulinum treatment. This reduces the risk of bruising.

After a botulinum treatment, you should avoid intense physical activity and intense heat (sauna, intense sun exposure) for 24 hours. Normal physical activity, also on sunny days, has no negative effects.

Do not massage the facial area that has been treated with botulinum.

What should I do or not do before and after treatment with dermal fillers?2020-02-13T13:37:22+00:00

Avoid alcohol 24 hours before and after a botulinum treatment. This reduces the risk of bruising.

Avoid intense physical activity for 24 hours.

Avoid touching the facial area that has been treated, in order to avoid infections.

I have some swelling after a filler treatment. What should I do?2020-02-13T13:37:54+00:00

Some mild swelling after a filler treatment is normal, especially on the lips. Cool with ice. If you feel the filler under the skin, you may massage after 24 hours, applying medium pressure. If you notice redness, swelling and pain, please contact me under +41 (0) 76 578 11 11 or any A&E immediately. If in doubt, do not hesitate to phone in!

I have a cold, can I have treatment nevertheless?2020-02-13T13:38:37+00:00

If you have some symptoms of a cold without fever, treatment can take place nonetheless. If you have a fever or are more seriously ill, it is safer to postpone treatment.

I feel pain after treatment. What should I do?2020-02-13T13:39:02+00:00

If you have light pain, you may take Paracetamol up to 4x 1 gram per day. Alternatively, you may take Ibuprofen up to 4x 400 mg per day. These recommendations are only valid, if there is no known allergy/intolerance and no stomach or kidney problems. Avoid Aspirin, as bruising is more likely to occur.
If you suffer from strong pain, redness or there is marked swelling, please contact me under +41 (0) 76 578 11 11 or any A&E immediately. If in doubt, do not hesitate to phone in!

What should I bring along for a consultation/treatment?2020-02-13T13:39:28+00:00

Please bring a list of your regular medication and, if available, a list of known diagnoses.