Relieving jaw tension while considering the causes
A tense jaw in the morning, forceful clenching or worn teeth may indicate bruxism. Botulinum toxin can temporarily reduce the strength of selected chewing muscles. I discuss this treatment as a possible addition following a dental assessment, with a specific goal for symptom relief and an open explanation of its limitations.
Your findings and the extent of treatment determine your individual treatment journey.
Treatment at a glance
Key information about bruxism treatment. These details explain the duration, recovery and costs to help you plan.
The focus is on symptoms; this does not fully treat the cause of grinding.
Selected chewing muscles are treated based on a functional assessment.
Additional time is needed for the examination and consultation.
Local pain relief can be discussed according to your needs.
Temporary local discomfort or changes in chewing strength may occur.
We assess pain, clenching force and function together.
Treatment of bruxism falls outside the licensed indication.
Bruxism treatment · one planned session. The starting price applies to the agreed injection treatment based on a functional assessment. The extent of muscle treatment, product quantity and follow-up appointments are specified in the quotation; dental services are not included.
Timings are a guide. A personal examination will clarify what applies to you.
Understanding what changes
Botulinum toxin temporarily reduces the transmission of signals between nerve and muscle. A treated chewing muscle may therefore contract less forcefully. This does not automatically mean that grinding becomes less frequent or that its causes disappear.
Your symptoms and dental findings guide the approach.
The injection can temporarily reduce forceful contraction in selected chewing muscles.
We weigh up symptoms and possible drawbacks rather than looking only at facial contours.
Bruxism can occur during sleep and while awake. Teeth grinding and forceful clenching are different forms of bruxism. A dental examination assesses the teeth, jaw joints and possible consequences before an additional injection is planned.
A splint can protect the teeth, while physiotherapy, self-monitoring for awake bruxism and assessment of sleep problems address other aspects. I therefore do not want to present an injection as a general replacement for a prescribed splint. These measures should be coordinated.
The S3 guideline considers botulinum toxin an option that may be considered in adults, but rates the evidence as low. Long-term repeated use and the optimal treatment approach have not yet been fully established. Off-label use, possible effects on function and when repeat treatment may be appropriate are all part of the discussion before consent.
Relief needs to make a difference in daily life. Whether pain or discomfort from clenching improves varies from person to person. A cure for bruxism or freedom from the need for dental protection cannot be promised.
Aesthetic masseter slimming focuses on the width of the lower face. With bruxism, the priorities are pain, function and strain. A slimmer contour does not prove that grinding or clenching has been adequately treated.
Dental findings and details of your splint and previous treatments help with the assessment. Note when symptoms occur, how you sleep and what specifically affects your daily life. A medication list and details of any previous botulinum toxin treatments are also relevant.
Is this right for me?
Your wishes are the starting point. I assess whether your clinical findings, health and the expected benefit support treatment.
Persistent symptoms have been assessed by a dentist, and there is a clear muscular contribution.
An injection does not repair dental damage or replace an examination of the jaw joints.
Different causes need different solutions. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesA wish to change facial contours and treatment for symptoms are assessed separately.
Explore the optionsHow it works and its other uses differ according to the goal and area treated.
Explore the optionsYour treatment journey
We discuss your dental assessments, splint, previous treatments and daily life. We then weigh up the use of this additional treatment.
The planned injection takes place after examination and informed consent. The choice of muscles and extent of treatment are based on your individual functional assessment.
We assess your symptoms once the effect has developed. Treatment is only repeated after reassessing the benefits and possible drawbacks.
Before you leave, we agree on how to contact us directly for aftercare. General enquiries: team@dottore.caletti.de.
Your return to daily life
Tenderness or bruising may occur. Strenuous activity and massage should be paused according to your individual instructions.
You may notice a different feeling in the muscles or reduced chewing strength. Symptoms and function are compared at the follow-up appointment.
The effect wears off. Whether further treatment is appropriate depends on your progress, how well you tolerate treatment and your overall dental care plan.
These timeframes are a guide, not a fixed promise. Your individual progress may differ.
Talking openly about risks
Even an outpatient treatment can have unwanted effects. Your individual risks, whether treatment is clinically appropriate and an achievable goal all form part of the decision.
If you have difficulty swallowing, speaking or breathing, seek medical help immediately; if you are short of breath, call 112. New severe jaw pain, a locked jaw or increasing swelling should also be examined promptly.
Understand the costs and decide in your own time
Bruxism treatment in Berlin: from €350. The starting price applies to the agreed injection treatment based on a functional assessment. The extent of muscle treatment, product quantity and follow-up appointments are specified in the quotation; dental services are not included.
Starting price
from €350
Bruxism treatment · one planned session
The starting price applies to the agreed injection treatment based on a functional assessment. The extent of muscle treatment, product quantity and follow-up appointments are specified in the quotation; dental services are not included.
The muscles treated and your individual muscle activity determine the extent of treatment.
The quantity and planned follow-up appointments are specified before you decide.
Splints, physiotherapy and sleep assessments are separate services and are considered independently.
Your individual quotation specifies which services are included in the total amount.
A course of treatment or a later repeat treatment is not automatically included in the price of a single session. Additional assessments or corrections are also discussed separately. Please clarify any possible reimbursement with your insurer before starting; aesthetic treatments are usually self-funded.
We assess, plan together and clarify the costs. You will receive your personal cost plan before deciding on treatment.
Your specialist, personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
A website can offer guidance. We will discuss your personal situation during your medical consultation.
Ask your questionNo. Treatment can reduce the strength of certain chewing muscles. It does not fully address the frequency and causes of bruxism or existing dental damage.
Please do not stop using a prescribed splint without advice. It may still help protect your teeth. Any changes should be agreed with your dentist.
This use falls outside the licensed indication. Before treatment, I specifically discuss this off-label use, the limited evidence and possible alternatives with you.
A change in muscle contour is possible, but it is not the primary goal of bruxism treatment. Symptoms and function are assessed separately from aesthetic changes.
Yes. A temporary reduction in chewing strength is one possible effect. Persistent or troublesome changes should be reviewed.
Reimbursement is not automatic, even if you have symptoms. Please check with your insurer beforehand whether they will contribute and under what conditions.
Costs start from €350. This price is for bruxism treatment · one planned session. The starting price applies to the agreed injection treatment based on a functional assessment. The extent of muscle treatment, product quantity and follow-up appointments are specified in the quotation; dental services are not included. You will receive your personal cost plan before making a decision.
Further clinical information on the procedures described, their limitations and risks.
Causes, dental treatment and additional procedures. Botulinum toxin is considered a possible off-label option, with low-quality evidence.
Contact & Directions
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