Teeth Grinding Treatment (Bruxism)
Teeth grinding and jaw clenching — known medically as bruxism — is a surprisingly common condition that can cause significant pain, dental damage, and disruption to everyday life. Many people are entirely unaware they are doing it, particularly those who grind their teeth during sleep. At Eye and Face Clinic, Consultant Surgeon Dr Janice Brady offers botulinum toxin injections into the masseter muscle — a safe, proven, and highly effective treatment that relaxes the overactive jaw muscles responsible for grinding and clenching, providing meaningful and lasting relief.
What are the symptoms and effects of bruxism?
Many people first become aware of bruxism through the symptoms it causes rather than the grinding itself. Common signs and symptoms include:
- Jaw pain or soreness, particularly upon waking
- Dull headaches that start at the front of the ears or the temples
- Facial pain, particularly around the cheeks and jaw
- Clicking or popping sounds when opening or closing the mouth
- Earache or a sensation of fullness in the ears
- Tooth wear, sensitivity, or damage — grinding can wear down the protective enamel layer on teeth, making them more likely to develop cavities, cracks, and sensitivity
- Disrupted sleep and fatigue
- A visibly enlarged or squared jawline caused by overdeveloped masseter muscles
Left untreated, bruxism can progress to more serious complications. Dental damage caused by bruxism can require extensive dental treatments, and TMJ dysfunction can lead to frequent, debilitating headaches, sleep disruption, and pain radiating to the neck, shoulders, and ears.
How does botulinum toxin treat bruxism?
When injected into the masseter muscle — the large muscle that moves the jaw — botulinum toxin helps reduce muscle activity, thereby alleviating both the unconscious grinding of the teeth and the excessive stress on the jaw. This targeted application does not interfere with normal activities like talking and eating, but significantly decreases the power of the muscle contractions associated with grinding.
When precisely injected into the masseter muscles, botulinum toxin relaxes these overactive muscles, reducing the intensity of clenching and grinding. This targeted approach not only alleviates jaw pain but also helps protect teeth from further damage and can improve sleep quality by minimising nocturnal muscle activity.
What to expect
Your treatment begins with a thorough consultation with Dr Brady, during which your symptoms, dental history, and medical background will be reviewed and a personalised treatment plan created. The procedure itself is quick and straightforward — small, precise amounts of botulinum toxin are injected directly into the masseter muscle on each side of the face using a very fine needle. A topical numbing cream can be applied beforehand to ensure your comfort.
The procedure is minimally invasive and most patients begin to notice relief within two weeks. The jaw muscles gradually relax over this period, with the full benefit of reduced grinding, reduced jaw pain, and a slimmer jawline becoming apparent within four weeks of treatment.
The treatment helps to reduce symptoms for up to six months with few side effects. Repeat treatments are recommended to maintain results and, over time, many patients find that the masseter muscle gradually reduces in size with repeated treatment cycles.
DAY 0
Injections into masseter muscle (quick, minimal discomfort)
1-2 WEEKS
Early reduction in clenching/grinding
4-6 WEEKS
Full effect — muscle relaxation and jaw slimming visible
3-6 MONTHS
Effect gradually wears off
ONGOING
Repeat every 3–6 months to maintain relief
Why choose Dr Janice Brady?
Masseter injections require precise knowledge of facial anatomy and muscle function. As a Consultant Surgeon with specialist facial expertise, Dr Brady ensures the correct muscle is targeted and dosage is tailored to each patient, for effective, natural-looking results.
She understands bruxism is often a source of pain, dental anxiety, and disrupted sleep — not just a cosmetic concern — and treats each patient’s symptoms and goals accordingly.
At Eye and Face Clinic, patient safety and satisfaction come first.
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What Our Patients Say
Posted on Richard BurdenTrustindex verifies that the original source of the review is Google. The service i received today was exceptional. Dr.Brady was fantastic at explaining, she went above and beyond my expectations.Dr.Brady was extremely kind to me and my farther. As she went into good detail explaing my eyes aswell as farthers. Using great technical terms. Overall Dr. Brady was fantastic.Posted on Ellen PhiriTrustindex verifies that the original source of the review is Google. Dr. Janice is very welcoming, friendly and professional. She answered all of my questions patiently and with detailed information. I appreciated that she used medical terms during the consultation and then explained the terminology in a simple manner I could comprehend and I am grateful she kindly also used images to further describe various aspects of ophthalmology. I would highly recommend her services and am happy that Dr. Janice was recommended to me by my optician.Posted on Jack StarlingTrustindex verifies that the original source of the review is Google. Mr Doris is a fantastic surgeon, totally recommendPosted on Sheila MoynihanTrustindex verifies that the original source of the review is Google. Dr. Janice was patient and thorough, put me at ease and explained every step and every treatment option. Was put at ease by her kind thoughtfulness.Posted on Jennifer O'BrienTrustindex verifies that the original source of the review is Google. We’ve had the pleasure of working closely with Eye and Face Clinic Waterford through 2Cubed, and it’s clear why they have such an outstanding reputation. The team there are not only experts in their field but also bring a genuine care and professionalism to every patient interaction. Their approach is thorough, compassionate, and always centred around the patient’s needs. Whether it’s advanced eye care or specialist facial treatments, they combine the very latest techniques with a personal touch that immediately puts people at ease. From our experience, they run their clinic with the same level of dedication and excellence that they bring to their patients – efficient, forward-thinking, and always striving for the best possible results.Posted on Katharine CheastyTrustindex verifies that the original source of the review is Google. Really enjoyed my first visit to the clinic warm and welcoming reception Gillian is a lovely lady and very passionate about her profession explained treatments that I was interested in can't wait to try the skin pen Katharine CheastyPosted on David CleereTrustindex verifies that the original source of the review is Google. Very professional and really helpful would highly recommendPosted on Barbaross HanTrustindex verifies that the original source of the review is Google. unfortunately website doesn't workPosted on Shauna ParleTrustindex verifies that the original source of the review is Google. The Skin Consultation was excellent, I learned so much about my skin and what products do and don’t work including ingredients to watch out for. I have a totally new skincare regime and already notice a difference after only a couple of weeks. Would definitely recommend for anyone struggling with managing skincare concerns.
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