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This is a great question. It is self evident that a drug used to relax muscles can help a condition where spasm of the masseter muscle is the underlying pathology. I have been using Botox for teeth grinding / clenching for several years now and the results are fantastic. It works for almost everyone and the relief is usually complete. I start with 20 units per side delivered in 5 injection sites. If the relief is not complete, I bring the patient back for more Botox, and that usually works fine. I have never seen side effects (aside from one person who complained that she couldn't bite an apple as hard as she was used to), even though the Botox dose can be high (up to 120 units or more). Many of my patients get 2 or 3 injection sessions, which breaks the clenching habit, and they never need Botox again.

The one frustration is that this can get expensive and medical insurance rarely covers the procedure. This is a shame, since we are addressing a pain issue, not a cosmetic one, but the companies make their money by denying care, so that's the way it is.

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Q: Can botox be used to relax the muscles that make you clench your teeth?
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