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158-160 County Road, Walton, Liverpool L4 5PH

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TMD / Bruxism Treatment

at County Road Dental Practice

We now offer a clinical treatment with Botulinum Toxin Type A injected into the masseter muscles. 

The aim of this procedure is to reduce the symptoms of bruxism (clenching or grinding), decrease muscle hypertrophy (bulkiness), and alleviate jaw pain, tension, or associated headaches. This treatment works by temporarily weakening the masseter muscle, reducing its ability to contract forcefully.

The procedure involves small intramuscular injections of Botulinum Toxin using a fine needle. The treatment usually takes 10–20 minutes and does not require anaesthesia. The effects typically start within 3–10 days, peak at around 4 weeks, and last approximately 3–6 months. Repeat treatments maybe required to maintain results.

Botulinum Toxin injections should not be administered in the following cases:

  • Pregnant or breastfeeding
  • Neuromuscular disorder (e.g., Myasthenia Gravis, Lambert-Eaton Syndrome, ALS)
  • Known allergy to Botulinum Toxin or its components (such as human albumin)
  • Active infection or skin condition at the proposed injection site
  • Received Botulinum Toxin injections within the past 3 months in the same area
  • Taking aminoglycoside antibiotics or muscle relaxants that may potentiate the effects of Botox

Although generally safe and well-tolerated, Botulinum Toxin injections can cause side effects, consisting of:

Side Effects

Common / Temporary Effects

  • Mild pain, redness, or swelling at the injection site
  • Localised bruising or tenderness
  • Temporary chewing weakness or fatigue
  • Slight asymmetry during smiling or facial movement
Less Common / Rare Effects
  • Prolonged weakness of the masseter muscle
  • Difficulty chewing tough foods
  • Smile asymmetry due to diffusion into adjacent muscles
  • Dry mouth or altered salivation Headache or flu-like symptoms
  • Allergic reaction (extremely rare)

Alternative options may include: Occlusal splints or night guard. Physiotherapy or jaw exercise. Medication. e.g. muscle relaxants, anti-inflammatories. Stress management or behavioral therapy. 

A deposit of £50 will be required to secure your appointment. This comes off the full charge should you go ahead with treatment. Depending upon stock availability it may be possible to administer the injections in the same appointment should you wish. 

The charge is £350, this includes any review appointments / follow up phone consults you may require. 

Cost

If this is something you are interested in then please book online, email or call the practice (you may need to leave a voicemail, our team will call you back) and arrange for a consultation.

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