Botox® for teeth grinding/bruxism

What do you expect from us?

   Natural aesthetic results

   Expertise & experience

   Highest product quality

   Responsible treatment plan

Plastische Chirurgie Düsseldorf, Koebe Klinik, Dr. Koebe und Dr. Dr. Koebe

Facts about Botox® for teeth grinding

Treatment duration:Approx. 10 minutes
Anaesthesia:Local anaesthetic available using numbing cream
Aftercare:Cooling, physical rest and sun protection
Exercise:After 24 hours
Cost:From €350

Bruxism treatment

It is not uncommon for people to grind their teeth at night – in fact, this condition affects millions of people. Known as bruxism, this condition places a lot of strain on the jaw and teeth. The potential consequences include lasting and progressive damage to the teeth, malposition of the jaw, pain in the mandibular joint and chronic tightness in the jaw.

It is often apparent at first glance that a person grinds their teeth in their sleep because bruxism is usually associated with overdeveloped masticatory muscles. This leads to the jaw region becoming hardened and angular, which can leave the face looking grim and stubborn.

At the KOEBE KLINIK, we offer Botox® treatment as a gentle way to remedy teeth grinding. In this brief, outpatient treatment, we inject a muscle relaxant called botulinum toxin (Botox®) into the large masticatory muscle. This allows us to relax the muscle with lasting effects – but without noticeably restricting its function. You will still be able to chew as normal but will experience significant relaxation, especially in your sleep.

Bruxismus behandeln, Koebe Klinik Düsseldorf

A positive side effect of this Botox® treatment is that it also restores harmony to a hardened jaw. The overdeveloped masticatory muscles recede, leaving the lower half of your face looking softer and more harmonious.

At the KOEBE KLINIK, we also use Botox® for targeted facial slimming, emphasising the V-shape to achieve new, aesthetically pleasing proportions between the cheekbones and a charming, graceful chin. The patient’s face is left looking fresher and more expressive, yet still appears wholly natural.

FAQs about bruxism
treatment in Düsseldorf

What is bruxism?

Bruxism is the medical term for teeth grinding. It primarily takes the form of teeth grinding while asleep at night, which the people in question often do not notice for some time. This treatment is usually considered medically beneficial given that teeth grinding involves considerable force, which can cause long-term damage to the jaw, mandibular joint and, above all, the teeth.

What are the reasons for teeth grinding?

Bruxism is often caused by stress, though it can have other causes, such as mandibular dysfunction. A person may also grind their teeth at night if they have improperly positioned dentures that prevent them from biting their teeth together. In the case of stress-related teeth grinding, the issue usually improves when the person is able to reduce the mental strain in their daily life.

What are the benefits of Botox® treatment for teeth grinding?

Using Botox® to treat teeth grinding allows us to achieve noticeable results in a very short time. It relaxes the muscles and thereby significantly reduces the forces and strain involved.

The treatment is gentle, well tolerated and does not involve long, protracted treatment sessions. If you would like to pursue a different kind of treatment in parallel, such as physiotherapy to relax the muscles, Botox® treatment in no way inhibits this.

Can bruxism cause damage if left untreated?

Without treatment, teeth grinding can cause long term damage to the teeth and mandibular joints. Given the high forces involved in teeth grinding, common consequences include dental abrasion and damage to the tooth enamel. Additionally, overexerting the mandibular joints in this way can lead to malalignment of the jaw, which can entail chronic pain and a feeling of tightness.

What do I need to consider after bruxism treatment with Botox®?

Following treatment for bruxism, you should rest for 1 or 2 days and take a break from sports and exercise. Gently cooling the treated area can counteract any swelling or bruising.

We advise using sun cream whenever you go outdoors for a while. You should also avoid hot baths and visits to the sauna or solarium for at least 48 hours.

How can Botox® help to achieve a facial V-shape?

Enhancing the V-shape of the face is a positive side effect of treatment for bruxism. Significant teeth grinding often leads to the masticatory muscles becoming overdeveloped, which can make a person’s face appear broad and angular. It is not uncommon for the masseter muscle to become unilaterally overdeveloped – i.e. asymmetrically enlarged – leading to overall dysfunction and a considerable loss of aesthetic harmony.

By administering Botox® injections to treat teeth grinding, we can achieve lasting relaxation of the jaw muscles. The masticatory muscle gradually recedes, leaving the jawline looking softer and more harmonious.

What does facial slimming treatment with Botox® involve?

In a facial slimming treatment, just as in treatment for teeth grinding, we inject Botox® directly into the large masticatory muscle (masseter). This controlled injection allows us to reduce the muscle’s activity without impairing or immobilising it.

Facial slimming with Botox® is an outpatient treatment and only takes a few minutes. The effects begin to appear after a few days and develop over the weeks that follow, as it takes some time for the masticatory muscle to visibly recede.

Are the results of Botox® treatment long-lasting?

The results of Botox® are not permanent. This applies when using Botox® to treat teeth grinding as well to enhance the facial V-shape.

You can expect the results to last for 4 to 6 months on average before the relaxing effect begins to fade. One to two top-up sessions per year are usually sufficient to maintain the effects of the Botox® treatment.

Can Botox® treatments have side effects?

When Botox® is used to treat teeth grinding, you should not expect any serious side effects. Slight swelling and small bruises may appear around the injection sites, but you can counteract this effectively by gently cooling the area.

At the KOEBE KLINIK, we use high-quality, well-tolerated compounds from renowned manufacturers in our Botox® treatments. The substance only remains in the body for a limited period, after which time it is broken down, so any results are not permanent.

If treatment is deemed medically advisable, treatment costs are often covered by private health insurance providers. You should consult your insurance provider about this in advance.

Benefits of bruxism
treatment with Botox®

  • Long-standing experience: Dr Norman Koebe and Dr Hermann Koebe specialise in exacting facial treatments with Botox® and in treating overdeveloped masticatory muscles. Their interdisciplinary expertise allows them to dose and administer injections safely and precisely to achieve outstanding aesthetic results.
  • High standards: At the KOEBE KLINIK, we refuse to compromise on the quality of the products we use. We source all our compounds from renowned manufacturers so that we can offer a high level of treatment safety.
  • Flexible appointments: We can also schedule treatments for bruxism outside our normal opening hours. Please contact us if you have commitments during the day and would like to make an appointment at another time.


Plastische & Ästhetische Chirurgie in Düsseldorf, Empfang


Niederlöricker Str. 33 
40667 Meerbusch
near Düsseldorf
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Opening hours

Monday to Friday        9.00 am - 6.00 pm

We are available to you 24/7!