Objectives: To understand the importance of this indication and how to treat it
Introduction: Bruxism is a quite frequent disease. It is characterized by teeth grinding and/or clenching. I might occur during night but also during the day. Bruxism does not only ruin the teeth but is also linked to e.g. orofacial pain; headaches and sleep disorders. Botulinum toxin A is an effective, but still not commonly used, treatment of bruxism.
Materials / method: Rough literature search, but mostly eminence based
Results: Meanwhile the number of clinical trials for this intervention has increased and there is good evidence that the treatment of the masseter with botulinum toxin reduces grinding and clenching. There are differences in reported dosages and injection schemes. I usually treat in Caucasians only the masseter with a starting dose of 40 abo-BoNT-A (Dysport) U per site. With this dosage patients report a decrease of masseter activity, less headache and when repeated a change in the muscle mass leading to a more oval face.
Conclusion: Botulinumtoxin against bruxism is an effective and safe treatment. When dosed reasonably grinding and often pain will decrease considerably.
Declaraciones
¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No
¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No
¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
No
¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
No
Este trabajo no cuenta con el apoyo de ningún financiamiento directo o indirecto. El autor asume plena responsabilidad sobre el mismo.