Management of the symptomatic bruxism with botulinum toxin application

Abstract

Parafunctional habits such as bruxism and clenching are frequently observed in the dental clinic. Bruxism can have several etiologies, which have not yet been definitively elucidated. Treatment is symptomatic and various types of approaches can be offered. Among them are the occlusal splint and the application of botulinum toxin. However, when painful symptoms recur even with the use of a occlusal splint, the application of botulinum toxin is indicated. The purpose of this article is to present the case of a patient with recurrent symptomatic bruxism even after using a occlusal splint. The patient showed significant results in terms of reduced masticatory muscle strength and pain symptoms.