Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 May;10(5):49-55.
Epub 2017 May 1.

Aesthetic Treatment of Bruxism

Affiliations
Review

Aesthetic Treatment of Bruxism

Shino Bay Aguilera et al. J Clin Aesthet Dermatol. 2017 May.

Abstract

Bruxism is a diurnal or nocturnal parafunctional activity that includes unconscious clenching, grinding, or bracing of the teeth. An extensive medical history should be taken in these patients so proper diagnosis can be made. Habits such as biting the tongue, cheeks or lips, chewing gum or eating seeds for many hours per day, biting nails, and/or biting hard objects, will cause and/or exacerbate pre-existing bruxism. The etiology of bruxism is uncertain, but it is hypothesized to be associated with genetic, structural, and psychosocial factors. Over time, chronic clenching of the jaw leads to hypertrophy of masseters and temporalis musculature causing the face to take on a masculine and square appearance. Patients commonly present to dermatology cosmetic practices wishing to have a more slim, softer appearing face. This review is the first paper to discuss aesthetic treatment options for complications of bruxism including masseter and temporalis hypertrophy and the associated accelerated aging of the lower face.

PubMed Disclaimer

Conflict of interest statement

Disclosure:The authors report no relevant conflicts of interest.Disclosure:The authors report no relevant conflicts of interest.

Figures

Figure 1.
Figure 1.
Onabotulinumtoxin A injection placement. Note: each x = 4 units
None

References

    1. Winocur E, Gavish a, Finkelshtein T, et al. Oral habits among adolescent girls and their association with symptoms of temporomandibular disorders. J Oral Rehabil. 2001;28(7):624–629. - PubMed
    1. Carra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012;56(2):387–413. - PubMed
    1. Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001. pp. 53–61. - PubMed
    1. Chisnoiu AM, Picos AM, Popa S, et al. Factors involved in the etiology of temporomandibular disorders—a literature review. Clujul Med. [Internet] 2015;88(4):473. http://www.clujulmedical.umfcluj.ro/index.php/cjmed/article/view/485 - PMC - PubMed
    1. Quadri MFA, Mahnashi A, Al Almutahhir A, et al. Association of awake bruxism with khat, coffee, tobacco, and stress among Jazan University students. Int J Dent. 2015. p. 2015.842096 Article ID. - PMC - PubMed

LinkOut - more resources