Q.
Hi, I have quite a bad bruxism problem and have done for about 10 years. I have a mouthguard (tanner appliance), but recently my grinding seems to have got worse – as soon as I have my appliance adjusted the next morning there are already deep grooves in it. My teeth are being visibly worn down on one side, are feeling fragile and are starting to move. I also feel that my gums are receeding. I also have facial pain, my jaw sounds like it’s crackling when I move it from side to side and my facial muscles are painful and sometimes swollen. I recently tried a muscle relaxant prescribed by my dentist but without success. I have heard about botox and wondered what your opinion was on its use to combat bruxism? Is it recommended generally and is it safe? Many thanks in advance.
Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com Tel: 020 7612 9810
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Dr Glaister