The Evaluation of the Clinical Effects of Botulinum Toxin on Nocturnal Bruxism

Abstract

Objectives Nocturnal bruxism can be managed by botulinum toxin (Botox®) in patients who have not responded to conservative treatment. The aim of this study was to evaluate the efficacy of botulinum toxin A (BTXA) in the treatment of nocturnal bruxism. Material and Methods The retrospective study comprised 25 female patients, aged 23–55 years (mean 35.84 ± 8.41 years). All patients received a single injection of BTXA in the right and left masseters. Evaluation was made by Visual Analogue Scale (VAS) values, complaint duration, onset of effect, and duration of effectiveness. Results BTXA produced significant improvements in pain scores. Only 2 adverse events (8%) were recorded. Conclusion BTX-A is effective in the treatment of nocturnal bruxism.

The use of botulinum toxin in the management of bruxism and facial arthromyalgia syndrome

“…In our study, the effects on the perceived pain were not conclusive in all patients at one-month post-injection, but a decrease in painful symptoms was obvious in all included patients after three months. This is consistent with the findings of other authors stating that pain was significantly reduced in patients undergoing botulinum toxin injections, with a denoting increase in their life quality (6,12,13,15).…”

“…A decrease in the intensity of muscle contraction may play a role, but the known inhibitory effect on the release of inflammation factors may be equally important (2,5). As a result, although most studies report a decrease in the intensity and frequency of bruxism episodes, the complete disappearance of the phenomenon may not be feasible (4,11,12). Nevertheless, a decrease in the associated painful symptoms is achievable using botulinum toxin (12)(13)(14).…”

“…As a result, although most studies report a decrease in the intensity and frequency of bruxism episodes, the complete disappearance of the phenomenon may not be feasible (4,11,12). Nevertheless, a decrease in the associated painful symptoms is achievable using botulinum toxin (12)(13)(14).…”

Toxina Botulínica Em Adultos Com Bruxismo Primário: Uma Discussão Crítica Da Literatura

“…de palpação e medições, obtiveram melhora da sintomatologia do bruxismo com muito poucos ou nenhum registro de efeitos indesejáveis (BOLAYIR et al, 2005;GUARDA-NARDINI et al, 2008;LEE et al, 2010;REDAELLI, 2011;SHIM et al, 2014;ZHANG et al, 2016;ASUTAY, 2017;JADHAO et al, 2017;AL-WAYLI, 2017;ONDO, 2018).A maior parte dos estudos não esclarece o tamanho da agulha utilizada (GUARDA-NARDINI et al, 2008;LEE et al, 2010;ZHANG et al, 2016;ASUTAY, 2017;JADHAO et al, 2017;AL-WAYLI, 2017…”

“…A maioria dos trabalhos realizou questionários como método de avaliação dos efeitos da TB (BOLAYIR et al, 2005;GUARDA-NARDINI et al, 2008;LEE et al, 2010;REDAELLI, 2011;SHIM et al, 2014;ASUTAY, 2017;JADHAO et al, 2017;AL-WAYLI, 2017;ONDO, 2018…”