Bruxism Treatment in Dortmund
Interdisciplinary treatment of teeth grinding – dentistry and neurology at WiloHealthCube
Treating teeth grinding effectively
Bruxism – involuntary teeth grinding and jaw clenching – affects many adults and can have significant consequences for teeth, the temporomandibular joint, and quality of life. At Puls' Zahnmedizin in Dortmund, we offer interdisciplinary treatment: Your dentist handles dental diagnostics and splint therapy, while our neurologist specialist performs botulinum therapy for severe cases.
What is bruxism?
Bruxism is the unconscious grinding or clenching of teeth, which often occurs at night (sleep bruxism) or during the day (awake bruxism). The causes can be varied: stress, sleep disorders, malocclusion, or neurological factors. Without treatment, bruxism can lead to significant tooth structure loss, temporomandibular joint pain (TMD), chronic headaches, and muscle tension.
Why a neurologist specialist?
Bruxism is not purely a dental condition – the neuromuscular component plays a decisive role. Our neurologist specialist understands the neurological connections between brain, nerves, and masticatory muscles. Her botulinum therapy does not target cosmetic effects but rather the medically indicated reduction of excessive muscle activity in the masticatory system.
Our treatment spectrum
Splint therapy
Individually fabricated occlusal splints distribute chewing forces evenly and protect tooth structure from further wear.
Botulinum therapy (Botox)
In severe cases, our neurologist specialist performs targeted injections into the masticatory muscles to reduce excessive muscle activity.
TMD diagnostics
Comprehensive functional analysis of the temporomandibular joint and masticatory muscles to identify dysfunctions and pain conditions.
Treatment process
Dental diagnostics
Your dentist assesses the findings, analyzes wear patterns, and performs TMD diagnostics.
Neurological consultation
When needed, our neurologist specialist conducts an examination to assess the neuromuscular situation.
Botulinum therapy
If indicated, our neurologist specialist performs the botulinum injection into the masticatory muscles.
Dental restoration
After muscle activity stabilizes, your dentist restores damaged tooth structures as needed.
Frequently Asked Questions About Bruxism Treatment
Is Botox safe for bruxism treatment?
Yes. Botulinum toxin has been used in neurology for decades and is very safe when administered by a licensed physician. Injection into the masseter muscle is a well-established procedure with few side effects. In Germany, botulinum toxin may only be injected by licensed physicians (approbierte Ärzte).
How long does the Botox effect last?
The effect typically lasts 4 to 6 months. The treatment can then be repeated. With regular application, many patients report that intervals between treatments become longer as the muscle adapts to reduced activity.
Does insurance cover the cost?
Botox treatment for bruxism is typically a private service and is not covered by statutory health insurance in Germany. Private health insurance may cover the costs partially or fully depending on the plan. We are happy to advise you on costs during a personal consultation.
What is CMD (Craniomandibular Dysfunction)?
CMD describes a dysfunction of the masticatory system — the interplay of the temporomandibular joint, chewing muscles, and teeth. Symptoms can include jaw pain, headaches, tinnitus, neck tension, and limited mouth opening. Bruxism is a common cause of CMD.
How do I know if I have bruxism?
Typical signs include: worn or shortened teeth, cracks in fillings or crowns, jaw pain especially in the morning, headaches in the temple area, tense chewing muscles, and a widened jaw (masseter hypertrophy). Your dentist can diagnose bruxism based on wear patterns on your teeth.
End teeth grinding
Puls' Zahnmedizin at WiloHealthCube, Wilopark 15, 44263 Dortmund. Opening 2027.
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