If you're waking up with a sore jaw, tension headaches, or a dentist has pointed out worn-down teeth you didn't know about, there's a good chance bruxism is behind it. It's a surprisingly common condition, and Botox has become one of the more talked-about treatment options — but it's worth understanding exactly how and why it helps before assuming it's the right fit. What Is Bruxism and Why Does It Happen? Bruxism is the medical term for repetitive jaw clenching or teeth grinding, and it's thought to affect a significant proportion of adults, often without them realising until symptoms build up. It can happen during the day, often linked to stress or concentration, or at night during sleep, where it's harder to consciously control. Common triggers include stress and anxiety, sleep disorders, and in some cases an irregular bite. Common Symptoms of Bruxism Typical signs include jaw pain or tightness, headaches (particularly around the temples), worn or chipped teeth, disrupted sleep, and in some cases a gradually widening lower jaw as the masseter muscle — the main muscle used for chewing — becomes overworked and enlarged from constant use. How Does Botox Help with Jaw Clenching? Botox works by temporarily blocking the nerve signals that trigger muscle contraction. When injected into the masseter muscle, it reduces the intensity of clenching and grinding by preventing the muscle from over-firing, giving it a genuine rest from constant tension. This is an off-label use of Botox rather than its original cosmetic application, though it's now well established in both dental and aesthetic practice for exactly this purpose.