Complimentary Consultation included. Treatment is not performed without a thorough medical consultation with Dr Evaghoras.



Bruxism is the medical term used to describe unconscious tooth grinding or clenching while awake or asleep. Grinding teeth, especially over long period of time, can have a negative impact on the enamel of the teeth, as well as the muscles of the jaw an face. It is not uncommon to see chipped teeth, flattening of the tooth surfaces in those who grind. Chronic bruxism may also contribute to recurring headaches, facial pain and even migraines.


A gummy smile is seen when a lot of gum shows above the upper teeth when we smile. This can be due to the underlying bone or over activity of the upper lip. In either case, muscle relaxant injections can be used to improve the appearance seen. In some cases, placing a little filler in the upper lip also helps to improve the appearance of the smile.

Bruxism procedures

Muscle relaxant injections may help to reduce tooth grinding and jaw clenching, and therefore may help relieve the associated pain and discomfort. There are night guards available too, which we might advise you to wear.
A small amount is injected in the masseter muscle which is found at the sides of the face. The muscle weakens, which helps control the involuntary grinding of the teeth and clenching of the jaw. Voluntary movements, such as chewing and facial expressions, are not effected by the treatment.
Results start appearing approximately 2 weeks after the injections, with the final result seen at 6-8 weeks. The results can last for up to 6-8 months.

A thorough medical consultation is performed to find out if you are suitable for any of the treatments.


A thorough medical consultation is initially performed. In the case of both Teeth Grinding and Gummy Smile we will assess your muscles' movements on the face, specifically around the jaw, your teeth size and shape. We will also ask you to share what concerns you have, your goals and then if we assess that you are a suitable for a treatment we will provide you with a customised treatment plan. We will only proceed to a treatment after you are fully informed and would like to go ahead. Treatments are never performed on the compulsory first consultation.

Is the treatment painful?

Both treatments are relatively painless option with minimal downtime period. You will be able to continue with your daily routine immediately after treatment.

What are the potential side effects?

The side effects that may occur are minimal and temporary such as redness, swelling, bruising. Injection related side effects are minimal and temporary such as redness, swelling, bruising. This is not a complete list of potential side effects. You will be provided with a complete guide specific to your treatment.

Please refrain from

Immediately after the treatment, please avoid touching, massaging or applying cosmetics or creams to the area for 6 hours. This will reduce risk of infection. Post treatment instructions will be discussed and provided before the treatment.

To request a consultation or to find more information, please click the button below or call us on 020 8340 9745.