Abstract
Background: Currently it has been shown that botulinum toxin is effective for a wide variety of medical conditions,
and can be applied for therapeutic purposes as cosmetic. In recent years, there has been a growing trend in
the use of this drug substance to control the muscular overactivity of bruxism. The objective of this study was the
use of botulinum toxin type A (BTX-A) than traditional methods, by conducting a systematic review of randomized
clinical trials (RCTs) published in the health sciences literature.
Material and Methods: An electronic search was made in the databases of the PubMed, Cochrane Library and
Scopus data between March and October 2017, ECA, which will analyze the effect of botulinum toxin in the treatment
of bruxism. We included studies of bruxist patients older than 18 years where BTX-A tests were performed
on the masseter and / or temporal muscles and the control systems were injections of placebo (saline) or the use
of traditional methods for the treatment of bruxism. such as occlusal splints, other medications or cognitivebehavioral
therapy.
Results: Of the 68 studies identified, 4 RCTs that fit our inclusion criteria were selected. These studies show that
BTX-A injections can reduce the frequency of bruxism episodes, decrease pain levels and maximum occlusal
force generated by this pathology, offer superior efficacy in the treatment of bruxism compared to control groups
who were treated with placebo or with traditional methods for the treatment of bruxism.
Conclusion: Infiltrations with BTX-A are a safe and effective treatment for patients with bruxism, so its use is
justified in daily clinical practice, especially in patients diagnosed with severe bruxism.