r/TMJ•
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Jaw pain after short use of clear aligners — I’m worried Botox won’t work

Question(s)

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Hi everyone,

I’m dealing with something that has been really affecting me and I honestly don’t know what to do anymore.

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I started using clear dental aligners, but after just 4 days I had to stop because they triggered severe pain in my jaw muscles, especially the masseters. Since then, the pain has persisted without real improvement.

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Just to clarify, I’ve never had issues with teeth clenching, bruxism, or TMJ problems before this.

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Over the past month, I’ve tried several treatments:

TMJ physiotherapy

muscle relaxants

anti-inflammatories and painkillers

relaxation/spa-type approaches

None of them have really helped.

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Eventually, under medical advice, I decided to get Botox injections in the masseter muscles. I received 25 units per side. It’s been exactly 2 days since the injections, so I know it’s still very early, but I’m already anxious because I don’t feel any improvement yet and I’m worried it might not work.

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I’m stressed because this all started suddenly after just a few days of aligners and hasn’t improved since, despite trying multiple approaches.

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Has anyone experienced something similar? How long did it take for Botox to start working for you, if it did? Or did you find any other solutions?

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I just want to go back to how I was before the aligners — with relaxed masseter muscles and no pain.

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Thanks a lot in advance

Posted Jun 13, 2026, 11:47 PM UTC

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