Botox and Invisalign

I started Invisalign in January and starting getting headaches so in March I had Botox in my masseter because my provider thought that it was from a new onset of TMJ. I now have masseter hypertrophy (verified by CT) on the right side of my face 6 months after the Botox and 9 months after starting Invisalign. I know that I have bruxism and suspect that the Invisalign gives me more grip when grinding at night or the Botox left one side stronger than the other and it compensated but I figured it would have worn off by now. ENT wants me to wait a few months to see if it resolves on it own. Have any providers ever seen this or have any suggestions? My ENT thinks that Botox would be a last resort to relax the muscle because he thinks it’s could cause more asymmetry and hasn’t done the procedure very often.

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