Bruxism

Bruxism is a dental condition in which a person grinds or clenches their teeth together. Often a person suffering from bruxism is unaware as they may unconsciously clench their teeth together during the day or grind them at night, which is called sleep bruxism.

 

Bruxism can range from minor to severe. In some cases, it can be frequent and severe enough to lead to jaw disorders, headaches, damaged teeth and other head and neck problems. Because many people have sleep bruxism and are unaware of it until complications develop, it's important to know the signs and symptoms of bruxism and to pursue regular dental care.

 

Symptoms of Bruxism include:

• Grinding or clenching

• Teeth that are worn down, flat or chipped

• Tooth sensitivity

• Jaw and facial pain/tightness

• Ear pain

• Headaches

• Facial pain

• Damage to the tongue or tissue inside your cheeks

 

Botox injections are being used more frequently in dental offices as "off label" treatments for more troublesome maladies such as TMD. Studies have shown patients who received these injections experienced significant improvement in pain, function, ability to open their mouth and levels of tenderness to palpation. Only a dentist can determine if you are a candidate for this treatment, the frequency of injections will depend on the severity of your condition.

 

BOTOX® Treatment for Jaw Tension and TMJ

BOTOX® is used as an alternative treatment for TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into facial muscles afflicted with soreness and discomfort, BOTOX® relieves TMJ and jaw tension for many patients. The injections often eliminate headaches resulting from teeth grinding, and, in cases of severe stress, BOTOX® can even minimize lock jaw. Although BOTOX® treatment for these conditions is presently experimental; evidence indicates that it can be extremely effective.

 

How Does BOTOX® Treat Jaw Tension and TMJ Disorder?

Located on both sides of the head at the point where the jawbone meets the skull, the temporo-mandibular joint (TMJ) is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw. BOTOX® relieves jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.

 

The BOTOX® alternative treatment for TMJ disorders and jaw tension is usually quick, straightforward, and effective. A non-surgical procedure, BOTOX® injections are administered in a doctor’s office and treatment requires no hospital stay. Most patients experience noticeable improvement within one or two days of their first treatment, although relief can take up to a week.

 

Areas Affected by TMJ Botox Therapy

Only the areas injected with Botox will be “relaxed.” Botox treatment for TMJ therapy will not affect anywhere else in your body. The injections are mainly in the temporalis, frontalis and masseter (see picture below) additional sites may be injected with Botox depending on the severity of the headaches.

 

How long is the Botox Treatment Procedure?

The length of the Botox treatment procedure depends on the number of injections needed as determined by the doctor. Still, it is reasonable for the treatment procedure to be completed within 10-30 minutes.

 

Is the Botox Treatment Painful?

The pain associated with the Botox TMJ Treatment procedure is due to the injections, but it is generally minimal and brief. Some patients have likened the Botox injection pain unto a “bug bite” or “prick”. Pain from the injection can be reduced by numbing proposed injection sites with a cold pack or anesthetic cream. If you are scared of needles the doctor may offer you Happy Gas.

 

What to Expect After the Botox TMJ Treatment?

After the Botox TMJ Treatment muscle tenderness will start to disappear almost immediately. Wrinkles begin to disappear within 24 – 48 hours after the injections, and you may continue to see the wrinkles diminish up to one week after the Botox treatment procedure.

 

There may be mild temporary bruising, numbness, or redness around the injection sites. You will not look 20 years younger, but you may find that you look more natural and relaxed or less sad and angry. A small number of patients treated with Botox injections reported no noticeable difference in the reduction of their wrinkles.

 

What is the Recovery from Botox Therapy for TMJ Treatment Like?

Because the Botox Treatment procedure is non-surgical and non-invasive, it is highly likely that the patient can return to normal activities immediately. However, to avoid spreading the toxin to other muscles, patients should not rub or massage the area injected with Botox and remain upright for many hours. Physical activity should also be limited for a time.

 

Risks, Limitations & Possible Complications of Botox Injections for TMJ Treatment

As with any medical procedure there are possible risks and side effects when using Botox for TMJ treatment. Since this is a non-surgical treatment procedure, the risks and possible complications are infrequent, minimal and temporary.

 

The most common reported side-effects of Botox treatment are headaches, respiratory infection, flu syndrome, temporary eye-lid droop, and nausea. Less commonly reported effects of Botox are pain, redness at spot of injection, and muscle weakness. These symptoms are thought to be connected with the Botox injection and occur within the first week.

 

There could also be bruising at the injection site. The lips are used more than the forehead for common activities such as chewing, kissing, and talking. Therefore Botox injections around the mouth are less useful in TMJ treatment and can have more potential inconvenient effects. These every day activities may become more difficult and too much Botox® around the mouth can result in drooling. Another limitation to Botox® injection for TMJ treatments is that there is a possibility of developing antibodies that would render the TMJ treatments less and less effective over time. This resistance could be delayed by using the lowest effective dose possible over the longest intervals of time. Botox injection treatments should be avoided during pregnancy and lactation.