Botox for Treatment of Grinding & TMD

BOTOX® works by temporarily weakening overactive muscles which may cause temporomandibular pain and headaches in adults.

How does BOTOX® work?

BOTOX® is a muscle relaxant that is injected into the muscles or deep into the skin.  It works by partially blocking the nerve impulses to any muscles that have been injected and reduces excess contractions of these muscles.  The muscle relaxation is reversible with a time limited duration of effect.  In the case of chronic migraine, it is thought that BOTOX® blocks pain signals, which indirectly block the development of a migraine.

What are the ingredients in BOTOX® ?

Medicinal ingredient: Onabotulinumtoxin A for injection, a sterile, form of purified botulinum neurotoxin type A complex

Non-medicinal ingredients: Albumin (human) and sodium chloride

What is the use of BOTOX® in the field of dentistry?

Bruxism is a habit of grinding or clenching the teeth.  Clenching means you tightly hold your top and bottom teeth together.  Grinding is when you slide your teeth back and forth over each other.  People who suffer from bruxism may have one or more of the following symptoms: headache or earache, sore jaw, jaw clicking, frequent toothaches, sensitive teeth, facial pain, worn or cracked teeth or fillings, tongue indentations, insomnia.  Dental candidates for BOTOX® therapy include: bruxism, tension-type headache in relation to bruxism, temporomandibular disorder, neuropathic pain disorders, atypical odontalgia, “gummy” smiles, and implant therapy.

Do not use BOTOX® if:

  • You are allergic or sensitive to any of the ingredients
  • You have an infection in the muscles where it would normal be injected
  • You have any muscle disorders in other parts of your body, including myasthenia gravis, Eaton Lambert Syndrome or amyotrophic lateral sclerosis
  • You are pregnant or are nursing

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take BOTOX®.

What are possible side effects from using BOTOX®?

These are not all the possible side effects you may fee when taking BOTOX®. If you experience any side effects not listed here, contact your healthcare professional.

  • General: Pain, tenderness and/or bruising at the site of injections. Malaise (generally feeling unwell), lasting up to six weeks after injections with BOTOX®.  Weakness and rarely, changes in the way the heart beats, chest pain, skin rash and allergic reaction (symptoms: shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, inching or hives on the skin); anaphylaxis; cardiovascular events; seizures; dysphagia; and respiratory compromise.
  • Blepharospasm: Drooping of the eyelids, irritation or tearing, dry eye, not being able to close the eye, and sensitivity to light. Less commonly, inward or outward turning of the eye, inflammation of the eye, double vision, and swelling of the eyelid skin lasting several days.
  • Strabismus: Drooping of the eyelids, vertical turning of the eye, double vision, bleeding beneath the eye lids and the front of the eye. Less commonly, bleeding behind the eye ball.
  • Cervical Dystonia: Soreness or bruising where the injection was given, difficulty in swallowing, weakness of the neck, and loess commonly, general weakness, malaise and nausea. Side effects, if they occur, tend to appear in the first week after injection, and last about two weeks.