Botox in Gums for Nerve Pain?

Very interesting approach to a new use for BOTOX. Never have heard of it before. Asked Chief of Oral Surgery here. He also never heard of this but will try. From MIAMI Dr. B

There has been a report in Aesthetic Plastic Surgery in April 2009 that Botox injections were found to decrease hypertrophic scars that had been present for two years prior to the treatments. Possibly the same mechanism might be involved with reduction in scarring around the nerve helping decrease the pain of the neuroma, but the method of action is unknown and the study has not been reproduced as far as I am aware.

Botox is a neruomodulator well known for its ablilty to weaken or paralyze muscles. When Botox is injected in nonmuscular tissue, it has very beneficial and positive effects. Some of these uses are in the salivary glands for excessive salivation, or in sweat glands in the handm, or axilla for hyperhidrosis (excessive sweating). Botox is being used off label for pain. I have personally used it for pain in an off label fashion into arthritic joints (instead of cortisone), for nerve pains,... more

One problem with being on the cutting edge is that occasionally you bleed.  Do a google search on this treatment and you will see that there is not a whole lot on this topic.  It does not mean that it won't work.   However, sensory changes after BOTOX treatment are commonly encountered.  This would suggest that injecting the gums with BOTOX may not accomplish the goal.  The treatment will be somewhat uncomfortable and you will be out the cost of treatment.  Ask... more

I have never heard of this before. Botox is a paralytic by nature - it works by blocking neuromuscular junctions so that the muscle cannot fire. It really should do nothing to nerve sensation pain/ neuroma since these are different receptors. I would be wary of someone suggesting this as a treatment option.

I am familiar with a lot of off-label uses of Botox (such as use for anal fissures, facial ticks, cluster headaches etc) but use in neuromas secondary to gum surgery is not one of them. You may want to consult SEVERAL Oral surgeons to see what they suggest before proceeding.