I am looking for a doctor near me who offers Botox for severe teeth grinding/tmj pain?

Question

I live in the DFW area near Lewisville 75077. What is the cost for treatment? Please help. I am desperate.

Kenneth Hughes, MD · Answer

Have you been diagnosed by your dentist and/or oral maxillofacial surgeon and ruled out injury to the teeth or jaw, misalignment of the teeth or jaw, teeth grinding, poor posture, stress, arthritis, and gum chewing as causing the TMJ?  Did they suggest Botox as an alternative to manage your pain? If so, they probably know board certified plastic surgeons or board certified cosmetic dermatologists in your geographical location who can provide the injections.  Inquire about their costs as a package deal may be available for return visits.  The effects of Botox usually last three months.  The Botox injections relieve jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Paul E. Goco, MD · Answer

Thank you for your question. Botox can work great for your issues. Please see your dentist for a referral for a TMJ specialist in your area for treatment.  They may also suggest a night guard to prevent issues.  Good luck.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Botox can have excellent results in patients suffering with teeth grinding and TMJ pain by helping weaken the pressure placed across the teeth as well as breaking the "reflex" of the action.  I am attaching a link to the american society of plastic surgeons website that will allow you to search for board-certified plastic surgeons in your area.  It will give you a list of physicians based on their distance from your location. Hope that this helps.

David W. Rodwell III, MD · Answer

Botox or Dysport for TMJ symptoms can be very helpful for the right patient.These treatments are intended to provide some relief from myofascial pain associated with dysfunction of the jaw joint.  It is important that your surgeon understand the other TMJ treatment options and make sure you are an appropriate candidate for considering Botox or Dysport.  There are several conservative treatment options that should be tried first.The injection technique is not terribly complicated, but these are deep injections in areas where most people are not experienced in treating.  There are some potential complications from affecting unintended muscles nearby, but with a good understanding of the anatomy and proper technique these risks should be small.I usually start by treating the masseter muscles.  Some people may need treatment to the temporalis muscles, but I usually start with just the masseter muscles if the patient's history and exam support that area as the main problem then see if some additional treatment to the masseters or to the temporalis muscles is necessary after 2 or 3 weeks.  In  my experience treating the pterygoid muscles would be very rare to have to consider.The masseter muscles are the large muscles you feel in the cheeks when you clench your teeth.  Most people need about 25-35 units of Botox per side.  You can get an idea of the cost involved based on the typical charges for Botox in your area.  Most parts of the country outside of the biggest metro areas would probably be around $700 - $900 for a treatment.

Sean Doherty, MD, FACS · Answer

I am sorry that you are suffering from this. It's awful. First, see a dentist to get assessed. You'll probably need a night guard of some kind. Also, many dentists work with or refer to plastic surgeons who treat this condition. Best of luck.

Peterson Pierre, MD · Answer

I have several patients who suffer from this condition. Not only can this damage your teeth and cause pain but the muscles used for grinding can become so developed that they change the shape of your face. I would definitely see a dentist to assess the condition of your teeth. He may also recommend a mouth guard. Botox is a terrific option to address the pain, to decrease the grinding and give your face a slimmer appearance. My patients are very grateful.

I am looking for a doctor near me who offers Botox for severe teeth grinding/tmj pain?

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