Botox to fix bottom teeth showing when talk? (Photo)

Question

Hi so pretty much only my bottom teeth show when I talk and my teeth below are quite crooked and distracting. Its an insecurity and I plan on getting it fixed next year. In the mean time I'm looking into getting botox to minimize it. My top teeth are relatively fine and I otherwise have beautiful smile. I was hoping to get some insight on how this may affect my facial expressions, speach and ability to give oral.

Anna Chacon, MD, FAAD · Answer

Using Botox to address the issue of your bottom teeth showing when you talk is an interesting approach. Botox, or botulinum toxin, is primarily used to relax muscles and reduce the appearance of wrinkles, but it can also be used for other cosmetic and medical purposes.

How Botox Might Help:
Botox could potentially be used to relax the muscles that control the movement of your lips and lower face. By doing so, it might reduce the extent to which your bottom teeth are exposed when you speak.

Considerations and Possible Effects:
1. **Facial Expressions**: Botox injections in the lower face can affect muscle movement, which might alter your facial expressions. It’s important to balance the treatment to avoid an unnatural look.

2. **Speech**: Relaxing the muscles around the mouth might slightly affect your speech, particularly the articulation of certain sounds. Most people adapt quickly, but it’s something to consider.

3. **Oral Function**: Botox should not significantly impact your ability to perform oral functions, but any change in muscle control could have minor effects. Discuss this specifically with your provider if it’s a concern.

Consultation:
Before proceeding with Botox, a thorough consultation with a qualified medical professional, such as a dermatologist or plastic surgeon with experience in facial aesthetics, is essential. They will evaluate your specific anatomy and discuss the potential benefits and risks based on your individual circumstances.

Alternative Solutions:
1. **Orthodontics**: Since you mentioned that your bottom teeth are crooked, orthodontic treatment like braces or clear aligners might be a more direct solution for the underlying problem.

2. **Dental Veneers**: If the crookedness is a significant concern, dental veneers or other cosmetic dental procedures could improve the appearance of your teeth.

3. **Speech Therapy**: In some cases, working with a speech therapist can help modify the way you move your mouth while speaking to minimize the exposure of your bottom teeth.

While Botox might offer a temporary solution to reduce the visibility of your bottom teeth when talking, it’s crucial to weigh the potential impacts on facial expressions, speech, and oral function. Consulting with a specialist will help you make an informed decision and explore all available options to address your concern effectively.

Thanapoom Boonipat, MD · Answer

HI certainly we can botox the lower lip muscles that pulls the lip down. If we do it symmetrically on both sides it probably will not be noticeable with smiling, etc. But speaking will need some adjustment, and your lower lip might rolls in more with less muscle control during oral.

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