Can Botox Be Used to Treat TMJ?

My question is about using botox for treatment of TMJ sydrome & also getting benefits of cosmetic appearance. I'm a 49 year old white male that has suffered from TMJ syndrome since the early 1980s. I had Bilateral TMJ arthroplasties done, which were unsuccessful. I'm on a number of medications for severe firbroymaliga, Lumbar dicsogenic syndrome & lumbar facet syndrome. I do go to a pain clinic. I'm currently on 6 different pain medications. I would really like to try Botox since i heard so much about it being used for myscofacial pain syndrome. Does it work?

Doctor Answers 6

Botox and TMJ

Botox can be used to help relieve some muscle pain from TMJ disorders.  However, it is like a bandaid, it only mask the symptoms and will have to be done repeatedly.  From your question, you have been through a lot and have several issues.  Have you ever seen a neuromuscular dentist who is trained in craniocervicular disorders?There may be some ways to help you achieve some stability.  This is not to say 100% correction but perhaps some stability, decreased pain, and decreasing the possibility of further joint degeneration.


Houston Dentist

Botox a good option for TMJ sufferers

Botox injections in key areas of the very large muscles that contribute to TMJ is a good option for many. In fact, one of our nurse practitioners was treated for this with good outcomes. She had been relying on 800 mg of Ibuprofen per day to get relief from this condition prior to using Botox. An added benefit was a nice softening of the masseter muscles to create a more feminine appearance.

Be certain to find a practitioner that is experienced in injecting this area for this type of condition.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Botox can be a very effective treatment for TMJ pain

Botox can be used to relax the masseter and/or temporalis muscles that can be major contributing factors to TMJ pain.  I have several patients who have achieved significant reduction in their pain and discomfort when other therapies have failed.

Steven E. Rasmussen, MD, FAAD
Austin Dermatologist
5.0 out of 5 stars 3 reviews

Botox often helps TMJ

I have had success using Botox for TMJ with many patients. It does work completely in every patient but the side effects are negligible and if you can afford to at least try it I think it is worth a try.  It is quick (takes less than a minute) and usually requires 20-60 units.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
5.0 out of 5 stars 208 reviews

Botox can be very effective in TMJ treatment.

One of the most common causes of TMJ is hyperactivity of the Masseter and Temporalis muscles.  In these cases injection of Botox can be extremely effective.  The botox needs to be placed in several spots in the belly of the muscles and the results can be evident even within a week.

Amir Moradi, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Botox for TMJ?

Botox could be beneficial but would best be administered by an expert in TMJ syndrome such as a maxillofacial surgeon or oral surgeon.

This condition can have multiple causes and is extremely difficult to treat.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 72 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.