Home/Advanced Care/BOTOX® Injections for TMD and Bruxism (Grinding of Teeth)

New treatment techniques for bruxism (clenching and grinding) and TMJ Disorder, also referred to as TMD, have made it possible for individuals to effectively reduce symptoms of these common conditions with immediate and long-lasting results. Scottsdale Smile Center now offers botulinum toxin therapy (BOTOX® and XEOMIN®), which are known to successfully relieve bruxism (clenching and grinding), and a variety of TMJ Disorder symptoms for many patients. Since these treatments have both therapeutic and cosmetic benefits, we also offer them as dental aesthetic enhancement solutions for patients who wish to diminish common signs of aging and rejuvenate their facial appearance.

Dr. Brandon RyffDr. Don Chiappetti, and Dr. Jonathan Coombs are certified by the American Academy of Facial Esthetics to administer these treatments and they can be conveniently performed right here at our practice!

If you have questions, or if you would like to schedule a consultation to talk more about your options, please contact Scottsdale Smile Center today.

BOTOX® and XEOMIN® for Bruxism and TMJ Disorder

BOTOX® and XEOMIN® are injectable solutions composed of a purified form of a protein called botulinum toxin type A. This protein works by relaxing overactive muscles surrounding the temporomandibular joint, which can diminish many symptoms associated with TMD. Over time, like any other muscle that is no longer as active, the hyperactive muscles involved reduce to a more appropriate size. This effect is tremendously helpful to mitigate damage to teeth caused by persistent clenching and grinding.

While BOTOX® and XEOMIN® are different brands, they are both botulinum toxin-based injectables that essentially serve the same function and are identical in strength and effectiveness. Our experienced dentist can meet with you for an initial consultation to discuss your specific needs and goals. Dr. Ryff, Dr. Chiappetti, or Dr. Coombs will perform a comprehensive examination and help you determine whether you are a candidate for this therapy. If so, our doctor will create a customized treatment plan designed to reduce your symptoms and improve your day-to-day life.

What Are the Benefits of Botulinum Toxin Injections for Bruxism and TMJ Disorder?

Botox CosmeticBotulinum toxin injections such as BOTOX® and XEOMIN® offer a variety of benefits for patients with TMD and bruxism. These treatments are designed to help reduce associated symptoms such as:

  • Jaw pain
  • Jaw popping or clicking
  • Headaches
  • Problems with chewing
  • Sensitive teeth often caused by clenching and grinding
  • And others

This treatment has also successfully been utilized for patients who clench their jaws and grind their teeth at night, ultimately helping to prevent more damage to the teeth. Botulinum toxin injections can be extremely effective, and less invasive, treatments for patients affected by a range of common concerns.

What Is the Procedure Like?

Injectable procedures for TMD and bruxism can be performed right here at Scottsdale Smile Center, and are often completed in about 30 minutes or less. Dr. Ryff, Dr. Chiappetti, or Dr. Coombs will delicately and precisely inject the botulinum toxin solution into the targeted muscles with an extremely fine needle. The treatment areas can be anesthetized with a topical solution to reduce discomfort during the injections. About two weeks after the initial injections, patients will come back to our office for a follow-up appointment to monitor the progress. As it is virtually impossible to predict exactly how the muscle will respond for each individual’s unique facial anatomy, some patients may need an additional “enhancement” injection at this time to ensure that the solution is providing the best possible relief from TMJ Disorder symptoms.

As with any injection, it is possible that some bruising could occur at the injection site; but generally, most patients experience zero complications or side effects and are pleasantly surprised to see that it doesn’t hurt! There is no recovery period after receiving this treatment and most patients return to their normal routine right away.

What Can I Expect from the Results?

For most patients, the results from BOTOX® or XEOMIN® injections last approximately 90 days. Follow-up injections can help maintain the effects once they begin to fade. Our doctors have found that, with subsequent treatments, many patients need less of the solution and begin to experience results that last for longer periods of time since the muscles are basically being re-conditioned to reduce overactivity. In fact, we find that patients with enlarged chewing muscles will benefit from, on average, about 20% reduction in the size of these overly powerful muscles. Patients report normal function and are unanimously satisfied with the results.

For more information on botulinum toxin injectable solutions for TMJ Disorder and bruxism, please don’t hesitate to contact us.

BOTOX® Cosmetic and XEOMIN® Injectables for Dental Aesthetic Enhancement

In addition to their therapeutic benefits, botulinum toxin-based injections at our practice can also be utilized for dental aesthetic enhancement procedures.* Dr. Ryff, Dr. Chiappetti, and Dr. Coombs are certified by the American Academy of Facial Esthetics to perform these injectable treatments for patients who are considering non-surgical solutions to reduce common signs of facial aging for a more refreshed and youthful appearance.

Composed of a diluted form of botulinum toxin type A, BOTOX® Cosmetic and XEOMIN® injectables are bioequivalent and identical in strength and effectiveness. Botulinum toxin type A temporarily relaxes underlying facial muscles in targeted areas of the face. By preventing these muscles from contracting, wrinkles and fine lines in these areas can be smoothed out, leading to a refreshed, well-rested look. If done properly, the look is actually quite natural. Solutions such as BOTOX® Cosmetic and XEOMIN® are some of the most popular enhancement options in the nation and have helped millions of individuals effectively diminish the appearance of wrinkles and fine lines in a variety of facial areas.

What Are the Benefits of Cosmetic Injectables for Facial Rejuvenation?

Botulinum toxin injectables like BOTOX® and XEOMIN® offer numerous advantages for both women and men who would like to rejuvenate their appearance. These treatment options can reduce signs of:

  • Crow’s feet
  • Forehead lines and wrinkles
  • “Smoker’s” lines around the lips

In addition, botulinum toxin solutions can be used to diminish the appearance of a gummy smile, and to address a hyperactive/hypermobile upper lip. During your initial consultation, our doctor will talk with you about your enhancement goals and help you determine whether these treatment options are ideal for your needs.

What Does the Treatment Involve?

Cosmetic injectable treatments can be conveniently performed here at our practice and usually take just 30 minutes or less to complete, depending on the number of areas being treated. Dr. Ryff, Dr. Chiappetti, or Dr. Coombs will inject the botulinum toxin solution into the targeted areas with an extremely fine needle called the Comfortox, which is specifically designed for delivering painless BOTOX® injections.

You may expect localized raised areas of skin where the botulinum toxin has been injected. These generally disappear within an hour or so. Bruising is always possible, but in our experience relatively uncommon. We recommend not touching or manipulating treatment areas for a few hours after treatment. Most patients resume normal activities right away.

How Long Will the Results Last?

Most patients can expect the results from botulinum toxin injections to last at least 90 days. Our office typically recommends that patients return for a follow-up appointment to monitor overall progress, and to perform small “enhancement” injections (if necessary) to achieve optimal aesthetic results. The effects of these treatments can be maintained with additional follow-up procedures once the results begin to fade.

Contact Scottsdale Smile Center for a Consultation

Would you like to learn more about our advanced injectable treatments? Please contact Scottsdale Smile Center for more information, or to schedule a consultation with Dr. Ryff, Dr. Chiappetti, or Dr. Coombs. We will be happy to answer your questions and address any concerns you may have.

*In accordance with Arizona state regulations, injectable treatments performed for cosmetic enhancement at a dental practice must be associated with a dental treatment plan and the individual undergoing the treatment must be a dental patient of record. Please contact our practice with any questions regarding this stipulation.

man in white sweater