Temporomandibular joint pain or TMJ pain is common. Botox injections can help patients who have not improved with simpler treatments. Temporomandibular disorder is a common cause of chronic facial pain and is known to interfere with personal relations, professional duties, and overall quality of life. Appropriate diagnosis allows physicians to identify the disorder and initiate an effective therapeutic plan. Botulinum toxin can provide long-term relief of TMD by reducing the intensity, frequency, and duration of recurrent episodes. Adverse effects from BoNT injections are uncommon, mild and transient making it an attractive option for adjunctive therapy for myofascial TMD in patients who have failed initial conservative therapy and systemic pharmacotherapy.

1. BOTOX FOR YOUR
TEMPERO-MANDIBULAR
JOINT

2. WHAT IS
TEMPERO-
MADIBULAR
JOINT?
 It is the joint that is formed by the mandibular bone with the base
of the skull.
 It is an arthodial joint.
 It is supported or held in place by several muscles of the face
which makes it possible for the mouth open, close and do various
other movements like chewing.
 There is a cartilaginous disc present between the two adjoining
bones of the joint.This disc acts as a cushion and plays a very
important role in maintaining the harmony of the joint.

4. WHATARE
THECAUSES
OFTMJ PAIN?
 TMJ arthritis
 Bruxism
 TMJ disorder with and without reduction

5. TMJ
ARTHRITIS
 It is the arthritis affecting the tempero-mandibular joint.
 It causes decreased mobility of the joint due to inflammation of
the condyle surface of the joint or the disc of the joint.
 The patient experiences pain while moving the jaw due to this
inflammation.
 Difficulty in chewing and opening of the mouth.

6. BRUXISM
 It is the phenomena of grinding of the teeth of the two opposite
arches together.
 It is a physiological and pathological phenomena.
 It leads wear of the teeth on the occlusal surface.
 Mainly observed when patient is under stress and seen during the
night.
 Associated with soreness in theTMJ area.

7. TMJ
DISORDER
WITHOR
WITHOUT
REDUCTION
 It is the most common form of internal derangement.
 It is characterized by anterior misalignment or displacement of the
articular disc above the condyle.
 Symptoms are localized joint pain and clicking/popping sound on
jaw movement.

9. HOW DOES
BOTOX
INJECTION
CONSTITUTE?
 Botox are an injection which is mainly constitutes the botulinum
toxin obtained from the bacteria Clostridium Botulinum.
 It is a neurotoxic protein.
 Botox has been used for many years and is famous mainly in the
field of cosmetics.They have been known to be used in removing
wrinkles, fine age lines, forehead lines and frown lines.

10. HOW DOES
THE
BOTULINUM
TOXINWORK?
 This protein works by inhibiting the release of the Acetylcholine
neurotransmitter from the axon endings at the site of the injection
which causes transient paralysis of the muscle involved.This
relaxes the muscle and eventually causes relief.

11. WHATARE
THE
SYMPTOMS
ASSOCIATED
WITHTMJ
DISORDERS?
 Pain in and around the ear and jaw
 Pain while opening and closing the jaws
 Pain associated with clicking sound in the joint
 Painful popping and grinding sounds in the joint
 Pain while speaking , chewing and yawning
 Pain in one side or both sides of the face
 Headache
 Inability to open and close the mouth comfortably
 Sourness in the muscles around the ear in the morning.

12. How does
botox injection
treat jaw
tension and
TMJ disorder?
 The botox injection works by relaxing the muscles ofTMJ and
associated around theTMJ.This relaxation causes relief of pain in
an overworked and stressesTMJ.
 The effect is immediate and very effective.
 It is non-surgical and non-invasive.
 It is administered in the doctor’s office and can include a single
appointment or multiple depending on case to case.

13. WHEREARE
THE
INJECTIONS
GIVEN?
 The botox injections are given in supporting musculature
of theTMJ which includes Massetor andTemporalis.
 These are the muscles most commonly affected when a
patient hasTMJ associated headaches or pains.
 The injection only affects the localized area of the
injection site and does not spread.

14. WHATTO
EXPECT
AFTERTHE
BOTULINUM
INJECTION?
 The pain in the jaw is removed immediately.
 The wrinkles on the injection site start to diminish after 24 to 48
hours and keep reducing for the next one week.
 There may be mild temporary bruising, numbness or redness
around the injection site.
 The injections can be applied for once or many times this depends
on the case to case and the professional who is treating you

15. WHATARETHE
POSSIBLE
COMPLICATION
S, RISKSAND
LIMITATIONS
OF BOTOX
INJECTIONS
FORTMJ
TREATMENT?
 The patient may experience numbness in the areas of the injection
with relief of pain.
 The area will be stiff and have almost minimum movement for the
period of almost one week.
 There may be redness or bruising in the injection site.
 Sometimes you may have a headache with flu like symptoms,
nausea and temporary eyelid drop.

16. FOR HOW
LONG ISTHE
PATIENT
ASYMPTOMA
TIC?
 The pain is relieved for approximately 4 to 5 months.
 It can vary depending on case to case.
 After this you may or may not need a re-therapy for relieve of the
pain.

18. To book an appointment contact :
Dr.Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental
Aesthetic And Implant
Institute
I 101, Ashok Vihar Phase 1, Delhi-
110052
Contact us at
Phone :
+919818894041,0
1142464041