TMJ Pain Relief Treatment
It is estimated that nearly 10 million people in the United States suffer from jaw misalignment. A misaligned bite can create problems that extend beyond the way you chew or speak. You may experience TMJ (temporomandibular joint) pain in your neck and shoulders or suffer from the consequences of poor posture related to the problems in your jaw. Myofascial trigger points around the TMJ can also sometimes be the source of pain. Our dentists can effectively treat and correct jaw misalignment or malocclusion to help rid you of the painful symptoms of temporomandibular joint disorder (TMJ/TMD), and we offer an array of treatment options for myofascial pain, as well.
If you suffer from TMJ or myofascial pain, please call the DENTAL STUDIO SF today at 415-465-5896 to schedule an appointment with one of our experienced dentists.
On this page, you will find information discussing:
- How Does BOTOX® Work for Dental and Facial Pain Conditions?
- BOTOX® for TMJ Disorder
- BOTOX® for Bruxism
- What Is TMJ Disorder/TMD?
- What Causes TMJ Disorder?
- Common TMJ Disorder Symptoms
- TMJ Headache
- TMJ Ear Pain
- TMJ Neck Pain
- TMJ Pain Relief
- TMJ Exercises
- What Is Myofascial Pain?
- Myofascial Pain Treatment Options
- Schedule Your Comprehensive Evaluation Today
How Does BOTOX® Work for Dental and Facial Pain Conditions?
BOTOX® is an FDA-approved protein complex that temporarily blocks the nerve impulses responsible for muscle contraction. When BOTOX® is injected into the muscles in and around your mouth, it can correct a number of oral health problems, such as TMJ disorder and bruxism. The injections only take a few minutes and results can last for several months at a time.
In the sections below you can learn more about how BOTOX® injections can often be useful in the treatment of TMJ Disorder and bruxism. If you have questions, please don’t hesitate to contact our office.
BOTOX® Injections for TMJ Disorder
Millions of people suffer from chronic headaches and recurring neck and facial pain. In some cases, these issues are the result of temporomandibular joint disorder.
Your temporomandibular joints (TMJ) connect your lower jawbone to your skull. These joints are used frequently throughout the day when you speak, chew, swallow, and yawn. When your jaw joints, teeth, and face muscles are not in harmonious balance, you can develop painful complications, such as:
- Facial pain
- Neck and shoulder aches
- Jaw joint popping or clicking
- Ear pain
- Teeth clenching or grinding (bruxism)
While still a relatively new TMJ treatment option, BOTOX®has been found to effectively address a number of medical issues caused by muscle overexertion. Various conditions, such as chronic migraines, excessive sweating, and uncontrollable blinking have been successfully treated with BOTOX®, making it a viable solution for TMD as well.
Many TMJ symptoms are caused by the overstimulation of the masseter and temporalis muscles (the clenching and grinding muscles), which are the muscles primarily used when you speak and eat. During your BOTOX® treatment, Dr. Cornehl will strategically administer a series of injections directly into your affected muscles, relaxing the muscles and relieving tension and pain in the head, neck, and jaw.
The benefits of using BOTOX®to treat TMJ include:
- Muscles are alleviated of tension
- Zero downtime after treatment
- Only specific muscles are treated
- Sessions are relatively painless
- Injections are minimally invasive
Repeat sessions are necessary in order to achieve the best results from your BOTOX®treatment. Many patients feel significant relief from their TMJ disorder after only a couple of sessions.
Received great treatment for TMJ Botox and follow-ups. Staff are friendly, offices are clean/modern, and treatment was effective. Botox may not be a long-term treatment for TMJ for some people, but is worth at least a try for temporary relief/reset and some time off pain meds. It definitely helped control my migraines and pain, and I’m really glad I saw Dr. Cornehl. He’s super nice and made the treatment a breeze – I hate needles and was pretty nervous about any aesthetic implications (like not being able to smile, etc.). No negative side effects and you can’t visually see anything post-treatment. Also, there was a 2 week follow-up with some additional trigger point therapy that helped a lot too! Some may find treatment expensive (not covered by insurance), but honestly if you are suffering, so worth the pain relief!
October 25, 2020
BOTOX® Injections for Bruxism
Bruxism is a medical term that describes the act of teeth grinding and jaw clenching. Chronic teeth grinding can cause aching jaws, severe headaches, ear pain, and can also lead to the wearing down and breaking of your teeth. Teeth grinding can also misalign the temporomandibular joint and lead to TMD. Most cases of bruxism occur during slumber, but the condition can also occur involuntarily during waking hours. It is often linked with contributing factors such as stress or anxiety.
Common bruxism treatments range from sleeping with an uncomfortable mouth guard to exercise regimens meant to relax certain muscles. With BOTOX® treatment, Dr. Cornehl can quickly relax the facial muscles responsible for teeth clenching and grinding and relieve symptoms such as:
- Jaw pain or tightness
- Fatigue in the jaw or other parts of your face
- Wear or damage to your teeth
- Chronic headaches
Results typically last for four to six months.
What Is TMJ Disorder/TMD?
TMJ Disorder and TMD are essentially interchangeable acronyms for temporomandibular joint disorder. Your temporomandibular joints are the sophisticated joints that attach your lower jaw to the rest of your skull. Unlike any other joints in your body, the temporomandibular joints allow for a broad range of motion.
In order to facilitate chewing and speaking, your jaw must move freely in a variety of angles. Your jaw must also be very strong. Not only do your temporomandibular joints harbor great strength, they also work with some of the other strongest muscles in your body, like your neck and head muscles. These versatile muscles also contain two of your body’s largest nerve clusters. When there is even slight malocclusion, the resulting symptoms can negatively impact your comfort, mobility and ability to perform crucial tasks. Tense, stressed muscles surrounding the TMJs are another potential source of your discomfort. In those cases, trigger point injections may alleviate some of the discomfort by relaxing the muscles.
What Causes TMJ Disorder?
There are a number of potential contributing factors to a TMD diagnosis. As part of your TMJ treatment, the dentist will comprehensively examine your jaw to determine the function and shape of your facial muscles and joints.
The most common causes of TMJ disorder include:
- Chronic teeth grinding, or bruxism
- Missing teeth, or malocclusion
- Arthritis or some other degenerative disease
Your TMJ treatment consultation is also an opportunity for our dentists to understand your TMJ symptoms and develop a comprehensive view of your neuromuscular health.
What Are the Common TMJ Disorder Symptoms?
TMJ symptoms can manifest in such varied areas and ways that many sufferers of the condition don’t even realize the source of their discomfort. That’s why it is so important to keep regularly scheduled appointments with your dentist.
During your routine examination with one of our dentists, they will evaluate the condition of your oral structures and ask questions to determine the full state of your oral health. By identifying the symptoms of TMJ early, they are able to address the issue before it becomes a larger, more expensive problem.
Some TMJ symptoms include:
- Migraine-like headaches
- Popping and clicking in the jaw
- Teeth grinding (bruxism)
- Tinnitus (ringing in the ears)
- Tooth loss
- Vision problems
- Nausea and dizziness
- Head, neck and shoulder pain
TMJ Headache Pain
TMJ headaches are the most commonly reported symptoms of the disorder. Almost 80 percent of TMJ sufferers experience frequent headaches. TMJ may be a contributing factor to your headaches if:
- Your headaches do not respond to prescription or over-the-counter headache medication
- Your headaches are not alleviated by typical headache remedies
- Your headaches tend to recur
When you meet with our TMJ specialists, they will conduct a thorough evaluation of your bite and help you determine if TMD plays a role in your chronic migraine-like headaches.
TMJ Ear Pain
Ear pain, as well as tinnitus (ringing in the ears) can result from nerve irritation caused by temporomandibular disorder. TMJ ear pain can present itself as a dull, ongoing irritation or a sharp, searing pain. It can also cause minor muscle spasms in your face. If related to TMJ, you are most likely to experience these symptoms when you:
If you experience TMJ ear pain while performing any of the above tasks, you should seek the attention of our TMD specialists right away for a complete evaluation.
TMJ Neck Pain
Since muscles work like a team, when one muscle works, other muscles are usually bound to join in. The muscles that control eating, chewing, speaking and head posture are intricately linked to the bones in the neck.
By working to correct your bite and relieving strain on the jaw, our dentists in turn address pain that results elsewhere in the body through the complex relationship of the bones, joints, muscles and nerves.
What Are My TMJ Treatment Options?
Unfortunately, people often turn to medications that can be both physically dangerous and addictive to treat TMJ symptoms. While these drugs may dull the pain, they fail to address the actual problem. The best way to treat your TMJ syndrome is with the supervision of an experienced TMJ specialist. As an active member of the Spear Faculty Club at the renowned Spear Education Institute, Dr. Cornehl has received extensive training in both cosmetic and rehabilitative dentistry.
Custom Orthotic Appliances
While a complete smile makeover is a comprehensive TMJ treatment option in addition to a variety of other smile issues, our dentists can also treat your TMD with a more conservative approach. They may choose to fit you with a custom orthotic appliance designed to correct jaw misalignment and relieve your nagging TMJ pain & symptoms. The orthotic device helps to relax your jaw muscles and reduce pressure on your nerves, joints and other oral structures.
BOTOX® injections directly into muscles of the jaw, head, and neck—such as the masseter and temporalis muscles—can provide relief of tension in the jaw. Since many cases of TMJ Disorder are caused or exacerbated by overuse of these muscles, targeted injections of BOTOX® have shown to relax the muscles and diminish some of the most debilitating symptoms of the condition. Please see the section on “BOTOX® Injections for TMJ Disorder” near the top of this page for more details on this treatment.
Low-Level Laser Therapy
Advances in laser technology have made it possible to treat many cases of TMJ Disorder with low-level laser therapy (LLLT), also referred to as low-level light therapy or photobiomodulation therapy. LLLT utilizes the state-of-the-art LightWalker® laser device to address inflammation in the area of the temporomandibular joint and repair tissues. With its ability to reduce pain caused by TMD, this treatment may serve as an ideal alternative to drug therapies for many patients.
Low-level laser techniques offer some of the most innovative therapies for a variety of common conditions, and have proven particularly beneficial for many patients suffering from TMD. Not only can low-level laser/photobiomodulation therapy help restore tissues and diminish pain, but the treatment can also encourage wound healing and improve circulation. Dr. Cornehl offers two methods of low-level laser therapy: Biostimulation and Bioinhibition. The use of lower-density laser energy can stimulate the healing of joints, tendons, and wounds while minimizing inflammation; the use of higher density energy can help block neural pathways from producing significant sensations of pain while aiding the healing process and enhancing circulation.
Low-level laser therapy is a non-invasive procedure and should not create a sensation of heat on the skin during treatment. This method has been utilized for years in the treatment of musculoskeletal conditions and, for ideal candidates, can be very effective for inflammation and pain in the area of the temporomandibular joint.
Continual At-Home Maintenance
Since there are several factors that contribute to TMJ syndrome, there may be several approaches to your TMJ treatment. One approach involves the introduction of home-treatment strategies. Many of these strategies include certain types of exercises and adjustments to daily habits that may help relieve symptoms. At-home TMJ maintenance recommendations may include:
- Dietary restrictions: Avoid constant gum chewing and other foods that place stress on your jaw. Chew food evenly on both sides of your mouth.
- Jaw stretches: Gently stretching your jaw and joint muscles can help ease TMJ-related discomfort.
- Posture correction: Keep your head up, back straight and shoulders squared. Avoid sitting with your chin rested in your hand.
- Avoid grinding your teeth: Wearing a nightguard can help prevent teeth grinding during slumber. Be aware of times you may grind your teeth during the day due to stress or other factors.
- Relax your face: Remember the rule, “lips together, teeth apart.”
What TMJ Exercises May Be Helpful?
It may not be helpful to perform TMJ exercises at the moment you are experiencing TMJ pain and discomfort. However, once the pain has subsided, there are certain strengthening exercises you can do to help prevent some of the pain from returning. These activities include closing and opening your mouth while applying gentle resistance on your chin.
- Resisted closing exercise: Using one hand, place your thumb beneath your chin and your index finger on the crest between your lower lip and chin. Push slightly while closing your mouth.
- Resisted opening exercise: Place your thumb beneath your chin and gently press against your thumb by opening your mouth. Maintain slight pressure against your chin for a few moments before closing your mouth again.
In addition to performing strengthening exercises, stretching exercises can also help with TMJ pain relief. For these movements, like strengthening exercises, try to move your jaw as much as possible without creating discomfort.
- Begin with your jaw completely relaxed and your mouth closed. Keep your teeth slightly parted and gradually open your mouth as wide as you can while looking upward. Stay this way for a few moments then gently close your mouth.
- Keeping your mouth closed and teeth slightly apart, move your jaw to the right while looking to the left with your eyes. Hold this position for a few moments then return both your eyes and jaw back to center position. Repeat the motion, but move your jaw to the left while looking to the right.
Jaw relaxation exercises may also be able to help with TMJ pain. To help yourself relax, inhale for about five to ten seconds then slowly exhale. Stress can contribute to TMJ pain and any steps you can take to reduce your stress may help ease TMD-related discomfort.
What Is Myofascial Pain?
BOTOX® injections or other trigger point injections may also be recommended by our dentists if you suffer from chronic myofascial pain. But what exactly is this pain condition? It involves discomfort caused by tensed, knotted muscles. The pain usually begins at the trigger point but is “referred,” so it is felt in other areas of the body.
Myo- is a prefix referring to muscles, while fascia is the connective tissue surrounding your muscles, thus the word myofascial indicates pain in the muscles and fascia. At the DENTAL STUDIO SF, our dentists see many cases of orofacial pain related to myofascial trigger points (orofacial pain occurs in the mouth, jaws, and face). Most cases of orofacial pain originate from the muscles and fascia surrounding the temporomandibular joints, or TMJs.
Myofascial pain can be so debilitating that it affects your daily life. It originates in your muscles, at the trigger points, which are focused areas of tense muscles. Your muscles’ trigger points may cause the symptoms if they are stressed, strained, or overworked.
If you experience chronic myofascial pain, you may have a point in your body where the pain is focused. It may feel like aching. The pain may originate in the muscle affected, or it may be “referred” pain, meaning you feel it somewhere else nearby or far from the point of origin.
Myofascial pain emanating from a trigger point has been linked to:
- Jaw pain
- Back, neck, and shoulder pain
- Generalized muscle pain
This type of tenderness can be truly life-altering. The daily inconvenience and discomfort are not anything you should have to live with. Ask our dentists about your treatment options today.
What Are the Treatment Options for Myofascial Pain?
Effective treatment relies mostly on finding the source of the soreness and the cause. Most often, myofascial pain is treated with some combination of the following:
- Trigger point injections. Our dentists may recommend injections directly into the trigger point. The injection usually contains lidocaine, which will relax the tensed and knotty muscle.
- BOTOX® trigger point injections. We may recommend injections of BOTOX® to relax and calm the tensed muscles leading to your discomfort. Injections may be made around the jaw joints or other trigger points.
- Photobiomodulation therapy. Sometimes referred to as Low Level Laser Therapy (LLLT), Low Level Light Therapy, or Laser Biostimulation, this treatment can repair tissue, diminish pain, and create the environment necessary for tissue regeneration. Photobiomodulation therapy can also reduce inflammation and stimulate wound healing. This technique basically comes in two different forms: Biostimulation and Bioinhibition. A low power density is utilized to reduce inflammation and help wounds, joints, and tendons heal. A high power density is capable of creating a neural block response, which can be effective for stimulating the healing process, reducing pain, and improving circulation. For some patients, photobiomodulation can serve as an alternative to pharmacologic therapies for trauma, healing, and pain.
- Ethyl chloride spray and stretch. The idea here is to temporarily desensitize the trigger point with the cooling spray, allowing the muscles to be stretched. This skin cooling spray can relieve trigger point pain for several hours.
- Stretching and physical therapy. A physical therapist can manipulate, massage, and stretch the tensed and knotted muscles associated with the trigger points.
These are just several of the most common options. There are other potential treatments for myofascial pain that can be discussed. We can determine whether trigger point injections, BOTOX®, or other options can help you find relief from myofascial pain or other types of head, neck, jaw, and TMJ pain.
Schedule Your Treatment Evaluation Today
Effectively treating TMJ dysfunction and myofascial pain depends on the cause of the condition and the circumstances surrounding it. While exercises and over-the-counter medicines may provide temporary relief, it is necessary to seek the help of a highly-trained and experienced TMJ dentist.
Our dentists trained extensively in the field of clinical and restorative dentistry and understand the symptoms, causes, and appropriate treatments of TMJ disorder and myofascial pain. They can help correct your bite and alleviate your symptoms.
To schedule your treatment evaluation, please contact the DENTAL STUDIO SF today by completing the form on this page or calling 415-465-5896. We help patients throughout the Bay Area.