Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Monday, June 16, 2008

Botox and TMJ / Teeth Grinding

Can you answer some questions relating to Botox?
If the person needing treatment needs it mostly for Bruxism, but a little for jaw tightening/locking- what is the usual course? Where and how much is used? (Which muscles/units?)
How much Botox does it take to treat TMJ typically? (How many units?)
Also - how long does it last? And - what is the success rate?


i usually treat the masseter muscle with a dose that depends on how big and active those muscles are. usually it is 16 to 20 units per side, spaced apart so that the whole muscle is covered.
it lasts for about 3 months and is almost always successful.
exception is when the patient is just complaining of popping / locking - may be more of a joint issue than a overactive muscle issue.
i usually find that after a couple of treatments the patient's muscle is visibly smaller and we can sometimes stop and the grinding does not come back.

http://www.westsidemedicalspa.com/botox.html
http://www.westsidemedicalspa.com/tmd-treatment-los-angeles.html

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