Botox for TMJ

Botox for TMJ

Alternative Treatment for TMJD at Dr. Yolanda Cruz Dentistry

Masseter Botox alleviates grinding and headaches associated with TMJ disorders (TMD). It’s an effective alternative treatment for managing TMJ symptoms and improving quality of life.

How Does Botox Treatment Work? Botox injections target specific muscles of the TMJ, blocking nerve signals and causing the muscles to relax. This reduces unconscious jaw movements, helping to alleviate grinding and wear on the teeth while still allowing for normal daily activities.

Pain Relief and Muscle Relaxation Botox effectively relieves discomfort and soreness by relaxing the targeted muscles involved in TMJ disorders.

Improved Jaw Functionality Botox injections enhance jaw mobility and range of motion, making daily activities like eating and speaking easier.

Reduction in Headaches and Migraines By targeting specific muscles, Botox reduces the frequency and intensity of headaches and migraines associated with TMJ disorders.

Minimized Teeth Grinding (Bruxism) Botox relaxes the jaw muscles, minimizing teeth grinding and protecting teeth from excessive wear and damage.
Non-Invasive Nature of Botox Treatment Botox is a non-invasive alternative to surgery, with a quick and straightforward procedure that involves minimal discomfort and no extensive recovery period.

Customized Treatment Plans At Dr. Yolanda Cruz Dentistry, we provide personalized Botox treatment plans based on thorough assessments of your specific TMJ symptoms and concerns. Both you and Dr. Yolanda Cruz will determine your needs and tailor the treatment accordingly.

Botox Administration Botox is administered into several spots in the masseter muscle, typically feeling like a small pinprick. The treatment time is short (about 15 minutes), and results begin to appear within a few weeks. Botox units can be 50 units or more, depending on severity of clenching and headache.

Post-Treatment Care and Monitoring After the injection, you might experience mild swelling, tenderness, or bruising. Maximum muscle relaxation occurs within two weeks, with a slimmer jawline potentially taking longer.

Aftercare Tips:

  • Avoid lying down or bending forward for 4 hours post-treatment.
  • Refrain from strenuous exercise for at least 24 hours.
  • Do not touch or massage the treated area.
  • Follow any additional instructions from your provider.
  • If you experience unusual side effects, seek medical care.

Botox Cost and Appointment Details Botox treatment is priced at $14 per unit, with the unit numbers needed determined by the severity of your TMD. The initial appointment with the required exam is $150. The initial appointment and exam is billed as a specific exam under the current ODA (Ontario Dental Association) fee guide, and this will be a one-hour appointment. During this appointment, we will discuss your treatment plan, starting with a lower dose and adjusting as needed based on your response. It is recommended to try other treatments for TMD first, such as a bruxism appliance, massage, physiotherapy, or muscle relaxants. Please indicate all medical conditions and medications during your consultation. Patients who are pregnant, nursing, or have neuromuscular conditions such as Myasthenia Gravis or Eaton Lambert Syndrome should not receive Botox treatment.

How Long Does It Last? The results can last between 3-6 months initially, depending on the severity of your TMD. After a few treatments, it is common for the muscle to atrophy, reducing the frequency of treatments. For convenience, we suggest patients schedule this treatment with their regular check-up and cleaning appointments.

Connective Tissue Graft

Connective Tissue Graft

Connective Tissue Graft

A Connective Tissue Graft is a dental procedure that corrects gingival (gum) recession. When the gum tissue that surrounds the teeth pulls back, it exposes the tooth’s root, and so Gingival recession occurs as a result. This condition is often due to gum disease or over aggressive tooth brushing. Gum recession will also lead to other problems like loss of supporting bone and increased plaque build-up.

Problems With Gum Recession

Two leading reasons why gum tissue recedes and roots become exposed are due to over aggressive brushing and gum disease. Exposed roots may be sensitive due to hot and cold, vulnerable to decay, and associated with loss of supporting bone. Furthermore, gum recession and exposed roots can lead to the following problems (Figure 1):

  • Decrease in esthetics
  • Increase in root sensitivity
  • Loss of supporting bone
  • Increase in plaque build-up*
  • Risk of future recession*
root canal consultation

Correcting Gum Recession

Healthy gum tissue protects your teeth from disease and sensitivity, and as a result, is the basis of a great smile. However, when you lose gum tissue around your teeth it can be the beginning of serious oral health problems. Fortunately, Dr. Yolanda Cruz can perform a connective tissue graft so to correct this tissue loss. Usually, the doctor will harvest a piece of tissue from the roof of your mouth to consequently serve as the graft material. However, not all patients have enough tissue available.  Additionally, some patients are reluctant to have tissue taken from this sensitive area. Therefore, patients can opt for an alternative solution called Alloderm.  Alloderm is a graft material from donated human tissue.

WHAT IS ALLODERM?

AlloDerm is donated human tissue that has been processed to remove donor cells, leading to a regenerative tissue matrix. LifeCell Corporation processes AlloDerm  and BioHorizons distributes AlloDerm to dental professionals.

HOW SAFE IS ALLODERM?

AlloDerm is widely used in both medicine and dentistry for plastic and reconstructive surgery. This graft material was first developed to treat burn patients and is now also used in:

  • General surgery
  • Urogenital surgery
  • Orthopedic surgery
  • Dental surgery

Since its introduction in 1994, over 1 million AlloDerm grafts have been successfully placed with no known incidence of disease transmission. Donor tissue is extensively screened and tested for the presence of diseases and then it undergoes LifeCell’s proprietary processing procedures to ensure that AlloDerm is virally inactivated before release for patient care.

zoom teeth smile happy - stock photo results may vary

AFTER SURGERY

After the surgery, the doctor will provide post operative instructions. Post operative instructions could include:

  • Cover surgical site with a dressing material
  • Antibiotics prescribed to limit inflammation
  • Medication prescribed to manage post operative pain
  • Mouth rinse prescribed to clean surgical site
  • Avoid brushing and chewing at the surgical site

For More Information

Because every patient is different and patient results may vary, only a trained surgical dentist can determine the best treatment plan for you. Therefore, Dr. Yolanda Cruz will explain the benefits and risks and determine if AlloDerm grafting is right for you.  Schedule a consult today – call us at at our Downtown office 416-595-5490 . You can also find information on the web at https://www.biohorizons.com/

References*
AlloDerm An Effective Alternative to Palatar Donor Tissue for Treatment of Gingival Recession. Allen EP Dent Today 2006; 48. 50-2; quiz 52
Histologic Evaluation of Autogenous Connective Tissue and Acellular Dermal Matrix Grafts in Humans.
Cummings LC, Kaldahl WB, Allen EP. J Periodontal 2005;76: 178-186
Clinical Evaluation of 3 Techniques to Augment Keratinized Tissue Without Root Coverage. Harris RJ J Periodontal 2001; 72: 932-938

iTero Scanner

iTero Scanner

The iTero Scanner Eliminates Messy Dental Impressions

At the dental office of Dr. Yolanda Cruz, we use the iTero Scanner to take dental impressions.  The iTero Scanner is essentially a wand that allows us to take 3D images of your teeth and bite in real time. Thanks to this advanced technology, we no longer need to use traditional putty molds to take impressions of your teeth.  No more gagging, and no more mess!

Dr. Cruz will use the iTero Scanner to model your teeth.  Then, we create custom Invisalign aligners that are built specifically for you. You will receive a series of tooth aligners. Every two weeks, you will discard your old aligner and and swap it for the next. As a result, these aligners will gradually and precisely begin to shift your teeth into their desired position.  your smile is beautiful and straight!

Call us today to schedule a consult for Invislign at one of our dental offices: Downtown office 416-595-5490 .

T-Scan

T-Scan

T-Scan

At Yolanda Cruz Dentistry, we use T-Scan™ Novus ™ to evaluate our patient’s bite with digital technology.

We offer T-Scan, dentistry’s only clinically recognized and research validated digital occlusion analysis system.

With T-Scan, the Dr. Cruz can identify occlusal issues and treat them even before they become a problem. Instead of relying on what the patient feels, Dr. Cruz uses the state-of-the-art, digital software to identify premature contacts, visualize high forces, and interrelationship of occlusal surfaces. This technology helps to provide a visual representation of the patient’s bite, document occlusal data and track the changes in the patient’s bite over time.

Whether eliminating destructive forces on a new restoration, or performing an occlusal analysis and adjustment procedure, Dr. Cruz uses T-Scan to balance her patients’ occlusions with precision and accuracy.

Pinhole Surgery / Gum Recession

Pinhole Surgery / Gum Recession

Pinhole Surgery / Gum Recession

Yolanda Cruz, DDS Performs Chao Pinhole® Surgical Technique in Toronto, Ontario

1 Day After Pinhole Procedure

Yolanda Cruz, DDS Performs Chao Pinhole® Surgical Technique in Toronto, Ontario

Gum recession breakthrough treatment also known as Pinhole Gum Rejuvenation™ and Lunchtime Gum Lift™

The Chao Pinhole® Surgical Technique (PST®), invented and patented by John Chao, D.D.S., is a scalpel-free, suture-free procedure for treating gum recession.

First, Dr. Yolanda Cruz performs the procedure by making a small hole with a needle in the gum tissue. Then, using specially designed instruments, Dr. Cruz will loosen the gum tissue and guide it over the receded part of the tooth. Since there is no incision or suturing, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Our patients are pleasantly surprised by the instant cosmetic improvement.

To learn more about the Pinhole® Surgical Technique, please contact our Downtown office 416-595-5490 .