Botox for Pain - BOTOX® is not just for wrinkles!
Botox for pain is a great solution for the treatment of TMJ teeth clenching (Bruxism) chronic headaches, including migraines, and many associated jaw tension and pain syndromes. Dr. Elseweifi also offer Botox for facial rejuvination and reduction of facial wrinkles.
Botox for Pain of Teeth Clenching (Bruxism)
Bruxism is a sleeping disorder that results from hyperactivity of jaw muscles, usually the masseter and temporalis. Bruxism causes loss of tooth enamel, increased tooth sensitivity, and flattening and/or chipping of the teeth. Bruxism sufferers frequently wake up with a sore jaw.
Although dental devices can successfully protect teeth from damage at night for bruxism sufferers, they are ineffective in stopping the painful side effects of teeth grinding. 2012 Studies by World Dental Federation and published by the National Institute of Health, show success of the use of Botox for Pain of bruxism.
Botox for Pain of Myofascial Pain Syndrome
Myofascial pain syndrome is a chronic pain disorder. It is caused by sensitive points in the muscles (trigger points). Pain originates in the trigger points but is usually referred to other parts (referred pain).
Botox for Pain of Myofacial Pain Syndrome gives significant relief. Botox® /Xeomin ® is injected in and around the triger points that cause the pain.
Botox for Pain of Migraines
Migraines are debilitating headaches that cause intense pulsing or throbbing pain and affect about 12% of Americans.
In 2010, the FDA approved the use of Botox for pain of migraines. At Bucktown Dental, we follow the FDA protocol for the use of Botox for pain of migraine. Dr. Elseweifi injects Botox®/Xeomin ® at intervals of about 12 weeks as multiple injections around the head and neck to try to dull future headache symptoms.
How Does Botox for Pain Work?
When it comes to Botox for pain, we use both Botox®/Xeomin® (botulinum toxin). The drugs relax the muscles, thus reducing hyperactivity and spasm:
- It reduces the muscles ability to engage in problematic functions such as clinching and grinding in myofascial pain syndrome.
- It reduces the frequency of bruxism events and decrease bruxism-induced pain levels.
- It reduces muscle spasm that causes various types of chronic headache.
- Botox for Pain may take from 1-2 weeks to show visible effects.
- Botox/Xeomin ® usually lasts 4-6 months after the initial treatment. The medications need to be injected for the effect to last.
Contact Bucktown Dental Associates for a free consultation
Although dental disease prevention has made great strides over the last century, tooth decay and periodontal (gum) disease continue to pose a major health threat. People who’ve lost all of their teeth (edentulism) or most of them suffer the most with adverse effects on their overall health, function and appearance.
Removable dentures have been the traditional and most affordable means to treat edentulism. But even with material and construction advances in recent years, dentures can still lose their fit over time as the bone in the jaw shrinks. This happens because the bone no longer has the stimulus of natural teeth and older cells can’t be replenished at a healthy rate; the continuing compression of traditional dentures on the jaw’s bony ridges compounds the problem.
As the bone shrinks the dentures become loose and uncomfortable to wear. Among other results, this poor fit can drastically affect how you eat: studies of denture wearers have found a decrease in their diet’s nutritional value because they’re eating fewer vegetables or fibrous, “chewy” foods and more foods with refined carbohydrates and fats that are easier to eat but less nutritious.
There is an alternative, though, that might slow bone loss and provide a better long-term fit: an overdenture supported by dental implants. With this appliance, a few implants are strategically installed in the upper or lower jaw. Matched attachments securely fasten the denture to the implants. In this case, the implants not the jaw ridge and gums support the denture thereby preserving the bone.
If you’re healthy enough to undergo a tooth extraction, you should be able to handle implant surgery, a minor procedure usually performed with local anesthesia and with little to no discomfort afterward. It may even be possible to retrofit your current denture to work with the implants, but that will need to be determined during the planning stages.
Although more expensive than a traditional denture, overdentures are much more affordable than fixed restorations stabilized with implants. The difference, though, is the increase in your quality of life — for better nutrition, physical health and social confidence.
If you would like more information on treatment for teeth loss, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implant Overdentures for the Lower Jaw.”
Obstructive Sleep Apnea & Your Heart
Obstructive sleep apnea (OSA) is a condition in which you stop breathing during sleep because of a narrowed or closed airway. Obstructive sleep apnea can have a bad effect on your heart and your blood vessels.
What kinds of heart problems can I get with obstructive sleep apnea?
Several heart conditions can be caused by untreated obstructive sleep apnea:
- High blood pressure (hypertension): 30% of people with hypertension have obstructive sleep apnea. 50% of people with obstructive sleep apnea have hypertension.
- Problems with heart rhythm: These problems include atrial fibrillation (irregular heart beat) and bradycardia (slow heart rate). Patients with severe obstructive sleep apnea are four times more likely to have atrial fibrillation.
- Coronary artery disease & heart attacks: Coronary artery disease (hardening of the arteries) happens when the small blood vessels that supply blood and oxygen to your heart become narrow. This can lead to heart attacks. People with severe obstructive sleep apnea are twice as likely to develop heart attacks. 70% of patients admitted to the hospital because of coronary artery disease have sleep apnea. People with untreated obstructive sleep apnea can develop heart failure. Obstructive sleep apnea can make heart failure worse. The chance of having obstructive sleep apnea if you have heart failure is quite high.
How does obstructive sleep apnea cause heart disease?
Obstructive sleep apnea lower blood oxygen levels. This may happen many times during sleep.
- Frequent episodes of low oxygen levels caused by obstructive sleep apnea damage the blood vessels of the heart.
- The low oxygen levels cause the heart to beat faster and elevate blood pressure.
- Severe obstructive sleep apnea can also cause stress on the heart causing heart enlargement. An enlarged heart works less efficiently.
Will treating my obstructive sleep apnea treat my heart disease?
Treating obstructive sleep apnea can help control blood pressure in hypertensive patients. It may also help control irregular heartbeats in patients with atrial fibrillation.
Want to know the exact wrong way to pry open a stubborn lid? Just ask Jimmy Fallon, host of NBC-TV’s popular “Tonight Show.” When the 40-year-old funnyman had trouble opening a tube of scar tissue repair gel with his hands, he decided to try using his teeth.
What happened next wasn’t funny: Attempting to remove the cap, Fallon chipped his front tooth, adding another medical problem to the serious finger injury he suffered a few weeks before (the same wound he was trying to take care of with the gel). If there’s a moral to this story, it might be this: Use the right tool for the job… and that tool isn’t your teeth!
Yet Fallon is hardly alone in his dilemma. According to the American Association of Endodontists, chipped teeth account for the majority of dental injuries. Fortunately, modern dentistry offers a number of great ways to restore damaged teeth.
If the chip is relatively small, it’s often possible to fix it with cosmetic bonding. In this procedure, tough, natural-looking resin is used to fill in the part of the tooth that has been lost. Built up layer by layer, the composite resin is cured with a special light until it’s hard, shiny… and difficult to tell from your natural teeth. Best of all, cosmetic bonding can often be done in one office visit, with little or no discomfort. It can last for up to ten years, so it’s great for kids who may be getting more permanent repairs later.
For larger chips or cracks, veneers or crowns may be suggested. Veneers are wafer-thin porcelain coverings that go over the entire front surface of one or more teeth. They can be used to repair minor to moderate defects, such as chips, discolorations, or spacing irregularities. They can also give you the “Hollywood white” smile you’ve seen on many celebrities.
Veneers are generally custom-made in a lab, and require more than one office visit. Because a small amount of tooth structure must be removed in order to put them in place, veneers are considered an irreversible treatment. But durable and long-lasting veneers are the restorations of choice for many people.
Crowns (also called caps) are used when even more of the tooth structure is missing. They can replace the entire visible part of the tooth, as long as the tooth’s roots remain viable. Crowns, like veneers, are custom-fabricated to match your teeth in size, shape and color; they are generally made in a dental lab and require more than one office visit. However, teeth restored with crowns function well, look natural, and can last for many years.
So what happened to Jimmy Fallon? We aren’t sure which restoration he received… but we do know that he was back on TV the same night, flashing a big smile.
If you would like more information about tooth restorations, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Artistic Repair Of Front Teeth With Composite Resin.”
Many people have questions about the proper use of antibiotics — especially today, as the overuse of these medications has become a concern. It isn’t necessary for most people to take antibiotics before having a dental procedure. But for a few — notably, those with particular heart conditions and, in some cases, joint replacements — pre-medication is advisable. The question may be even more confusing now, because the standard recommendations have recently changed — so let’s try and sort things out.
First, why would anyone need antibiotics before dental treatment? Essentially, it’s because of the chance that an open wound could allow bacteria from the mouth to enter the bloodstream. For people in good health, the body is capable of quickly containing and neutralizing the bacterial exposure. But people with some types of heart disease, heart transplants, and/or total joint replacements have a greater likelihood of developing a bacterial infection, which can be dangerous — or even life-threatening. The same may be true of people whose immune systems are compromised.
At one time, people with a broad range of heart problems and artificial joints were advised to pre-medicate; today, new research indicates that fewer people need to take this step. Antibiotics are currently recommended before dental procedures if you have:
- An artificial heart valve, or a heart valve repaired with artificial material
- A history of endocarditis
- A heart transplant with abnormal heart valve function
- Cyanotic congenital heart disease (a birth defect where blood oxygen levels are lower than normal) that hasn’t been fully repaired — including children with surgical shunts and conduits
- A congenital heart defect that has been completely repaired with artificial material or with a device — but only for the first six months after the repair procedure
- Repaired congenital heart disease with residual defects, such as leakage or abnormal flow
In addition, not everyone who has an artificial joint needs antibiotic premedication. Instead, your health care providers will rely on your individual medical history to determine whether this step is required in your situation. However, having a compromised immune system (due to diabetes, cancer, arthritis, chemotherapy and other factors) is still an indication that antibiotics may be needed.
The question of whether or not to pre-medicate is an important one — so it’s vital that you share all relevant medical information with your doctors and dentists, and make sure everyone is in the loop. That way, the best decisions can be made regarding your treatment.
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