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Crescent Dental Associates
Crescent Dental Associates
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    • Home Page
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    • Appointment Request
    • First Visit & Forms
    • Insurance & Payment
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    • BOTOX® Treatment
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  • Home Page
  • About Us
  • Location & Hours
  • Appointment Request
  • First Visit & Forms
  • Insurance & Payment
  • Office Tour
  • Services Offered
  • Dental Emergencies
  • Post-op Instructions
  • BOTOX® Treatment
  • Case Studies
  • Featured Technologies
  • Environment
  • Se Habla Español
  • Accessibility

BOTOX® Injections

Botulinum Toxin Type A Injections for TMJ Disorders

Botulinum Toxin Type A (brand names: BOTOX®, Xeomin®, Dysport®) is used as an alternative treatment for certain types of TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into the over active muscles afflicted with soreness and discomfort, BOTOX® relieves TMJ and jaw tension for many patients. The injections often eliminate migranes and other types of headaches resulting from teeth grinding and clenching which happen mostly at night during sleep. In some cases, BOTOX® can minimize lock jaw caused by muscle spasm. Although Botulinum Toxin Type A treatment for these conditions is presently an "off-label use"; evidence indicates that it can be extremely effective.


Mechanism of action of Botulinum Toxin Type A is through temporary weakening and partial paralysis of the overworked muscles that help close the jaw. When these muscles are over active, they can displace the TMJ and with excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw. Botulinum Toxin Type A relieves jaw tension by making muscles less prone to engage in the powerful and often unconscious para-functional movement of the jaw that produces headaches and pain. The Botulinum Toxin Type A alternative treatment for TMJ disorders and jaw tension is usually quick (10-20 minutes), straightforward, and effective. A non-surgical procedure, Botulinum Toxin Type A injections are administered in a doctor’s office. Treatment often requires a follow up visit in 10-14 days to evaluate the results and receive minor doses of enhancement injections if needed. Most patients experience noticeable improvement within one or two days of their first treatment, although relief can take up to a week.


After the Botulinum Toxin Type A TMJ Treatment muscle tenderness will start to disappear almost immediately. Wrinkles begin to disappear within one or two days after the injections, and you may continue to see the wrinkles diminish up to one week after the Botox treatment procedure. There may be mild temporary bruising, numbness, or redness around the injection sites. Botulinum Toxin Type A treatment is non-surgical and non-invasive procedure and you can return to normal activities immediately. However, to avoid spreading the toxin to other muscles, patients should not rub or massage the area injected with Botulinum Toxin and remain upright for many hours. Physical activity should also be limited for a time.

These are the most common symptoms of TMJ Disorder which tend to get worse over time. 

A typical Botulinum Toxin Type A injection will result in 3 to 6 months of relief. The effects will wear out over timejust like any other medication andre-injection may be necessary.

BOTOX® Injections for Gummy Smiles

 The cause for gummy smiles can be of skeletal, dental or soft tissue  (muscular) in origin. Botulinum Toxin injection may be used for  correction of excessive showing of the gums or gummy smile caused by  hyperactive upper lip elevator muscles.  

Before BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

BOTOX® Injections for Smokers Lines (Kissing Lines or Bottle Drinkers Lines)

 In the lower face region, a very common area of concern for wrinkles is  around the mouth. These are known medically as perioral lines and  commonly are referred to as smokers lines or kissing lines. It is  noteworthy to point out that while the deeply creased vertical lines in  the lips can be caused by smoking, it is not the only cause of perioral  lines. They also can result from excessive sun exposure over the years,  habitual puckering of the mouth, excessive use of drinking straws and  even as a hereditary predisposition. For less deep lines, Botox can be  injected into the muscles around the lips to soften both upper and lower  lip creases. For deeper lines, a combination of Botox treatment and  dermal filler injections can be used.

Before BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

BOTOX® Injections for Angular or Square Jaw

 Overactive muscles in the face specially the Masseter muscle which is  the main muscle involved in closing the mouth can give the appearance of  bulgy angular appearance to one. This is more noticeable in females.  Botox injection directly into the masseter muscle can alleviate this  problem.  Botox slowly and gently reduces the size of the masseter  muscle, which in turn reduces the appearance of a strong and square  jawline. In about 4 weeks one can begin to see the results and the  effects persist typically for around a year. Compared to traditional  uses of cosmetic Botox treatments (ie between eyebrows, and forehead)  the effects for the jawline last much longer. Most patients seem to need  no more than 2-3 treatments over the span of several years to maintain  the result and it is reasonable to consider this treatment very long  lasting but not truly permanent. This treatment is ideal for patients  who are looking for softer facial features, as it’s very effective at  softening the appearance of what’s considered to be a more masculine  jawline. 

Before BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

After BOTOX® injection

BOTOX® Injections for treatment of Angular Cheilitis or Reverse Smile (Drooping Corners of the Mout

 Angular Cheilits is the medical term for dropping of the corners of the  mouth which is often associated with cracked corners of the mouth and  gives one appearance of a constant frown or reverse smile. The condition  can also make one susceptible to fungal infection that tends to  manifest itself as cracked, bleeding and itching of the corners of the  mouth where upper and lower lips meet. This creates an aged look  regardless of actual age. The reason for fungal infections is that  drooping corners of the mouth are prone to saliva accumulation which  creates a moist fold in the skin where fungi will thrive. Minuscule  amounts of Botox injections on the bottom lip which pulls the corner of  the mouth downward, will weaken that muscle, thereby helping the muscles  of the upper lip to pull the corners of the mouth upwards to alleviate  the problem. 
 

Angular Cheilitis

Before BOTOX® injection

Before BOTOX® injection

 Typical Angular Cheilitis presentation with cracked and bleeding corners of the mouth
 

Before BOTOX® injection

Before BOTOX® injection

Before BOTOX® injection

Notice reverse (upside down) smile line with many vertical lines and wrinkles

After BOTOX® injection

Before BOTOX® injection

After BOTOX® injection

Also notice drastic reduction in vertical
Smokers or Bottle Drinkers lines

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We strive to be your trusted dentists. With two convenient locations in Wilmington and Bear, Delaware. 

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  • Home Page
  • Location & Hours
  • Appointment Request
  • First Visit & Forms
  • Insurance & Payment
  • Office Tour
  • Services Offered
  • Dental Emergencies
  • Post-op Instructions
  • BOTOX® Treatment
  • Case Studies
  • Featured Technologies
  • Environment
  • Se Habla Español
  • Accessibility