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What Is Botox Cosmetic? Botox cosmetic is a neurotoxin derived from the bacterium Clostridium botulinum. If this toxin sounds familiar you may have heard that it can also cause a serious type of food poisoning called botulism. In medicine with controlled dosing, botox acts by weakening or paralyzing s specific muscle or muscles. They can also block the pathway of certain nerves. Botox is a powerful poison however when used correctly and under right dosage, it has a number of medical applications.

What Is Botox Cosmetic? Medical Uses

Botox cosmetic is used in small doses in the medical community for the following conditions:

-In plastic surgery to temporary smooth facial wrinkles. Important to note wrinkles caused by sun damage and gravity will not respond to Botox.

-Control overactive underarm sweating.

-Control cervical dystonia. Cervical dystonia is a neurological disorder which can cause severe shoulder and neck contractions.

-Uncontrolled blining of eyes (bleparospasm).

-Overactive bladder.

-Misaligned eyes. Also called a Strabismus.

-Chronic migraine headaches.

Injected Botox prevents the release of acetylcholine (necessary for contraction of muscles). Botox causes a reduction in abnormal muscle contraction, allowing the muscles to become less rigid.

What Is Botox Cosmetic? Procedure

Botox cosmetic is administered using very fine gauge needles directly into the specific neuromuscular tissues necessary. The administration of botox cosmetic generally takes just a few minutes and should not require any local anesthesia. The results are generally noticed about 3-7 days following botox cosmetic treatment.

Botox cosmetic should not be administered to pregnant or lactating women, or by people who have had a previous allergic reaction to Botox cosmetic.

What Is Botox Cosmetic? Dentistry

Your dentist can use botox cosmetic for the following issues:

-Ability to smooth and soften crow’s feet, forehead furrows, frown lines, lip lines and bunny lines.

-Reduce neck bands.

-Reduce pain from headache due to tension in muscles in the head, face, and neck.

-Following Orthodontic Treatment completion. – In some patients teeth will relapse and this may be caused by genetic placement of that individual’s musculature. For many patients an over active mentalis muscle is often the cause of relapse of the teeth and may cause spasm of the muscles. Botox cosmetic gives your cosmetic dentist the ability to reduce or remove these spasms and contractions allowing for only a limited relapse following completion of orthodontic treatment.

-Improve the appearance of skin dimpling of the chin.

-Reduce pain from headaches due to occlusal (bite) issues.

-Bruxism reduction.

-Lift the corners of the mouth.

-Soften a jawline that is square.

-Correct a gummy smile due to over retracted upper lips.

What Is Botox Cosmetic? Training

A dentist is the perfect practitioner for delivery of botox cosmetic in the head and neck region. A dentist’s training in this area exceeds most medical practitioners but not all. A well trained dentist will give you similar if not better results than a medical doctor due to advanced training. Dentists are also the known specialists in the oral and maxillofacial areas. Dentists are much more knowledgeable than most other medical practitioners in the muscles of mastication and the muscles of facial expression which recieve the botox cosmetic the most. When selecting a dentist for botox cosmetic and look for one that has the proper Botox cosmetic certification and insurance. Botox certification should inlcude at minimum 16 hours of live hands on patient training.

What Is Botox Cosmetic? Before And After

What Is Botox Cosmetic Las Vegas Marielaina Perrone DDS

What Is Botox Cosmetic Marielaina Perrone DDS




Botox cosmetic has been used by plastic surgeons for years for cosmetic reasons. Dentists more recently have been using Botox for similar reasons but also as additional therapies. These therapies can now include therapy for Temperomandibular Joint Disorders (TMJ). Botox can be used to treat tension in the jaws, headaches from bruxism (teeth grinding), and even possibly lockjaw in severe scenarios.

Botox For TMJ

Botox for TMJ has not been approved by the Food and Drug Administration (FDA) as treatment for temperomandibular joint disorders (TMJ). However, Botox has been approved by the FDA for painful conditions such as migraines. Migraines are potentially related to TMJ disorder. Clinical trials published so far have been small and have produce inconsistent findings. A 2012 study found that Botox could significantly decrease pain and increase mouth movements for three months following treatment. However, this was an extremely small study that had under 30 participants. Similar studies have been completed which showed significant results as well. To date there has not been a large enough study to definitively tell if botox for TMJ is the answer to TMJ disorders. Other studies include one 2016 study published in the Journal of Headache and Pain found that TMJ patients who had Botox for TMJ treatments experienced a reduction in pain and headaches, which led to requiring fewer painkilling drugs. In 2003, a clinical study from the University of Bonn discovered that approximately 90% of all study participants who had not responded favorably to conventional TMJ treatments saw significant improvements after using Botox for TMJ to address their TMJ related pain symptoms.

TMJ Disorders

Botox For TMJ Henderson NV Marielaina Perrone DDSThe temporomandibular joint (TMJ) is the area right in front of the ear on either side of the face where the upper jaw (maxilla) and lower jaw (mandible) meet. Muscles attached to and surrounding the temperomandibular joint control the position and movement of the jaw. This joint is a very unique sliding “ball and socket” that has a disc sandwiched between it, it is the only joint in the body which can move in all directions. The temporomandibular joint functions to move the jaw, especially in biting and chewing, talking, and yawning. It is one of the most used joints in the body.

The temporomandibular joints are a very complex system and are made up of muscles, tendons, a disc and bones. You have a temperomandibular joint on each side of your jaw (right and left side). Each individual part contributes to the smooth complex movement of the temperomandibular joint. When the muscles are relaxed and in balance and both jaw joints open and close comfortably, we are able to talk, chew, or yawn without any discomfort or pain.

TMJ disorders can be a very complex set of problems of the jaw joint. The muscles and joints work together in harmony. A problem with either the muscles or the joints or both can lead to stiffness, headaches, ear pain, bite problems (also referred to as a malocclusion), clicking sounds, or locked jaws. TMJ disorders can be caused by many different types of problems. These can include arthritis, trauma to the jaw, or muscle fatigue from clenching or grinding your teeth. TMJ disorders most commonly occur in women between the ages of 30 and 50, but can occur in teens following orthodontic treatment, and in both men and women at any age.

Botox For TMJ Side Effects

Botox For TMJ disorders is not without side effects. Botox itself has common side effects associated with its use in the area of the TMJ. These can include:

headache

-bruising at injection site

-respiratory infection

-muscle weakness

-flu-like illness

-rash at injection site

-nausea

-skin irritation

-temporary eyelid droop

Botox For TMJ Procedure

Botox for TMJ is a non surgical procedure and completed in your dental office. It usually takes less than 30 minutes to complete.

The site for botox injection can vary depending on your symptoms but may include the following muscles:

  • Temporalis muscle
  • Frontalis muscle
  • Masseter muscle

The injections are made with a small gauge needle and are not considered painful, but you may feel a slight prick or pinch as the Botox is injected into site. Your dentist may use a cold compress or local anesthetic to help reduce discomfort and make it more comfortable for you. Following the procedure, you can return to your regular routine immediately.

Some improvement can be felt within a day or two following Botox for TMJ treatment, it usually takes a few days to feel full relief. Some patients have reported that they feel best about 6-8 weeks following Botox for TMJ treatment.




Dental urgent care is not exactly like it is in medicine. There are not stand alone businesses just to handle a dental emergency. There are however, dental offices in Las Vegas and across America ready and able to handle your dental emergency. What types of issues are considered a dental emergency that you would need dental urgent care? When you experience an abnormal dental issue, sometimes it can be hard to know if it is a true dental emergency in need of dental urgent care. For a general rule dental urgent care is needed if you are experiencing sudden or prolonged extreme pain or profuse bleeding or both, you should seek dental urgent care right away. In some cases where you may be experiencing mild pain you may be able to put off a visit for dental urgent care a few days before visiting your dentist.

Dental Urgent Care Needs

Broken or Fractured Tooth – This definitely falls in the category when dental urgent care is needed. This type of trauma can become extremely painful in a short amount of time. If the fracture or break causes nerve of the tooth to be exposed just the simple act of breathing will send shock waves through your body. Depending on where the fracture is this can also be considered a cosmetic dentistry emergency. That would be one where the tooth being affected is in a cosmetic area like a front tooth. Unfortunately, broken or fractured teeth cannot be repaired at home and will need immediate attention by dental urgent care. For a tooth in the back of the mouth, your dental urgent care specialist may recommend you place a medicated Marielaina Perrone DDS Dental urgent Carefilling may be placed to cover the exposed nerve and hopefully calm it down until you can come to the office. A product sold over the counter at your local drug store called Dentemp can be mixed and placed by you, to help temporarily cover the hole. Whether or not the tooth can be saved depends on how severe the fracture is. Until you are able to get to dental urgent care, rinse your mouth with warm water, apply a cold compress outside the affected area, and keep the area as clean as possible from debris and foods. You may consider taking an anti-inflammatory medication to keep the swelling down as well as take the edge off the pain before it develops. Aspirin is not suggested to be taken, it will cause difficulties in blood clotting if the tooth needs to be removed at dental urgent care.

Temperomandibular Joint (TMJ) or Jaw Injury – If you believe you may have broken your jaw, apply a cold compress to the area to maintain swelling to the face and immediately go to dental urgent care or to the hospital emergency room. This type of injury would be beyond simple dental urgent care and the hospital would be the better place. If your jaw has become locked or dislocated, you will need to have the jawbone re-positioned back into your Temperomandibular Joint (TMJ) socket.

-Swelling With Pain. This is most definitely a true dental emergency and you should call your dental urgent care immediately for advice. Swelling in this area is due to a dental infection called an abscess. This can progress very quickly to an infection that affects your entire body and in rare cases can even lead to death. Tips to attempt to relieve some of the pressure include: apply cold compresses to the area, rinse with saltwater, and try to keep your head elevated. Once a dental infection gets to this point, most over the counter medications will not work very effectively in easing the pain. Antibiotics will be required along with drainage of the infection to relieve pressure and build up. This type of dental emergency will require you to be seen by dental urgent care.

-Biting Lip or Tongue w/ excessive bleeding – Accidentally biting your lip, tongue, or other part in your mouth is something that can happen at any time. It is important clean the area and apply a cold compress to help limit swelling to the area. If the bleeding is extensive, or will not stop quickly (a few minutes is a good guide), call dental urgent care or go to the hospital emergency room.

-Loose Tooth – If one of your teeth begins to become loose, see your dental urgent care right away. Your dentist may be able to save the tooth depending on why it has become loose. Until you are able to get to dental urgent care, take tylenol (ibuprofen) or aleve (sodium naproxen) and apply a cold compress to the affected area to relieve any associated pain or discomfort.  If the tooth became loose due to trauma, dental urgent care will most likely recommend splinting the loose tooth (using tooth bonding) to an adjacent tooth or two to allow time for the tooth to re stabilize in the bone. A loose tooth can also be caused by progressive periodontal disease which will develop over a period of years. In the case of periodontal disease causing the loose tooth or teeth, your dental urgent care may not be able to save the tooth and it may be recommended to remove the tooth. A dental implant may placed instead once the area has healed and the periodontal disease has been brought under control. If you have a loose tooth, try to “baby” it…..chew on other side and do not wiggle it with your tongue.

Pericoronitis. This is a dental infection that generally happens in young adults as your molars erupt into your mouth, a flap of gum tissue will remain over the back of the tooth, becomes irritated and swollen, and can be extremely painful especially upon chewing. If you experience symptoms of pericoronitis, which may include swollen and irritated gums, a bad taste or malodor in your mouth, or you are not able to fully open your mouth, call dental urgent care right away.

-Sudden Onset Toothache. If your tooth begins aching, rinse out your mouth with warm water and gently floss around the tooth to make sure there is nothing lodged between your teeth that could be causing the issue. Call your dental urgent care immediately for an appointment. This could range from simple gum irritation, a full on dental infection.

-Knocked Out Tooth (also called avulsed tooth) – The main tip here is to clean off the tooth immediately to remove any dirt and debris that has gathered when hitting the floor. Do not scrub the tooth clean, just a gentle rinsing is all that is necessary. If the tooth can be re implanted dental urgent care will instruct you to do so. This is may not always possible if there is bleeding and swelling in the area where tooth was displaced. The next best option is to place the tooth in a milk solution. The milk acts as a preservative and can significantly increase the long term chances of a successful re implantation. You should call or see dental urgent care immediately even if you are able to re implant the tooth. The tooth will probably need to be splinted to another tooth (using tooth bonding) while it heals. Dental urgent care will also check that it is in proper alignment with the adjoining teeth. The tooth will also need to be monitored over time to gauge the success of the re implantation as well as any long term affects that might happen due to the trauma. This tooth may still be lost in the future or it may need  further treatment like root canal therapy.

-Lost Dental Filling or Dental Crown or Dental Bridge – Unfortunately, this type of dental emergency can happen at any time even with routine dental care. If your dental crown does come off call dental urgent care immediately for detailed instructions. Most local drug stores sell fixodent, or temporary cement to place it back on until you are able to be seen by dental urgent care. This will limit the chances of the development of tooth decay or tooth sensitivity in the interim. The same can be done for a lost filling, most drug stores sell a temporary filling material (mentioned earlier called dentemp) that can be applied at home. Either way, you will need to seek dental care ASAP to prevent any other damage from occurring to your smile.

-Orthodontic (Braces) Damage – If you believe that you have broken your braces in some way, you should call dental urgent care as soon as possible. In most instances, they will want to see you right away (especially if the break is causing pain or discomfort). But in some cases they may recommend waiting until your next dental appointment.

-Food Or Debris Stuck Between Your Teeth – If food or debris gets lodged between your teeth, try to swish aggressively, then attempt to gently remove it with dental floss. Be careful not to cause trauma to the area by being too aggressive. If the object still will not come free, call dental urgent care for more detailed instructions.

Urgent Dental Care Emergency Kit

The following are items to have ready in the house at all times in case a dental urgent care emergency arises:

Pain Medication. Includes Motrin or Aleve or Tylenol. Just have something on hand to relieve the pain until you can see dental urgent care for more advanced pain relief. Avoid aspirin as this will inhibit blood clotting and have a possible effect on further dental treatment.

Gauze or Cotton pads. These will be necessary if there is any bleeding from a traumatic injury or even to have the patient bite down on to relieve some of the pressure from a dental infection. It can also be useful if you have tissue irritation from your orthodontic braces, orthodontic appliance, or removable denture. You can place the cotton or gauze in between the appliance and the sore to relive some of the discomfort.

Dental Wax. This can be used to cover up areas of irritation like orthodontic brackets or broken orthodontic wires.

Dental Floss. This can come in handy to remove food debris that gets lodged between teeth and beneath the gums that cause pain and discomfort.

“Save A Tooth” System. This is ideal for transporting avulsed teeth. This system will give you have a better chance for long term survival once re implanted.

-Generic Teabags. These are helpful for stopping bleeding following oral surgery or even a trauma in the mouth. Research suggests that bags containing tea from the plant camellia sinensis is better than herbal tea for this purpose. Tea bags have also been shown to be soothing if you bite your lip, cheek, or tongue.

Denture Adhesive. This can be handy even if you do not have a denture wearer in the house. In addition to using it to fix dentures in place, it can also be used to temporarily secure a crown or bridge that has fallen out. Fixodent is a good example of a denture adhesive.

Dentemp or Temporary Filling Material. This is an excellent material to cover up open holes in teeth until you can see dental urgent care.

Dental Mirror and Flat Spatula. These can usually be found at any drug store or even online. The dental mirror can be used if the dental urgent care emergency is back in the mouth and the spatula will be useful for using temporary filling material in the mouth.

Marielaina Perrone DDS COlgate Wisps Dental Urgent CareInstant Ice Packs. Perfect for quick application of cold to maintain swelling from trauma or dental infection.

Topical Anesthetic. This can give temporary relief for denture sores, gum irritation, cold sores, canker sores, or sores from simply biting your lip, tongue, or cheek.

-Packets of Salt. Salt water helps clean and irrigate out wounds.

Package of Colgate Wisps. These tools acts as a mini toothbrush as well as a toothpick. These can be very helpful removing foreign objects or debris lodged between your teeth.

Orabase. A paste used for healing canker sores or sore mouths. Dental urgent care will have a stronger prescription medicine called debacterol as well.

Dental Urgent Care Contact Information. Most dentists should be able to be reached after hours using an emergency telephone line.

Dental Urgent Care Conclusion

Dental urgent care is a term used for a dental emergency. As we said earlier there are no “dental urgent care” facilities, just call your dentist as soon as a dental emergency arises. The faster you get in front of a dental issue the easier it will be to treat for you and your dental urgent care Las Vegas team. Remember maintaining good dental health is not just about dental urgent care but should include regular dental visits as well!

 



Botox

Botulinum toxin is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction and thus causes flaccid paralysis. Infection with the bacterium causes the disease botulism.

Living with long-lasting facial pain can be very hard for the sufferers and their loved ones. Often, (identification of a disease or problem, or its cause) and treatment of long-lasting pain can be hard to diagnose.

The source of the pain may be related to infection, nerve, or muscle tissue.  muscle. Botox may be the answer for many muscular issues.

What Can Botox Do?

Botox (BoNT-A) is injected directly into a specific muscle group. Once botox enters the muscle it prevents the muscle from recieving nerve commands. Without this command the muscles will not contract thus leaving them paralyzed temporarily. The most popular use of Botox is to relax facial muscles, removing wrinkles to give a more youthful appearance. Botox can be used throughout the facial muscles to paralyze the painful, spasming muscles related to grinding, clenching, headaches, etc. This paralysis can give much needed pain relief from overactive muscles for as long as 3 months at a time.

Botox Marielaina Perrone DDS

What Types Of Dental Pain Can Botox Treat?

Temperomandibular Joint (TMJ) Pain. The temperomandibular joint is susceptible to disorders, as it consists of delicate moving parts. When any of these moving parts are not in proper alignment pain can be the result. The major reason for damage is due to chronic bruxism (teeth grinding) or teeth clenching. With Botox use in the TMJ area, the muscles of the jaw are allowed to relax and prevent it from contracting, decreasing the grinding or clenching, and in turn decreasing pain.

Myofacial Pain Syndrome. This is considered a chronic pain disorder. This syndrome occurs when pressure is placed on sensitive points in your muscles. These are called trigger points. When this “trigger point” pressure occurs, the pain can does not always occur at the source, but may begin at a different location from the source of the pressure. This is called referred pain and may be very difficult to accurately diagnose. Myofacial pain syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress. Myofacial pain can stem from problems with your TMJ / jaw muscles, or forehead muscles. Myofacial pain can be sudden and debilitating.

Arthritis. Early studies have shown that Botox injections appear to reduce arthritis pain in the shoulder, knee and hip. These results are promising, and may be helpful in patients with arthritis along with TMJ pain, but further research is needed. A new study shows that Botox injections may significantly reduce chronic neck pain when used in combination with physical therapy.

Conclusion

When it comes to chronic pain it is difficult to predict how each patient will respond. It is important to note that an infection should always be ruled out, and diagnosis by your exceptional dentist or medical doctor should be conclusive before trying  Botox treatment. Botox may just be the answer to many to relieve them of their chronic pain in the short term. While still being studied, it could be a key component in relieving the symptoms of those suffering from chronic pain.