The same BOTOX that smooths facial wrinkles also prevents the muscle contractions that can trigger migraines.
BOTOX, highly diluted botulinium toxin, works to prevent migraine by blocking the release of a chemical in muscle cells that transmits the signal to contract to muscle fibers. Research into using BOTOX to treat migraines began after patients receiving it for other conditions reported improvement in their migraine symptoms. In 2010, after years of research and collecting clinical data, the FDA approved BOTOX for treating chronic migraines.
BOTOX is administered about every three months, relaxing the surrounding muscles so that they won’t compress the nerve and trigger a migraine. It is a potent drug, and we only recommend using it if other preventative treatment options haven’t helped you. It is generally only administered to patients who have at least 14 headaches a month, or don’t respond to other treatments.
You can now decrease teeth grinding (Bruxism) with BOTOX. Bite splints worn at night can protect the teeth and TM joints from the intensity of grinding at night. However, BOTOX injection into specific muscles has been shown to decrease the intensity itself, thus reducing pain.
TRIGGER POINT TREATMENT
Trigger points are focal, hyperirritable spots located in a taut band of skeletal muscle. These knots produce pain locally and in a referred pattern. Acute trauma or repetitive microtrauma may lead to the development of stress on muscle fibers and the formation of trigger points. Trigger points may lead to face, neck and shoulder pain, tension headache, tinnitus, and temporomandibular joint pain. Palpation of the trigger point will elicit pain directly over the affected area and/or cause radiation of pain toward a zone of reference and a local twitch response. Trigger point injections using a combination of Botox and local anesthetic have been shown to be one of the most effective treatment modalities to inactivate trigger points and provide prompt relief of symptoms.
When facial reconstruction, including procedures involving the oral cavity, is called for, a specialist is needed. Surgical procedures of the neck and head area are performed by a maxillofacial surgeon.
Common maxillofacial procedures include denture-related procedures and jaw surgery.
Protruding chins, crooked or buck teeth or misaligned teeth are good candidates for maxillofacial surgery.
In some people, jaws do not grow at the same rate; one may come in larger than the other, or simply not be aligned properly with other bony structures in the skull. This can cause problems other than appearance issues; an improperly aligned jaw can cause problems with the tongue and lips, and speech and chewing problems as well. Jaw surgery can move jaws into their proper place.
Other kinds of maxillofacial surgery can correct problems with upper facial features such as the nose and cheek.
In addition to correcting jaw problems surgically, orthodontic appliances such as braces may be needed to restore bite relationship and ensure continued proper alignment of the jaw. In some cases, tiny wires or small rubber bands may be needed to keep the jaws in place and promote faster healing. In other cases, small "fixation" screws or plates may need to be inserted in the jaws to facilitate easy movement of the jaws following surgery.
People who have worn dentures for a long time can sometimes experience loss of gum tissue and even bone, mostly from the wear and tear of the appliance on the soft tissues of their mouth.
In extreme cases, maxillofacial surgery, including bone grafts, manipulation of soft tissues or even jaw realignment, may be performed to correct such problems.