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.
Anyone who participates in a sport that carries a significant risk of injury should wear a mouth protector. Sports like basketball, baseball, gymnastics, and volleyball all pose risks to your gum tissues, as well as your teeth. We usually think of football and hockey as the most dangerous to the teeth, but nearly half of sports-related mouth injuries occur in basketball and baseball.
A mouth guard can prevent serious injuries such as concussions, cerebral hemorrhages, incidents of unconsciousness, jaw fractures and neck injuries by helping to avoid situations where the lower jaw gets jammed into the upper jaw. Mouth guards are effective in moving soft issue in the oral cavity away from the teeth, preventing laceration and bruising of the lips and cheeks, especially for those who wear orthodontic appliances.
Mouth protectors, which typically cover the upper teeth, can cushion a blow to the face, minimizing the risk of broken teeth and injuries to the soft tissues of the mouth. If you wear braces or another fixed dental appliance on your lower jaw, a mouth protector is available for these teeth as well.
A properly fitted mouth protector may be especially important for people who wear braces or have fixed bridge work. A blow to the face could damage the brackets or other fixed orthodontic appliances. A mouth protector also provides a barrier between the braces and your cheek or lips, limiting the risk of soft tissue injuries. Although mouth protectors typically only cover the upper teeth, your dentist or orthodontist may suggest that you use a mouth protector on the lower teeth if you have braces on these teeth too. If you have a retainer or other removable appliance, do not wear it during any contact sports.
Types of mouth guards
There are three types of mouth protectors: