Botox for TMD – Indications and Protocols – PDP123

When is Botox an appropriate option for the management of Temporomandibular Disorders? Knowing this will help you make better referrals, or even consider Botox as a management strategy. Dr. Sheila Li guides us on the use of Botox/Toxins for TMD pain management. We discuss indications, protocols and regulatory requirements (which surprised me!) - as well as learning if these patients will now require Botox indefinitely...? https://youtu.be/QJyxF0EGwsM Check out this full episode on YouTube Protrusive Dental Pearl: How do you routinely check the masseters and the temporalis at your new patient examination? As a restorative dentist, the most important thing I want to know (and what will influence the occlusal risk for my patient) is the size of the masseters. Start palpating and feeling for the size of the masseters to understand how much force these patients can generate! If you want to learn more, join the Facebook Group: Protrusive Dental Community because I'll be doing a little blog post on that about the significance of masseter size on Occlusal risk. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:50 Checking Masseters and Temporalis13:34 Dr. Sheila’s journey in managing TMD pain patients16:13 Ideal case selection for Botox regarding TMD21:15 Botox as a standalone vs Botox as an adjunct to splint therapy24:26 Patient communication about the frequency of Botox treatment26:39 Place of Botox for myofascial pain patients30:01 Additional indemnity for GDPs in doing Botox33:31 Functional Perspective of Botox34:47 Success rates in using Botox for TMD pain management39:53 Experience of having Botox41:55 Long-term side effects of Botox Learn more about Botox with Dr. Sheila Li on her functional toxin course just for dentists to treat functional elements!  Want to level up occlusal appliance therapy and TMD management? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out TMD Full Exam with ‘The TMJ Doc’ Dr. Priya Mistry  Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati! I'm Jaz Gulati and welcome back to the podcast that makes dentistry tangible. Today, we're covering a favorite topic of mine. Now, if you're new to the podcast and don't know me yet, it was a topic that confused me so much at dental school that I was drawn towards once I qualified from dental school. Jaz's Introduction:So, that things like occlusion, orthodontics and temporomandibular disorders. Today, I've got none other than, Dr. Sheila Li on the show, who really is the best person to discuss the USE OF BOTOX OR TOXIN for the management of TMD. I've actually wanted to get into this field. But for those who watch the videos on YouTube, does this look like the face of someone who is interested in facial aesthetics? I really didn't want to learn lips and eyebrows to get to the really important stuff like the masseters. But, Sheila is great at both of those things. And teachers dentists like me who are more interested in the functional aspects like TMD and gummy smiles. So, by the end of this episode, you will know which diagnoses, symptoms or patient features lend themselves to Botox. Now, this is really important because on the dental groups, I see Botox suggested in the word bandied all the time, all over saying, 'Yeah refer for Botox or you can treat this Botox.' But really, not all TMD lend themselves to the management of Botox. Now, BOTOX CAN HELP for TEMPOROMANDIBULAR PAIN, but you're not going to treat clicking and locking joints with Botox. You have to get your diagnosis right. We also discuss what regulatory requirements there are for dentists who only want to do Botox for the TMJ pain. And the answer might pleasantly surprise you. And finally, we DISCUSS THE PROTOCOL. How many visits? How often? Is it something you have to do for the rest of your life?