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Dentist checking a patient's jaw joint

Botox for TMJ in Brooklyn, NY

Botulinum toxin injections that relax overactive jaw muscles and ease clenching pain.

Dentist checking a patient's jaw joint

Botox for TMJ in Brooklyn, NY

Botulinum toxin injections that relax overactive jaw muscles and ease clenching pain.

What Is Botox for TMJ?

Botox (botulinum toxin) injections for TMJ offer targeted relief for patients whose jaw pain, headaches, and facial tension are driven by overactive or hypertrophied muscles of mastication. The masseter and temporalis muscles, which power the jaw, can become chronically tight, enlarged, or spasmodic due to habitual clenching and grinding. Botox works by temporarily relaxing these muscles, reducing the intensity of involuntary contractions and allowing the muscles, joints, and surrounding tissues to recover from the constant strain.

Botox for TMJ: Quick Facts

Quick fact

Typical answer

Number of visits

1, repeated as needed

Time needed

About 10 to 15 minutes

Anesthesia

None

Recovery time

None; effect builds over 1 to 2 weeks

How long it lasts

About 3 to 4 months

These are typical ranges. Your own plan is confirmed after an examination.

Who Botox for TMJ Is For

Botox reduces the strength of the muscles that clench the jaw. It is used when muscle overactivity is the main source of pain and conservative measures have not been enough.

  • Jaw muscle pain that persists despite a nightguard

  • Frequent tension headaches at the temples

  • Enlarged, tight masseter muscles

  • Heavy clenching that is damaging teeth

  • No pregnancy, breastfeeding or neuromuscular condition

Botox for TMJ at Bensonhurst Dental Care

At Bensonhurst Dental Care, Botox for TMJ is administered with precision by the dental team. The injections are placed directly into the overactive muscles based on a clinical assessment of muscle size, tension, and contribution to the patient’s symptoms. The procedure is quick, typically taking 10 to 15 minutes, and involves only minor discomfort from the injections themselves. No anesthesia is required and patients return to normal activities immediately.

What to Expect, Step by Step

  1. Assessment. Muscles are examined and the dose is planned.

  2. Marking. Injection points are identified in the masseter, and the temporalis if needed.

  3. Injection. Several small injections are given with a fine needle, in about ten minutes.

  4. Onset. The effect builds over one to two weeks.

  5. Review. Results are checked and the plan adjusted.

What to expect from Botox for TMJ

Stage

Timing

What you may notice

Onset

3 to 14 days

Clenching feels weaker and tension eases

Peak effect

4 to 6 weeks

Fewer headaches; jaw less tired

Duration

3 to 4 months, sometimes longer

Effect fades gradually

Repeat

As symptoms return

Often needed less often over time

Botox treats the muscle, not the cause. It works best alongside a nightguard and habit changes.

Aftercare

After your injections

The first 24 hours

  • Stay upright for four hours

  • Do not rub or massage the area

  • Avoid strenuous exercise and alcohol for the rest of the day

The following weeks

  • Continue wearing your nightguard

  • Chewing very tough foods may feel tiring for the first weeks

  • Book a review before the effect wears off

When to Call Us

Call the office on (718) 234-3434 if you notice any of the following:

  • An uneven smile or difficulty chewing that concerns you

  • Significant bruising or swelling

  • Any difficulty swallowing or breathing; seek emergency care

What Botox Can and Cannot Do

Botox is not a cure for TMJ disorders, but it is an exceptionally effective tool for managing the muscular component of the condition. Many patients experience a noticeable reduction in jaw pain, headache frequency, and clenching intensity within one to two weeks of treatment. The effects typically last three to four months, at which point the treatment can be repeated. Botox is often used alongside a custom nightguard for round-the-clock protection, and it can complement other approaches such as bite adjustment, occlusal equilibration, and laser therapy as part of a comprehensive TMJ treatment plan.

Cost and Insurance

The fee for Botox depends on the dose and on which chewing muscles are treated, and because the effect fades after a few months, repeat appointments add to the cost over a year. A nightguard used alongside it is priced separately. Dental plans usually do not cover Botox for jaw pain, and medical plans may consider it only in limited cases.

What affects the cost

  • The evaluation and any imaging required

  • A custom nightguard, which includes a laboratory fee

  • The number of therapy or review visits

  • Additional treatment such as Botox or bite correction

Coverage for TMJ treatment varies a great deal. Some care falls under dental insurance and some under medical insurance. Our team can check your benefits and explain your options before treatment begins.

Meet the doctor

Dr. Alex Rubinshtein

Dentist with more than 22 years of experience and a DDS from NYU, where he was an honor society member. Uses the latest advances in dentistry to provide personalized patient care.

Dentist with more than 22 years of experience and a DDS from NYU, where he was an honor society member. Uses the latest advances in dentistry to provide personalized patient care.

Dentist with more than 22 years of experience and a DDS from NYU, where he was an honor society member. Uses the latest advances in dentistry to provide personalized patient care.

Learn more about doctor

Dr. Alex Rubinshtein, laser dentist at Bensonhurst Dental in Brooklyn

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What Our Patients Say

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