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4 Rogers Street
Spring Hill, QLD, 4000
Australia

+61 7 3391 2504

Brisbane Dentist - excellence in general and aesthetic dentistry with Drs Amy Daley, Leila Haywood, UQ graduates with 20 years of experience in Spring Hill, Brisbane

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dentistry life at Brisbane Smile Boutique

The life and times of our dental practice, up to date news in dentistry and celebrations, happy moments in dentistry. Our blog outlines dentistry life at Brisbane Smile Boutique in Spring Hill in inner city Brisbane

Filtering by Tag: dental practice

Tooth grinding solutions and muscle relaxant injections

Leila Haywood

What is bruxism?

Excessive clenching or grinding of the teeth, is called bruxism, and is thought to be caused by physical or psychological stress, or a sleep disorder. If untreated, bruxism can cause excessive wear of the teeth leading to permanent damage of the teeth and sometimes of the jaw joints. Treatments involve repairing worn or damaged teeth with restorations, crowns or inlays, to replace the damaged tooth surface, and making an occlusal splint, or night guard, custom made from hard plastic that fits over the top teeth, and is worn at night to prevent further wear of the tooth surfaces, and to allow the jaw joint and muscles to relax. 

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TMJ disorders and muscle relaxant therapy

Disorders of the jaw joint, or TMJ (temporomandibular joint) are not uncommon and may lead to symptoms of pain and discomfort in the jaw called temporomandibular dysfunction (TMD) . Patients may complain of earaches, headaches and a limited ability to open their mouth.  Other symptoms can include clicking, popping or grating sounds in the jaw joint,  pain when opening and closing the mouth,  a general tightness and pain in the muscles of the jaw, or broken teeth due to the excessive forces.

Muscle relaxant injection treatments are available for jaw pain caused by excessive tooth grinding. These can reduce the muscle activity of the jaw and provide relief from wear in the joint system, and can prevent the teeth grinding excessively.

Dentists will try to determine the cause of tooth grinding and associated symptoms, and offer a range of treatment options to reduce the discomfort and intervention before the excessive forces damage your teeth. There are several treatment options that can be used to immediately stop  clenching or tooth grinding , and hopefully relieve the jaw pain.   

People who clench or grind their teeth are able to relieve the pain in the jaw joints and muscles with physiotherapy treatments, pain relief, prescribed sedatives, occlusal splint therapy or therapeutic use of muscle relaxant injections into the jaw muscles. 

Current management for bruxism

Current management by dentists for jaw muscle pain caused by grinding or clenching is with occlusal splint therapy or night guards made by the dentist, orthodontics, pain relief, full mouth rehabilitation,  muscle relaxant injections, and very rarely, surgery. 

Muscle relaxant injections with Botulinism Toxin A can decrease the destructive effects of tooth grinding. A diluted form of the muscle relaxant is injected in the jaw muscle to partially weaken muscles for a period of 4 to 6 months.  

Bruxism is a disorder of repetitive and unconscious contraction of the masseter muscle, the large muscle that moves the jaw.  Muscle relaxant injections weaken the jaw muscles enough to reduce the effects of teeth grinding and clenching, but not so much as to prevent proper use of the jaw muscle for eating and normal facial movements. A muscle relaxant treatment typically involves injections into the masseter muscles. It takes a few minutes per side, and you can start to expect feeling the effects after 5 days.

What is the muscle relaxant injection? 

The muscle relaxant injection is Botulinism Toxin A, a prescription medicine which contains 100 units of muscle relaxant liquid and is a natural, purified protein that is used therapeutically in medicine to relax facial muscles, and is approved by the FDA (US) and TGA to treat medical conditions such as cerebral palsy. It is widely known for its uses in cosmetic work, as anti wrinkle injections.  

How are muscle relaxant injections used in  dentistry? 

Dentists who have undergone appropriate training can use muscle relaxant injections to treat muscular pain and headaches due to muscle contractions in the head and face, focusing on the jaw area.

Severe and undiagnosed tooth grinding and clenching can lead to headaches, pain in the jaw joint, muscles of the jaw, enlarged masseter muscles, tooth wear and broken teeth, and is thought to be cause by fatigue, stress and emotional extremes. 

How does the muscle relaxant injection work?

Approximately 90% of all headaches are thought to be caused by muscle contraction. Pain is minimised with muscle relaxant injections into the muscles of the jaws so that they cannot be contracted fully, therefore the pain is minimised.   

What does the treatment involve?

Muscle relaxant injections are usually administered by a very fine needle into the muscles that are causing the pain (eg. masseters, temporalis, frontalis) with a selected appropriate dose. The rest of the muscles still can function normally therefore chewing is mostly unaffected. No anaesthetic is required since the procedure has minimal discomfort, with just a slight sting at the injection site.  The treatment generally takes around 15 minutes for a full treatment. The muscle relaxant treatment takes around 5 days to begin taking effect and up to 7 days for the full effect to be felt.   

How long does it last? 

This varies from individual to individual but usually 3-6 months.  Repeat injections may result in the effects being prolonged.   

Contraindications to using muscle relaxant

  • Pregnancy or breastfeeding
  • Allergy to albumin
  • an infection, skin condition or muscle weakness 
  • Have Eaton-Lambert syndrome, Lou Gehrig’s disease or myasthenia gravis.

Risks

Any surgical or invasive procedure carries risks. Before proceeding, we recommend that you ask any questions that you wish, advise of any associated issues and seek a second opinion from another qualified health practitioner.   

What are the Side Effects? 

The amounts are carefully measured appropriately for your case and the injection site is very localized therefore the side effects are minimised.

Possible side effects include but are not limited to discomfort, burning/stinging, swelling, redness or  bruising around the injection site. Side effects are minimised by using a trained professional and usually minimal.   

    Hello Christmas

    Leila Haywood

    End of year is always incredibly busy for our practice, and it continues like this into the new year until February. 

    Dr Leila Haywood is taking leave from the 16th December to the 9th of January. Dr Amy Daley is on holidays from the 23rd December until the 2nd of January.

    Please let us know if you need an appointment prior to Christmas. The time limit for porcelain prior to the end of year is approaching. There are 2 more weeks that allow porcelain restorations to be made by our ceramist, and inserted prior to the end of 2016.

    Wishing everyone the best

    Best Regards 

    Leila Haywood | Dentist | Brisbane Smile Boutique

    Sports products and oral health

    Leila Haywood

    Thinning enamel makes teeth more vulnerable to decay

    Thinning enamel makes teeth more vulnerable to decay

    sports drinks and dentistry

    Tooth decay and erosion are on the rise. At least part of this disease process is thought to be due to the increasing use of specialised sports products designed to proved nutirents and fluid during exercise. Many of these are high in carbohydrates for readily available energy and electrolytes, however many have acidic ingredients to alter the taste or prolong the shelf life. Of course the combination of sugar and acidicity is damaging to the teeth.  Sports products have been used by athletes for a long time to add to fuel stores and to promote rapid recovery of glycogen stores following exercise, but in the last few year they have been heavily marketed to he general public, and of particular concern, is their regular use by children ⚠️

     

     

    Important points: 

    🍭 main ingredients are carbohydrates -> sugar!  

    -  Acidity is 2.4 - 4:5 

    ⚠️ when dehydrated the saliva dries up, and makes the teeth vulnerable to attack by sugars and acids

    ⚠️ rinsing a mouthguard in sports drink allows the damaging acids and sugars to pool around the teeth  

    😷 people are using these as fuelling mouth rinses for short duration physical activity because it is thought that carbohydrates message the brain to delay fatigue.

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    ⚠️ workout supplements are promoted as an anabolic or muscle building possibility in resistance training. They are usually protein with small amounts of carbohydrate and other things like caffeine, creatine.  Most have citric or malic acid added for flavour which is damaging to the teeth. 

     

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    Sports gels or lollies are easy to digest and carry, and of course the trouble occurs because they are highly concentrated sources of sugar, with many containing acid to alter the taste or to prolong the shelf life.  

     

    When cosumed with sports drinks, the combination is disastrous. 

     

    Some tips: 

     

    💧 drink tap water for low intensity training and always for children. 

    ⚠️ Use sports drinks and supplements with extreme caution. 

    😷 Calcium in foods might help to counteract some of the damage, and help in recovery.

     ⚠️ avoid rinsing moth guards with sports drink

    💦 drink lots of water to ensure that the saliva is healthy. 

    🍋 avoid acidic foods or beverages before bed

    ⭐️ seek the assistance of an accredited sports dietician if necessary  

    ⭐️ 6 monthly preventive care appointments with your dentist and dental hygienist  

     

     

     

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    Celebrating Sonia's Birthday! 40 years of amazingness⭐️⭐️⭐️

    Leila Haywood

    East Brisbane Dentists' nurses. Happy Birthday Sonia // Blackbird Bar // Brisbane City

    East Brisbane Dentists' nurses. Happy Birthday Sonia // Blackbird Bar // Brisbane City

    Team  ⭐️⭐️⭐️

    Team  ⭐️⭐️⭐️

    Tooth Bonding and Aesthetic dentistry

    Leila Haywood

    Did you know that there is a technique available to improve the appearance of your smile without removing significant tooth structure? This can be done with tooth bonding. 

    Tooth or composite resin bonding is the process of adding tooth coloured material directly to your teeth to alter the appearance of the shape, position, height or sometimes the shade of your teeth. In most cases the tooth is only lightly prepared and the resin is applied directly to the tooth in one visit.   

    Resin bonding has the the added advantage of being able to be polished or added to over time, and when the time comes for the bonding to be replaced, there is no damage to the tooth underneath.  

    tooth bonding Brisbane Spring Hill Dentist

    Top 5 reasons you may be interested in tooth bonding

    1. Minimal preparation of the teeth/tooth

    2. Can be used to alter the appearance of your tooth/teeth

    3. Done in one visit for immediate results

    4. Reduced costs compared to ceramic crowns, veneers and bridges.  

    5. Can be polished or altered over time.  

    Our dentists are experienced in all facets of aesthetic dentistry, from teeth whitening through to tooth bonding, tooth recontouring, porcelain veneers and dental implants=