for TMJ and Orofacial Pain

We’ve all heard of BOTOX injections for reducing fine lines and wrinkles. But did you know these treatments have been used in the medical field for decades to alleviate discomfort? When BOTOX is injected into tense, sore jaw muscles, it can reduce or altogether eliminate the pain associated with TMJ disorder. Dr. Timothy E. Mickiewicz offers BOTOX injections at our practice in Sacramento.

How Does It Work?

Simply stated, BOTOX weakens overactive muscles, diminishing the spasms that are so common in TMJ disorder. The substance is derived from botulinum toxin, a neurotoxic protein. In large doses, botulinum toxin is extremely dangerous. However, when distilled down into minute amounts, it can be quite useful for treating a number of muscular disorders. BOTOX is safe and effective in treating facial and jaw pain.

Who Can Benefit from BOTOX?

Anyone experiencing pain and tenderness due to TMJ disorders can benefit from BOTOX. In most patients, the relief is substantial. BOTOX may be indicated for you if you experience:

  • Chronic headaches
  • Severe jaw pain
  • Facial pain
  • Earaches

As with any drug or medication, there are certain contraindications. Therefore, BOTOX is not for everyone. During your initial consultation, Dr. Mickiewicz will review your medical history with you in detail to determine if BOTOX is right for you.

The Treatment Process

Receiving BOTOX injections is fairly straightforward. In fact, the procedure can be completed in our office in less than 30 minutes. Depending on the area of soreness, the injections will be administered primarily in the temporalis, frontalis, or masseter. Most patients notice improvement within the first day. Full relief typically occurs around the one week mark.

Healing and Recovery

BOTOX treatments are non-surgical and non-invasive. Therefore, there is virtually zero downtime. In fact, most patients can resume normal activities immediately following their appointment.

You may notice slight redness or bruising around the injection sites. If you desire, an ice pack or cold compress can be applied to soothe the area. Any discomfort can be managed with over-the-counter medication, such as ibuprofen or naproxen.

How Long Does BOTOX Last?

For optimal and ongoing success, BOTOX requires repeat treatments. Each session will provide relief for approximately three or four months, until the effects wear off. Every patient is unique, however, and Dr. Mickiewicz will help you find a treatment regimen that works for you.

Other Considerations

Although there are other treatment alternatives available for TMJ disorder, BOTOX is an excellent option for those who do not want to undergo an invasive procedure. It can also be beneficial for patients who have not experienced success with other methods.

Although BOTOX has proven safe and effective in research and clinical cases, it is not yet FDA-approved for the treatment of TMJ disorders. Because of this, it is important to keep in mind that BOTOX may not be covered by your insurance provider. However, you can explore payment plan options on our financial page

I have had headache issues for the last 35 years. Every morning greeted me with a headache. I’ve been to many doctors and have had many X-rays and cat scans of my head and neck. I was treated for migraines and neck issues. Nothing worked. I went to Dr. Mickiewicz two months ago and his diagnosis was TMJ. He fitted me with an appliance and the results are amazing. I have been back twice to have him adjust the appliance as my jaw loosens and adjusts, and he is always very patient with my extra-long explanations. I wish I had known him 35 years ago. FYI – I am now waking up without headaches – it is a good start to any day. Thanks Dr. Mick!

Lily S.

I have been seeing Dr Mickiewicz for over two years and am very satisfied with his services. I have a sleep apnea problem and rarely was getting any good nights rest. My medical doctor suggested I wear a large breathing machine… so I went ahead and got one and tried it out and and had nothing but problems trying to sleep with this large breathing machine strapped to my head. Then I saw Dr Mickiewicz and he has found the simplest and most affordable solution with my custom made mouthpiece that reshapes my jaw position just while I sleep! Bingo– no more sleep issues and also no more large breathing machine to struggle with! I am very grateful for his expertise and experience with sleep issues.

Tony A.

I recently visited Dr. Mickiewicz after years of suffering from sleep apnea and no success using conventional CPAP machines. I was fitted with dental appliance in an effort to resolve the problem. Frankly, I was skeptical, but I am so pleased with the early results. I just started using the device last week and I am already seeing an improvement in the quality of my sleep. From my first contact with Dr. Mickiewicz, it was immediately apparent that his grasp of the issues surrounding sleep apnea were light years ahead of his peers. He is a true professional and I enthusiastically recommend him.

Don B.

Always a great experience at this dental office. The front office has your paperwork prepared before you arrive and the hygienists are all very nice and friendly and work hard. My teeth are thoroughly cleaned when I visit. This place is a step above the rest with the right amount of class and comfort.

Kara S.

When I went to see Dr. Mickiewicz my jaw was locking up on me because my TMJ was so bad and my doctor didn’t really know what to do for me. This man changed my life. At my first visit I couldn’t even yawn without my jaw locking in the open position. At my last visit I could yawn and even chew steak without my jaw hurting.

Jewel L.

I have spent thousands of dollars out of pocket to dentists for my TMJ problems with no lasting relief. Dr. Mickiewicz was able to give me relief after years of pain. I am also able to utilize my medical insurance for his services adding credibility to his level of service that goes beyond common dentistry. His extensive knowledge of the disorder was clear; combined with his personable disposition put me at ease. His staff also deserves mention they are true professionals with a clear constitution for compassion.

Cathleen J.

My husband and I have gone to Dr. Mickiewicz for years after a recommendation of a coworker. Kind of strange to say that going to the dentist is an enjoyable experience – but it is! After years of having tense and painful visits to other dentists in Sacramento, we have found the right DDS for us: above average in all areas. He is an excellent practitioner, listens to all symptoms and concerns, answers all questions patiently and repeats as necessary. Gives us time to make any decisions about our dental care if we are hesitant, and encourages second opinions. His chair-side manner is relaxed and personable – which helps me relax. He is stuck with us for life! Thanks Dr. Mickiewicz and staff!


Learn More about BOTOX for TMJ

Curious to know if BOTOX can help alleviate your jaw pain? If you are experiencing symptoms, such as pain, clicking, or popping of the jaw joints, this revolutionary treatment could be just what you need. To find out if you are a candidate, schedule a consultation with Dr. Mickiewicz at our Sacramento, CA location. You can contact us online anytime.