Botox : A Boon to Dentistry

Last updated Nov 6, 2023

Last updated Nov 6, 2023

Botox is widely used in various cosmetic treatments including removal of lines and wrinkles. The Dental Quality Assurance Commission (DQAC), Washington has released an interpretive statement on July 26, 2013. The Commission grants permission to dentists to use Botox and cosmetic fillers. The product is used in cosmetic dentistry to enhance the smile.

What is Botox?

Botox is a neurotoxin that is derived from bacterium Clostridium botulinum. The toxin inhibits the release of acetylcholine (ACH). ACH is a neurotransmitter responsible for stimulating muscle contraction and glandular secretion. Inhibition of ACH induces muscle relaxation which helps in many conditions.


Botox“Botulism” is a very dangerous disease that was first described by a German physician Justinus Kerner. It is caused by botulinum toxin (BT). Botulism is produced under anaerobic conditions by Clostridium otulinum. Botulinum is one of the most deadly toxins known. It has found applications in bioterrorism as well. However, Botulinum is the first toxin to be accepted for therapeutic uses.

How can botox cause miracles?

In dentistry, Botox has shown quite promising results in carrying our different treatments like-

Temporomandibular Joint Disorders

Temporomandibular Disorder(TMD) affects chewing of the jaw. It causes different health conditions such as facial pain, neck pain, joint sounds, and headache. Botox type A is an alternative that is used for muscle relaxation.


The medical term used for unconscious grinding and clenching of teeth. Botox Type A commonly used is injected into the masseter muscle (responsible for the movement of the jaw). This weakens the muscle and reduces the involuntary grinding of teeth.

Dental Implants and Surgery

The overloading of masticatory muscle can prevent the osseointegration of implants, it can cause fractures as well. The Botox type A injection acts as a relaxant for masticatory muscles. It helps in stabilizing the implants.

Gummy smile

This condition is an excessive display of gingival tissue (gums) on smiling. Botox is injected to limit the over contraction of the muscles of the upper lip, which reduces the excessive exposure of gums while smiling.

Mandibular spasm

The spasm or semi contraction limits mouth opening, which restricts oral functions. Botox treated masticatory muscles are relaxed and hence reduces spasm.

Botox not recommended for:

  • Pregnant and Lactating women
  • Known hypersensitive to any botulinum procedure
  • Psychologically unstable patients
  • Patients having an infection on injecting sites
  • Patients suffering from motor neuropathic disease, sclerosis, or myasthenia gravis
  • Patients taking anticholinergic drugs, aminoglycosides

Adverse effects

The adverse effects include allergic reactions, rash, itching, headache, neck pain, back pain, muscular stiffness, difficulty in swallowing, and shortness of breath. This can also accompany other effects such as nausea, diarrhea, stomach pain, loss of appetite, injection site reactions, sore throat, runny nose, and excessive sweating.

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scanO (formerly DentalDost)

Stay Informed, Smile On!

Author Bio: Dr. Vidhi Bhanushali is the Co-Founder and Chief Dental Surgeon at scanO (formerly DentalDost). A recipient of the Pierre Fauchard International Merit Award, she is a holistic dentist who believes that everyone should have access to oral healthcare, irrespective of class and geography. She strongly believes that tele-dentistry is the way to achieve that. Dr. Vidhi has also spoken at various dental colleges, addressing the dental fraternity about dental services and innovations. She is a keen researcher and has published various papers on recent advances in dentistry.

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