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TMJ Treatment with Botox®

📅 Last reviewed: July 13, 2026

TMJ or the Temporomandibular Joint, acts like a sliding hinge, connecting your jawbone to your skull. 

The joints are flexible, allowing the jaw to move smoothly up and down and side to side and enabling you to talk, chew, and yawn. 

And TMJ Syndrome is when this joint becomes inflamed. It can be very painful and can even have a debilitating impact on one’s quality of life. 

TMJ treatment with Botox® can be a solution for many people to relieve the pain.

Woman holding her face
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It's a very common problem — the National Institute of Dental and Craniofacial Research estimates that TMJ disorders affect more than 10 million Americans. In fact, TMD is the second most common musculoskeletal condition, after chronic low back pain.

Symptoms of TMJ range widely, and can include pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide and aching facial pain. 

Your jaw can become “stuck” or you may have a clicking sound in the jaw, hearing loss, reduced mouth opening, migraines, and even neck and shoulder pain.

The Cause of TMJ

The cause of TMJ is not clear, but it’s believed that the symptoms arise from problems with the muscles of the jaw or with the parts of the joint itself. 

In some cases, there may be an injury to the jaw. Other possible causes include grinding or clenching the teeth, arthritis, fractures, dislocations, and structural problems since birth. 

Stress is another source that can cause a person to tighten facial and jaw muscles or clench their teeth. 

Factors that may make TMJ symptoms worse besides stress is poor diet and lack of sleep.

TMJ Treatment with Botox®

Traditional treatments for TMJ include the use of bite guards, removal of wisdom teeth, dental surgery, massage therapy techniques, and chiropractic maneuvers. 

However, these treatments are rarely successful in providing pain relief for those with TMJ. 

Botox® is a safe alternative to traditional treatment for most people who experience jaw tension or have a TMJ disorder. 

During the procedure, the masseter muscle is identified by having the patient contract the muscle in a clenching manner. 

Several small Botox® injections are then placed directly into the muscle.

Female patient being treated for TMJ

The injection will relax the muscle, weakening it but not fully paralyzing it. Chewing and smiling are not affected and the treatment alleviates the tension and stress on the muscle, thereby reducing pain. 

Over time, if the muscle stays weak, it shrinks in size and can make the jaw look more smooth and natural in shape. The treatment procedure can normally be completed within 10-20 minutes.

Botox® is extremely safe when administered by someone who has gone through a certified Botox® course

Any pain associated with the Botox® TMJ treatment procedure is generally due to the injections, but it is minimal and brief. 

Because the Botox® treatment for TMJ is non-invasive, it is highly likely that the patient can return to normal activities very quickly. 

However, there may be mild temporary bruising, numbness, or redness around the injection sites.

The uses of botox are ever-increasing, with research revealing exciting results so far. 

As always, it is important that your physician is properly trained and is experienced in administering Botox® injections.

FAQ

Frequently Asked Questions

TMJ (Temporomandibular Joint) syndrome is inflammation of the joint that connects your jawbone to your skull. It affects more than 10 million Americans and is the second most common musculoskeletal condition after chronic low back pain.

Symptoms include pain or tenderness in the face, jaw, neck, and shoulders; aching facial pain; a clicking or popping jaw; reduced mouth opening; migraines; hearing loss; and neck and shoulder pain.

The exact cause is not always clear, but contributing factors include jaw injury, teeth grinding or clenching, arthritis, fractures, dislocations, and structural problems present since birth. Stress is a significant trigger, as it causes people to tighten jaw muscles. Poor diet and lack of sleep can worsen symptoms.

The masseter muscle is identified by having the patient clench, then several small Botox® injections are placed directly into the muscle. This relaxes and weakens the muscle without fully paralyzing it — chewing and smiling are unaffected. The tension and stress on the joint is reduced, alleviating pain. Over time, the muscle may shrink slightly, giving the jaw a smoother, more natural shape.

The treatment is typically completed within 10–20 minutes.

Any discomfort is generally minimal and brief, limited to the injections themselves. Because the treatment is non-invasive, patients can typically return to normal activities very quickly. There may be mild temporary bruising, numbness, or redness at the injection sites.

Yes — Botox® is considered extremely safe for TMJ when administered by a properly trained and certified provider. It is a safe alternative to traditional treatments such as bite guards, dental surgery, and chiropractic maneuvers, which rarely provide lasting pain relief.

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