tmj (5)

Botox For TMJ And Bruxism

Many people have never considered Botox can be used for therapeutic purposes. But the reality is Botox can help with TMJ issues and teeth clenching (Bruxism). Botox works by inhibiting the movement of muscles. This means it can also inhibit muscle movement that affects TMJ and bruxism. Marielaina Perrone DDS has extensive training and experience in using Botox injections both for esthetic and functional treatment.

Botox for bruxism

Teeth grinding (bruxism) can cause jaw pain, headaches, and damaged teeth. Teeth grinding can occur during sleep or when awake, especially when you are under stress. Studies have shown Botox injections in the facial muscles that control chewing can fix your issue. As a result of the Botox action, you will see relief from teeth grinding and clenching.

Dr. Perrone uses the proper dosage and location of injections to make the treatment as natural as possible. 

Botox for TMJ disorders

TMJ disorders can be quite painful. They can be due to the previously mentioned bruxism or due to trauma. Botox can help the muscles of the TMJ relax, giving patients relief quickly and easily. Botox injections can help relieve the pain and other symptoms when you suffer from headaches and jaw tension, even if you have not responded to other, more traditional treatments.

A simple, nonsurgical, outpatient procedure

Botox injections for TMJ or bruxism can take about 30 minutes, and Dr. Perrone can include this Botox treatment in your routine dental appointments. Dr. Perrone injects Botox into your forehead, temples, and jaw muscles to relieve jaw pain and headaches.

She will determine the number of injections needed and in what areas for maximum results. Botox injections use a very fine needle and are minimally invasive and easily tolerated. Topical anesthesia will be offered as well if needed. Dr. Perrone injects the Botox into each treatment area.

You may feel relief over the first day or two following Botox treatment. However, it will often take a few days to feel a significant difference. Following your dental appointment, you can return to your daily activities.

Botox Cosmetic Las Vegas NV

Botox has been proven to be safe and effective for cosmetic as well as medical conditions. Ask Marielaina Perrone DDS if Botox Cosmetic is right for you! Dr. Perrone also offers Juvederm dermal fillers as an adjunct to Botox cosmetic injections.

Contact Marielaina Perrone DDS at (702) 458-2929 to schedule a no-cost cosmetic consultation appointment if you are ready for a smile makeover. We cannot wait to help you with your oral health and your smile makeover to create your dream smile in Henderson, Summerlin, and Las Vegas, NV.

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Tips To Relieve TMJ Pain At Home

Daily activities including chewing, talking, and smiling are movements of the face we make subconsciously. But for people suffering from temporomandibular joint dysfunction (TMJ), these routine facial movements can cause pain and discomfort. Below you will find some tips to manage TMJ symptoms:

Maintain Good Sleep Habits

Sleep health plays a huge role in our overall health. Using a support pillow to prop up neck while sleeping can bring relief for some. Patients with TMJ symptoms should also avoid sleeping on their stomachs.

Jaw Exercise

Jaw exercise can increase mobility and relieve symptoms. These exercises should include:





Avoid Certain Foods

Avoiding hard foods will help avoid TMJ pain and discomfort. Marielaina Perrone DDS advises that you should avoid hard or crunchy foods, chewing gum, and large food bites.

Ice And Hot Water

You can reduce pain and swelling the use of cold or hot water compresses. The hot compress can help relax jaw muscles and increase blood flow. Use a light towel to compress your jaw with cold or hot water for around 15 to 20 minutes. See what works best for you through trial and error.

Correct Your Posture

Poor posture can manifest many different symptoms and this includes TMJ pain. Helpful tip, when at work, sit on a chair with a backrest and take frequent breaks to keep your muscles relaxed. Then placing a pillow behind your back can help you sit upright when reading or watching TV.

Recommended exercises include straightening back muscles, squeezing shoulder blades tigether, and arching chest.

At-home TMJ pain relief tips may not be enough for patients with a severe case of TMJ. If symptoms persist call cosmetic dentist Marielaina Perrone DDS in Henderson NV today!

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What Is Botox?


Botox injections can help you look younger quickly and easily and to prevent lines and wrinkles from forming on the face. Marielaina Perrone DDS in Henderson, NV is pleased to offer BOTOX to her patients. This nonsurgical esthetic procedure provides outstanding cosmetic results and is available for both women and men.

Botox injectable can give a dramatic aesthetic improvement to facial wrinkles. These wrinkles result from our expressive movement with the contracting muscles on the forehead and around the eyes.

When injected into the facial muscles, BOTOX temporarily blocks specific muscle movements to soften the appearance of dynamic wrinkles. BOTOX injections are most commonly administered between the eyebrows, Crow's feet, and across the forehead.


An individualized BOTOX treatment plan designed by Marielaina Perrone DDS can help you look younger quickly. Other benefits include::

  • Smoothing fine wrinkles and lines
  • Preventing the formation of new creases and wrinkles
  • Creating a more rested, youthful appearance
  • Quick results without the need for surgical intervention
  • Highly effective for both men and women
  • Proven safe and effective


The masseter muscle is located on the side of your face. The main role of this muscle is to help you chew your food properly. With properly placed injections, the masseter muscle can be relaxed resulting in many benefits for patients experiencing migraines and TMJ issues.

Benefits include:

  • Relief for Teeth grinding
  • Creating a symmetrical face profile
  • Relieve tension or migraine headaches
  • Reduce jaw tension and habitual clenching
  • Recontouring jaw into a more square shape


BOTOX injections are ideal for men and women who want to:

  • Lessen and soften the appearance of fine lines and wrinkles on the face
  • As a wrinkle preventive treatment
  • Lessen appearance of crow's feet by the eyes

For deeper lines, a filler product (Juvederm dermal filler) may be a better esthetic option.


BOTOX injectable treatments are performed right in our office by Marielaina Perrone DDS. Following a cosmetic consultation to determine treatment needed and desired, you will be asked to make various expressions using the upper face, like squinting and frowning, to give Dr Perrone a guide where the injections should be applied.

The injection sites will be cleansed thoroughly and BOTOX will be applied using a fine needle. Following injection a cold compress will be usedto help decrease discomfort and possible bruising. A numbing cream is also available if needed to help make the entire process more comfortable. BOTOX treatments generally take about 15-20 minutes, and you can typically return to your usual non strenuous activities after leaving the office.


Strenuous activity should be postponed for at least 24 hours. Dr Perrone will advise you to keep your head elevated for at least one night and to avoid touching your face, which may accidentally spread the BOTOX to undesired areas.

The injection sites may develop bruising, swelling, or redness but you should not have any long-lasting side effects. For many patients, it takes about a week for results to show fully. The results typically last 3 – 4 months before needing a touch up to maintain your youthful look.




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Overbite correction with braces

Overbites happen when the top teeth are pushed forward past the bottom jaw and teeth. In severe cases, overbites may require surgery to correct. It is important to treat an overbite because it does have a negative impact on your overall oral health. An untreated overbite can lead to temporomandibular joint dysfunction (TMJ) that will cause pain in the jaw. 

What causes an overbite?

There are a number of things that can contribute to overbite:

1. Genetics: There have been many studies on genetics and its influence on the upper and lower jaw. If direct family members have a history of an overbite, then it is likely that it can be passed down to newer generations. 

2. Bad Habits: Thumbsucking and prolonged bottle use in children can cause the overbite to develop as they grow. It is best for the habit to be eliminated as early as possible to prevent the further development of an overbite. 

3. Trauma: Early trauma to the growing jaw can cause it to stop growing. 

4. Tooth Count Discrepancy: Extra teeth in the upper jaw can push your other teeth forward because of the lack of space. The extra teeth would need to be extracted in order to make room for the other teeth. A missing tooth on the lower jaw can also cause an overbite and would need to be replaced. 

5. Gum Disease: More common in late adulthood because gum disease causes bone support to recede. 

When is the best time to correct an overbite?

The best time to correct an overbite is when children are still in their developmental stages. For girls the best age is around 10-12 years old and 11-13 for boys. At this age in kids, an orthodontist can more accurately assess the dental issues and can correct the developing jaws and teeth with the right treatment plan. 

How Can An Overbite Be Fixed

It is possible to correct an overbite with just the use of braces. Braces will work best in early development as mentioned before. A severe overbite is also known as a deep bite may require surgery to correct. Braces will be used for a time before and after surgery to help with the overall correction. Only a few dental specialists have the ability to correct a severe overbite with no surgery. There are many factors that will determine the need for surgery. It is always best to consult with your orthodontist as each case is going to be different. 

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TMJ treatment Astoria

Temporomandibular Joint Dysfunction Syndrome (TMJ) is a common condition affecting a wide variety of people. TMJ is characterized by severe headaches, jaw pain of varying degrees, grinding teeth, and an intermittent ringing in the ears. The vast majority of TMJ sufferers are unaware that the root cause of these problems is something that a dentist can effectively treat. The symptoms of TMJ are debilitating and can greatly interfere with everyday life. The comfort and general well being of the patient are at the heart of the dental practice, so pain relief is the first consideration of the dentist. Our doctors are able to test, diagnose, and devise an immediate plan to treat the underlying causes of the TMJ disorder.

What Causes Jaw Pain?
The most common cause of jaw pain is due to an injury or abnormality affecting the joint hinging your jaw, called the temporomandibular joint. It’s a problem called a temporomandibular joint disorder or TMD or TMJ and is estimated to affect nearly 10 million people in the United States alone.
Several different things can cause TMJ as it can be due to the muscles controlling jaw movement becoming painful, or because of injury to the jaw joint. Excessively stimulating the jaw joint can cause jaw pain, and sometimes the disc that helps to cushion jaw movements becomes displaced or damaged. This disc can also become affected by arthritis.
Your jaw joint or the muscles controlling your jaws can be damaged because of several factors, the most common of which is teeth grinding and clenching, a problem called bruxism. It’s a mainly nocturnal habit where people will clench or grind their teeth during sleep, irritating and inflaming the jaw joint and facial muscles and causing a great deal of damage to teeth, jaws, and gums. It’s an issue that can be brought on by stress and anxiety. Any form of trauma to the jaw joint, for example, an unexpected blow to the face while playing sports can also damage these joints.

What Are the Symptoms of TMJ?
Symptoms can vary greatly depending on the severity of your TMJ. Most commonly, it causes pain in the head or neck area, and jaw pain can limit jaw movement. The muscles that operate your jaw joints can feel stiff, or the jaw could become locked in place. When you do open and close your mouth, you may notice your jaw joints make a clicking or popping sound. It’s also possible for the jaw to shift position slightly, changing the way your teeth bite or occlude together.

How Is TMJ Diagnosed?
There is no definitive test for TMJ, but our dentist at dentistry Astoria, NY can gently examine your jaws and your teeth and can soon tell if you have signs of this disorder. For example, if you have bruxism, it will almost certainly have caused some damage to your teeth. Your dentist can also gently feel your jaw joints to see if they are swollen or tender. Imaging tests that can help diagnose TMJ include digital dental x-rays of your jaw, and a cone beam CT scan provides detailed 3-D images of your jaws, making it easier to see any potential damage. An MRI of your jaw can help identify any structural problems with the jaws.

How Is TMJ Treated?
When treating TMJ, your Astoria dentist may recommend a combination of home remedies combined with professional dental care. One straightforward way to treat TMJ caused by bruxism is with a special bite guard or night splint. It’s a dental appliance designed to fit over your teeth, preventing your upper and lower teeth from biting together during sleep. It is a custom-made device that is comfortable to use, although it can take a few days to become accustomed to wearing it. A night splint helps reduce jaw tension and can help break the habit of teeth grinding and clenching.
Botox injections are also quite useful in helping to reduce muscle tension in the jaw joints, making it easier to relax your jaw during the day and sleep. Otherwise, your dentist may prescribe muscle relaxing medications or medications to help reduce swelling in the jaw joints. If your bruxism is stress-related, you could benefit from behavioral therapy to help reduce stress levels. Problems caused by a poor bite or occlusion may require other forms of dental treatment to realign your teeth and improve your bite. Surgery is rarely needed for TMJ, but sometimes in severe cases, it’s necessary to replace the joint or to clean out the area around the jaw joint.

Precision Dental NYC
21-34 30th Ave,
Queens, NY 11102
(718) 274-2749
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Astoria | Ditmars Steinway | Astoria Heights | Jackson Heights | Woodside | Sunnyside Gardens | Dutch Kills
11101, 11102, 11103, 11104, 11105, 11106 | 11372 | 11377

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