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Botox

Botox

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Nikita Aggarwal
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194 views

Botox

Botox

Uploaded by

Nikita Aggarwal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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BOTOX

A Toxic Remedy
What is Botox?

Botox (onabotulinumtoxinA), also called


botulinum toxin type A, is made from the
Clostridium botulinum that causes botulism.
Botulinum toxin blocks nerve activity in the
muscles, causing a temporary reduction in
muscle activity.

Botulinum toxin type A


Botulinum Toxin

● There are seven types of botulinum


toxin, named type A–G.

● Type A and B are capable of causing


disease in humans, and are also used
commercially and medically.

● Types C–G are less common;


The toxin type A and B is also
● Types E and F can cause disease in
used commercially in
humans, while the other types cause
disease in other animals.
medicine, cosmetics, and
research.
How does botulinum toxin work?
Botulinum toxin (BTX) is a neurotoxic
protein.

It prevents the release of the


neurotransmitter acetylcholine from
axon endings at the neuromuscular
junction and thus causes flaccid
paralysis.

Infection with the bacterium causes


the disease botulism.
Uses of Botox in medicine Muscle spasticity

Cosmetics Used for overactive muscle


movement, including post-stroke
Facial wrinkles, Injection of BTX into
spasticity, post-spinal cord injury
the muscles under facial wrinkles
spasticity, spasms of the head and
causes relaxation of those muscles,
resulting in the smoothing of the neck, eyelid,vagina,limbs, jaw, and
overlying skin. vocal cords.

Others used to relax clenching of muscles,


including those of the oesophagus,
Used to treat disorders of hyperactive jaw,lower urinary tract and
nerves including excessive sweating, bladder,or clenching of the anus
neuropathic pain, and some allergy which can exacerbate anal fissure.
symptoms. In addition to these uses,
chronic pain.
Botox and Dentistry
Why Dentists

Skilled at assessing the balance and overall esthetics of the face.

Extensive training in the anatomy of the head and neck.

Our technical skills have been finely honed.

Many of us have taken in-depth training that equips us to provide intricate procedures
such as sinus lifts, implant placement, complex endodontic treatment and other
services such as oral and IV sedation.

We as dentists know better about the facial anatomy and have more practise with
injections in the cranial nerves in sensitive areas of head.
Pathologic Clenching

Pathologic clenching/bruxism is a
disorder leading to chronic trauma to
teeth, gingiva, and underlying tissues.
Low doses of botulinum toxin Type A
can potentially reduce this disorder.
Because parafunctional clenching
leads to periodontal trauma, limiting
clenching before and after periodontal
surgery can benefit healing.6"
"Mandibular Spasm"

"This type of muscular spasm


results from spasm of all muscles
of mastication and associated
mandibular muscles. This disorder
places limitations on completing
the basic oral hygiene, Restrictions
on dental treatment, difficulty with
eating.
These muscle generated damages can
be managed both by non surgical and
surgical methods, but are invasive,
irreversible and expensive for most of
the patients.
BOTOX® relieves jaw tension by making muscles unable to engage in the
powerful, often unconscious movement of the jaw that produces headaches
and pain.

It is usually quick, straightforward, and effective. A non-surgical procedure,


BOTOX® injections are administered in a doctor’s office and require no
hospital stay.

Most patients experience noticeable improvement within one or two days of


their first treatment, although relief can take up to a week.
Dosage

Note: treat muscle spasm first and then build occlusion to the relieved muscles
so that facial pain is eliminated.
Bruxism

Bilateral injection of BoNT-A into


masseter and temporalis.
Excess dose- paralyse muscles of
mastication and interfere with
chewing/talking.
Less dose- no effect at all.
Recommend dose- reduce intensity of
contraction as well as give patient full
competence for chewing, eating properly
and speaking.

Botulinum neurotoxin has shown promise in decreasing the symptoms of bruxism. botulinum
toxin Type A injections were given into the masseters (mean dose: 61.7 U/side; range 25 U to
100 U), which results in a total duration of therapeutic response of 19 weeks.
Trigeminal Neuralgia

It is a unilateral neurological
disorder affecting orofacial
muscles leading to acute severe
pain.

Botox can be used as an adjunctive


treatment modality in these
patients which acts on nerve
endings, thereby reducing the
severity of the pain."
Orthodontic therapy

Treatment with Botox, it's seen that


cosmetic results will last for longer
periods of time for patients who
kept up a schedule of receiving
Botox on a regular basis.

The idea could revolutionize how


we deal with orthodontic relapse.
Removable prosthodontics and Botox
Muscle training with Botox may
someday provide relief for:-

Trouble getting used to


removable prosthetics.

Patients with hyperactive muscle


thus difficult to retain denture.

Patients who aren't suitable for


implants.

Hypertrophic masseter, string


lateral and medial pterygoid.
When should Botox® Cosmetic be avoided?

If you have any infection present in the treatment area


If you have had an allergic reaction to any other botulinum toxin product in past
If you are allergic to any of the ingredients in BOTOX® Cosmetic
Active ingredient: botulinum toxin type A
Inactive ingredients: human albumin and sodium chloride
If you have a breathing, swallowing problem.
If you recently had surgery on your face.
If you are pregnant or are breast-feeding
If you have a neuromuscular disorders such as ALS, myasthenia gravis.
Element of maintainance

THE EFFECT OF BOTOX WEARS OFF IN 3-4 MONTHS AND HENCE BOTOX
APPOINTMENTS CAN BE SCHEDULED WITH REGULAR DENTAL CHECK UPS SO
AS TO REDUCE THE DISCOMFORT OF MULTIPLE VISITS BY THE PATIENT.

Therapeutic treatment with botox may have unplanned aesthetic results which
need to be accounted in for. There is a need to understand how botox works.
While planning restorative work that affects the patient’s smile/lip support, we
should know that dermal fillers and botox will impact our result.
● We no longer simply drill teeth and treat gums. When
properly trained, there is arguably no better practitioner
to provide Botox.

● We are embracing opportunity to offer cosmetic facial


injection as a part of “ full face makeover ” with dental
surgeries.

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