TMJ Dysfunction/Issues

TMJ Dysfunction/disorder has many different causes. Factors such as missing teeth, grinding, clenching from stress, emotional physical stress and tension to the jaw muscles, injuries such as fractures or dislocations of the TMJ, occlusion issues from incorrect shaped teeth from either fillings, crowns or your natural mis-shaped teeth, bite issues. TMJ usually causes jaw pain, headache or migraine, which situation really depends on different individuals.

There is no formula to say that one treatment is best for your case, as each individual differs in the causes of their TMJ pain, therefore a personalised approach towards the treatment plan is essential in management of the TMJ dysfunction. Sometimes it also refers to neuromuscular dentistry.

Treatment can range from: 

  • Occlusion splint therapy to relieve pressure off the joint/teeth

  • Modified diet to only eat soft food and do not favour on one side of the mouth

  • Avoid extreme jaw movement such as yawning

  • Physiotherapy

  • Stress management

  • Medication

  • Orthodontic treatment to correct your bite

  • Anti-wrinkle injections to stop clenching and relax jaw muscle

  • Surgery

  • Specialist management of other discipline

Treatment may also require all or a combination of the above to achieve the best results. 








At Pain Free Dentist Sydney we recommend and treat with anti-wrinkle injectables to relax the selected muscles that caused your headaches, migraines,grinding, gummy smiles.

Injections & TMJ

Located on both sides of the head at the point where the jawbone meets the skull, the temporo-mandibular joint (TMJ) is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw. These injections relieves jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.


Muscle relaxant treatment is now available at Pain Free Dentist Sydney for Jaw Tension and TMJ. Muscle relaxant therapy is used as an alternative treatment for TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into facial muscles afflicted with soreness and discomfort. The injection relieves TMJ and jaw tension for many patients. The injections often eliminate headaches resulting from teeth grinding, and, in cases of severe stress even minimize lock jaw.

Anti-wrinkle injections are made from a natural, purified protein in sterile laboratory conditions. Anti-wrinkle injections are strategically injected into specific wrinkle-causing muscles, creating an improved appearance. Anti-wrinkle injections relax the underlying muscles thereby smoothing overlying skin and causing lines and wrinkles to soften and prevents them from deepening and new lines developing in the treated area.

In addition to reducing wrinkles, another great benefit of injectable muscle relaxant treatments is the lift that they give to your face; taking away the appearance of tiredness and creating a more youthful, refreshed you. Headaches caused by muscle tension is relieved from these injections . Teeth clenching and grinding is also eliminated. Reducing the incident of broken crowns and fillings from bruxism and clenching.


TMJ injection

Non surgical procedure that is quick, straightforward and effective. Patients experience noticeable improvement within  two days of their first treatment



affected areas

Only the areas that are injected with the b toxin will be relaxed. Muscle relaxant treatment for TMJ therapy will not affect anywhere else in your body. 



Although dependant on the number of injections, it is reasonable for the treatment procedure to be completed within 10-30 minutes.

TMJ Dysfunction is a complex issue and the problem can range from simple to complex solutions. Dr Lisa finds the cause of the problem, which is usaully bite, skeletal alignment, postural, muscularjoint pathology or another cause that relates to the pain pathway that mimics TMJ pain. Each one of these causes will require proper assessments, investigation, correct treatment, therapies that could involve working with other allied health professionals. We highly recommend working with physiotherapists, chiropractors, naturopaths, osteopaths, pain specialists, oral surgeons, orthodontists, prosthodontists.

Is the muscle relaxant Treatment Painful?

The TMJ Treatment procedure is minimal and brief. Some patients have likened the injection pain unto a "bug bite" or "prick". We use special tiny needles that it is hardly felt. If you are scared of needles the doctor may offer some sedatives prior to injections.

What to Expect After the TMJ Treatment?

After the TMJ Treatment muscle tenderness will start to disappear almost immediately.  Wrinkles begin to disappear within 24 - 48 hours after the injections, and you may continue to see the wrinkles diminish up to one week after the treatment procedure.

There may be mild temporary bruising, numbness, or redness around the injection sites. You will not look 20 years younger, but you may find that you look more natural and relaxed or less sad and angry. A small number of patients treated with these injections reported noticeable difference in the reduction of their wrinkles.

What is the Recovery from muscle relaxant Therapy for TMJ Treatment Like?

Because the treatment procedure is non-surgical and non-invasive, it is highly likely that the patient can return to normal activities immediately. However, to avoid spreading the toxin to other muscles, patients should not rub or massage the area injected with this toxin and remain upright for many hours. Physical activity should also be limited for a time.

Risks, Limitations & Possible Complications of Injections for TMJ Treatment As with any medical procedure there are possible risks and side effects when using for TMJ treatment. Since this is a non-surgical treatment procedure, the risks and possible complications are infrequent, minimal and temporary. Muscle relaxant injection treatments should be avoided during pregnancy and lactation.

What does a treatment session involve?

During an initial consultation to assess your areas of concern accredited dentist will discuss the appropriate treatment options and the expected results. After your consultation, the injection treatment will take around 10 minutes to perform. No anaesthetic is required as this is a fine needle treatment and is virtually painless. The results will develop over the next few days and last for up to 3 months.

Patients suffering from headache that spreads from the forehead and behind the eyes region will require injections in these regions: Forehead Frontalis muscles, Glabellar Frown lines and the crows feet eye region. It is a non surgical treatment whereby a small amount of toxin is injected into selected facial muscles by your dentist using a very fine needle. Generally the treatment takes around 10 minutes. Discomfort is very minimal, and no anaesthetic is usually required. After the injection, it takes 3-4 days for the treatment to begin taking effect. The dose recommended for the treatment of frown lines will vary depending on your individual situation and the severity of your frown lines. Your dentist will know what the best dose is for you and which muscles to inject to give you the best results.

How does muscle relaxant therapy work?

Many facial wrinkles occur when we use our muscles to make repeated facial expressions. The treatments can be used to relax specific facial muscles that cause expression lines. Once the muscles are relaxed, you cannot contract them and continue to make those undesirable facial expressions. After treatment the lines gradually smooth and new lines are prevented from forming.

How long does this therapy last?

The effect can last up to 4 months before lines slowly begin to return. If you have repeat treatments, the effect tends to last longer.

Does this treatment cause more wrinkles to form?

This anti-wrinkle treatment will relax the facial muscles that cause expression lines. It does not cause more wrinkles to form. If you decide not to have further treatments your muscles will eventually return to normal activity and your wrinkles will gradually revert to their pre-treatment levels.

For more information on TMJ injections contact us