Expert Analysis Of Masseter Botox | Dr Tim Pearce & Dr Ruth Brady
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- Опубліковано 31 тра 2020
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Amazing meeting! Dr ruth bravo!
Dr tim i love your channel! you truly hit all the professional topics and bring them to a higher level but make it so reg people can understand ...thanks for your professionalism.
I'm happy to say that I learned all of this information in my undergraduate dental school education. Detailed knowledge about the TMJ is now (in the US) a required subject of competency, and has been incorporated into the new Integrated Board Exams.
I jusy discovered your chanel and as a dentist I must say your videos are absolutely amazing! Thank you so much for putting the time in creating great content.
Great show and thank you as always for sharing such pertinent information. Cheers 😊
What an informative session! Thank you!
Thank you for this!! So interesting 😊
As a learner for life and a believer of doing the right thing each and every time, I truly appreciate the time and knowledge shared! I'm a newer injector, but have been a nurse for many years. I follow your UA-cam channel and find the content you share to be invaluable. Thank you Dr. Tim and Dr. Ruth Brady.
Thank you Laura, very pleased to help you on your journey- if you are watching this sort of material you are an asset to the industry.
I applaud the thorough nature of the webinar. Dr. Brady is spot on with her anatomy lesson, the understanding of the mastacatory system, and effective explanations. I agree with nearly every point made. I do have to comment on the fact that there are other problems that arise and result in temporomandibular dysfunction. Certainly stress does add to the incidence of myofascial pain, and occlusal disturbances can indeed be contributory. There are many splints that can be fabricated, and some can certainly make muscle pain worse, or at least not help at all.
The problem with the use of botulinum toxins is not inherent with them, rather with muscle recruitment or compensation. That is where the importance of a thorough examination of all muscle of mastication, cervical muscles, erpicranial muscles, as well as facial muscles. If there are muscles in spasm that are left untreated while others are injected with neurotoxin, there will be over-compensation. Keeping in mind, the muscles in spasm are overly active. Using neurotoxins can take a muscle down to a normal level of activity, but all offending muscles need to be treated.
Another point to consider is sleep apnea. Acid reflux, bruxism, snoring, restless sleep can be associated with sleep apnea. I have been a practicing dentist for 24 years with an emphasis on orthodontics. Dental schools do not prepare one for addressing patients with TMDS. I experienced frustration with attempting to find solutions to help patients with mysofascial pain, TMDS, tension headaches, etc. Not until I sought further study in delivering botulinum toxin into hypertonic muscles and dental sleep medicine did I find the answers. I have successfully treated numerous patients with combination therapy of neurotoxin and appliances that address bruxism, sleep apnea, and muscle spasticity.
I do have to absolutely disagree with recommending anyone, whether it be nurses, NP, MD, DDS, DMD, PA, from seeking education strictly from internet search. There are reputable training orgainzations that are CME certified courses which will provide proper education and training. For properly trained individual, internet videos can be useful, but a trained practitioner will understand which is helpful and which are useless or harmful.
Dr. Pearce, you have a wonderfully insightful channel and it is full of useful information. Thanks you!
Jon A. Hendrickson, DDS
Aloha Dr Tim. Very interesting discussion. Thank you
Oh dear, as much as this is interesting, I can’t listen to her for 2 hours😴 💤 thank goodness for Tim popping in and the cat.
Well explained video!
Around 1:27:00 the mention of how the jaw created muscle spasms and tension really resonated with me , when on the rare occasion I don’t have horrible jaw pain on my left side , that whole area down to my ankle doesn’t hurt and I wish to find the right help somewhere in the UK because it’s been well over 7 years of a buildup of pain and I’m only in my mid 20s
I discovered my migraines were due to an impaired DRD2 and I don't produce enough dopamine. Fixed that in 2017 and I haven't had an ER visit since
pinkyhotmessx69 , How did you fix your dopamine levels ? I think I have the same issue. But I live in a town where the docs are so behind . Getting tested here would be such a chore and probably impossible. I know I have ADHD . I grind my teeth a lot . I actually clench more than grind . While awake , but especially while sleeping. Leaves me with headaches and a sore neck . Testosterone cream used to work . But not now . Thank you for the comment. Hope I hear back . Thank you 🥰
How does a normal person make enough sense out of this to figure out what to do orthodonically know what’s the right thing to do about my absolutely beautiful daughters teeth. All the local dentists seem to agree that 2 teeth must be pulled from her uppers to “fix” her overbite and push back 2 protruding eye teeth. It just seems so wrong to me. The first dentist made it very clear that pulling the lower jaw forward was the thing to do. However once she was old enough to do that she also became old enough to protest and say “no way”. Uugghhh. I wish I trusted someone and you are the first who seems to know what to do.
hi found this really helpful....also please can you advise me where i can purchase skull model with the muscles attached ( with the purple and green attachments)
Hi Jane, the skulls can be purchased from Amazon the other elements were added by myself.
It’s academic. Where do we get anything and everything these days.
Is it possible if you inject the masseter you can create jowling ?
Thank you for this lecture it’s important to know all these muscles function, but I’m lost in all words . Need to be shown with video or detail pictures of this muscles. Correct anatomy should be there.
Does injecting botox into the masseter also increase the risk of sagging in the chin&jaw area?
And how about the hollowing of the temple area (also caused by botox injections) ?
A response to one or both questions would be highly appreciated 🙏
Yes, especially in older people masseter reduction can accelerate descent of tissue in the lower face. Not so much in the temple in my experience. Patient selection is key.
Dr Tim Pearce Thank you very much for the response. Could you explain ‚descent of lower tissue‘ in more detail? And in regards to the temple region I was informed that that muscle could be weakened by botox in the eye area & thus hollowing of temple region?
@@DrTimPearce , I figured this . I actually like the fact that my jaw is nicely defined . Clenching my teeth is no picnic. But I know I’d get jowls if I got Botox to “ fix “ the clenching . I’ve had testosterone cream help with clenching in the past . But it doesn’t help now when I try to use it . Interesting video. Thank you 😊
@@littlebeebs1 I got the jowls and its awful!!1 then you will be needing filler
@@DrTimPearce can this come back with time?
If I understand this correctly, Dr Ruth isn't saying Botox should not be given, more that if an aesthetics practitioner can check for those red flags they can avoid the liability of treating a person who needs a proper dental assessment and probably a splint. Is that right? I'm just a layperson with TMJ but this was fascinating. It sounds like TMDS is too much of a liability for an aesthetic practitioner, if symptoms suggest this to be the case. I'm glad I went to my dentist first, although she did recommend botox in addition to the splint.
Yay
Well she just get to the point?!
so shes anti- botox?