PROCEDURE OVERVIEW

Bot-A (botulinum toxin type A) is an FDA-approved injectable medication used to reduce muscle activity. In Orofacial Pain treatment, Bot-A can help relieve chronic muscle tension, jaw clenching, and pain by targeting overactive muscles. It is particularly useful in managing symptoms of temporomandibular joint disorders (TMD), bruxism, migraines, and neuropathic facial pain. The Bot-A will be injected into specific muscle areas identified during your evaluation.

Common target areas may include:

• Masseter

• Temporalis

• Frontalis

• Occipitalis

• Neck/Trapezius

BENEFITS AND POTENTIAL RISKS

Potential Benefits:

• Reduced facial and jaw muscle pain

• Decreased frequency and intensity of tension headaches or migraines

• Less jaw clenching and grinding

• Improved quality of life with better sleep and relaxation

  
  
  
  

Possible Risks and Side Effects:

• Temporary bruising, redness, or swelling at the injection site

• Headache or flu-like symptoms

• Temporary muscle weakness near the injection site (e.g., uneven smile, droopy eyelid)

• Rare allergic reaction

• Rare but possible difficulty chewing or swallowing when injecting jaw or neck muscles

• Please inform your clinician of any allergies, medications, or history of neuromuscular disorders.

ALTERNATIVES TO Bot-A INJECTIONS

Alternative or additional treatments may include:

• Oral appliances or night guards

• Physical therapy

• Medications (e.g., muscle relaxants, anti-inflammatories)

• Trigger point injections

• Behavioral therapy (e.g., stress management, habit reversal)

AFTER THE PROCEDURE

• Avoid rubbing or massaging the treated area for 24 hours

• Refrain from lying flat for 4 hours after treatment

• Avoid strenuous physical activity or exercise for the rest of the day

• Full effect typically appears within 3–10 days and lasts approximately 3–4 months

• Contact the office if you experience difficulty swallowing, speaking, or breathing, or other concerning symptoms

PATIENT CONSENT

By signing below, I confirm that:

1. I have read or had this information explained to me.

2. I understand the purpose, benefits, and risks of Bot-A injections.

3. I have disclosed any allergies or medical conditions.

4. I have had the chance to ask questions and all my questions were answered.

5. I understand that results may vary and repeat treatments may be needed.

6. I voluntarily consent to the administration of Bot-A as recommended.