Botox and Xeomin for Oral Facial Pain and Esthetics

Botox, xeomin, and dysport are just a couple of the injectable neuromodulators we offer for the treatment of oral facial pain, jaw tightness and esthetics.  A simple injection can lessen bruxism (clenching and grinding), decrease headaches, jaw pain, fine lines and wrinkles.

Bruxism: No Supervised Neglect at KTD

Bruxism (or teeth grinding) is mainly a nighttime occurrence and has now been classified as a Sleep Disorder!  Bruxism has most recently been linked to the central nervous system meaning it is an outlet from a form of stress or anxiety and is associate with a higher heart rate.  Until science and medicine can pin point a more "what and why" dentists are to treat patients in a comfortable and acceptable way to protect their teeth, and most simply this is through fabricating a Night Guard/Occlusal Guard.

Compliance is always a variable especially with Night Guard wear.  Patients complain that they are bulky and hard but we work hard with our lab to make the thinnest, smallest appliance and have switched to almost exclusively making lower night guards as they can serve as retainers in the arch most susceptable to relapse following braces or Invisalign but also are better tolerated and make the teeth much less sensitive than upper night guards in our experience.

With any foreign object there is an adjustment period.  Typically we see 3-4 nights but up to a week of consistent wear before a patient can fully tolerate this appliance.  Each night, just give it a try!  If you last 20 minutes on night one, go for 40 on night two.  That is 20 minutes more than without it!  This appliance is meant to be chewed through so if you see wear marks that's ok, it is doing its job!

At KTD we are passionate about preserving your dentition and preventing wear.  We know these appliances are expensive but once the teeth are worn we can't ever get that back.  Atleast let us make the recommendation and not supervisor the neglect of your teeth.  The decision to wear your appliance is up to you.  As your healthcare professional we would like to encourage you to do so!

Common Causes of Toothaches, Part II


As we mentioned, a toothache should never be a normal occurrence. If you are experiencing pain, this is your body telling you that your mouth needs attention. Toothaches can develop for many reasons, and the only way to determine the true cause of the discomfort is by visiting your dentist. One very common reason discussed earlier is because a crack has developed in the tooth. Another reason for tooth pain can be bruxism.



Bruxism is a condition where a patient is grinding and/or clenching their teeth. Many people will report this at times of high stress, some during periods of cold weather, and many people clench their teeth without knowing it! It is most commonly done in your sleep. If you think you might suffer from bruxism, it may be the reason why you also have toothaches and headaches or flat-out jaw pain, too!


Now with tooth pain related to grinding, the continued wearing away of the teeth not only leaves your teeth vulnerable to hot and cold but makes your teeth very hypersensitive. In addition, with continued bruxism the ligaments around the teeth have a tendency to swell, causing very sensitive teeth. Many people report pain after teeth whitening, and ironically it is not directly a result of the whitening process but a result of the bruxism and wear on their teeth making them extra-sensitive and as a result extra-susceptible to tooth pain. At Katy Trail Dental, we are passionate about preserving your enamel for a lifetime and making sure your teeth are pain-free. See your dentist to make sure you do not show signs or symptoms of teeth grinding.