General and Dental Uses

General uses for BTX include:1,2,5,10

  • Treatment of overactive bladder/urinary incontinence
  • Treatment of excessive underarm sweating (axillary hyperhidrosis)
  • Reduce pain from migraines or other headaches
  • Smooth facial wrinkles (Figure 1)
  • Reduce eyelid muscle contractions that result in eyelid spasms (blepharospasm)
  • Reduce the muscle contractions that cause abnormal movement or position of the head (cervical dystonia)
  • Reduce muscle contractions that result in tight or contorted muscles (spasticity)
  • Reduce eye muscle contractions that result in misaligned eyes (strabismus)
  • Treatment of conditions where the patient is noncompliant with oral medications, has a preference for BTX treatment, has adverse events from standard treatment, or has limited/no relief with standard treatment
Figure 1. Reduction of facial wrinkles.
Images showing before BTX treatment, 2 days after and 14 days after

Dental uses for BTX include:1,2,6,9,10

  • Reduce a high lip line because the injection weakens the muscles preventing the lip from overexposing the gingiva (Figures 2-3)
  • Retrain muscles during orthodontic treatment to minimize relapse due to excessive muscle strength
  • Assist denture patients adjusting to new dentures by reducing muscle strength that might dislodge the denture(s)
  • Treat angular cheilitis by reducing the strength of the depressor anguli oris muscles
  • Reduce the strength of the orbicularis oris muscles to smooth wrinkles around the mouth
  • Reduce pain from orofacial conditions such as trigeminal neuralgia and post-herpetic neuralgia (Figure 4)
  • Reduce salivary flow due to sialorrhea or other salivary disorders
  • Reduce a hyperactive/hypertrophic masseter muscle
  • Reduce facial dystonia and tics by reducing muscle contractions
  • Assist in treatment of TMJ disorders such as dislocation, subluxation, bruxism and arthritis
  • Assist with opening the mouth in conditions such as trismus
  • Assist with facial nerve disorders such as palsy or paresis
  • Assist in the treatment of certain speech and voice disorders
Figure 2. Reduction of a high lip line.
Images showing the reduction of a high lip line
Figure 3. Reduction of a high lip line.
Images showing the reduction of a high lip line
Figure 4. BTX injection sites for reduction of orofacial pain.
Image showing the injection sites for BTX to reduce orofacial pain