Therapeutic Botox Tmj Bruxism
Therapeutic Botox TMJ Bruxism is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Precise Botox injections that reduce excessive gum display when smiling — a simple, non-surgical correction for the gummy smile
Reducing Gum Display for a More Balanced Smile
A gummy smile — technically called excessive gingival display — occurs when more than 3 to 4mm of gum tissue is visible above the upper teeth during a full smile. While not a medical problem, excessive gum show is a common aesthetic concern that affects self-consciousness about smiling. Botox offers a non-surgical, reversible correction by relaxing the muscles that improve the upper lip excessively high during smiling, allowing the lip to rest in a lower position that covers more of the gum tissue.
The anatomy of a gummy smile varies among patients, and identifying the cause determines the treatment approach. Muscular causes — hyperactive levator labii superioris and levator labii superioris alaeque nasi muscles that pull the upper lip too high — respond directly to Botox. Skeletal causes (vertical maxillary excess) and dental causes (altered passive eruption where gum tissue covers too much tooth surface) require different interventions. At ADSC, the cause is identified before treatment is recommended, ensuring Botox is applied only when the muscular component is the primary contributor.
The injection itself is remarkably simple — 2 to 4 units of Botox placed at specific points along the levator muscles adjacent to the nose. The effect develops over five to seven days, reducing the maximum elevation of the upper lip by approximately 2 to 4mm during a full smile. The resting lip position is unchanged. Speech, eating, and facial expression remain normal. Only the excessive upward pull during maximum smile effort is moderated.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for smooth continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Muscular Anatomy of the Smile and Gummy Smile Etiology
The smile is produced by coordinated contraction of the zygomaticus major (pulls the lip corner superiorly and laterally), the levator labii superioris (improves the upper lip directly), and the levator labii superioris alaeque nasi (LLSAN, improves the lip and nasal ala). In patients with muscular gummy smile, the levator complex generates excessive upper lip elevation — exposing gingival tissue that the lip normally covers. Botulinum toxin injection at the point where the LLSAN and levator labii superioris converge (the "Yonsei point," located at the intersection of the nasolabial fold and the alar base line) reduces the contractile force of both muscles simultaneously with a single injection per side. Research demonstrates an average reduction of 3.04mm in gingival display with 2.5 units per side, with patient satisfaction rates exceeding 90%. The effect lasts 10 to 14 weeks — shorter than forehead Botox because the small muscle mass metabolizes the toxin faster.
Why Choose a Specialist?
Dr. Ostovar and Dr. Gvozden treat gummy smiles at ADSC with precise anatomical targeting of the muscles responsible for excessive lip elevation. As dental specialists, their understanding of perioral muscle anatomy and smile dynamics informs accurate diagnosis and treatment of this common aesthetic concern.
Your Therapeutic Botox TMJ Bruxism Treatment Steps
- Consultation & Exam: Comprehensive therapeutic botox tmj bruxism evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your therapeutic botox tmj bruxism options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for best healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
A Note from Your Dental Team
In my experience, the patients who get the best results from therapeutic botox tmj bruxism are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Every patient I see has a different story, a different set of concerns, and a different definition of what ‘success’ looks like. That’s why I don’t believe in one-size-fits-all treatment plans. When you come in for a consultation, I’ll listen first, examine second, and recommend third.
I also won’t recommend a procedure you don’t need. If your tooth can be saved with a filling instead of a crown, I’ll tell you that. If watchful waiting is appropriate, I’ll explain why. My job isn’t to sell treatment — it’s to give you my honest clinical judgment so you can make an informed decision.
If you have questions about whether this treatment is right for you, or if you’ve been told you need this procedure by another dentist and want a second opinion, call us at (503) 822-0096. We’re happy to take the time to explain everything — no rush, no pressure.”
— Dr. Merat Ostovar & Dr. Jovan Gvozden | Aloha Dental Specialty Center, Beaverton, OR
I know many patients feel anxious about dental procedures — you’re not alone in that. What I hear most often after treatment is: “That was so much easier than I expected.” We’re here to make this as comfortable as possible for you.
Are You a Candidate for Therapeutic Botox TMJ Bruxism?
As with any dental procedure, there are potential risks including infection, temporary discomfort, and in rare cases, complications that require additional treatment. We minimize these risks through 3D imaging, sterile protocols, and careful case selection. During your consultation, we’ll discuss any specific risks related to your individual situation.
Most patients in good general health are candidates for therapeutic botox tmj bruxism. However, certain factors may affect your eligibility or require modifications to the treatment plan:
- Medical conditions: Uncontrolled diabetes, autoimmune disorders, or blood-thinning medications may require coordination with your physician before treatment.
- Bone quality: For therapeutic botox tmj bruxism involving the jawbone, adequate bone density is essential. A CBCT 3D scan during your consultation determines this precisely.
- Smoking: Tobacco use significantly impairs healing. We strongly recommend quitting 2-4 weeks before and after any surgical procedure.
- Age: There is generally no upper age limit. What matters is your overall health, not your age. We have successfully treated patients in their 80s and 90s.
The only way to know for certain is a consultation with our board-certified specialists. Call (503) 822-0096 to schedule your evaluation — we’ll tell you honestly whether this is the right treatment for your situation.
Typical Healing Timeline:
Days 1-3: Initial healing, mild swelling managed with ice and medication. Days 4-7: Swelling subsides, gradual return to normal diet. Weeks 2-4: Soft tissue heals completely. Months 2-6: Bone remodeling and full integration (for surgical procedures). Individual recovery varies — we provide detailed post-op instructions specific to your procedure.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
How many units of Botox does a gummy smile correction require?
Typically 2 to 4 units per side (4 to 8 units total). This is a very conservative dose compared to forehead or frown line treatment. The small muscle mass in the levator complex responds to minimal product. Starting with 2 units per side is recommended, with the option to add units at a two-week follow-up if the reduction is insufficient.
Will Botox for gummy smile affect my normal smile?
The treatment reduces the maximum upward excursion of the upper lip during a full, intense smile. Your resting lip position, social smile, and facial expressions remain unchanged. Some patients notice their smile feels slightly "shorter" initially but adapt within days. The goal is a natural smile that shows teeth without excessive gum — not an immobile lip.
How long does gummy smile Botox last?
Approximately 10 to 14 weeks — shorter than forehead Botox because the targeted muscles are small and metabolize the toxin more quickly. Patients typically schedule treatments every three to four months. With regular treatment, the muscle may partially atrophy, potentially extending the interval over time.
Is Botox the only treatment for a gummy smile?
No. Treatment depends on the cause. Muscular gummy smile: Botox is the first-line non-surgical option. Gingival gummy smile (excess gum covering the teeth): crown lengthening surgery or gingivectomy removes the excess tissue. Skeletal gummy smile (excessive vertical growth of the upper jaw): orthognathic surgery repositions the maxilla. Dental gummy smile (short clinical crowns): restorative treatment lengthens the visible tooth. A proper diagnosis determines the right approach.
Can crown lengthening and Botox be combined?
Yes. Patients with both excess gum tissue (dental component) and a hyperactive upper lip (muscular component) benefit from combined treatment. Crown lengthening permanently exposes more tooth structure, and Botox addresses the residual lip elevation that continues to expose gum. This combined approach addresses both contributing factors for maximum correction.
Does the injection hurt?
The injection involves a very fine needle (30 to 32 gauge) and a tiny volume of product. Most patients describe a brief pinch lasting one to two seconds. The injection sites are near the nose at the nasolabial fold — an area with moderate sensitivity. Topical anesthetic cream can be applied before injection for additional comfort. The entire treatment takes less than five minutes.
How soon will I see the gummy smile improvement?
Initial effect appears at 3 to 5 days. Full effect develops at 10 to 14 days. A follow-up appointment at two weeks evaluates the result and determines whether additional units are needed for best correction. Patients are advised to smile in the mirror starting at day 5 to observe the progressive improvement.
Can gummy smile Botox look unnatural?
Overdosing can flatten the upper lip during smiling, creating an unusual expression where the lower face smiles but the upper lip does not improve. This is avoided by starting with conservative doses (2 units per side) and adding only if needed. The precise, low-dose approach at ADSC produces subtle correction that looks natural to observers.
What causes a gummy smile?
Multiple factors can contribute, often in combination: hyperactive lip elevator muscles (the lip rises too high), vertical maxillary excess (the upper jaw grew too tall), delayed passive eruption (gum tissue covers too much of the tooth crown), short upper lip, and excessive dental eruption. A proper diagnosis identifies which factors are contributing, and the treatment plan addresses the relevant causes.
Is gummy smile correction covered by insurance?
Cosmetic Botox for gummy smile is not covered by dental or medical insurance. The treatment is an elective aesthetic procedure. However, if the gummy smile correction is performed in conjunction with therapeutic masseter Botox for bruxism or TMJ disorder, the therapeutic portion may have coverage depending on the medical plan. Costs for gummy smile Botox at ADSC: approximately $200 to $400 per treatment.
Can orthodontic treatment fix a gummy smile?
If the gummy smile results from dental over-eruption (teeth have drifted downward, bringing the gum line with them), orthodontic intrusion can reposition the teeth and gum line superiorly. If the gummy smile is skeletal in origin, orthodontics combined with orthognathic surgery may be recommended. Orthodontics alone does not address muscular or soft-tissue causes of gummy smile.
Will my gummy smile come back if I stop Botox?
Yes. Botox provides temporary muscle relaxation. When the effect wears off (10 to 14 weeks), the muscles resume their previous contractile pattern and the gummy smile returns to its pre-treatment state. No permanent change occurs from discontinuing treatment. Continued regular treatment is needed to maintain the correction.
How much does gummy smile correction cost at ADSC?
Botox gummy smile correction: $200 to $400 per treatment (4 to 8 units at $12 to $15 per unit). This is one of the most affordable facial aesthetic treatments due to the small number of units required. Treatments are needed every three to four months. Annual maintenance cost: approximately $800 to $1,600.
Can I get gummy smile Botox at the same appointment as dental treatment?
Yes. The injection takes less than five minutes and can be performed before or after dental procedures. Some patients combine gummy smile correction with cosmetic dental treatments (veneers, whitening) for a comprehensive smile improvement. The dental and facial aesthetic treatments complement each other for a unified result.
Is gummy smile Botox safe?
The dosage used for gummy smile correction (4 to 8 units) is among the lowest for any Botox application. At this dose, systemic effects are not a concern. Local effects are limited to the intended muscle relaxation and resolve completely within 10 to 14 weeks. The safety profile is excellent with no reported serious adverse events in the published literature for this specific application.
Correct Your Gummy Smile at ADSC in Beaverton
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026