TMJ disorders refer to several symptoms such as acute jaw pain, tension, locking, clicking, clenching and grinding teeth (bruxism) generating persistent pain. There are treatments available like night guards to stop teeth grinding, physiotherapy, stress reduction and pain medications.

Dr Amir Khakshaee is offering Botox® injections for the treatment of pain pertaining to temporo-mandibular joint dysfunction. Botox® blocks the neurotransmission of messages from the nerves to the muscles which makes them contract and move. Once this is blocked, overactive muscles relax, resulting in a reduction of muscle spasm and pain in the patient. This is a reversible effect that lasts a few months till the Botox® effect wears off and muscle function returns to normal.

Before embarking on any treatments, AK Care recommends to have a one to one consult with Dr. AK or our aesthetician. During this session skin and facial assessment will be done. Mutual decision is made as to what treatments can be done. As you all may know, medical and cosmetic skin care is overlooked in lots of people.

Home regimen remedies and professional treatments are routinely needed based on your skin type, colour, ageing and expectation. We ensure that all our patient stay happy and satisfied in their skin.

OR CALL US AT 647-622-7325

Pre-Procedure Care

  • Avoid aspirin,vitamin E, St. John’s Wort, Ginkgo, Evening primrose oil, garlic, feverfew, and ginseng for 2 weeks.
  • Avoid ibuprofen (Advil, Motrin) and alcohol for 2 days.
  • If possible, come to your appointment with a cleanly washed face.

Post-Procedure Care

  • Do not massage the treated areas on the day of treatment.
  • Avoid lying down for 4 hours immediately after treatment.
  • Avoid applying heat to the treated area on the day of treatment. This includes activities that cause facial flushing including consuming alcohol, hot tub or sauna use, exercising, and tanning.
  • Gently apply a cool compressor wrapped ice pack to the treated areas for 15 minutes every few hours as needed to reduce discomfort, swelling, or bruising up to 24-48 hours after treatment.
  • If bruising occurs, it typically resolves within 7–10 days. Oral consumption and/or topical application of Arnica Montana may help to reduce bruising and swelling.


You are invited to find our up to date answers to some of your questions about services offered at AK Care. We will be happy to meet with you in person for more specific inquiries.

How is it used?

It is injected with a very thin short needle to the muscles of the face.

Is it painful?

The injection is easily done without numbing. It is less painful than an injection of a vaccine.

How does it work?

Local muscle weakness is the expected action of this medicine by working on nerve endings connected to the target muscles.

Does it work for everyone?

Botox injection is one the most effective treatments for jaw pain, teeth grinding, and some headaches in temple area.

Can everyone use it?

Hypersensitivity to any botulinum toxin type A or to any ingredients, the presence of infection at the proposed injection site(s) and any muscle disorders in other parts of body, including myasthenia gravis, Eaton Lambert Syndrome or amyotrophic lateral sclerosis are reasons not to use it. It is not recommended during pregnancy and breast-feeding, or below 18 years old.

What do you expect after injection?

No changes will be seen immediately after injection except for a few minutes of redness, burning/stinging/ pain at the injection site. Bruising at the injection site may be seen which is very minor in most cases.

How long does the effect last?

It usually lasts for about 3 months but it varies in different people and sites of injection.

Are there any serious side effects?

It is seen very rarely in Botox cosmetic use. Make sure you inform your doctor of any medical problems or medications you take. Seek immediate medical attention if swallowing, speech or respiratory problems arise. The most common side effect is weakness of undesired muscles leading to asymmetry in face features like eyebrow, drooping of eyelids. These are not permanent and can usually be managed at the follow-up session. As with all biologic products, an anaphylactic reaction may occur.

How much product do I need?

It varies in different people depending on their age, sex, sun exposure and site of injection.

Is there a follow-up needed?

Most patients require follow up every 3-6 months for reassessment. The dosage is variable for each case and a few patients may need to do more in subsequent visit(s).

How do I get charged?

You will pay by number of units used. If you need more injections at your follow-up, you will pay according to the number of units used at that time.

OR CALL US AT 647-622-7325


Dr. AK offers specialized services in holistic skin health and anti-aging procedures.

During your consultation & skin and facial assessment, mutual decision is made as to what treatments can be done. We ensure that all our patient stay happy and satisfied in their skin.