Dentists continue to enhance their skills and knowledge in an effort to provide more options to improve oral health and facial esthetics. Dr. Natalie Massa is a member of the American Academy of Facial Esthetics, an organization whose mission is teaching the best non-surgical and non-invasive facial injectable techniques to healthcare professionals worldwide.

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Botox Treatment in Dentistry

Botox is rapidly increasing in its use for the treatment of TMJ disorders and the associated jaw and muscle tension and pains. When injected into the muscles that cause our jaws to close, the protein relaxes those muscles in turn relieving the muscles and the joint of tension and pain. In addition, chronic clenching and grinding most often result in tension headaches and soreness of the neck. Botox is also used in the treatment of clenching and grinding and the alleviation of headaches associated with it.

​​​​​​​Botox Treatment for Facial Esthetics

​​​​​​Botox is the primary defense against fine lines and wrinkles. The use of Botox as a preventative treatment is most popular among millennials and it is known as the hashtag #babybotox. In addition, Botox is also used as a treatment of fine lines and wrinkles that have already been created. By relaxing the muscles of the face, the skin is able to relax and return to its smooth state. We strive in creating NATURAL results, providing you with a rejuvenated appearance while still having the freedom of expression.

Dermal Fillers for Facial Esthetics

Dermal fillers are the best non-surgical, minimally invasive way to smooth moderate to severe wrinkles and folds. Where Botox is used for wrinkles caused by muscle movement, dermal fillers are used for wrinkles caused by gravity overtime causing drooping of our facial structure. As we age, fat pads under our skin that give volume to the face begin to shrink. Wrinkles and folds around the mouth, under the eye, and cheeks beginning to present themselves. To combat this, dermal fillers are used to give volume and structure to these areas giving you a refreshed, young, and rejuvenated look.


1. How should I prepare for my Botox or dermal filler appointment?

  • Please arrive with no makeup on your face

  • Please do not drink any alcohol, take ibuprofen or any other supplement that is known to thin blood for 24 hours. This is in an effort to minimize bruising.

  • Please do not have this procedure done within 2 weeks of a big event.

2. How long does Botox last?

  • ​​​​​​​Botox lasts on average 4-6 months and it is different for everyone. It has a lot to do with your metabolism, how often you workout/sweat, and the site of injection.​​​​​​​

3. How long do dermal fillers last?

  • Dermal fillers last around 1-2 years depending on the filler being used, the location, and your metabolism.

4. Does it hurt?

  • The administration of Botox is quick and almost painless! The needles used for injection are the smallest on the market and you can barely feel them as they enter the skin.

  • Dr. Massa will provide a local anesthetic to any area being treated with dermal fillers. As a dentist, she knows exactly how to block nerves to allow for a completely painless procedure.

5. Are there any side effects of dermal fillers?

  • With the amount of vascularity of the face, swelling and bruising at the site of injections are to be expected and can last 4-10 days depending on the site injected.

  • If you are prone to cold sores, the injection of dermal fillers can initiate a reaction. Please let us know prior to your appointment and we will prescribe a prophylactic medication to help prevent this.

6. Are there any side effects of Botox?

  • Redness and slight swelling from the injection site that lasts 5-10 minutes. -With the amount of vascularity in the face, minimal bruising can occur and lasts only a couple of days.

  • Resistance to Botox is also possible overtime after receiving repeated high doses. A different form of the toxin may then be needed in order to achieve the same results.

  • The Food and Drug Administration offers a warning for Botox based on the effects it can have if it is allowed to accidentally spread through the body. Spreading of the toxin systemically can cause urinary incontinence, muscle weakness, and dangerous breathing and swallowing difficulties. This is rare and most likely to happen with very high doses of which we do not administer to our patients.

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