Neurotoxin TMJ Consent

Neurotoxin TMJ Consent for..

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General Information on Neurotoxin for TMJ Muscle Dysfunction

The procedure involves injection of Neurotoxin into your Masseters and/or Temporalis muscles, with the intention of interrupting the stimulus for the contraction of your muscles of mastication.

Dr Tan-Gore will carefully assess your suitability for the procedure. If muscle spasm is the cause for your symptoms, she may recommend treatment with Neurotoxin.

The typical onset of action is 3-5 days. Dr Tan-Gore will review you at 2 weeks which is the time frame for the full effect of the treatment.

The duration of effect varies from patient to patient but is approximately 3-6 months.

Fees

There is no Medicare Rebate for the treatment of TMJ muscle spasm available under the current guidelines.

Post Treatment Instructions

You may experience a mild headache after your treatment, especially if this is your first treatment. This headache can be managed with simple analgesia like Paracetamol and Ibuprofen .

A small amount of bleeding and bruising at the injection site may occur. This settles after a short time and does not require further treatment.

If you experience symptoms of severe headache, shortness of breath, nausea, vomiting, itchiness or redness, please present to Lake Macquarie Private Hospital (Private Emergency Department) or John Hunter Hospital (Emergency Department). Please inform the hospital that you have had treatment with Dr Tan-Gore.

For the first 24 hours post treatment

Do not apply pressure on the injection areas – this may cause migration of the Neurotoxin to unwanted areas
No strenuous exercise/extreme heat or cold e.g. ice packs or saunas
No swimming

Informed Consent

Contraindications to Neurotoxin Treatment

Pregnant or breastfeeding
Allergy to cow’s milk protein, neurotoxin, sodium chloride, albumin
Infection in the areas of proposed injection site
Neuromuscular disorder/disease, not limited to myasthenia gravis, multiple sclerosis, Parkinson’s disease, amyotrophic lateral sclerosis

I do not have a Condition listed above *

Precaution

Patients should reconsider or delay treatment if the following apply

Pre-existing cardiovascular disease
Seizures
Glaucoma
Medications such as Aminoglycosides, calcium channel blockers, anticholinesterases
Psychological stressors
Unrealistic expectations

I do not have any of the above Precaution Conditions *

Common Post Treatment Side Effects:

Headache
Redness
Bruising
Swelling
Numbness
Flu-like symptoms

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Conditions of Treatment:

May not improve pain symptoms in certain circumstances
Difficulty chewing/decreased mouth opening : The action of major muscles of mastication is affected. This usually improves within a few weeks
Asymmetrical smile: Caused by inadvertent diffusion of neurotoxin into the surrounding muscles. Resolves within 3-4 weeks
Paradoxical Bulging: Caused by compensation of unaffected deep and superficial muscle fibres . Resolves spontaneously. Occasionally requiring further doses to resolve
Sunken Cheeks/Sunken Temple area/Sagging: Masseter and Temporalis relaxation may cause overlying skin to sag. Resolves within 3-4 weeks
Facial Shape Changes: This may be undesirable for some patients
Dry Mouth: Rare

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