Brijesh Chandwani | Source | Associate Partner at Center for TMJ pain, Headache and Sleep apnea Management
Brijesh Chandwani
Associate Partner at Center for TMJ pain, Headache and Sleep apnea Management
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Dr. Chandwani has more than 10 years of experience which is focused on TMJ disorders and sleep disorders. He is residency trained TMJ specialist and a Diplomate of the American Board of Orofacial Pain. He did his Acupuncture training at the Harvard Medical School and his TMJ training at Tufts University.
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Botox for Bruxism: Expert Weighs Benefits and Risks
Brijesh recommends Botox for bruxism in select patients with chronic pain or ineffective mouthguards. While it reduces bruxism intensity, it doesn't stop the behavior. "Botox is very safe," but risks include facial expression impact and potential joint issues. Proper diagnosis is crucial, focusing on specific conditions like muscle spasms or chronic headaches. -
Sleep Apnea Relief: Mouthguards as an Effective Alternative
Brijesh explains that sleep apnea mouthguards, which move the jaw forward, are effective FDA-approved devices improving sleep quality. While CPAP is the gold standard, mouthguards are better tolerated by 92% of patients. "A custom-made sleep apnea mouthguard is ideal," he notes. Weight loss, CPAP, and surgical options are also recommended treatments. Recent nerve stimulation implants show promise for non-responders.
