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meet dr. stonisch

a little about


At Faircourt Dental Smile Studio, Dr. Mary Sue Stonisch wants you to experience the difference modern dentistry has to offer.

Mary Sue Stonisch, D.D.S. runs a general and preventative dental practice with expertise in aesthetics and implant dentistry. She is an Accredited Member of the American Academy of Cosmetic Dentistry and a Diplomat with the International Congress of Oral Implantologists. Dr. Stonisch also teaches Dentists as a mentor at the Kois Center in Seattle.



botox for tmj


Botox, or onabotulinumtoxinA, is a neurotoxin derived from the bacterium Clostridium botulinum. It is commonly used for various medical and cosmetic purposes. In the case of TMJ disorder, Botox works by relaxing the muscles responsible for jaw movement, thereby reducing tension and alleviating pain.

The effectiveness of Botox for TMJ disorder varies from person to person. While some individuals report significant improvement in their symptoms, others may not experience the same level of relief. It is essential to consult with a qualified healthcare professional to assess your specific situation and determine if Botox is a suitable treatment option for you.


In Michigan, Botox for TMJ disorder can be administered by healthcare professionals such as oral and maxillofacial surgeons, dentists, or nurses who have appropriate training and qualifications to perform the procedure.  We are proud to announce that Ellen Monahan, RN, will be administering botox for TMJ at the Faircourt Dental Smile Studio. 

ellen monahan, rn

Side Effects of Botox for TMJ

finding the relief


If you’ve been diagnosed with TMD or are experiencing migraines, Dr. Salim now offers botox as an alternative solutions to the pain assoicated with TMJ.


There are very minimal downsides to consider when using Botox for TMJ disorder. The most common side effects include bruising, pain or discomfort at the injection site, muscle weakness, and headache. In rare cases, more severe complications like difficulty breathing or swallowing may occur. It is crucial to discuss these risks with Dr. Salim before undergoing any treatment.

How Long Do The Effects of Botox for TMJ Last?

The duration of the effects of Botox for TMJ can vary. Typically, the initial results may be noticeable within a few days to a week after the injection. The effects tend to last for approximately three to four months. However, individual experiences may differ, and the duration can depend on factors such as the dosage, response to treatment, and individual body metabolism.



After your bite is properly assessed, Dr. Stonisch can recommend one of the following treatment options that we offer at our practice in Grosse Pointe Woods:


To ensure your teeth are aligned and touch without pressure, teeth are sometimes thinned, built-up, or leveled. This will alleviate pressure or friction when you bite or chew, allowing your jaw to open and close properly.


This orthodontic treatment can shift the upper teeth to make room for the lower teeth. Dr. Stonisch can also modify the amount of tooth structure in between the contacts, allowing narrower teeth to fit better.


We can use porcelain or resin to build up the back teeth to increase their height and open up the bite. This can either reduce the pressure on the front teeth or correct the issue by improving support on the back teeth.


Dr. Salim may recommend surgery when there’s no other way to correct the problem. This includes wiring the jaws shut and it typically requires a long recovery over the course of several weeks.


This is an effective treatment for patients experiencing bite problems or TMD caused by bruxism. Botox reduces the strength of contractions in the muscles that work the jaws while grinding. In turn, pressure on your teeth and potential damage is reduced.


To temporarily protect your teeth, a bite guard will reduce teeth and jaw joint damage. Keep in mind, it won’t solve your bite problems but rather prevent additional damage as we prepare you for more definitive treatment.



I suffer from TMJ disorder. How can you help?

To treat TMJ disorder, Dr. Salim offers effective treatments, like oral devices or other oral procedures to relieve pain and discomfort. Surgery may be necessary to treat severe symptoms of TMJ, but we’ll examine the cause of your pain to determine the best course of action. With an extensive education in TMJ, Dr. Salim is ready to help you get a good night’s rest and wake up to a pain-free morning.

How long do TMJ symptoms last?

Temporomandibular joint (TMJ) symptoms can last anywhere from a few days to a few weeks. If the underlying problem isn’t treated, symptoms can be chronic and last years. It’s important to contact Dr. Salim if you’re experiencing pain due to TMJ or migraines. 

To schedule an appointment, give us a call at (313) 882-2000 so we can relieve your discomfort and help you rediscover what it’s like to wake up pain-free.

I have chronic migraines. How can you help?

When you experience the onset of a migraine, the effects can be unnerving. Some helpful tips to treat migraines include drinking a caffeinated beverage, applying a cold or warm compress, turning off the lights, or taking over-the-counter pain relievers. 

Bruxism is a common cause of migraines, which is characterized by clenching or grinding of the teeth. If you’re experiencing bruxism, contact our practice to schedule an appointment with Dr. Stonisch so she can examine your condition and discuss your treatment options. We’ll get to the root of the problem and prevent any further complications. 

How long do migraines last?

Migraines can last anywhere from four hours to several days. If you’re experiencing migraines, give us a call at (313) 882-2000 and Dr. Salim will review your medical history and recommend the most effective treatment for your condition. 

Can migraines be prevented?

here are several ways to prevent migraines, such as establishing a healthy bedtime routine, managing stress, and receiving professional care. Migraines may be due to underlying issues caused by bruxism, or teeth grinding. If that’s the case, Dr. Salim can treat bruxism with a custom-made, portable oral device. During your free consultation, Dr. Salim will assess the cause of your migraines and discuss your treatment options. 

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