Jan 27

Botox at the Dentist

Yes, you can get Botox cosmetic and dermal fillers like Restylane and Juvederm at this office.  This doctor has been doing Botox and dermal fillers for over 5 calendar years.

Botox cosmetic was only approved for facial cosmetic use in 2002.  I have personally performed and given over 12,500 units of Botox cosmetic and Dysport.  The average patient receives between 21 and 45 units.

Patients sometimes find it odd that a dentist would be doing these procedures.  However, it started over my patient’s needs and requests that brought this into my armetarium.  Several years ago, I completed a patient’s treatment which involved multiple dental implants, bone grafts and extensive crown rehabilitation.  At the completion of the treatment, the patient was estatic with the results.  As she held the hand mirror and turned her head from side to side to peruse her newly crafted smile, she brought up only one concern.  The statement was “Dr. Dibling, I wish you could do something with these lines around my lips.”  I looked at her and stated, “I guess that is someone else’s task.”  When a second and third patient stated the same thing, and my response was the same, this patient stated “I trust you and I want you to do it.”  I thought about it and I said to myself, she’s right I need to get educated on these procedures.

The moment was a major paradigm shift to my thinking.  I had just successfully completed hard tissue or bony graft to this patient’s underlying facial structure and I needed to complete this patient’s treatment to the soft tissue that framed her smile.  Courses were available and I have taken many of them in order to perfect my technique and results.

Botox and Dysport can be used to correct what are called expressive wrinkles or “rhytids”.  This can be done on foreheads, around eyes, and importantly the dreaded lipstick smoker lines.  These products work by binding to the skeletal muscle and relaxing and/or preventing contraction.

Dermal fillers like Restylane, Juvederm, Perlane, and Radiesse are composed of either something called Hyaluronic acid or hydroxylapatite.   Both of these components are found in our own bodies naturally but these are grown or synthesized in laboratories.  These dermal fillers can correct what are called static wrinkles or “rhytids” as well as volume loss in facial areas such as lips, cheeks,  nasolabial folds and marionette  lines.

Neuromodulators like Botox to this doctor feel like an art medium, like water color  painting.  With water color painting, the artist doesn’t really have control over the paint.  Once he wets the paper, it is going to do what it wants to do.   What is important with Botox or water color is the ability of the person to anticipate what is going to happen once it is applied to achieve the desired results.

Using both dermal fillers and Botox,  outstanding cosmetic results can be achieved with minimal down time to the patient.  This part of my practice is both challenging, rewarding and fun.

Nothing can beat saying hello to a patient for a post operative evaluation.  You can see their smile in their eyes and how happy and proud they are of their new rejuvinated appearance.

Cosmetic dental-facial consults are always at no charge.  You can see and hear videos of my patient’s own testimonials on our website.  Procedures can be completed under nitrous oxide analgesia.  To date, I know of  no physician that is giving  Botox injections under nitrous oxide (laughing gas) sedation.  It really helps minimize discomfort.

You have nothing to lose except some wrinkles.