Botox for dentists in AGD Impact magazine
Was wondering who saw the AGD Impact article on Botox in dentistry and what your feelings are? Botox and dermal fillers has been a particular interest of mine. Dr. Louis Malcmacher DDS www.commonsensedentistry.com has started hands-on patient training for dentists in Ohio and NY on botox and dermal fillers for both dental and esthetic uses. He also presented this topic twice at the Greater NY meeting earlier this month - once at a controversies in dentistry panel that I was on with Gordon Christensen, Marty Zase, and Gerald Kugel and then at one of my own sessions the next day. There is a tremendous amount of interest from dentists on this topic and how to get into it. Just to get it started, my opinion is clearly that we as dentists need to start thinking out of the mouth as the next horizon in cosmetic dentistry. We can make the teeth white and straight - we already inject the areas around the mouth all the time so we are comfortable with injections. The biggest kicker is that OB-GYN's, internal med docs, nurses, medical estheticians, physicians assistants can all give Botox and dermal fillers in many states. We dentists know and inject these areas much better than any of those other healthcare professionals, including cosmetic dermatologists and facial plastic surgeons. Louis will tell you this - every dentist he has trained sees immediately how comfortable it is for them to do and to add to their practice. Opinions?????
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Botox for Gummy Smiles
I use botox to reduce the gummy smile. Fillers can also enhance and thicken the lip which may also hide the gummy show.
What is the advantage of Botox for Gummy smiles?
This is just a short term fix. You still need to do crown lenghtening surgery or veneers. Botox only lasts 4 months.
Botox and Dermal filler: Malpractice insurance
Do you need seperate malpractice for this?
How much is this and what do you change for a procedure?
Botox and dermal fillers.
I added Botox to my practice and it added a whole new revenue stream.
You need to take a training course.
Botox and Dermal Fillers
I took the course by Dr. Louis Malcmacher and it was very well done. For a dentist, this is very easy to incorporate into our practices since we are very skilled at giving injections.
I did have to get seperate malpractice for this in my practice.
Lip enhancement procedures: Fillers and botox
I been treating patients lately with excessive gummy display doing GV and either fillers or botox to treat the lip. The results have been fantastic.
Anyone else trying this?
Botox for the GP and specialist
I took a course down in Florida and have to say this is enhancing my practice. It helps with some of my cosmetic cases. I usually throw in the botox with my overall cosmetic plan.
Botox and facial cosmetic already in Dentistry
Many Dentist are already employing these techniques as an adjunct in there office. Many dentist have spas associated with their practice. The key is getting the training, there are many places out there that will train a dentist to do these procedures.
You need the training.
Facial cosmetic procedures: could enhance our practice
I would definitely add this to my practice if I know where to get some training. This could be a valuable option in or practice
Botox for dentists
I think we should be doing this. Who is better at injections then dentists. I would want to take some training courses first prior.
Anyone know any good ones?
BOTOX DERMAL FILLERS
I AGREE THAT WE SHOULD BE ABLE TO PERFORM THESE PROCEDURES, BUT WE HAVE TO COMPLY WITH OUR RESPECTIVE STATE PRACTICE ACT(S).
I disagree about the Botox
Based on that statement, the butcher at the grocery store should have no problem doing perio surgery because he cuts meat all day.
Dentists are specialists of the mouth. I don't want plastic surgeons doing CTG's. I will stay out of their business and they can stay out of mine.
Really, where are these weekend courses taking our profession?
Botox for gummy smiles and high lip line.
Botox has limited application in my practice as I tend to practice within the oral cavity. However, sometime when I am treating excessive gingival display with a high smile line, just doing crown lengthening or GV is not enough. You still need to address the high smile, reverse frenectomy has limited value and tend to rebound, I found limited botox injections of the upper lip can reduce the high smile line.
I tend to agree there is inherent risks to dentists using botox
When Dentist start encroaching on the medical arena, I think there are some inherent risks. I think you need more then a weekend course to start doing botox.
Remember the patient population that seeks botox. We are talking the ultimate mirror test patients. The smallest error could be a game breaker.
Botox for dentists : MY throughts
I think they are taking a great risk. We are not trained dermatologists. The real measure of our treatment is how we can manage the emergencies and possible failures.
Botox for Dentists
I am an OMFS and have had alot of training on facial esthetics. I would make sure you took alot of CE courses and work locally with someone who does these before you venture out on your own.
The potential for a lawsuite can be greater in this arena and you are impinging on medicals turf, and they dont like competition. A word to the wise.
botox and dermal fillers
I fully agree that a dentist is perhaps more qualified and proficient to administer this treatment than any other healthcare provider. Also, I feel that in general our state boards do too much to down-regulate our scope of practice. For example, we are told that it is illegal to prescribe antifungals to a woman with a yeast infection and to whom we also prescribed an antibiotic. If we caused the infection should we not treat it primarily and then refer to the physician if it does not subside? The state board's answer is "No," refer to the physician now. This policy seriously downplays our knowledge and abilities as medical professionals. It bows our heads into a subserviant role in medicine. It is time we assert ourselves as competant professionals. Back to the subject at hand. We know facial anatomy as well as anyone out there and perhaps we should be administering botox and dermal fillers to enhance perioral cosmetics.
botox and dermal fillers
I agree with Dr. Hogan. However, we do have to abide by our various state regulations. Perhaps it's time we as dentist should let the boards know of our concerns.
Perspective on injectables
If you really look at what this can add to your practice (aside from the new headaches, possible complications, and very picky patients) there is very little upside. I speak from 5 years experience doing both oral surgery and facial cosmetic procedures, and I will tell you that it sounds much better than it is.
Have you ever had a veneer patient that was so picky that you wish you had never done the case? Now think about a patient that is also very demanding, but, because many of the fillers and botox results can be subtle, they get aggravated and leave your general dentistry practice (and spread the word that they weren't happy.) He or she may go see another doctor who would love for you get sanctioned by your board.
Also, think about the patient that gets tremendous peri-oral swelling and bruising or a severe outbreak of herpes simplex with lip augmentation. Or the patient that gets an upper lid droop or another undesirable outcome from botox. What are you going to do, who are you going to call, and what if a complaint is made to the state board?
I would be careful in adding these procedures as they can add stress, take away from your core patient base and ultimately stifle practice growth.
If you do venture into these procedures, you will need typically need special malpractice insurance coverage and, most of all, make sure that your state board supports you.
botox and dermal fillers
Hogan I couldnt agree more.