After completing this lecture the participant should be able to have a greater understanding of use and application of botulinum toxin in the field of facial aesthetics.
Over 21 years has passed since the introduction of botulinum toxin A injections (Botox) have been used for the unsightly frown lines between the eyes and smoothing of facial wrinkles. Botox treatments are the most commonly performed minimally invasive cosmetic procedure in North America. There were nearly 2.5 million cosmetic procedures done with Botox in 2008 according to The American Society of Aesthetic Plastic Surgery. Women accounted for 92% of the total cosmetic procedures done. Botox cosmetic procedures accounted for 24% of all cosmetic procedures done in 2008. The safety records of Botox treatment is nearly unparalleled by just about any other delivered medication on the market.

The most common uses for Botox is smoothing of the facial wrinkles of the forehead, between the eyes (glabellar region) and around the corners of the eyes (crow’s feet). These are the most common cosmetic uses that have put Botox on the esthetic map.

Botox is often used in conjunction with dermal filler therapy as a non-surgical alternative to high lip line cases. The treatment that most dentists have been trained to deliver to these patients would be some kind of periodontal flap surgery with significant osseous reduction through a crown lengthening procedure in order to be able to raise the gingival height to meet the lip line. The patient would then require crown and bridge therapy to better establish the dental esthetics. Every dentist knows how aggressive that treatment would be. I would venture to say that few dentists themselves would, if they were the patients, want to proceed with that kind of aggressive treatment, yet this is what we offer to our patients.

There is a huge misconception and much confusion that Botox therapy is not within the realm of dentists and dentistry. Nothing could be further from the truth. Right now close to half the states in the US and some provinces in Canada allow dentists to perform Botox procedures in all of the oral and maxillofacial areas. In other states, state dental associations are lobbying to allow dentists to begin performing these procedures.

While most individuals associate their dentist with teeth – dentists are also experts in the head, face and neck. As long as the dentist received the proper botox education, preferably a course tailored as botox training for dentists, they are as qualified if not more qualified than any other medical professionals! Dentists have all the requisite training to offer these injections in a safe atmosphere and, because they are bona fide medical professionals, this is not outside the scope of their expertise by any stretch.

WHAT WILL YOU LEARN IN THIS SESSION?
⦁ Introduction
⦁ Use of Botulinum
⦁ Advantages and Disadvantages
⦁ Live Q & A

DR. ARUN SRINIVASAN
BDS, MDS, FCFA
Fellowship in Clinical Facial Aesthetics (CCAS)
Certificate in Facial Aesthetics (ASU, USA)
Standard Proficiency in Lasers (ALD, UCSF, USA)
Maxillofacial Aesthetic Practitioner, Lecturer and Trainer

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