Botox

[kerrydds06]

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what do you guys and gals think about dentist giving botox? I personally like the idea as part of a "smile management" for my cosmetic cases.
Since FDA approved it in 2002 the number of proceedures rose by 40% and if this growth rate continues it could be as common as cosmetic bleaching.
Thoughts?
Advantages?
Disadvantages?
Can we get certified to perform the proceedure?

 

[Zurik5]

Someone needs to quit tivo-ing Nip/Tuck. I want nothing to do with Botox, or the people who receive it.

 

[DrRob]

In wisconsin you can. A female instructor at marquette was cerified to do botox and some other minor cosmetic procedures.

 

[OzDDS]

In wisconsin you can. A female instructor at marquette was cerified to do botox and some other minor cosmetic procedures.

was she an oral surgeon or a general dentist?

 

[grtuck]

Here is a site trying to "help" bring botox into dentistry. I have no idea about it, except I ran across it one day while I was searching the internet. They seem to have some arguments supporting the idea though in their publications.

www.dentox.com

grtuck

 

[Mr.E]

Here is a site trying to "help" bring botox into dentistry. I have no idea about it, except I ran across it one day while I was searching the internet. They seem to have some arguments supporting the idea though in their publications.

www.dentox.com

grtuck

It's still unclear to me whether a dentist is allowed by law to perform botox injections. Does anyone know if a dentist is or is not allowed to do this legally?

 

[grtuck]

It's still unclear to me whether a dentist is allowed by law to perform botox injections. Does anyone know if a dentist is or is not allowed to do this legally?

From what I understand, it depends on the state you practice in. The licensure laws will define your scope of practice, so you can probably do it legally some places (maybe all, but I don't know that for sure). Here is an article that talks a little about it and mentions that dentists are doing it.

http://msnbc.msn.com/id/5327027/

grtuck

 

[kerrydds06]

Someone needs to quit tivo-ing Nip/Tuck. I want nothing to do with Botox, or the people who receive it.

just curious, why you feel so strongly against it so far the only argument I've heard is that it is "shady" which I don't consider a valid, scientific reason. Will you also want nothing to do with a bleaching or how about posterior resins? I like to keep an open mind and practice evidence based dentistry. Our field is evolving, and I don't want to become extinct.

 

[Zurik5]

just curious, why you feel so strongly against it so far the only argument I've heard is that it is "shady" which I don't consider a valid, scientific reason. Will you also want nothing to do with a bleaching or how about posterior resins? I like to keep an open mind and practice evidence based dentistry. Our field is evolving, and I don't want to become extinct.

I have no qualms with botox usage for treatment of sweating, lower back pain, cerebral palsy, migranes, etc? but couldn?t imagine selling it, let alone administering it, to patients who want to get rid of wrinkles. Botox is a huge money maker (for cosmetic surgeons), and if you ask me they should be the ones administering it. The patients receiving botox are likely going to be major pitas down the line? with lots of money; it?s a trade off. I don?t think you have to worry about dentistry becoming extinct, and it might just be me, but I couldn?t honestly fathom people coming to their dentist to get botox treatment. Again, I could be wrong, and we could all be shooting our patients full of botulinum one day?who knows..

 

[OzDDS]

Actually, don't dentists do as many if not more oro-facial local injections than any other health care professional? I have also heard that botox could benefit patients with trismus and tmj problems. It would seep logical that we would be one of the providers of this procedure. I also saw an extreme makeover type show that had a dentist do the facial local injections before someone recieved that perm makeup tatoo stuff applied.

 

[kerrydds06]

I don?t think you have to worry about dentistry becoming extinct ..

I 'm not worried about dentistry becoming extinct, I'm worried about MYSELF becoming extinct. I detest older faculty who practice dinosaur dentistry. If they practiced the way they teach they woulf fast becomr extinct. This is why I'm strongly commited to cont ed. , evidence based dentistry and reasearch.

 

[Dr.SpongeBobDDS]

I agree, Kerry. There are bound to be a lot of procedures I will never want to incorporate it into my practice for the reasons Zurik mentioned -- it doesn't mean I won't support my colleagues' right to perform those procedures.

There are already dentists doing this. If their patients are happy and they are practicing within their state-defined scope of practice... more power to 'em.

 

[toothcaries]

it's a simple procedure.
iirc, there is CE offered in cali you can take.
...but like everything, u need to be knowledgable and competent enough to handle the situations that don't go so smoothly...

 

[mdhan]

I'm not sure about dentists using botox for removing wrinkles, but using botox to treat orofacial pain is rather common and I think it makes sense for dentists to use them for such purposes.

 

[OzDDS]

I'm not sure about dentists using botox for removing wrinkles, but using botox to treat orofacial pain is rather common and I think it makes sense for dentists to use them for such purposes.

just curious.. If you don't have any issues with dentists injecting to treat facial pain, why do you have a problem if they inject to treat facial wrinkles?

 

[DrRob]

was she an oral surgeon or a general dentist?

General dentist - Lynelle ochowicz (Bayshore/Silverspring, WI)

 

[mdhan]

just curious.. If you don't have any issues with dentists injecting to treat facial pain, why do you have a problem if they inject to treat facial wrinkles?

Because even though orofacial pain isn't a field that solely belongs to dentistry(like doing oral cancer surgery, neck dissections etc are done in both OMS and ENT) it's part of the dental cirriculum and is 'officially' a part of dentistry. The same doesn't apply to removing wrinkles and although some may view it as a potential field of expansion, I don't see a relevance of injecting botox for facial wrinkles to dentistry, even for wrinkles in the circumoral area. I don't believe one needs any dental knowledge to treat wrinkles(whereas it is essential that one does for orofacial pain treatment). In my opinion botox injections for wrinkles should be left alone for cosmetic/plastic surgeons.

 

[OzDDS]

I don't understand your logic.. are you saying that you believe that neither general dentists or oral surgeons should be doing botox? correct me if I'm wrong, but you said neck disections are a part of maxillofacial surgery and that OMFS is a specialty of dentistry, which you agreed to.. and that both ENT and OMFS do those procedures. But doing cosmetic facial procedures is also a part of both ENT and OMFS, which it is. (not on the fringe or potiential expansion but something that all OMFS are allowed to do). So if an OMFS is licensed to do total trauma cranial/facial reconstruction, I don't understand how you can say that he/she shouldn't be allowed to stick a tiny needle into someone's brow?

 

[omsres]

I don't understand your logic.. are you saying that you believe that neither general dentists or oral surgeons should be doing botox? correct me if I'm wrong, but you said neck disections are a part of maxillofacial surgery and that OMFS is a specialty of dentistry, which you agreed to.. and that both ENT and OMFS do those procedures. But doing cosmetic facial procedures is also a part of both ENT and OMFS, which it is. (not on the fringe or potiential expansion but something that all OMFS are allowed to do). So if an OMFS is licensed to do total trauma cranial/facial reconstruction, I don't understand how you can say that he/she shouldn't be allowed to stick a tiny needle into someone's brow?

Oral surgeons routinely do botox as well as all other aspects of facial cosmetic procedures. Just as facial cosmetics training is a part of a plastics residency, it is a part of most OMS residencies nowdays. Cosmetic surgery does not equal Pastic surgery. Both specialities do procedures that are both cosmetic and reconstructive in nature. Plastics is concerned with the entire body not just the face so it is conceivable that OMS residents may do as many facial cosmetic and reconstructive procedures during their residency as a plastic surgeon. Personally I don't believe that a surgeon should be doing procedures they aren't trained to do, but if they are I don't see the problem.

 

[north2southOMFS]

Hey omsres, i think you could use a botox treatment, after all your looking pretty rough after that OB/GYN rotation you've spent so many gruelling hours on. 🙂