BOTOX® is a neurotoxin that is used to relax muscles; in doing so, it smoothes out wrinkles and alleviates muscle pain. BOTOX has been approved since 2002 for nonsurgical esthetic and muscle chronic pain treatments. Dermal fillers are used to fill in wrinkles and folds. The purpose of all these dermal fillers is to provide volume and improve pliability to the skin. Botox is derived from a neuromuscular toxin (botulinum), while most fillers are Hyaluronic acid, a naturally occurring nutrient that we lose as we get older.
Simple — of all health-care professionals, no one is better trained in injection techniques. As part of our dental training, we were taught — that’s right, taught — to inject. Who is better trained at giving pain-free injections? Who knows better the shape and volumetric proportions of the facial structures? Who knows better the anatomy, blood vessels, muscles, bones, nerves of the face, etc.? Who better understands the relationship of the anatomic structures — the eyes, cheeks, nose, lips, teeth, etc. — and more importantly, how they relate esthetically to one another? In addition to having the skill, no other health-care professional gives as many injections in the facial area on a daily basis as a dentist. This is what a dentist does a day in and day out. When dentists go into an operatory to perform a procedure such as a crown preparation or implant surgery, they are actually performing two procedures: They are the anesthesiologist and the dentist. They are unaware that they have performed an entire second procedure because they do it so automatically. They give this anesthesia profoundly and relatively painlessly. They do this so routinely and so well that they are not even cognizant of how good they are with a needle. Their patients know how good they are and they have less fear and more confidence in their own dentists approaching their faces with a needle than they would with any other health professional.
The reason a dentist should be the patient’s first choice when deciding to have facial cosmetic injectables is that dentists can offer their patients something most other health-care professionals cannot — dental anesthetic to reduce discomfort during the procedure. Most practitioners are not comfortable injecting intraorally and will only give patients a topical anesthetic. For dentists, injecting intraorally is second nature.
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