FILLERS AT KENDALL BREEZE DENTAL

BY DR. SHARON SCHMEISER

Receiving cosmetic dental treatments improves the aesthetics of your smile, but many patients find that they’re looking for a little something extra. When we improve our teeth, we pay more attention to both our smile and the area surrounding it. The skin around our mouths can fall prey to the effects of time and develop lines. Cosmetic injections of Botox and Juvederm will rejuvenate your facial skin and provide a beautiful backdrop for your fresh new smile. After undergoing these treatments, you’ll feel and look refreshed. Your confidence will soar in ways you may not have even thought possible.

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As we age, our skin’s dermis gradually loses its major constituents: collagen, elastin, and hyaluronic acid. Collagen acts as the major support protein for our skin, elastin allows are skin to stay firm and resist wrinkles, and hyaluronic acid helps to trap water and add volume and shape to our skin.

Dermal fillers, like Juvederm™, are becoming more and more popular as a way to help reverse the changes associated with aging. Because the goal is to return the dermis to its original young state, dermal fillers can give a more natural appearance than plastic surgery and facelifts.

Dermal fillers are being used to

  • Eliminate wrinkles
  • Eliminate crows feet
  • Reduce scar depressions
  • Enhance lips
  • Remove black triangles
  • Enhance your smile
  • Replace volume lost.

Juvederm™ is a synthetic gel made of hyaluronic acid, a naturally occurring substance in you your skin that helps to add volume and hydration. Over time, Hyaluronic acid may diminish with age, contributing to the formation of wrinkles and folds. The smooth consistency gel is used most effectively for those wrinkles and folds in lower third of your face, like your “laugh lines”, “smile lines”, or “parentheses” (nasolabial folds, the creases that run from the bottom of your nose to the corners of your mouth), or “marionette lines” (oral commissures).

Juvederm™ injectable gel is a minimally invasive, doctor-administered treatment; there is minimal recovery or little to no downtime. So you can make an appointment for treatment and get right back to your life right after. The procedure usually only takes 30 minutes and the results are immediate and lasting usually eight months. So you can step into your doctor’s office for treatment and step right back into your life.

 Our emotions play across our faces, and can take an unfortunate toll on our skin. When our facial muscles contract, the skin over the muscles pulls and wrinkles. Botox works as a muscle relaxer to tame problematic muscles. Dr. Schmeiser will inject Botox at target sites to affect the muscles beneath in predictable ways. Undergoing Botox treatment won’t give you a “frozen” face or limit your range of expressions; it will simply relax wrinkle-causing muscles.

Botox is typically used to smooth wrinkles on the upper half of the face, primarily forehead lines and crow’s feet. Vertical and horizontal lines spanning the forehead and the space between your brows are easily handled with Botox treatments. You’ll no longer find yourself furrowing your brow when deep in concentration – Botox will relax your forehead for you! The results are both comfortable and aesthetically pleasing.

Botox For Gummy Reduction 

Twice as many women as men suffer from a gummy smile. A smile considered gummy is one that shows an excess of gum tissue (3 mm or more).

Botox is injected above the smile to temporarily denervate the muscles that cause the upper lip to excessively lift. Effective Botox treatment for a gummy smile requires an injection at the the intersection of these three muscles, a triangular area called the Yonsei Point.

Typical Botox treatment for a gummy smile includes injections at the Yonsei Point on either side of the nose and lasts for around 3 months.

Learn about using Botox to treat facial pain, migraines, TMJ & bruxism.

A migraine is a common type of headache that may have a variety of symptoms including nausea, vomiting, sensitivity to light, and sound. In many people, a throbbing pain is isolated to one side of the head. Some patients suffering from migraines have warning symptoms, known as auras before the actual headache begins.

The diagnosis for a Migraine usually includes the following criteria:

5 or more headaches within a 3-month span – each lasting between 4 and 72 hours

At least two of the following:

–          Pulsating sensations

–          Unilateral pain

–          Moderate to severe discomfort

–          Pain aggravated with exertion

And one of the following symptoms:

–          Light and sound sensitivity

–          Nausea and/or vomiting

Types of Migraines include:

Episodic – defined as less than 15 migraine headaches per month

Chronic – defined as 15 or more migraine headaches per month

Episodic migraine with aura

Chronic migraine with aura

Chronic migraine without an aura

Trigger Points are defined as hyper-irritable points in the skeletal muscle that are associated with palpable nodules in taut bands of muscle fiber. Trigger Points can be easily identified by holding palpation for 6-10 seconds at 4-8lbs of pressure. Myalgia will have no referral of pain, meaning the site and source of pain are the same. Myofascial pain will have a pain referral to another location, the site, and source of pain are different. Trigger points occur at various sites in the head and neck.

TMJ, TMD, and Myofascial pain refer to different pathologies affecting the masticatory muscles, temporomandibular joint (TMJ) and related facial structures. The TMJ and its associated muscles control chewing and movement of the jaw. It is a hinge joint connecting the mandible to the temporal bone of the skull.   TMJ pain is often the result of issues with the joint and/or surrounding muscles including, but not limited to, grinding/clenching of teeth, stress in facial muscles, dislocation of the disc, arthritis or trauma to the jaw.

Symptoms of TMJ related facial pain include:

–          Pain and tenderness in the face, jaw, neck, temples and shoulders

–          Limited range of motion concerning the jaw

–          Feeling of jaw being stuck or locked in position

–          Clicking, popping sounds in the jaw when opening and closing

–          Tense muscles in the face and neck

–          Difficulty chewing or feeling teeth aren’t coming together properly

Bruxism is a dental condition in which a person grinds or clenches their teeth together. Often a person suffering from bruxism is unaware as they may unconsciously clench their teeth together during the day or grind them at night, which is called sleep bruxism.

Bruxism can range from minor to severe. In some cases, it can be frequent and severe enough to lead to jaw disorders, headaches, damaged teeth and other head and neck problems. Because many people have sleep bruxism and are unaware of it until complications develop, it’s important to know the signs and symptoms of bruxism and to pursue regular dental care.

Symptoms of Bruxism include:

–          Grinding or clenching

–          Teeth that are worn down, flat or chipped

–          Tooth sensitivity

–          Jaw and facial pain/tightness

–          Ear pain

–          Headaches

–          Facial pain

–          Damage to the tongue or tissue inside your cheeks

Treatment options for facial pain and headaches vary based on the type and cause of pain. It’s beneficial to utilize conservative options when treating facial pain. After receiving a proper diagnosis the treating clinician will determine what treatment plan is best.

Treatments options include transcutaneous electrical nerve stimulation (TENS), ultrasound, trigger-point injections, therapeutic Botox injections, ethyl chloride, low-level laser therapy. TENS and laser lightwave therapy send low levels of electrical or radio waves of energy to the affected area to stimulate blood flow to the joint and surrounding area.

Botox injections are being used more frequently in dental offices as “off label” treatments for more troublesome maladies such as TMD. Studies have shown patients who received these injections experienced significant improvement in pain, function, ability to open their mouth, and levels of tenderness to palpation. Only your dentist can determine if you are a candidate for this treatment, the frequency of injections will depend on the severity of your condition.

To achieve a successful outcome, Dr. Sharon Schmeiser is highly trained and is a pioneer in the correct injection technique, as well as follows the appropriate dosage guidelines.