Institute of Facial and Oral Surgery

BOTOX: Not Just For Wrinkles

Woman thinking In our office, we use BOTOX® for aesthetic purposes – specifically to help our patients to turn back the hands of time by temporarily removing wrinkles. In just 5-10 minutes, we are able to give you a youthful look that will boost your self-confidence.

But many of our colleagues out there utilize BOTOX® for medical purposes as well! It may come as a surprise to you – but not too big of a surprise, hopefully, (we wouldn’t want to cause any extra wrinkles, after all!) – that BOTOX® has many uses besides just smoothing out lines.

Here is a fun look at what else BOTOX® is doing for patients these days:

Underarm Sweat

When your deodorant doesn’t do the job, BOTOX® might be able to help. BOTOX® can be used to reduce severe underarm sweat, also known as severe primary axillary hyperhidrosis. BOTOX® reduces sweat by blocking the nerves from reaching the sweat glands, therefore stopping the production of excessive sweat.

Headaches

BOTOX® can be used to treat chronic migraines. While BOTOX® doesn’t fully lessen the effects of a migraine, it has been shown to lessen the intensity as well as reduce the frequency with which migraines occur. The effects from injections helping headaches typically lasts for three months.

Overactive Bladder

An overactive bladder and BOTOX® are probably the last two things you would have thought to put together, but BOTOX® has been shown to be beneficial to people that have an overactive bladder. BOTOX® works on the bladder by stabilizing spontaneous retracting and releasing, which leads to less frequent trips to the bathroom!

Overall, BOTOX® comes in handy for issues such as chronic headaches, overactive bladders and excessive underarm sweat. Who would have known that BOTOX® does more than prevent wrinkles?

If you are ready to tackle your age lines and wrinkles, give Institute of Facial and Oral Surgery a call for more information about BOTOX® – we are your BOTOX® experts!

FAQs: Wisdom Teeth

Image of a question markPatients always wonder why it is recommended that they get their wisdom teeth extracted, or why they even have wisdom teeth in the first place! We always want our patients to be in the know and have all of their questions answered. It is important to understand the benefits of having your wisdom teeth extracted.

We invite you to read through our frequently asked questions about wisdom teeth and the extraction process and call us at 703-729-0077 if you have any questions.

Why do we have wisdom teeth?

Ancient humans had a very different diet than we do today. They needed the third set of molars in order to grind up food that was tougher in texture and harder to digest. They also had larger jaws with more room for their wisdom teeth.

Humans today eat softer foods, or cooked foods, that are far easier to chew and digest. Over time, we have evolved to have smaller jaws and teeth, leaving less room for our third set of molars.

Why do I need to have my wisdom teeth extracted?

There are several benefits to having your wisdom teeth extracted. Keeping your wisdom teeth can cause a variety of short-term, as well as long-term, complications.

Impaction: When there is not enough space in your jaw for your erupting third molars, they can become impacted, causing them to grow in at an angle. Impaction may cause pain or discomfort while eating.

Damage to other teeth: Impacted wisdom teeth can cause damage to your other teeth. When they grow in at an angle, they can push against your second molars, damaging them and potentially causing tooth decay.

Disease: Due to impaction, the narrow spaces between molars allows for bacteria to form more easily, putting you at a higher risk for periodontal (gum) disease, cysts, and inflammation.

When is it okay to keep my wisdom teeth?

Sometimes, there’s enough room in your jaw for your third molars to erupt comfortably and without damaging your other molars. If we see that they may grow in healthy and without impaction, we may recommend that you do not have them extracted. If this is the case, make sure you are going in for regular check-ups and closely monitoring your erupting wisdom teeth.

When should I get my wisdom teeth extracted?

Wisdom teeth generally erupt between the ages of 17-25. Many people get their wisdom teeth extracted before they graduate high school. It is recommended that you get your third molars removed as soon as possible. The longer you wait, the more complications can arise. For example, the longer you wait to have them removed, the longer the roots grow. The longer the roots get, the more chance they have of coming in contact with your nerves, possibly causing nerve damage.

If your teen hasn’t yet had his or her wisdom teeth evaluation, please give our office a call at 703-729-0077.

Trends in Dental Implants

A trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.

Benefits

  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.

Drawbacks

Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with Institute of Facial and Oral Surgery to find out what tooth replacement options may be right for you!

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Dental Implants: The Recovery

recovery signThe recovery time following dental implant surgery tends to vary, but is usually based on the amount of teeth being implanted, whether or not a bone graft was needed and the individual and how well they manage their recovery. Luckily, the science and technology behind dental implants has improved drastically over the last few years, improving post-surgery pain and comfort for patients.

The patient requiring the least amount of recovery time would be one who had a standard, single dental implant placed with no bone grafting. With a simple procedure like this one, there is very little discomfort or pain after the surgery. Mild bruising and soreness can occur, but is typically manageable with over the counter pain relievers. In more severe implant cases, such as those where multiple teeth are implanted or severe bone grafting needed in order to accomplish the implant, the recovery time tends to be longer and the discomfort can be more intense.

In any cases, it is important to keep your mouth clean after surgery, which can be done by rinsing your mouth gently with salt water beginning the day after surgery. You may begin brushing your teeth the night after the surgery, but make sure to keep it light around the surgery area as to not disrupt the healing in that area. It is also important to remember that in the week following your surgery, there should be no smoking and no sucking through a straw, as this can seriously inhibit your healing process. It is important to stick to a diet primarily consisting of soft foods for the first 7-10 days following your surgery before beginning to return to your normal diet.

As you can see, the recovery process after receiving a dental implant is fairly predictable and comfortable. It is important to follow the instructions that we give you at Institute of Facial and Oral Surgery, and to always remember that if you have any questions or concerns regarding a procedure or following your surgery, you can always give us a call at Leesburg Office Phone Number (703) 729-0077.

What to Expect When You Get Botox for the First Time

woman with clear facial features highlightedHave you started to notice frown lines and crow’s feet around your eyes and are eager to do something about it? Maybe you are are thinking about Botox, but you aren’t sure what to expect.

It is very common to have questions before undergoing any procedure. We want you to know that we are always here to help, let’s start by clearing up some of those questions you might have.

What is Botox?

Botox is the only approved treatment to temporarily improve the appearance of both moderate and severe facial lines in adults. It works beneath the skin and is injected into your muscles to temporarily reduce muscle activity. You will begin to see results within 24 to 48 hours and it lasts up to 4 months.

Does Botox hurt?

Many people say the injection feels like a pinch. We may desensitize the treatment area with ice or a numbing cream for your comfort.

How long does the injection process take?

Botox is quick – typical injections take just about 10 minutes. But it largely depends on the areas you want treated, among other factors. We will discuss this with you during your initial consultation.

Will I look different after Botox treatment?

Initially, you may not notice any difference, but give it 24-48 hours, and you will begin to notice the crow’s feet and frown lines disappear. You will still look like yourself, but without the heavy wrinkling. Even better, you will feel like your youthful self again.

What is the recovery process?

This treatment is called a “lunchtime procedure” because it doesn’t require a lot of downtime and you are able to go about your day to day routine right after you leave the doctor’s office. In fact, many people go right back to work to finish out their day.

If you are interested in Botox and have more questions you would like to ask, Call Leesburg Office Phone Number (703) 729-0077 and schedule a consultation!

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Where do Dental Implants come from?

Kid in Archeological PitDental implants have a surprisingly rich and interesting history. Across centuries and throughout cultures around the world there is evidence of attempts at replacing missing teeth with various objects and materials.

The oldest dental implants can be traced back to 2000 BC in China, where missing teeth were substituted with bamboo pegs.

Fast forward a bit to around 1000 BC and you’ll find an ancient Egyptian King whose tomb was recently discovered along with his mummified remains; a copper peg hammered into place where a tooth once lived. This may have been the first time in history that we know of when metal implants were used.

Across the globe some time around 300 BC, an iron tooth was found in a French grave thought to be Celtic in origin. It is possible this implant may have been a post-mortem placement to honor the dead, as an attempt to perform the surgery using a live patient would have been an excruciatingly painful process.

Just 2000 years ago missing teeth were being substituted for animal teeth, and the poor were even selling their teeth to the wealthy, just to make ends meet! The body often rejected these surrogate teeth, causing infection.

More recently in 1931 in Honduras, Dr. Wilson Monroe and his wife found a jawbone amongst other artifacts, with teeth fashioned from shells and attached to the jawbone of an ancient man.

Today we are lucky enough to have dental implants that not only look and feel like real teeth, and anesthesia for the pain is also a plus. Thanks to studies conducted by Per-Ingvar Brånemark of Sweden in the 1950’s, oral surgeons have been able to perfect the process over the years to create today’s implants, which have a 98% success rate! Through a process known as osseointegration, metals and other implant materials are able to be skillfully placed so that your jaw bone actually attaches itself to the implant creating a seamless support system.

Missing a tooth or two? Give us a call at Leesburg Office Phone Number (703) 729-0077 to discuss your dental implant options today!

Before Plastic Surgery: Questions to Ask During Your Consultation

Woman Looking up surgery questionsBefore plastic surgery, we want you to go into your consultation well prepared so that you can get the most information available, helping you make the decision that is right for you.

Below we have compiled a list of common questions that we hear from our patients that you may want to ask as well.

Questions about anesthesia:

Important questions to ask about local and general anesthesia include asking about the type of anesthesia, where it came from, and who will be administering it. It is important to know that your anesthesia administrator is experienced in order to prevent complications. We work with a certified anesthesiologist or registered nurse anesthetist to make sure that you receive the correct type and amount of anesthesia for your body type, age and size.

What will my procedure cost in total with all fees included?

This is an important question to ask, as the procedures are not usually covered by one’s insurance as they are elective in nature. While the cost of the procedure may have been advertised at a promotional price, there are often other fees to take into account such as anesthesia, operating room expenses, and materials (such as implants).
How many procedures of this type have you performed?
We want you to feel comfortable with our skills, so we are happy to share with you our experience in your particular procedure. As a more experienced surgeon, I have the experience needed to be able to truly assess your needs and give you a more comprehensive idea about whether plastic surgery is right for you.

Am I a good candidate for this procedure?

Just because an outcome of a procedure seems appealing to you doesn’t always mean that you are good candidate for that particular procedure. We all have different body types and medical needs, and often times there are multiple options for achieving the same results. We will discuss alternative options during your consultation.

How long of a recovery period can I expect, and what kind of help will I need during my recovery?

Many patients have concerns about recovery times and whether or not we will still be accessible to check in and make sure everything is still going smoothly months after their surgery. It is important to ask questions about the recovery process so that you can not only mentally prepare yourself, but also make arrangements to accommodate your recovery needs.

What are the risks and complications associated with my procedure? How are complications handled?

Some procedures can be more invasive, and therefor more risky than others. We have specific procedures in place for handling complications and asking these kinds of questions can help put your mind at ease if you are experiencing pre-op anxiety.

What results are reasonable for me to expect?

Every patient’s outcome will be unique, but you may be able to get a good idea about yours by looking at before and after photos of those who shared similar features as you before their surgery.

Asking the right questions is key to achieving the look you want, and will help take away some of the stress and doubts that you currently hold. Think you’re ready to take the next step? So do we! Call us today to set up a consultation!

When Should I Start Getting Botox?

young people botoxBOTOX® can sometimes be a sensitive subject, particularly among the younger crowd. Most people associate BOTOX® with people 40 years and older, who are beginning to notice more wrinkles. But middle age is not the only time during which a person can receive BOTOX® treatment. Many doctors recommend that patients get BOTOX® at a younger age not only to remove wrinkles, but also to prevent them in the future.

There are benefits to getting BOTOX® done at any age, so what is the right age for you?

BOTOX® in your 20s: Having BOTOX® in your twenties doesn’t mean that you are full of wrinkles and facial lines already. Rather, it is done as a preventative measure. Doctors have begun recommending that people who are open to getting BOTOX® later in life should start in their mid to late 20s in order to prevent wrinkles from occurring in the future. This works by suspending movement of the muscles in the face that cause wrinkling. Consistent upkeep on your face will help lessen and decrease the likelihood of having significant wrinkles when you are older.

BOTOX® in your 30s: This decade is the time when wrinkles and facial lines can start becoming more noticeable on your face. Getting BOTOX® done on a regular basis throughout your thirties can have a significant improvement on the way your face looks and feels. It is critical to have BOTOX® done in your 30s in order to not only reduce the severity of future wrinkles, but to keep your face looking young and fresh.

BOTOX® in your 40s and on: Using BOTOX® regularly throughout your forties and beyond can definitely be beneficial to how your skin looks, but unfortunately you will not receive the same results as if you had started in your 30s. Starting BOTOX® at this stage in life can decrease the significance of your wrinkles, but it might take more facial work than just BOTOX® in order to get the results which you really want.

If you have any more questions about BOTOX® and what age is right for you to start getting treatments, feel free to contact us today!

3D Printers and Bone Grafting

3D Printers for Bone GraftingThere is exciting news in bone grafting technology that will hopefully find its way into the oral surgeon’s office over the next decade! Researchers have been able to create a synthetic bone material using 3D printers that may be better than what is being used now.

3D printers create three-dimensional objects out of a variety of materials using a computer as a precise guide. Although the concept has been in the news a lot recently, the practice actually dates back to before the 21st century. In fact, 3d printing’s roots go back to the early 1980s. Since then, everything from jewelry to synthetic human organs has been printed, much to the amazement of modern society!

And now, surgeons have successfully implanted the 3D-printed synthetic bone grafting material into animals with bone defects. This “hyperelastic bone” was made using just the right combination of bioactive materials and polymers to make a material that could be layered while still wet, allowing for better adherence between layers.

Here are some of the expected benefits of this new material:

  • Very elastic, allowing for cutting without crumbling, which can be a problem with current grafting materials.
  • Blood vessels move in quickly because the material is porous.
  • Biodegradable as the body replaces it with genuine tissue.
  • Doesn’t dry out right away.
  • So far the animals haven’t rejected the implant, which could mean less complications for humans as well.
  • Could be a great option for children since it will grow with them.

While human trials are potentially five or more years away, the news is very exciting for the surgical community, and we are can’t wait to see what benefits this will bring to our patients.

To find out more about bone grafting in general or to set up a consultation with our office, please call us at Leesburg Office Phone Number (703) 729-0077.

Missing Teeth: More than Just a Gap in Your Smile

man smiling with dental implantsWhile it is true that the most obvious effect of missing teeth is a gap in your smile, missing teeth can cause other problems that you might not be immediately aware of. For example, did you know that for every missing tooth you have you lose 10 percent of your chewing ability? Read on to get a better idea of how a missing tooth can affect your life.

Surrounding Teeth

A missing tooth usually means more stress for the remaining teeth. In addition to that, if you are missing a tooth on the lower jaw, the opposing tooth on the top can grow longer to fill the gap in a process known as superuption or extrusion. This could lead to teeth tilting and move out of place by drifting into the space that was left by your missing tooth – a disaster for your beautiful smile!

Digestive Health

If you are missing teeth, you can’t enjoy all of the foods that you are used to eating – bad for your health and bad for your mood! Say goodbye to caramel apples, saltwater taffy, crunchy carrots and even gum. And because the variety in your diet is reduced when a tooth is missing, digestive problems are unfortunate yet common.

Decay and Hygiene Problems

The shifting of your teeth may cause new hygiene issues as it may be difficult to brush and floss like you normally would. This leaves your mouth more vulnerable to gum disease and tooth decay.

Facial Aesthetics

People with more than one missing tooth may also have issues with a collapsed bite which causes a loss of vertical dimension. This could make your face appear shorter, as the distance between the tip of your nose and your chin would decrease.

The good news is that you don’t have to suffer anymore! Dental implants can help you avoid all of the problems listed above and let you live your life normally again. It’s never too late for a dental implant, give us a call at Leesburg Office Phone Number (703) 729-0077 to find out about this life-changing procedure.