Botox and dermal fillers have made a huge impact in the elective esthetic field. By far, these are the two fastest growing cosmetic treatments, especially over the last seven to eight years. The dollar amount spent on Botox and dermal fillers far exceeds the combined dollars spent for breast implants and liposuction. I hope through this article to show you that there is a definite place in the dental practice for both Botox and dermal fillers therapy and why dentists should be joining other health care practitioners who deliver these services. In truth, dentists are the primary health care practitioners who should be delivering these procedures to patients.

There is no question that this article will be controversial, but bear with me as you read through this and you will see a very strong case can be made for dentists’ involvement with Botox and dermal filler therapy. I have found now, after speaking to dentists in Bucks County, i through my lectures about these procedures, that we as a dental industry are pretty much ignorant of what these therapies even are, how they are delivered, what the science is behind them, and what they can accomplish for our patients. A little bit of knowledge provided by this article will go a long way in helping you understand about the clinical and practice management advantages to integrating these therapies into your office.


The first question everybody asks is, “Don’t Botox and dermal fillers procedures belong in a specialist office, like a plastic surgeon or dermatologist office?” Dermatologists and plastic surgeons were the first healthcare providers to train and integrate these therapies into their offices but that does not make these “specialty” procedures by any means.
At this point in time, these procedures are delivered to patients by other physicians including OB/GYN’s, ophthalmologists, internists, registered nurses, physicians’ assistants, medical estheticians (who may or may not be medical personnel), and even podiatrists! As you will soon see, I would submit that dentists are the true specialists in the area of the face, much more so than these other healthcare personnel.

In many times states, a registered nurse or physicians’ assistants can have an independent practice outside of the physicians’ office and perform Botox and dermal fillers.  Even within dermatology and plastic surgery offices, registered nurses and physicians’ assistants are the primary providers of Botox and dermal fillers. Many nurses that I have spoken to have told me that their training was completely on the job with absolutely no additional training in facial anatomy, physiology, pharmacology of the products, and adverse affects. They just learned where to place these materials by watching and learning.

Here is where I want to make a strong point. We, as dentists, really have to start standing up for ourselves and realize how advanced our training has been in the oral and maxillofacial areas (that means the face from chin to forehead) than just about any other healthcare professional who is now allowed to deliver Botox and dermal fillers to patients. Dentists often challenge me that these procedures are best left to physicians. The question that you really have to ask yourself is, “Why?” An ophthalmologist, general plastic surgeon, dermatologist, OB/GYN, most other MD’s, nurses, and physician assistants do not even come close to knowing the facial, oral and perioral areas compared to a general dentist. Dentists in Southampton Pa are much more familiar with how to take care of complications in these facial areas than these healthcare providers. Yet, all of these healthcare providers are allowed to deliver Botox and dermal fillers and in some states dentists are excluded from doing so. Dentists do many more invasive procedures in the facial areas than all of these physicians and personnel combined. The facial, peri-oral, and oral areas are where we live every single day!

I completely understand that the thought of Botox and dermal fillers by dentists is foreign to our dental mindset simply because we have never been involved in these areas before. You may also remember there was a time when implants were foreign to dentistry, with many dentists saying we should not get involved because that would change our mindset of trying to save teeth. When teeth whitening was first introduced into the dental market, many dentists called it malpractice. It is time to really start learning about how Botox and dermal fillers can help us in dentistry.

Concluding, that if you want an experienced practitioner in facial aesthetics, a dentist in Southampton PA providing Botox and dermal fillers is exceptionally qualified. Bucks County dentist Dr James Rhode can answer your facial cosmetics answers




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