DTME0511

DENTALTRIBUNE Middle East & Africa Edition Media CME 7 For the beginning injector, we generally recommend start- ing with three areas of the face that generally receive botu- linum toxin and three areas that generally receive filler material. In the botulinum toxin course we teach both Botox and Dysport and focus on the glabella com- plex (the frown lines between the eyes), the forehead and “crow’s feet” (smile lines around the eye). In the filler course, we focus on the nasolabial folds (lines fromthealaofthenosetothecor- ners of the mouth), the “mari- onette lines” (lines from the cor- ners of the mouth to the inferior border of the mandible) and the lips. However, with time and ex- perience, there is no limit to how creative the practitioner can be- come. In my office, we can per- formalunchtime“liquidfacelift” by combining botulinum toxin and filler material in multiple ar- eas of the face. We can accomplish this by placing the fillers via an intra- oral route, without any bruising or swelling, allowing patients to go right back to work. Once the practitioner gains experience and confidence, there are many other exciting procedures that can be done. In- stead of doing a genioplasty, you can augment the chin with filler material. You can do a liquid rhinoplasty (nose job), cheek lift or brow lift, just to name a few. How about eliminating a gummy smile, rounding off a square jaw or even augmenting an earlobe? Another application of botu- linum toxin in the dental arena is in the treatment of tempro- mandibular disorders (TMD). Tempromandibular disorders can span a wide variety of etiolo- gies, including muscular, liga- mental, intra-articular or bony sources. A diagnosis relies on an extensivehistory,physicalexam, radiologic studies and diagnostic procedures. Botulinum toxin is just one treatment modality included in an extensive algorithm used in treating TMD. Recent studies show that botulinum toxin con- tains both a muscle relaxing as well as an analgesic effect. In my opinion, the reason this has become such a controversial topic throughout the medical community is because of the en- croaching competition that the other specialties are feeling in this multi-billion dollar industry. Over the last five years, non- invasive cosmetic procedures have experienced significant growth due to their increasing popularity and virtually painless, highly profitable, office-based administration, and their ability to make patients’ faces look youngerand fullerforlonger pe- riods of time. Many specialties, such as gynecologists, family practitioners and ER physicians, are offering these procedures without any backlash. Surely, the dentist is better prepared, better trained and has more experience in the perioral and facial arena than these other specialties. The ADA definition of den- tistry is defined as “the evalua- tion, diagnosis, prevention and/or treatment (nonsurgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated struc- tures and their impact on the hu- man body.” Whetheryouareinterestedin providing these procedures or not, it is important to defend the skills and talents that the dentist inherently holds. It is time to show the medical community and the rest of the world that we are truly physi- cians of the oral cavity and its as- sociated structures. CT DT For more information: e-mail: info@dental-tribune.ae, Tel: + 971 4 391 0257, Fax: + 971 4 366 4512 Dental Tribune Middle East & Africa in collaboration with CAPP introduce to the market the new project mCME - Self Instruction Program. mCME gives you the opportunity to have a quick and easy way to meet your continuing education needs. mCMEoffersyoutheflexibilitytoworkatyourownpace through the material from any location at any time. The content is international, drawn from the upper echelon of dental medicine, but also presents a regional outlook in terms of perspective and subject matter. How can professionals enroll? They can either sign up for a one-year (10 exercises) by subscription for the magazine for one year ($65) or pay ($20) per article. After the payment, participants will re- ceive their membership number and will be able to at- tend to the program. How to earn CME credits? Oncethereaderattendsthedistance-learningprogram, he/she can earn credits in three easy steps: 1. Read the articles. 2. Take the exercises 3. Fill in the Questionnaire and Submit the answers by Fax (+971 4 36868883) or Email :info@cappmea.com After submission of the answers, (name and member- ship number must be included for processing) they will receivetheCertificatewithuniqueIDNumberwithin48 to 72hours. ArticlesandQuestionnaireswillbeavailableintheweb- site after the publication. www.cappmea.com MEDIA CME Self-Instruction Program Dr. Zev Schulhof is a board- certified oral and maxillofacial surgeon as well as a physician. He is currently the president of the American Academy of Facial Cosmetics. Schulhof lectures nationally on a variety of topics, including non-invasive facial cosmetic procedures. To date, Schulhof has trained hundreds of dentists and physicians in the art of neurotoxins and facial fill- ers. You may contact him at zev. schulhof@gmail.com. About the author