COM, June 29, Altamonte Springs, FL -- While mouthguards have been the traditional treatment for the grinding of teeth, recently more dentists have been turning to a product who has been utilized for removing wrinkles in popular society: Botox.
I love it," said Paxman, who drives from Brigham City to Bountiful every six months for treatment. Its as simple as that. However, the use is catching on, and a few oral surgeons now stand by it as a useful tool to fight the pain that can be experienced thanks to jaw tension. Utah law specifically is vague about how dentists can administer the drugs for anything "related to and appropriate in the practice of dentistry.
Cosmetic uses were considered off limits, according to the board.
For now, the Utah Dentist and Dental Hygienist Licensing Board is not revisiting the issue when it comes to dentists, while there is a strong lobby from the maker of the Botox company Allergan. Were cautious to change anything categorically without knowing the full ramifications. Botox is noted as a dermal filler, and Massachusetts joins 20 other states that follow similar rules.
According to the American Dental Association, the key to the decision was the interest of academics regarding the use of Botox in common practice. Loading, please wait. Rating Currently rated 5. Share this post. Comments Got something to say? Your Comment. Socialize With Us! Ready to Schedule an Appointment? Centre Dentaire Grenet.
Anyone with questions concerning subjects directly or indirectly related to these guidelines should contact the Order, at the number given. Dental amalgam, a dental restorative material that contains a mercury alloy, has been used since the early days of dentistry.
Most dentists consider amalgam harmless. It is the restorative material of choice for dentists and patients alike because of its many qualities, particularly the following:. Until the s, the only criticism surrounding the use of dental amalgam was its silver colour.
No one worried about the fact that it contained a metal alloy mixed with mercury, a substance with toxic properties. Given that it presented no danger once mixed and chemically bonded to the alloy, dental amalgam was considered innocuous.
This belief was called into question in the s, when a researcher discovered that mercury vapour could escape from the amalgam. Thus began the mercury controversy and its attendant fear campaign that proved groundless in the long run. In fact, scientists who subsequently studied the issue established that while mercury vapour emanating from amalgam is a recognized fact, the quantities thus released and to which patients are exposed are minimal and pose no health threat.
A comparison was made of mercury content in patients before and after receiving an amalgam restoration and before and after its extraction.
Botox administered by dentists
It was noted that dental amalgam did not significantly contribute to an individual's total daily mercury exposure or absorption. Another study showed that total daily mercury absorption in all its forms including from dental amalgam, food, air and water, through natural means or from human activity was 2.
The Environmental Protection Agency EPA has set the reference dose daily oral exposure likely to be without an appreciable risk of deleterious effects during a lifetime at 5.
The World Health Organization has established this level at 40 micrograms per day. This reassuring data, without trivializing mercury exposure, clearly establishes the safety of dental amalgam as currently used in modern dentistry. The Ordre des dentists du Québec supports the appropriate use of fluorides in the prevention of dental caries as one of the most successful preventive health measures in the history of health care.
The availability of fluorides from a variety of sources, however, is a current reality which the practising dentist needs to take into account in dealing with patients.
This is particularly true of children under the age of six, where exposure to more fluoride than is required simply to prevent dental caries can cause dental fluorosis. There is no evidence of any health problems being created by such exposure, but it is prudent to attempt to limit exposure to the optimal levels required for continuing dental caries protection.
Current levels of fluoride intake from all sources are difficult to establish for any given area, but the dentist should consider general intake to the extent possible in recommending fluoride supplementation. It is intended to help readers determine whether the CTO Regulations apply to their activities and if so, give more details as to meeting the regulatory requirements.
Recall frequency is patient specificbased on the individual needs of the patient. In the best interest of the oral health of the majority of patients in Quebec, a minimum of twice yearly recall is indicated. Recognize the use of pit and fissure sealants for the prevention of dental caries and the control of incipient caries limited to enamel. Since the end of the s, numerous random comparative studies have demonstrated that sealants are effective in preventing pit and fissure caries of permanent teeth.
Furthermore, longitudinal studies have demonstrated the effectiveness and safety of sealants in stopping the progression of caries in enamel.
Reduction in the prevalence of dental caries and control of caries in enamel at a minimal biological cost.
Dentists Show Growing Interest in Botox
Based on scientific evidence, pit and fissure sealants may be recommended for the prevention of dental caries and the control of caries in enamel. Their judicious and selective use must be based on caries risk assessment of each patient and each tooth by a dentist.
The dentist is also required to render a diagnosis, prepare the tooth surface, apply an adequate amount of sealant and provide the appropriate follow-up. A bibliography supporting these recommendations is available upon request at the head-office of the Ordre des dentistes du Québec.
These guidelines will be subject to periodic revision. Taking into account the information actually available today and the factors relative to accessibility to care, the Ordre des dentistes du Québec, guided by its mission of protecting the public-at-large, has developed this document.
Its purpose is to provide for and propose to Quebec dentists structured elements of information susceptible of supporting them in the pursuit of their therapeutic objectives. The general purpose of these guidelines in their application relative to the choice of sedative agents or the techniques used is based on established protocol and norms. They are to be controlled by properly trained practitioners, constraints imposed by the patient or the procedure and the probability to induce an unintentional loss of consciousness.
Professional liability remains a reality. We would, therefore, like to highlight all the ethical obligations that are applicable to everyone. They would also like to thank everyone who took the time to comment on the preliminary drafts of this document. Conscious sedation is a minimally depressed level of consciousness that allows the patient to retain control of their airways and respond appropriately to physical stimulation and verbal command.
It is produced by a pharmacological or nonpharmacological method or a combination thereof. In dentistry, conscious sedation is used to allow dental treatment to be performed with minimal physiological and psychological stress and therefore enhance patient comfort.
Conscious sedation techniques must be used in such a fashion that the loss of consciousness is avoided or in other words the patient can control the permeability of their airways and respond appropriately to physical stimulation and verbal command. Deep sedation is a controlled state of depressed consciousness accompanied by partial loss of protective reflexes, including the inability of a patient to control their airways and the inability to respond appropriately to physical stimulation and verbal command.
General anesthesia is a controlled state of unconsciousness accompanied by partial or complete loss of protective reflexes, including the inability to control one's airways or respond spontaneously to physical stimulation or verbal command. The terms "deep sedation" and "general anesthesia" apply to all techniques that depress the state of consciousness of a patient beyond that of conscious sedation and includes neuroleptanalgesia and dissociated anesthesia.
The following principles apply to all the modalities of sedation or general anesthesia when they are used by dentists. A medication can be used to induce conscious sedation. Preferably it should be administered in the dental office. The patient's level of consciousness must be controlled by clinical observation and the assessment of vital signs.
When the patient is discharged, the patient must be entrusted to a responsible adult.