Inland Institute Oral and Maxillo-Facial Surgery

When Should I Start Getting Botox?

group of young adultsBOTOX® 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!

Walking For Those Who Crawl

baby crawlingMarch of Dimes
Premature babies are those that are born before the normal 37-week gestational period. These babies have various health issues, which can affect them over their lifetime. Sadly, some premature babies won’t make it – which is what March of Dimes aims to prevent.

What is March for Babies?
March for Babies supports the prevention and research of pre-term births through charitable walks in the month of march. The goal is to raise funds to help mothers give birth to healthy, full term babies while researching the possible causes and preventions of premature birth.

Why You Should Get Involved
Whether you’re a mother, father, kid, soon-to-be mother/father, know someone who’s been pregnant or is thinking about children – this affects you and you can make a difference. Becoming informed and learning more about premature babies is the first step.

How You Can Help
March for Babies makes it easy to help! Spread awareness about premature babies and encourage everyone around you to do the same. If you are interested in donating, rest assured that your money will go toward supporting premature babies through research into prevention and causes of premature birth.

You don’t need to donate money to help. Some other ways to contribute include:
• Getting informed by visiting the March for Babies website: https://www.marchforbabies.org/
• Raising awareness
• Walking in a local event

Donate a Homemade Hat to a Local Hospital
If you can knit or crochet and are interested in hand-making a preemie baby hat, consider donating one to a local hospital! Local hospitals are always in need of hats for babies and you can take pride in knowing that you are keeping a baby’s head warm.

Will you help us get the word out?

3D Printers and Bone Grafting

3d 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 Inland Institute - Oral & Maxillofacial Surgery Phone Number 909-982-8888.

Missing Teeth: More than Just a Gap in Your Smile

man smiling with no missing teethWhile 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 Inland Institute - Oral & Maxillofacial Surgery Phone Number 909-982-8888 to find out about this life-changing procedure.

Why do we have wisdom teeth, anyway?

woman with question mark over head

Wisdom teeth were once an extremely valuable asset to our ancestors. When a typical diet consisted of chewy plants and uncooked meat, third molars (wisdom teeth), which fit easily into our ancestors’ larger jaws, were absolutely necessary. Wisdom teeth were the evolutionary answer to the need for chewing power to combat excessive wear.

Today, our diets are not as rough as those of our ancestors. With modern marvels like forks, spoons, and knives, as well as softer food, the need for wisdom teeth is virtually nonexistent. And yet, on average, about 65% of the human population is born with wisdom teeth which usually erupt between the ages 17 and 25.

Although wisdom teeth were incredibly advantageous for our ancestors, they pose a bit of a problem for the modern mouth. Humans have evolved to have smaller jaws, and so wisdom teeth are often either too big for the jaw or the jaws themselves are just too small. Either way, third molars crowd the mouth. Because of this lack of space, molars often grow sideways, only partially emerging from the gums, or actually get trapped inside the gums and jawbone.

These impacted wisdom teeth can be chronically contaminated with bacteria associated with infection, tooth decay, inflammation, and gum disease. And because they’re so far back in the mouth or trapped underneath gums, it’s difficult and sometimes impossible to keep them clean. Even when wisdom teeth come in fully, they are so far back in the mouth that it’s just too easy for food to get trapped, leading to plaque, cavities, and gum disease.

Although wisdom teeth were very important to our ancestors, nowadays, they pose a serious problem to oral health. Call David H. Gilbert DDS, MS, MBA, FACS to find out if your wisdom teeth are ready to come out!

Oral & Oropharyngeal Cancers

Worldwide, over 550,000 new cases of Oral, Head and Neck cancer are diagnosed each year.

Oropharyngeal cancer is slightly different from oral cancer. Oropharyngeal cancers are related to HPV (Human papilloma virus) and usually occur in the tonsils or at the base of the tongue, while oral cancers are in the mouth and usually associated with tobacco use.

The Oral Cavity
The oral cavity incudes the lips, the inside lining of the lips and cheeks, the teeth, the gums, the front two-thirds of the tongue, the floor of the mouth below the tongue, and the bony roof of the mouth – also known as the hard palate.

oropharyngeal cancer cells

The Orpharynx
Behind the wisdom teeth is considered the oropharynx, which is part of the throat just behind the mouth. It also includes the base of the tongue, the soft palate (back of the mouth), the tonsils, and the side and back wall of the throat.

Categories
Oral and Oropharyngeal cancers are sorted into 3 categories: Benign (non-cancerous), harmless growths that may develop into cancer, and cancerous tumors. This is why regular check-ups with your dental professional are key to your overall well-being.

The Team Involved
The treatment of head and neck cancers does not involve just your dental team, the assistance of many different professionals contributes is required. There may be surgeons, radiation oncologists, medical oncologists, dentists, nutritionists, and speech therapists all involved in your treatment.

Oral cancers are found as late stage three and four diseases about 66% of the time.
It is very important for you to check yourself at home as well as visiting your dentist.

Call David H. Gilbert DDS, MS, MBA, FACS to schedule your routine dental check up and oral cancer screening today.

Dental Implant Success

What do you use your teeth for? Eating, drinking, speaking, laughing, the list goes on! How are these affected when you have tooth loss? If you have missing teeth, you could be missing a lot! A very reliable and safe method for replacing teeth is dental implants.

Dental implants permanently attach prosthetic teeth to small posts or “roots” that are embedded in the jaw. These posts are made of titanium, and securely fuse to the jaw bone, this helps restore the full functionality of previously missing teeth.

dental implant

Dental implants not only effectively and reliably replace missing teeth, but also help prevent the loss of jawbone density, restore the support of facial structures, and provide you with the support you need to effectively use your teeth.

The procedure for dental implants can be a quick and easy, and in some cases, can be done in a single day. Your implants become part of you, so they eliminate the discomfort of removable dentures. They also prevent the embarrassment of removing dentures at every snack or meal, as well as the need for denture adhesives.

Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain. Nearby teeth are not altered in order to support a dental implant, thus more of your own teeth are left intact, improving oral health in the long-term as well as your oral hygiene.

Dental implants are very durable, lasting several years, and if they are in good care, can last a lifetime. Don’t miss out with missing teeth, get your smile back and feel better about yourself! Here at David H. Gilbert DDS, MS, MBA, FACS we specialize in dental implants, so give us a call today at Inland Institute - Oral & Maxillofacial Surgery Phone Number 909-982-8888 to discuss your future implant success!

How are wisdom teeth removed?

Don’t be worried about your wisdom tooth extraction, let us outline the whole process for you:

Treatment Development
During late adolescence, wisdom teeth start to appear and occasionally are accompanied by oral pain, as well as an increased risk of dental issues such as pericoronitis, gum disease, and tooth decay. Through evaluation, your oral surgeon will determine the number of wisdom teeth present, as well as how they are developing in relation to the rest of your teeth. Using advanced imaging technology, an oral surgeon will discover if the teeth are partially or fully impacted, and then will create a strategic treatment plan in order to remove the teeth and ensure successful recovery.

Preparation
Although sedation is not always necessary, many patients have found anesthesia to be helpful in relaxation and reducing pain during the procedure. If sedation is chosen, there are certain preparations that must be made: patients must enlist the help of family or friends to bring them back home after their surgery.

impacted wisdom tooth diagram

The Procedure
Local anesthesia is applied to the area. Then, a surgical tool is used to reveal the bone and tooth. After the tooth is clearly visible, it is removed. Once the tooth is extracted, the gums and bone are left to heal.

Healing
Following the procedure, there may be some swelling in the tissue and cheeks near the treatment site. To promote a successful recovery, patients should avoid strenuous activity, smoking, and eating hard foods. Patients should not touch the treatment area with their tongue, or use straws, as this could potentially dislodge the developing blood clots and expose the area to food and bacteria.

Wisdom tooth extraction can be an uncomplicated procedure that ultimately will protect your long-term oral health. For more information about wisdom tooth extraction, schedule your consultation at David H. Gilbert DDS, MS, MBA, FACS today!

BOTOX Cosmetic: “The Lunchtime Procedure”

BOTOX injection time is quick; most visits only require about 10 minutes. You can schedule it during your lunch hour.

The process of aging and repeated contractions from frowning and squinting causes changes in the face, smile and even muscle movement. Skin is also affected by the elements of weather and lifestyle and sun damage plays a major role in the aging process. These processes create unwanted lines and creases in the skin.

By temporarily blocking the nerve impulses to the muscle, BOTOX injections will relax the muscles. That reduces muscle activity, temporarily smoothing out those unwanted lines.

BOXTOX before and after

Where can BOTOX help?

  • Erase those pesky frown lines between your eyebrows with injections of BOTOX into the forehead; years will be removed off your appearance.
  • To correct crow’s feet, injections are placed in the muscle around the eye causing a reduction in activity and lessening the appearance of the fine lines.

Precisely placed injections by a physician with medical expertise in facial anatomy like Dr. Gilbert will ensure full ability to smile normally and still show emotional expressions.

What to expect after being treated with BOTOX injections:

  • Recovery is minimal and you can resume your day once treatment is finished.
  • Noticeable results may been seen within 24-48 hours after being treated on frown lines, even the moderate to severe cases of frown lines. In general, most results are apparent by the 5th day.
  • You will be able to wear sunscreen and makeup after your appointment.
  • It is recommended to stay out of the sun for a few days, allowing the treated areas to heal.
  • Results typically last 3-4 months and in some cases even up to 6 months, depending on area treated, physical characteristics and style of living.
  • If you discontinue treatment, the treated areas will ultimately return to the way they were before treatment was started.

Call David H. Gilbert DDS, MS, MBA, FACS to find out if BOTOX is right for you!

5 Botox Myths

Since its FDA approval in 2000, Botox™ has become one of the the safest, effective, and well-known procedures in the world. Despite its popularity however, Botox™ has many misconceptions. Here are 5 myths about Botox™ —busted.

Myth #1: The best time to get Botox™ is when wrinkles and lines appear.

Fact: Actually, Botox™ is being used more and more frequently as a preventative treatment. It’s much more difficult to smooth lines that have been etched into the skin.

woman surprised with no wrinkle lines

Myth #2: If you stop getting Botox™, your wrinkles will get worse.

Fact: Actually, they’ll just go back to the way they were before. Botox can prevent your lines from worsening, and when you decide to stop Botox, you will just resume the normal development and deepening of wrinkles.

Myth #3: You are never too young for Botox™.

Fact: There is some truth to this.  Botox™ should definitely be used as a preventative method for people of most ages, starting in their 20s–but if you’re a teenager, you’re probably not quite ready for cosmetic procedures.

Myth #4:  Botox™ is only for wrinkles.

Fact: Actually, Botox™ has many other uses!  Botox™ injections can treat migraines by reducing muscle tension, can treat excessive sweating by temporarily blocking sweat glands, and even shrink swollen prostate glands!  Botox™ is not just cosmetic.

Myth #5: Botox is only for women.

Fact: Now that’s just plain wrong– Botox™ is for everyone! At any age, with any gender, you should be able to look the way you want to. Although Botox™ is traditionally seen as a product for women, more and more men are turning to Botox™ as a non-invasive, simple, and effective way to rejuvenate a youthful appearance.