Dermal FillersLeawood, KS
Dermal fillers can make a person appear more youthful, and they cost a lot less than a traditional facelift. Fillers can be used to address a variety of cosmetic issues like wrinkles, lines, and hollows but recently it’s been proven to be beneficial in several dental related problems like “black triangles” and angular cheilitis. The results can last for over a year. Dermal fillers can also be used to plump and volumize the jawline decreasing deep marionette lines which cause recurrent sore and cracked corners of the mouth. It has also been reported that Hyaluronic Acid (a type of dermal filler) shows osteoinductive properties, which is useful for treatment of periodontal disease. Other beneficial effects have also been seen for the treatment of recurrent apthous ulcer, for treating gingival lesions, and promote healing in extraction socket.
Common types of dermal fillers
The most common Dermal Fillers are used to address cosmetic issues and the signs of aging but its use in dentistry is becoming more mainstream.
Types of Dermal Fillers out on the market:
Hyaluronic acid: This chemical is naturally present in the connective tissues of a person’s skin and can be used to fill up wrinkles and fine lines. This filler type can also be used to augment a person’s lips and give them more volume. This is the type of Dermal Filler we use here at Dr. Laura’s Orthodontics.
Calcium hydroxylapatite: This type of filler is often used to restore volume in a person’s cheeks, eliminate skin folds, and address deep wrinkles. It can also be used to contour the jawline. Calcium hydroxylapatite fillers tend to last longer than those containing hyaluronic acids – up to three years.
Fat injections: A dermatologist might also decide to remove fat from one part of a patient’s body and use it to fill up another part. The fat is typically extracted with liposuction and injected into the area that needs more volume. The effects of this type of filler can be permanent, but it usually requires multiple injections and overfilling the area to make up for the body reabsorbing fat.
Permanent soft tissue fillers: These are often used for deep wrinkles around the mouth. Because this filler can’t be absorbed by the body, patients can see more permanent results. This filler type is generally not recommended for those who are getting fillers for the first time.
Poly-L-lactic acid fillers: This type of filler is great for people with HIV who have localized fat tissue loss as a symptom. These fillers are used to make up for the lost tissue, and the effects can last a couple of years.
How we use dermal fillers in our office:
Fixing those dark areas between the teeth at the gumline. Interdental papilla construction, especially in the esthetic area, is one of the most challenging tasks. These “black triangles” can occur due to several reasons as a consequence of periodontal surgery, periodontal disease, gum recession or trauma. Hyaluronic acid (HA) is used to treat these areas. HA is a glycosaminoglycan molecule with anti-inflammatory, anti-edematous properties on periodontal tissues invaded by submicrobial flora. Hyaluronic acid is a natural component of many soft tissues, it enhances wound healing and accelerates periodontal repair and regeneration. It shows growth factor interaction, regulates osmotic pressure, and enhances tissue lubrication, which helps in maintaining the structural and homeostatic integrity of tissues, hence resulting in beneficial effect on lost interdental papilla.
Hyaluronic acid was found to have extensive actions in various periodontal therapies such as topically applied in subgingival regions reduces microbial activity, bone regeneration in deep periodontal bony defects, guided bone regeneration, nonsurgical treatment of peri-implantitis pockets, peri-implant maintenance of immediately placed implants, and gingival augmentation in mucogingival surgery. HA may act as a scaffold for other molecules such as Bone morphogenic protien-2 and platelet derived growth factor-BB, used in guided bone regeneration techniques and tissue engineering research. HA when applied to patients with chronic periodontitis showed reduction in bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment level, and hence, can be used as an adjunct to scaling and root planning.
Dermal Fillers can also be used for recurrent angular cheilitis (inflammation of the corners of the mouth). Inflammation at the corner of the mouth is known by several names as angular cheilitis, angular chelosis, angular stomatitis, commissural cheilitis, and perleche. “Cheil” is a Greek word for lip and suffix “itis” indicates inflammation. Angular cheilitis is a clinical diagnosis of the lesion affecting the angle of the mouth where both skin and mucosa may be affected and is characterized by maceration, erythema, and crust formation. It can also appear as erythema of the skin contiguous with vermilion border. It can appear as unilateral or bilateral lesions.
Using Hyaluronic Acid to decrease the depth of the marionette lines around the lips decreases the recurrence of angular cheilitis and as a side effect gives a more youthful appearance to your mouth.
What to expect when getting dermal fillers
Getting dermal fillers is a straightforward process. The doctor will typically numb the site of injection with a numbing agent, then inject the filler into the problematic area. The entire procedure usually takes less than an hour unless fat fillers are being used. The patient might experience some soreness for a couple of days, but that quickly goes away. The area that was worked on will feel like it normally does within a few days. With fillers, the patient gets instant results. Find out more about our dermal filler services and about how we can help you get your youthful look back.
Request an appointment here: https://drlaurasortho.com or call Dr. Laura's Orthodontics at (913) 971-4159 for an appointment in our Leawood office.
Contraindications for dermal filler are patients with known allergy to hyaluronic acid, patients with poor plaque control.(≥20% O'Leary plaque index), medically compromised patients, pregnant and lactating women, history of smoking, who had received a crown or pontic on one or both teeth involved in the interproximal space, interproximal spaces next to teeth that included root grooves, furcations, Miller's tooth mobility index >18, open contacts, probing depths >3 mm, and radiographic evidence of pathology, with translocated or tilted teeth, and who had undergone papillary regeneration procedures in the area selected previously.
The majority of adverse reactions from dermal filers are mild and transient, such as bruising and trauma-related edema. Serious adverse events are rare, and most are avoidable with proper planning and technique.
Hyaluronic acid: Hope of light to black triangles. Jyotsana Tanwar and Shital A. Hungund
J Int Soc Prev Community Dent. 2016 Sep-Oct; 6(5): 497–500. Published online 2016 Oct 24. doi: 10.4103/2231-0762.192948 PMCID: PMC5109867 PMID: 27891319
Hyaluronic acid dermal fillers in the management of recurrent angular cheilitis: a case report.
Br Dent J 225, 217 (2018). https://doi.org/10.1038/sj.bdj.2018.678
Angular cheilitis: A clinical and microbial study.
Indian J Dent Res. 2017 Nov-Dec;28(6):661-665. doi: 10.4103/ijdr.IJDR_668_16. Oza N1, Doshi JJ2
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