Botox and Dermal Fillers in Oral and Maxillofacial Practice

Dr. Yuly Gertsberg has extensive training and more than three decades of hands-on experience. With his expertise in facial symmetry and structures, as well as anesthesia, Dr. Gertsberg is well-positioned to provide Botox and dermal filler treatments such as Juvederm for patients’ oral and facial surgery needs.

Botox has important clinical uses as an adjunct in TMJ and bruxism cases (teeth grinding), to retrain muscles during orthodontic therapy, facial dystonia, hemifacial spasms, facial pain, Frey’s syndrome, among others.

There are also benefits of dermal fillers such as Juvederm when used as adjunct treatments in the correction of lip incompetence, cleft lip, mandibular prognathia, as well as other procedures.

Botox is a trade name for botulinum toxin, which comes in the form of a purified protein. The mechanism of action for Botox is really quite simple. Botox is injected into the facial muscles but really it does not affect the muscle. Botulinum toxin affects and blocks the transmitters between the motor nerves that innervate the muscle. There is no loss of sensory feeling in the muscles. Once the motor nerve endings are interrupted, the muscle cannot contract. When that muscle does not contract, the dynamic motion that is believed to cause pain should will stop. The effects of Botox last for approximately three to four months, at which time the patient needs retreatment.

Oral surgeons are distinctively positioned to assist patients with their oral and maxillofacial needs using Botox and Juvederm therapies. Following four years of dental school, oral Surgeons are surgically trained in a hospital-based residency program for a minimum of four years. They train alongside medical residents in internal medicine, general surgery and anesthesiology, and spend time in otolaryngology (ear, nose and throat), plastic surgery, emergency medicine and other specialty areas. This training focuses almost completely on the bone, skin and muscle of the face, mouth and jaw. Oral and facial surgeons have knowledge and expertise that uniquely qualifies them to diagnose and treat a number of functional and esthetic conditions in this anatomical area. (Source: AAOMS).