مقالة علمية للدكتور علي احسان القرشي بعنوان طبيب الاسنان ليس طبيب حشوات فقط

تاريخ النشر: 09/09/2019
عدد المشاهدات: 442
تم نشر الموضوع بواسطة: اعلام قسم طب الأسنان

Facial symmetry; Facial symmetry and proportionality is preferred
- Billateral symmetry: left and right sides of the face are mirror images
- Proportionality: equally sized features

What is botox ?
Botox is one Trade name for purified protein called ‘Botulinum Toxin’
It is made from a type of bacteria called ‘’Clostridium Botulinum’’
Clostridium: is anaerobic bacterium gram positive of a large genus that includes many pathogenic species , e.g , those causing tetanus , gas gangrene , butulism , and other forms of food poising .

‘’Botulinum’’ from Latin word ‘Botullos’ which means ‘sausage’ .
Hence it is Biologic
Therapeutic effect of the BTX-A is seen within 24-72 hrs and lasts for 2-6 months .
It is maximum 8 to 16 days later .

Indications and contraindications:
Muscles are in a dynamic balance
Treatment should affect specific muscles while sparing the surrounding muscles.
The more muscles or muscle groups involved in when causing a furrow or wrinkle or when muscles have attachments (i.e. nasolabial furrows); the more difficult to paralyze selected portions of the muscles.

contraIndications:
Have an infection where BOTOX®Cosmetic will be injected (Dermal infection).
Allergic to any of ingredients in BOTOX®Cosmetic(e.g. Albumin/egg allergy).
Blood donors (can’t donate after BOTOX® for a period of time determined by the blood bank).
Underage clients (need parental consent).
Alcohol.
Any diseases that affect your nerves and cause a generalized impairment of muscle strength (i.e. myasthenia graves, Eaton-Lambert syndrome). These diseases may increase your chance of side effects with BOTOX®Cosmetic treatment.
Pregnant or planning to become pregnant soon.
Breastfeeding.

Medications:
Antibiotics used to treat infections, such as gentamicin, tobramycin, clindamycin, and lincomycin.
Treatment with A.S.A. or other non-steroidal anti-inflammatory drugs 1 week prior to Tx(patient more likely bruise or bleed).
Medicines used to treat heart rhythm problems, such as quinidine; and anti-coagulants (coumadine).
Medicines used to treat different conditions, such as myasthenia gravis or Alzheimer’s disease.
Any over-the-counter medicines or herbal products.

Recommendations for patients:
For the same day of Botox application
No exercise or sport .
No hot showers.
No massage.
No steam exposure ( bath , cocking , etc ) .
No hot food .
No facial creams .

Other uses for botox
1-Bruxism and clenching cases
2-sialorrhea
3-Masseteer hypertrophy
4-Temporalis hypertrophy
5-Hair loss
AND MORE!!