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Could Platelet-Rich Plasma be better than Hyaluronic Acid?

Anyone who is already living and working within the field of treatments for symptomatic OA has seen the dramatic rise of platelet rich plasma as something that has shot waves across the scientific community, and this latest development has come as no surprise to many of us who have watched the journey of this new treatment with interest. Hyaluronic acid has been the accepted treatment option for many years, and while there is nothing specifically wrong with it, it has been surprising to see such a brilliant alternative come to market so quickly, and with so few side effects whatsoever. Now that another study that pitched it against platelet rich plasma has declared the latter the winner, it is hard to see how anyone can continue to demand the former.

prp vs fillers

The study was undertaken by Brian Cole of Rush University Medical Center, an institution that has been ranked number four in the nation by U.S. News & World Report. In his position as associate chairman and professor of the Department of Orthopedics, as well as chairman of the Department of Surgery at Rush (ignoring his role as the Chairman of Surgery at Rush Oak Park Hospital), he is the author of over a thousand articles and tens of textbooks in regenerative medicine. The study took 111 patients who had symptomatic unilateral knee problems, and observed them for one year as half of them were given platelet rich plasma as their treatment method, and the other have were given hyaluronic acid. There were five treatments given of each method over the year, and no one knew exactly what treatment type they were receiving.

After the year was up, all of the patients were tested for IKDC, and the scores for the platelet rich plasma group were significantly higher than the other. In fact, the paper’s reports states that, ‘significant improvements were seen in other patient-reported outcome measures’, which suggests that platelet rich plasma’s natural anti-inflammatory properties made themselves known to the patients! These findings are truly remarkable when you consider that hyaluronic acid is itself a critical substance that the body requires for permitting the bones in our bodies to glide naturally past one another. When there is not enough of this hyaluronic acid within the body, stiffness and pain is experienced by the patient, and this develops into osteoarthritis.

Our medical understanding until now has been that the only method of treatment that is likely to enjoy any success is the obvious one: to inject further amounts of hyaluronic acid into the body in order to increase the amount. Yet it is clearly not that simple. Although our naturally occurring hyaluronic acid offers our bodies these traits, it appears that bioengineered hyaluronic acid simply does not. There is something missing in our understanding of it which means that it does not create the same benefits that you would expect.

That is why many experts are now believing that the $13 billion dollar hyaluronic acid industry may be about to completely collapse in on itself. After all, now that more and more people are proving through demonstrable studies that platelet rich plasma offers a much better patient treatment rate – and better general experience – why would anyone choose to have anything else? Anyone who has osteoarthritis could see their quality of life dramatically improved by the choice of platelet rich plasma, and no more unnecessary money will be spent on a treatment that does not seem to work anything like as well. Medical professionals are now being advised to offer their patients platelet rich plasma.

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Your insurance could soon start paying for PRP injections

Regenerative medicine, or treatments that are able to revitalize a part of the body that had previously been thought to slow down or even shut down, is starting to become more and more popular across the country – and the law is following this change in medical dynamics, enabling insurance companies to engage directly with their customers about what they can claim on. We truly believe that over time, when some of these regenerative medicines are better understand, it will become standard practice for insurance companies to not only accept restorative treatments such as platelet rich plasma, but start to insist on it as the better course of action.

Test tube filled with blood for PRP procedureAthletes from a wide variety of disciplines are starting to depend on platelet rich plasma over corticosteroid injections or hyaluronic acid injections, a clear demonstration of the worth of these new emerging regenerative medicines. In fact, the Met’s Steven Matz and David Wright are just two sportspeople to recognize the validity of this relatively new treatment, and chose it for themselves. These anecdotal experiences are backed up by many of the larger scale studies that are taking place in China. One of them included 14 completely randomized trials, and went on to prove that platelet rich plasma was not only successful in treating knee problems, but was actually more efficient compared with previous treatment methods and placebos. Another recent Chinese study demonstrated that platelet rich plasma was the best source of pain relief and regain of functional movement.

There have also been plenty of trials and studies that have been performed here in the United States of America, examining whether platelet rich plasma would be useful for low back pain or LBP. In all of the studies, it was demonstrated that significant improvement was experienced by almost all patients. These studies are all starting to combine to create a picture where no one has to concern themselves with the old treatment methods now that there is something much better, that can greatly improve their quality of life without any change to their treatment type except what it is the syringe that they are injected with.

It is even being argued by some in the profession that the countless knee operations that are carried out across the country each year could dramatically be reduced in number of patients were able to access the platelet rich plasma injections early on in the injury journey, rather than suffering through second rate treatments that don’t work, and force the patient into accepting unnecessary surgery. This is a complex surgery that is often difficult to recover from – would it not be amazing if even half of the million people per year who undergo such a surgery could avoid it completely?

You may think that it is strange that, with such an easy alternative ahead of them, most patients decide to go with the less successful course of treatment rather than the platelet rich plasma – but the key thing that you have to remember is that at the moment, most insurance policies do not cover platelet rich plasma treatment. It is not yet widely understood, and that means that it is not widely accepted. When a patient is already paying a huge amount for their insurance, they do not want to have to pay again for a treatment, even if it is more likely to help them. This problem will hopefully soon be solved as more medical practitioners and then more insurance companies come to better understand that platelet rich plasma is often the best course of action for the patient.

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10 Surprising Ways Botox Can Make You Look And Feel Better

Not that long ago, people who used Botox didn’t talk about it. Now, Botox usage is an open secret. In fact, some people gladly discuss the miracles that injectables have done for them.

And today, Botox isn’t just for crow’s feet and furrowed brows. It’s for a variety of medical and cosmetic uses, including these:
botox model after treatment

  1. Dealing with acne. Botox can reduce oil production and therefore reduce breakouts. Small amounts of the product used in just the right places can do the trick. When used alongside other acne treatments, Botox is especially effective.
  1. Doing temporary facelifts. The same product that gets rid of fine lines around the eyes can shape a jawline, lift the tip of a nose and reduce forehead wrinkles for up to 3 months, providing the refreshed look previously available only from an expensive and painful facelift.
  1. Mimicking a nose job. Did you know that noses sag with age? When your nose droops, it can make your entire face look older. Botox can lift the nose and rejuvenate the face in about 10 minutes when injected at the base of the nose between the nostrils. This releases the depressor muscle that brings the nose down, making the face look younger.
  1. Softening up a harsh, wide chin and jawline. Botox can be used to shrink muscles that have widened with age and from teeth grinding to make you look younger than you thought possible. Results can last more than a year and make cheeks look lifted. This also helps reduce soreness and pain that comes from teeth grinding and clenching.
  1. Tightening up those saggy jowls. When a jawline is less defined than when you were young, some carefully placed Botox injections can lift the skin back into a youthful position, making you look indefinably crisper and sharper – that is, younger. When you look younger but people can’t tell what you’ve had done, that’s a winning situation.
  1. Raising drooping lips. While many people turn to dermal fillers for plump lips, that’s not the only way to make lips fuller. Tiny amounts of Botox injected along the border of the upper lip can cause it to roll up and out, creating the illusion of additional fullness. The outcome is more subtle than filler and is considerably less expensive since only a little of the Botox product is used.
  1. Smoothing out an aging neck. Small amounts of Botox injected just above and below the horizontal lines on the neck can cause them to temporarily ease, adding youthfulness. The skin looks smoother and therefore less impacted by age. Plus, tight neck muscles can pull down the face, causing drooping and sagging, something no one wants.
  1. Reducing migraine headaches. No one looks good when the don’t feel good, and Botox has made a real difference in migraine headaches for some people. The theory is that Botox blocks pain signals and relaxes muscles so that the head is not as sensitive to pain as it is normally. Injections can be done in the temples, scalp, forehead and elsewhere. And there are fewer downsides than with some migraine medicines.
  1. Blocking excessive sweating. No one looks good when they’re sweating either, and Botox can be used under the arm and in other locations to turn off selected sweat gland nerves. The palms of the hands can also be treated with Botox for excessive sweating. Results are quick and significant in many cases.
  1. Making hairstyles last longer. When Botox for sweating is used around the forehead area, a hairstyle can last longer because it’s less impacted by sweat and oils. Too much Botox on the forehead, however, can result in a drooping brow or eyelids, so care is necessary not to overdo it.

If you’re a medical professional and you’re interested in learning how to help your patients by offering Botox injections for medical and cosmetic purposes, visit the online course page (http://dentox.com/all-courses/botox-training/), and live course page (http://dentox.com/live-courses/). Convenient training options are available to fit every schedule.


Botox / Fillers / PRP – What Can California Dentists Learn To Do?

1. Botox esthetics and therapeutics – combine most esthetic sites for therapeutic benefits like TMD, facial pain, migraine, sialorrhea. Also assymetric smiles, gummy smiles

2. Intra-oral supra-periosteal skeletal enhancement to correct mild Class 2’s and 3’s and enhance dento-facial support

3. PRP bio-filler injection – the least expensive, least allergenic, long lasting and most profitable healing and filler materials

4. Own and administrate a medical spa offering all aesthetic treatments

botox injection instructionWhat is the dental reasoning for using Botox besides depression & migraine & TMJ?
1. Sialorrhea
2. Smile asymmetry
3. Gummy smiles
4. Masticatory muscle pain (TMD)
5. Tongue thrust
6. Angular cheilitis
Depression, migraine and pericranial muscle pain affects 50% of the population – these 3 pathologies are subspecialties on their own

What is the dental reasoning for using fillers?
1. Correction of Class 2 profile
2. Correction of class 3 profile
3. Correction of lip asymmetry
4. Correction of lip proportions
5. Correction of smile esthetics
6. Treatment for angular cheilitis in deep commissures and marionette folds

To learn these techniques and more, register for our live patient, or live/online programs here:


Sexual therapy and Botox

sexual healthFor many people, the absolute last thing that they would want anywhere near them would be a needle. It can be difficult when you need to have blood tests, and it means that donating blood is completely out of the question – but for some people, a needle may just be the answer that they are looking for. Developing research into sexual therapy has discovered that both men and women who have particular sexual difficulties could actually benefit dramatically from Botox injections. This may feel against all instincts, especially if you know that Botox is actually one of the most dangerous chemicals in the world, but that cannot change the fact that there are two areas, one masculine and one feminine, that could be greatly changed by a few Botox injections. Many people who struggle with these difficulties are often at their wit’s ends, and willing to try anything. So how can Botox aid with sexual therapy?

Firstly, you need to understand exactly what it is that Botox does. When found naturally, it is one of the strongest and most dangerous poisons that we have ever come across, and so naturally when it was first suggested that Botox could be used within the medical field, there was understandably some concerns. However, Botox usage has progressed from open heart surgery to cosmetic surgery to migraine control, and there are still many other ways that scientists and doctors believe that it can help. Just because something appears to be poisonous, that does not mean that we cannot learn to use it for our own ends in order to help our patients.

So what sexual difficulties can Botox help to treat? Well, for men Botox is currently being tested as a potential treatment for premature ejaculation. This is a condition which affects almost all men at one point or another in their lives, but though for some it is just a one off experience, for others it can become standard for all of their sexual encounters. The treatment that is being researched at the moment will involve having a Botox injection directly into the penis. This is certainly not a treatment option for the faint hearted, and there are concerns over how often and how regularly this would need to be carried out on the patient in order for this treatment to be effective – however, it is showing promising signs in trials, and only time will tell whether or not this becomes an FDA approved method of treatment.

Another aspect of Botox that is still going through FDA approval is treatment for painful sex for women, also known as vaginismus. This is a condition that we really do not understand completely; in some cases we do not even know what causes it. What happens is that the vagina and/or pelvic floor of the patient contracts uncontrollably, causing huge amounts of pain for her and making it impossible to experience normal vaginal intercourse. By administering Botox injections in the pelvic floor, it is possible to reduce and even stop completely these contractions, so that the patient can be relaxed and comfortable at all times, enjoying a normal sexual experience without any pain. Although this treatment idea is still going through the FDA’s approval process, many women have reported positive effects of the injections, and it is believed that treatment may only need to take place every few years in order to be effective.

If Botox is something that interests you and you want to learn more about it from a practitioner’s point of view, then click below: it’s the perfect way to increase your skill set, and support your patients with another level of support and care.

Online Botox Training: dentox.com/all-courses/botox-training/

Live Patient Botox Training: dentox.com/live-courses/

Join Dentox & DrPRP on 5/13 – Live Patient Botox/Fillers/PRP Training

Join Dentox this Saturday at the Hilton Garden Inn in Los Angeles for cutting edge Botox & Filler training.. which now includes the newest applications of PRP & PPP for their uses in therapeutic and cosmetic injectable treatments. Learn how to use PPP (Platelet Poor Plasma) as a filler to reduce material costs to a fraction of what they are using hyaluronic acids (like Juvederm, Restylane etc). More about the course here & here from our friends at Dr PRP.

ppp filler course

Botox injections aren’t just for wrinkles!

We all know that Botox can be used to reduce the appearance of wrinkles, to make fine lines disappear completely, and to make a person look younger – but did you know that there are plenty of other ways that Botox can improve your skin and make your face look even younger? This is the less well known side of Botox, but it is gaining popularity with every day that passes because of its easy to administer and quick results way of changing the way that a person looks. Why not read on below and discover all of the different ways that Botox could help you?


acne before and after botoxBelieve it or not, very small Botox injections in the face could actually prevent people from developing acne at all, or reduce it if this is something that you already struggle with. The way that it works is by slowing down or eventually stopping the oil production of your skin, stopping breakouts from happening in the first place. Just don’t have it all over your face, or you won’t be able to move!

Cleft lip scars for babies

Injecting Botox into the lips immediately after the restorative operation can relax the muscle and nerves, meaning that there is less scarring when it heals. This is something that is very new and is still being tested out in many areas, but the results have been truly startling, and it is believed that we could soon see a generation grow up without any discernible signs that they every had a cleft lip at all in the first place.

Pretend nose job

If you don’t like the way that your nose looks then you are not alone; several thousand people every year decide to have a nose job, but it can be a pretty lengthy recovery time, and it does not suit everyone. Instead, try out a Botox nose job. It lifts and tightens the entire nose, mimicking the effects of a nose job almost completely, and it will be done in just a few hours! You will have to have the same injection every year or so, but it will still probably end up being cheaper too.

Give you Jenner lips

If this is your style, then it can be achieved without having to go through getting lip fillers or anything far more serious. Just tiny little injections of Botox all of the way along your upper lip will roll it out and relax it slightly, so it will look larger. Just don’t go overboard, or you’ll find yourself struggling to talk, eat, and prevent yourself from drooling – so not attractive! You can also change your mind after a few months because the Botox will have worn off by then.

Prevent excess sweating

There are some people who just get really nervous, and they seem completely unable to control their sweating – and that is exactly right. Uncontrolled sweating is a problem with your glands, and Botox can help disrupt the almost continuous ‘sweat!’ signal to the brain so that the glands do not sweat so much. This can be an absolute life saver for someone who has prevented themselves from going out, getting a job, or meeting someone because they are too embarrassed about their sweating.

Who knew that Botox could do so much! It is astonishing really just how much something that is actually poison can do to benefit our bodies! If this article has intrigued you, and you have medical training in any field or area, then you are the perfect person to receive Botox training. Just click on the link below to learn more.

Online Botox Training: dentox.com/all-courses/botox-training/

Live Patient Botox Training: dentox.com/live-courses/

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