Nicholas Wangler, DDS

Thank you for you question,

First, the results you see from Botox are somewhat dependent the current size of you masseter muscles. If you have large masseters from grinding you teeth, you may see more of a decrease in their size. It will often take more than one treatment to see a reduction in size, as the muscles atrophy from lack of use. Secondly, after the Botox wears off and if you are still over using your masseters you will see them return to a large size. 

Thank you for submitting this question. 

I have been asked this by my patients. The use of BOTOX or other neuromodulators are not contraindicated during your period. The injections could feel slightly more painful, but my patients have not noticed a difference in the minimal discomfort that occurs with the injection. Injection technique will probably be a bigger factor in the amount of discomfort felt. 

While it is recommended to see your dentist on a regular schedule, it is even more important to continue seeing your dentist before a joint replacement. The bump above the implants should be evaluated by a dentist, be it the one who placed the implants, the one who placed the crowns or another new dentist of your choice. The dentist you see will determine if you need a pre-med for your appointment. 

Bone grafting at the time of extraction is a much simpler and often a less expensive procedure than trying to gain bone at a later date. On the other side, is the cost of the graft. Implants for tooth #2 can be difficult to restore and many patients do just fine without tooth #2. The decision is yours. I sure you will make the right choice. 

You can anything after whitening. You may want to stay away from foods like red wine, coffee and tea which will stain your teeth again. You may also want to avoid very cold foods, as your teeth may be sensitive to cold foods after a whitening treatment.