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Design Your Mobile Website to Convert New Patients

According to marketing statistics curated by HubSpot, 27% of consumers will leave a site if it is not optimized for mobile devices. That’s why 61% of today’s companies have created mobile sites or optimized their existing sites for mobile devices.

Why does this matter for healthcare providers such as yourself?

If there’s a profession where trust matters, dentistry is it—and patients will judge a book by its cover. Landing on a mobile-optimized website while on the hunt for a dentist or in search of making an appointment will aid them and help you build the trust and credibility your team deserves with your current and potential patients.

8 Steps to Mobile Optimization

A visit to the dentist’s office isn’t the number one activity on anyone’s “joy” list. So how can you make it easier on patients from the get-go? Create a beautiful website that’s optimized for mobile and will render correctly no matter which portable device your client is using.

Nearly half of all users in one study said a non-responsive website frustrates them. It frustrates Google, as well. With an ever-changing algorithm, the search engine giant now penalizes sites that aren’t properly optimized for mobile, and there’s no sign of Google changing.

Optimizing for mobile can feel like a tall task. But when you go in prepared with what’s important, it’s well worth the effort. Here’s where to start:

Test your site. Fortunately, Google makes it easy to test whether its algorithm will treat your website as mobile-friendly. Simply drop your URL into the test site here, and Google will kick back a result for you. If you get an “Awesome! This page is mobile-friendly” notification, pat yourself on the back. But even if Google is happy, there are almost always ways to make your site even better for your customer.
Communicate your value. Within 3 to 5 seconds of landing on your mobile-optimized site, people should be able to tell who you are and what value you provide. Remind people of the value you add with a clear but catchy headline and sub-header, and don’t ignore the impact images can have on communication value.
Choose your keywords. While old “black hat” keyword hacks are long gone (at least, in our eyes), strategically using keywords on your mobile site will help your organic search results with your newly mobile-optimized website. Start by listing the terms that people are searching to find you. Not sure what they might be? Ask your visitors, and then test your keywords in Google’s Keyword Planner.
Define what conversion means to you. Pleasing clients with a clean, responsive site pays off. Mobile-optimized websites can increase your conversions by 10% or more. Setting goals around conversion requires defining what conversion means to you, whether it’s appointments booked, consultations requested, email signups, or more dental scaling machine.
Opt for clean over clever. Intuitive navigation can make or break a desktop site, and that becomes even more important when visitors are viewing the site on a much smaller screen. Opt for easy-to-read navigation menus that usher people around your site. Keep the layout simple and uncluttered, and use content headers to give visitors a bird’s eye view of all content on the page.
Make your call to action obvious. Conversion is focused on inspiring your visitors to take a specific action. Don’t make them guess what that is. Make it obvious with a call to action (CTA) button that is easy to read, easy to understand, and easy to click. (Keep those fat fingers in mind.) As a general rule, color matters, but contrast matters more. Help your CTA stand out by encasing it in a contrasting box.
Help visitors get in touch. Eight percent of people report leaving a website if contact details aren’t provided. We’d go out on a limb and say that number is likely higher. Make it easy for your potential customers and current clients to get in touch with you by making your phone number and address both prominent and clickable.
Don’t forget about forms. Need a patient to fill out a form prior to coming to the office? Whether it’s a general contact form or specific to a service you offer, don’t ignore your forms when optimizing for mobile, as well.
Making a Mobile Website Work

These general elements of a mobile website are incredibly important for making it work. But how can you customize it even more for your office?

First, add social proof. Reviews, testimonials, awards, or places you’ve been featured are all points of “social proof” that will help build trust and credibility amongst new and current visitors dental file. As you know, visitors who hear from a fellow patient whom they can relate to are more likely to book an appointment implant machine.

Next, ditch the stock photos. Clean, eye-catching photos can add value to your website. Rather than opting for the standard stock photography, though, consider arranging a photo shoot within your own office to create warmth, trust, and reliability—and give clients a glimpse at what they’ll truly be experiencing.

Third, get personal. Don’t be afraid to infuse personality into your mobile website. Further personalization can come in providing details unique to your office, such as info on the office mascot, easy-to-find hours, or where to park. Show your clients you care about their experience, and they’ll return that respect.

Use Your Online Presence to Retain More Current Patients

Today it isn’t enough to “hang a shingle,” because you’re no longer the only game in town. Years ago, there was a neighborhood dentist, and that’s where everyone in a family went. But loyalty is a thing of the past. Technology replaced it.

Dental practices that reach patients via social media and other contemporary digital marketing techniques are the ones with the full appointment calendars.

If patients don’t feel appreciated or connected with a practice, it is a lot easier for them to switch to the dentist down the street who is offering an exceptional deal on whitening that they saw on Instagram.

Like it or not, you need to stay in front of your audience. Here are just a few tips that will go a long way toward patient retention:

Use email and social media to build better, longer lasting relationships with patients outside of the two times a year you see them.
Patients know when you are sending templated emails or social media posts. They’re easy to spot. Stop sending those boring pieces of content and customize the message. Make it fun mobile dental unit!
Provide interesting facts and helpful tips, and use a lighthearted tone.
Show case studies and before and after photos.
Provide your patients the benefits of accepting a treatment, not just the features. In other words, speak their language.
Get your patients to engage with your social media pages with content they would like to see. Post about events going on in the office dental handpiece. Share photos of the doctor and staff. Ask them questions. Or, offer a contest.
It costs money to acquire patients portable dental unit. But you also hate to lose them because you’re in dentistry to help people, to see them thrive and cure what ails them. It’s not 1985 anymore. Your geographic desirability is no assurance of patient loyalty.

With over a decade of experience in corporate dental laboratory marketing and brand development, Jackie Ulasewich decided to take her passion for the dental business and marketing to the next level by founding My Dental Agency. Since starting her company, Jackie and her team have helped a wide variety of business owners all over the nation focus their message, reach their target audience, and increase their sales through effective marketing campaigns.

The FDA UDI Rule and Its Impact on Dentistry

On September 24, 2013, the Food and Drug Administration (FDA) passed the final rule for the Unique Device Identification System. By ushering in a new era of supply chain harmonization, the rule is aimed at ultimately enhancing patient safety and operational efficiencies within the entire healthcare industry. It includes three major requirements dental implant machine.

First, every medical device must be assigned a unique device identifier (UDI), and the label or package of all medical devices must include that device’s UDI in both plain text and in a format that uses automatic identification and data capture (AIDC) technology or, in other words, a barcode.

Second, the labeler or brand owner of the device must submit product information about it to the FDA’s Global Unique Device Identification Database (GUDID). Accessible online and administered by the FDA, the GUDID serves as a reference catalog for every device with an identifier.

Third, the actual device will need to be directly marked with a UDI if it is intended to be used more than once and reprocessed before each use. The FDA has allowed for a few exceptions for certain products for each of these requirements, but, for the most part, the final rule applies to the vast majority of classified medical devices.

What This Means to the Dental Profession

The FDA has issued compliance dates for medical devices to meet these requirements in a phased approach based on device risk. Class III medical devices, which include the highest-risk medical devices, had a compliance date of September 24, 2014. This was followed by a compliance date of September 24, 2015, for implantable, life-sustaining, and life-supporting devices.

Class II medical devices, which include a broad spectrum of medium-risk devices from powered wheelchairs to acupuncture needles, must be compliant by September 24 this year. Class I medical devices, which represent the lowest-risk category of products, have a compliance date of September 24, 2018.

To the FDA, the channel or market that a medical device flows through is not relevant. The FDA UDI rule applies to any medical device in any market in the United States. So, medical devices manufactured and sold in the dental industry must meet the same compliance dates and requirements as those in the traditional healthcare industry dental equipment.

Therefore, the impact on manufacturers or labelers of classified medical devices, even in the dental market, is clear. Any products manufactured and placed into commercial distribution on or after their compliance date must meet the FDA UDI final rule requirement. Many dental device manufacturers are well on their way to implementing these requirements for their products turbine air compressor.

Great Britain Imposes Sugar Levy on Soft-Drink Companies

Great Britain will impose a levy on soft-drink producers and importers based on the amount of sugar they use in their products beginning in 2018, according to George Osborne, Chancellor of the Exchequer. The government expects to raise £520 each year, which will be used to fund school athletics.

“You cannot have a long-term plan for the country unless you have a long-term plan for our children’s healthcare,” said Osborne. “A can of cola typically has 9 teaspoons of sugar in it. Some popular drinks have as many as 13. That can be more than double a child’s recommended sugar intake.”

The levy will apply to drinks with total sugar content above 5 g per 100 mL, with a higher rate for drinks with more than 8 g per 100 mL. It won’t apply to milk-based drinks or fruit juices, or to small businesses. The government expects some companies to use the next 2 years before the levy goes into effect to reformulate their products.

Already, the Robinsons brand of beverages in the United Kingdom has removed added sugar from many of its products. Retailers such as Sainsbury’s, Tesco, and the Co-op also have committed to reducing sugar across their product offerings.Are There Any Dental Procedures I Should Avoid? for more information.

“I am not prepared to look back at my time here in this Parliament, doing this job, and say to my children’s generation: I’m sorry. We knew there was a problem with sugary drinks. We knew it caused disease. But we ducked the decisions and did nothing,” Osborne said.

“Of course, some may choose to pass on the price to consumers, but that will have an impact on consumption too,” Osborne said. “We understand that tax affects behavior. So let’s tax the things we want to reduce, not the things we want to encourage.”

“This is definitely a step in the right direction. Sugary drinks are now children’s biggest source of dietary sugar,” said Mick Horton, dean of the Faculty of General Dental Practice in the United Kingdom (FGDP[UK]). “In England, 2 in 10 are obese by the time they leave primary school, and tooth extraction is a primary reason why children are admitted to the hospital.”

In 2014 and 2015, there were 462.2 tooth extractions per 100,000 children in Great Britain, or 33,871 cases, according to National Heath Service (NHS). That’s an increase over the rate in 2013 and 2014, which was 455.5 per 100,000, and 2012 and 2013, which was 445.7 per 100,000. Also, children at the lowest income levels had 5 times as many extractions as those at the highest incomes.

“We welcome the levy on soft drinks, which are a major factor in the unacceptably high levels of dental decay in children,” said Stephen Fayle, spokesman for the British Society of Pediatric Dentistry (BSPD), which noted that 16% of 12-year-olds have more than 4 sugary drinks each day.

“But we would like the levy to be the first step in an integrated campaign to eliminate childhood caries, including a national program of prevention,” Fayle said. “Dental caries in children is largely preventable, but as a society we are spending more than £30 per annum on extractions under general anesthetic.”

“While investing in school sport is laudable, there is a need to educate the public as to the dangers of a high sugar diet and the potential risks to health of childhood obesity, diabetes, and avoidable dental extractions,” said Horton.

While the FGDP(UK) and BSPD both praised the levy while adding calls for more education, industry groups protested the move dental handpiece.

“We are extremely disappointed by the government’s decision to hit the only category in the food and drink sector which has consistently reduced sugar intake in recent years, down 13.6% since 2012,” said Gavin Partington, director general of the British Soft Drinks Association, which notes that 57% of the soft drink market comprises low-calorie or zero-calorie drinks, with 5% mid-calorie, and 38% at regular levels.

“We are the only category with an ambitious plan for the years ahead. In 2015, we agreed to a calorie reduction goal of 20% by 2020,” Partington said. “By contrast, sugar and calorie intake from all other major take-home food categories is increasing, which makes the targeting of soft drinks simply absurd.”

“For nearly a year we have waited for a holistic strategy to tackle obesity. What we’ve got today instead is a piece of political theater,” said Ian Wright, CBE, director general of the Food and Drink Federation dental vibrator. “The imposition of this tax will, sadly, result in less innovation and product reformulation, and for some manufacturers is certain to cost jobs.”

“Many were expecting half-measures from the government on sugar, so today’s announcement looks like progress,” said Mick Armstrong, chair of the British Dental Association, which supports the levy. “Britain’s sugar addiction is costing the health service billions, and it’s only right the drinks companies should make a fair contribution.”

What effect has corporate dentistry had on prosthodontics practices

A: In my opinion, it has provided a model of what could work for private practices with multiple providers. The surveys show 71% of prosthodontists practiced alone in 2007, which decreased to 52% in 2013, although most practiced as either a one- or 2-doctor practice.

The other interesting point taken from the survey relates to how the percentage of respondents describing themselves as employees in their primary practice increased from 15% in 2007 and doubled to 32% in 2013. A multiprovider corporate dental practice has the potential to provide the opportunity for a prosthodontist to work in a team-oriented environment on-site. It is a trend to follow in future surveys related to prosthodontists in a private practice setting.

According to the ACP’s position statement on the topic, there is not a “clear distinction between the terms private practice and corporate dentistry.” A dental management organization (DMO) or a dental service organization (DSO) is often described in conjunction with “corporate dentistry,” which could also include professional limited liability corporations or professional corporations more typical of a prosthodontist in private practice. Larger-scale practices that may or may not be associated with either a DMO or DSO will continue to have influence on the decisions made in a private practice setting.

Q: Has there been a change in the number of female prosthodontists throughout the years? If so, what could be causing this change?

A: In our study, 18% of private practice prosthodontists today are women. This number has remained constant throughout our surveys (2007, 2010, 2013). This consistency is mirrored in the Surveys of Advanced Dental Education by the ADA, where enrollment based on gender has remained relatively constant at about 40% female every year between 2007 and 2012. A 2007 study in the Journal of Dental Education showed that between 1998 and 2006, the number of practicing female prosthodontists rose by nearly 40%.

An important factor to instigate change is the availability of mentors, specifically female mentors who can connect and inspire our next generation. It is happening, and the increasing number of women who have access to a mentor in dental school could encourage more women to move forward with a career as a prosthodontist.

The ACP has benefitted from having women in leadership positions on the board of directors. Recently, Dr Dental Chair. Lily T. Garcia served as president as well as chair for the American Dental Education Association (ADEA). ACP’s next president will be board certified prosthodontist Dr. Susan E. Brackett. Women in visible and influential leadership positions provide exposure as to what is possible, and that includes a career in prosthodontics.

Q: Finally, the study reports that the single largest source of referrals is the prosthodontist’s own patients dental implant machine. How has the Internet affected new patient generation?

As a board-certified prosthodontist in private practice in Arizona, I know firsthand how many new patients seek out my care as a prosthodontist on the recommendation of one of my patients today. Word of mouth matters in healthcare.

Search engine optimization, marketing, and public relations outreach all help patients become more informed about oral health options. In the era of the informed patient, our patients increasingly take on a larger role in learning about potential treatment options and selecting where to go for that treatment dental equipment.

The Internet, along with social media, provides the opportunity for patients to research and select a provider based on consumers’ recommendations. Patients can see and select an environment that fits prior to making an appointment to discuss options with the prosthodontist.

The Internet can help to set the tone for expectations related to the desired treatment, allowing for an informative and effective discussion while with the prosthodontist. Prosthodontists don’t fear second opinions or patient questions, and we believe that an informed patient helps improve outcomes.

Researcher Uses Lasers to Regenerate Dental Tissue

Many dentists now use lasers to cut both hard and soft tissue. But Dr. Praveen Arany at the University of Buffalo (UB) is using them to heal and even regenerate tissue. In fact, his work recently earned him the 2016 Dr. Horace Furumoto Innovations Young Investigator Award from the American Society for Laser Medicine and Surgery.

“It is a true privilege to be recognized by my peers for our work in the area of low-dose biophotonics, which has tremendous potential to transform human healthcare,” said Arany, who is an assistant professor of oral biology at UB’s School of Dental Medicine.

Very low doses of light trigger the generation of reactive oxygen species (ROS), which are chemically reactive molecules that contain oxygen. ROS can lead to aging and, possibly, cancer in large amounts. But very small amounts of ROS are necessary for functions like cell signaling and homeostasis. As amino acids sense the generation of these small amounts of ROS, the common growth factor beta is activated, producing regeneration.How Does Dementia Affect Oral Health? for more information.

“We have learned a lot about harnessing stem cells. The field appears to be poised at our ability to drive their differentiation,” said Arany. “When you direct differentiation, you get useful tissue, which is either an organ or a functional, structurally normal tissue. We find that we can do that with light.”

Arany’s research began by finding that low-level light therapy, also known as photobiomodulation, was effective in healing extraction wound sockets. Later, he and his colleagues extended their work to pulpal healing as they used light to activate the growth factor that’s naturally present in dental pulp.

“In our specific application, we were able to generate dentine from the dental pulp stem cells,” Arany said, noting that the ability to make dentine would be useful for 2 reasons.

“We would be able to use this technique in deep carious lesions close to the pulp, either indirect or direct pulp capping, and hopefully prevent the need for root canal treatment,” he said. “The other place where you would want to make dentine would be in dentine desensitization or tooth desensitization.”

Current desensitization techniques, Arany said, use an extrinsic barrier that burnishes open dental tubules or deposits heavy metal salts on them to plug them up. But these materials get abraded as patients eat and brush their teeth, binding them to a lifetime of using desensitizing toothpaste.

“So in contrast to that, if you were able to induce dentine from the inside, form an intrinsic dentinal barrier, we would be able to prevent tooth sensitivity,” Arany said. “Those are the 2 direct applications that we are in the process of hopefully converting into clinical therapy.”

These treatments wouldn’t require revolutionary new lasers, either. Many current lasers could be used in photobiomodulation simply by adjusting their wavelength and power settings.

“A lot of existing devices can be adapted with the new protocol, and they can potentially work in this space. We are actually using currently available, FDA-approved clinical devices because we want to translate quickly,” Arany said. “Nonetheless, there is a lot of opportunity, depending on the process you want to use the laser for, to develop new devices as well dental equipment.”

Arany aims to encourage the development of these techniques as president of the North American Association for Photobiomodulation Therapy, which is dedicated to the use of low-dose biophotonic treatments. The association brings together researchers, physicians, dentists, physical therapists, veterinarians, and even acupuncturists who are interested in applying these technologies and techniques to a variety of cases.

“Phototonics have come center-stage for many applications. But there are many other exciting applications with light per se, including optical imaging. There’s a lot of interest in digital dentistry and CAD/CAM imaging. There is even more excitement about pre-cancer screening and pre-carious lesions treatment with light-based diagnostics,” Arany said dental lab equipment.

“There are many other applications for light that I think will be recognized in the next few decades,” Arany said. “You’ll have light being a major tool, just like your handpieces.”

Combine Forces

It’s all about who you know. Build relationships with local orthodontists, pharmacists, and pediatricians. Ask them if you can leave brochures on their counters, and allow them the freedom to do the same at your office. Develop an understanding that you’ll refer patients to them, and they’ll refer patients to you.

You could even consider joining forces publicly. Host a community health fair. Think about sharing advertising space in a school yearbook or sponsoring a local youth sports team together. Keeping your business relationship public will make more of an impact and keep you top of mind.

Advertise Strategically on Facebook

With 700 million visitors a day, it’s crazy not to take advantage of the kind of reach Facebook provides dental supplies. But don’t cast your net too far.

Facebook allows you to get uber-specific, which is perfect because you can actually target the people who will most likely use your dental services. Structure your campaign by location, age, interests, and more relevant factors for your practice.

Just like with direct mail postcard advertising, include a strong call to action that your target audience will find difficult to resist.

Google My Business

Are you aware of this free (and easy—set it and forget it) advertising opportunity? It’s an absolute essential for any brick-and-mortar business because it helps you be found when someone is searching online for local dentists.

Listing your practice on Google My Business causes your business to list higher in local Google searches. Using Google My Business will also help your practice to show up in Google maps, Google+, and organic searches.

Not only that, but being online—and showing up at the top or near the top of a search—establishes credibility for any potential customer who’s using Google to search for dental practices.

Blog Shareable Content

A blog is a crucial component of a solid content marketing strategy to help you stay relevant and get noticed. It helps with search engine optimization for your website, and it also gives you something to share on social media.

But don’t use your blog for shameless self-promotion. Write articles on subjects that patients actually want to read about, like helpful tips implant machine. Well-written posts that are fun to read or include important information will get shared, which will get your practice noticed.

Ask for Reviews

It’s estimated that 9% to 15% of people fear the dentist so much so that they’ll avoid dental visits altogether. That means millions of people are afraid of what you do. (Don’t take it personally.)

Some of those people are going to take some serious convincing to visit the dentist. Sometimes, that convincing can’t come from you. Ask your satisfied patients to write about their positive experiences with your practice on Yelp. Also, collect testimonials to include on your website and social media pages. These can help some prospective patients take comfort in other people’s positive experiences with your practice.


It’s important to be creative in your marketing so you can always be establishing trust and credibility with potential patients and bringing them into your practice. When you’re authentic and creative with your efforts, you’ll eventually find the right mix of marketing strategies and become the most successful dentist in your area. water picker

The numbers are rising

There are more overweight people than underweight people in the world. It’s getting worse,” Mallonee said. “And what we see is that this generation of kids is going to die at a younger age than their parents if poor lifestyle habits and patterns of dietary choices continue.”Sleep Disorders? for more information.

In January, the National Maternal and Child Oral Health Resource Center at Georgetown University in collaboration with several groups including the ADA, the American Dental Hygienists’ Association, the American Academy of Pediatric Dentistry, and the Santa Fe Group were awarded hundreds of thousands of dollars by the Robert Wood Johnson Foundation to identify evidence-based approaches that can be utilized by oral health professionals in reducing childhood obesity while improving children’s oral health.

“We’re looking at childhood obesity and what we as the dental health profession can actually do to address it in our practices and how we can work together not only with the children (under age 12) who are our patients, but also with their parents,” Mallonee said.

Some nations are employing a more aggressive strategy. Mexico saw its 2013 tax on sugary beverages slash consumption by 12%. England will impose a similar levy on soft-drink producers and importers based on the amount of sugar in their products beginning in 2018. Some municipalities in the United States have considered similar approaches.

“I don’t know if taxing is the way to go, or if it’s having more programmatic support nationally as well as at the state and local level,” Mallonee said. “Perhaps putting more programs in place that promote behavior change would help individuals increase their activity levels and make healthier choices for weight control. Incentive programs in the workplace and more funding dollars for community level programs are a few examples.”

In the meanwhile, dentists can turn to research for more information, which in turn can help them communicate obesity’s risks to oral health to their patients, improving the state of their teeth as well as the rest of their bodies micro motors australia.

“There’s ample evidence-based information regarding the impact of obesity on periodontal health,” Mallonee said. “We should always provide information supported by research, so when making recommendations, turn to the literature. Relate the research regarding obesity to your patient population in simplified terms using language they can understand dental curing light. Practically apply your findings to educate and tailor recommendations on an individual patient-by-patient basis.”

On the Backend

Speaking of current, Google also prefers fresh, or at least updated, content. The underlying thinking here may be that the most recent information is more authoritative and useful.

If you’re like most dentists, you have a “fire and forget” approach to your website. You put it up, it was good, and you got back to the business of helping people and making money doing it.

It’s not uncommon for us to see dental websites that haven’t been updated in 6 years or more. When was the last time you updated your website’s content Dental Chair?

And that’s just the content side of Google’s rules. There’s also the search engine optimization (SEO) work required for your website or blog to have a fighting chance just to make it onto the first or second page of search results.

SEO is a constantly evolving field, and yesterday’s common practices can draw a penalty today. In part, that’s because “black hat” SEO providers can’t seem to keep from trying to game the system.

For instance, when keywords first became important, the black hats decided that if some keywords were good, a ton of keywords was better, and they stuffed as many keywords as possible into their clients’ website content dental implant machine.

The same goes with “backlinks” from other websites to your site. Quality backlinks are a plus, but the scammers would create bogus sites just to backlink to their clients’ sites in hopes of boosting client rankings.

It takes Google a while to catch onto the latest tricks, but once it does, it’s ruthless. Keyword stuffing draws a very heavy search results penalty today, as do bogus or spam backlinks. The result is that your website can be exiled to Internet Siberia contra angle handpiece.

Your prospective dental patients aren’t looking in Internet Siberia.

What You Need to Do

I’ve barely scratched the surface of what it takes to be found on the Internet today. Most dentists have neither the time nor the inclination to learn and follow Google’s constantly changing rules. But if you’re not playing by those rules, you’re at a huge competitive disadvantage.

Rather than trying to add several more marketing chores to your current dental specialty, why not find a reputable dental marketing provider that can offer proven results to manage your online marketing? That way, you can get back to doing what you spent a lot of money to learn to do and do it for more (and hopefully better) dental patients.

Colin Receveur is a nationally recognized dental marketing expert and speaker who has appeared as a featured speaker at Infusionsoft’s PartnerCon in Chandler, Ariz; at Capacity Academy in Nashville, Tenn; and at the Dentaltown Townie meeting in Las Vegas. He is also the author of a number of bestselling books on Internet marketing. His company, SmartBox Web Marketing, is an Infusionsoft Top 5 partner and works with more than 500 dentists on three continents to help them get more patients, more profits, and more freedom. And, his Patient Attraction System has revolutionized how dentists attract the patients they want to treat.

Lower Face Anatomy

A full command of the anatomy in any area of intended injection vastly decreases the probability of adverse events and greatly increases the injector’s confidence.

The skin of the chin is some of the thickest on the face mobile dental unit.2 Dermal thinning, which occurs most rapidly in postmenopausal women,3 may cause the skin of the chin to adopt an orange peel appearance—hence the name “peau d’orange.” This results from hypertonicity of the mentalis muscle that connects to the dermis via dense fibrous septae.

The face contains discrete fat compartments that, with age, experience volume decreases and increases in a nonuniform manner.4

Unlike the muscles of mastication, which have bidirectional boney attachments, the muscles of facial expression are connected to the overlying skin via a layer called the superficial musculo-aponeurotic system (SMAS). When a facial muscle contracts, the overlying skin moves with it dental curing light.

Vascular supply to the chin arises from two main branches of the facial artery: the inferior labial artery and the submental artery. Likewise, venous drainage is accomplished via the inferior labial vein and submental vein and ultimately to the jugular vein. Lymphatic drainage of the chin is principally to the ipsilateral submental lymph nodes.

Location of the mental foramen is somewhat variable. Anatomical studies show that in 50% of cases, the mental foramen is immediately buccal to the second bicuspid Dental Chair. In 25% it’s found between the first and second premolar, and in the remaining 25% it’s found posterior to the second premolar. The foramen’s vertical location, even in the senescent mandible, is greater than 8 mm superior to the inferior border of the mandible.5

Age-Related Changes

Aging results from intrinsic and extrinsic factors. Intrinsic factors include loss of collagen and volume loss from both fat and bone. Extrinsic factors include smoking, photodamage, and pollution.

Downturned oral commissures imply a loss of lip volume leading to an inferomedial curling of the commissure that dissolves into the marionette line. Presentation is magnified by a greater muscular pull from the depressors than the elevators of the corner of the mouth. A common complaint from patients presenting for facial rejuvenation is that their family members tell them they “look sad or annoyed.”

Genetics, loss of fat volume, skeletal remodeling, dermal thinning, and ptotic skin all contribute to marionette lines. Perimental hollows result from fat depletion, dermal thinning, and bony resorption.6

The prejowl sulcus forms a notch bilaterally on the mandibular border, located at the caudal terminus of the marionette lines. This sulcus is due to a combination of soft-tissue atrophy and bony resorption.7

A hyperactive mentalis muscle produces a pebbled and irregularly textured appearance of the chin integument. Sustained hypertonicity creates a permanent labiomental groove that is highly resistant to dermal filler treatment without concomitant treatment with neurotoxin.

Continuous observation and study of average, unattractive, and beautiful faces, both young and old, is the way to master clinical evaluation for diagnosis and treatment of patients seeking facial injectable treatment. The ability of the practitioner to detect details eluding the untrained eye is fundamental to providing clinical excellence.


Please don’t hesitate to contact me for more information about my work. I am available Mon – Sat, Sunday is a day of rest.

Email: [email protected]
Phone: 777.777.7777

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