GAP Australasian-Dentist-May June 2019

Category 56 AustrAlAsiAn Dentist in turn leads to a decreased oxygen supply to the tissues. such key intrinsic changes inhibit the ability of cells to regenerate and function properly, leading to a loss of structure, support and elasticity to the skin, as it takes on poor texture and tone. By the age of 30, optimal oxygen levels in your skin drop by 25% and are further reduced to 50% by age 40. this not only accelerates the deterioration of the skin over time, but limits the effectiveness of other skin rejuvenation therapies employed, which rely on a process of controlled wound healing to result in the production of new Collagen, elastin and other cellular components. to combat this decline in vascularisation and oxygenation, Dental Practitioners are now able to inject doses of medical-grade Carbon Dioxide (CO 2 ) in to the skin, in a procedure known as Carboxytherapy – nicknamed the “Fizz” facial, after the fact that CO 2 gas is what puts the bubbles in soft drinks. the notion of Carboxytherapy originated in the 1930’s at the royal spas of France. Patients who regularly bathed in the CO 2 -rich thermal waters displayed quicker wound healing when suffering peripheral arterial diseases, ulcers and gangrene. it was found that skin exposure to CO 2 not only improved blood circulation, but also the texture, elasticity and health of the skin. Over the last few decades, our understanding of this process and effective clinical protocols have been more precisely defined. infusing CO 2 gas just beneath the skin’s surface not only increases the local concentration of CO 2 in the tissues, but also lowers the pH. the body interprets this as an oxygen deficit and responds by increasing blood flow to the skin where haemoglobin then offloads oxygen through a physiological phenomenon known as the BOHr effect. in much the same way as the body increases blood flow and oxygenation to muscle tissue in response to periods of exercise, by increasing the concentration of CO 2 in any tissue (skin), the oxygen carrying capacity of Haemoglobin in the blood is reduced, causing it to “dump” Oxygen into the tissues, where high CO 2 is present, and uptake the CO 2 for elimination through the lungs. Growth factors, such as VeGF (Vascular endothelial Growth Factor) are then released which lead to angiogenesis, providing a surge of oxygen and nutrients to the treated area, thereby improving circulation, oxygen concentration, tissue hydration, cellular regeneration and skin quality. Additionally, the direct injection of CO 2 gas results in localised tissue distension and an inflammatory response, which activates connective tissue fibroblasts to deposit new collagen – further improving skin elasticity, texture and tone. slightly deeper injections of CO 2 in to the subcutaneous fat layer, also has the benefit of hyperdistending the adipocyte (fat cell) wall receptors, leading to the release of substances toxic to fat, such as bradykinin, histamine, serotonin and catecholamines, resulting in localised lipolysis (fat reduction). IS CO 2 SAFE & WHAT CAN IT TREAT? CO 2 is a gas that is produced by our bodies every minute of everyday through cellular metabolism and respiration, in much higher doses than are used therapeutically. in the very low concentrations used for Carboxy, CO 2 is non-allergenic, non- toxic and non-embolic, having been used for a long time for injecting inside the abdominal cavity (insufflation) during laparoscopic surgeries, as a safe way to achieve better visualization and easier access, as well as being actively injected into the blood stream for certain cardiac procedures. eachCarboxy procedure takes between 15-30 minutes, with the depth of injection and rate of flow of CO 2 dependant on the area and condition being treated. the gas the leading approach to treating dark circles under the eyes, which has been a traditionally difficult problem to improve for patients as it is primarily caused by poor blood circulation and pooling in the area, and it’s a treatment that should be used in conjunction with all other skin rejuvenation procedures to achieve the best results. Conclusion Dental Practitioners are really the only practitioners who can seamlessly manage holistic treatment plans involving a combination of intra- and extra-oral therapies. in line with this concept, of treatment planning Full dento-facial health and aesthetics, the last decade has seen Dentists moving beyond just providing Botox and Dermal Filler injections, to entire dental teams, Hygienists and OHts, now offering an extended array of services, alongside traditional dentistry, to achieve the best results. Carboxytherapy truly represents the practice of Dentistry reaching its full potential. u Carboxy Therapy for scars. Improvement seen 4 months after a single treatment. Before & After Carboxy Therapy for peri-orbital lines & dark circles under eyes General facial skin rejuvenation following a course of 10 Carboxy Sessions. Carboxy treatments are safe and effective, with minimal discomfort, side effects or downtime. is heated to body temperature and injected using a 30G, ½ or ¼ inch needle, which is attached by a tube to the machine that delivers a controlled dose of gas. the tubing is sterile and has a filter at the end to remove any trace impurities from the gas before it is injected. CO 2 is 20 times more soluble than oxygen, easily and quickly diffusing from the injection site to the surrounding tissue, being totally absorbed within 5 minutes. several treatments are required to achieve the best results, with Carboxy now becoming an extremely beneficial therapy in the treatment of scars (including acne scars); localized fat reduction; lip lines; jowls and double chins; the neck and décolletage; as well as for a general improvement in skin tone/elasticity, with a reduction in lines/wrinkles around the eyes and mouth. Carboxy has become CarboxyTherapy is taught as a part of AADFA’s “FAT” training program in 2019. Register online at www.AADFA.net or call: (03) 8692 0009 lInICal