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Dallas/Fort Worth Edition Dr. Robert A. Weinstein A Patient-Focused Practice Built on Excellence cover story Dr. Robert A. Weinstein A Patient-Focused Practice Built on Excellence By Tina Cauller PHOTO BY RAY BRYANT, BRYANT STUDIOS When Bassam hears Dr. Weinstein greet him with “Jambo!” he can hardly believe it. A sparkling grin as wide as the Zambezi breaks out as he exclaims, “You speak Swahili!” Indeed, Dr. Weinstein does speak some Swahili, and a smattering of 30 other languages, which he uses to welcome patients from around the world. He is fluent in Spanish, French, German and Korean. “Making an effort to welcome someone in their native language is a very reassuring act,” explains Dr. Weinstein. “From our first words, patients sense that they are valued and respected here. It makes an immediate connection and brings a new level of comfort.” Dr. Weinstein’s remarkable multilingualism isn’t the only surprise awaiting patients in this unique practice. Although he is an accomplished oral and maxillofacial surgeon with more than three decades of experience and an exceptional range of expertise, you won’t find him on a pedestal of self-importance. To the contrary — in his practice, the patient is treated like visiting royalty. As honored guests, Dr. Weinstein’s Dr. Robert A. Weinstein strives to provide patients with the best possible care from both a patients are lavished with personal attensurgical and a personal standpoint. tion and given the opportunity to choose from a menu of options that will enhance their experience. “We practice what I call ‘distraction dentistry.’ It’s human nature — no one likes the feeling of relinquishing control. It makes us feel vulnerable and anxious. We counter that natural reaction by offering choices to our patients, giving them some sense that they are in the driver’s seat.” Before their procedure, patients receive a “menu” that allows them to choose from an array of brightly colored, flavored gloves, and select a DVD to watch. After their procedure, they can enjoy a soothing milkshake, made on the spot in the flavor of their choice. “We are committed to a patient-focused practice built on excellence. Providing excellent patient care means recognizing that each person is a richly complex individual who deserves our undivided attention. Listening to any concerns they might have about their medical problems, their procedure, what to expect during recovery, how it may impact their work, their family or their future health is critically important to their overall care.” It’s easy to tell that Dr. Weinstein appreciates and enjoys people. In fact, he has accumulated a wealth of experiences with people in his global travels and delights in sharing his passionate interest in culture and human nature. D r. We i n s t e i n g r a du at e d f rom DALLAS/FORT WORTH DOCTOR OF DENTISTRY Dr. Weinstein believes in “distraction dentistry,” where patients are lavished with personal attention and given the opportunity to choose from a menu of options that will enhance their experience. The “menu” allows patients to choose from an array of brightly colored, flavored gloves, select a DVD to watch and order a soothing milkshake, made on the spot following their procedure. Northwestern University Dental School in Chicago and completed a four-year residency in oral and maxillofacial surgery at Loyola University and Affiliated Hospitals, then earned a master’s degree in addition to his specialty and anesthesia training. When his intensely focused training was complete, an undeniable desire for adventure set in. He left the landlocked Midwest and began making his way through the Caribbean on a 40-foot sailboat, touring the Bahamas and Caribbean Islands as far south as Venezuela. His presence in the islands quickly landed him an unofficial position as the local dentist. “Islanders are incredibly friendly,” he recalls. “The boat wasn’t moored for long before word would get around that I was an oral surgeon. Residents would come to my boat and ask for help with their teeth, sometimes in an emergency. Late one night, a man brought his wife to see me. She had been suffering with a painful tooth, which, PHOTOS BY RAY BRYANT, BRYANT STUDIOS Dr. Weinstein and his staff are committed to a patient-focused practice built on excellence. Providing excellent patient care means recognizing that each person is a richly complex individual who deserves our undivided attention. DALLAS/FORT WORTH DOCTOR OF DENTISTRY PHOTO BY RAY BRYANT, BRYANT STUDIOS A private consultation, which Dr. Weinstein believes is critically important to the patient’s overall care, allows him to listen to any concerns the patient might have about their treatment, recovery and the impact on their work, family or future health. I explained, had to be extracted. They were so grateful, he stayed up all night to bake two loaves of bread and delivered them to my boat the next morning.” After 15 months, Dr. Weinstein returned to the mainland and spent 16 years as senior partner in a group specialty practice in Denver and chaired the department of dentistry for a large local hospital. During that time, he served as president of two dental societies and lectured each year at the Metro Denver Dental Society annual meeting. He also lectured throughout the U.S. and other countries on dental implants. REPLACING MISSING TEETH Dental implants have been in use for a long time. Primitive implants made of bone and shell have even been found in Egyptian mummies and ancient Mayans. At first, it was believed that these had been used to replace missing teeth after death, but later studies of the surrounding bone proved that they were placed prior to death. Modern titanium implants were first introduced in Sweden in the mid-1960s, after Per-Ingvar Brånemark’s studies of the mechanisms of bone healing serendipitously revealed that implanted titanium fused to the bone, a phenomenon he called “osseointegration.” Dr. Weinstein successfully performed his first dental implant procedure in 1969. When two companies set out to bring European implants to the U.S. in the 1970s, Dr. Weinstein and a handful of other dentists were asked to evaluate the systems. He worked with Dr. Axel Kirsch, a renowned German innovator, and established a reputation as a leader in oral implantology DALLAS/FORT WORTH DOCTOR OF DENTISTRY in the U.S. The first implants were met with skepticism by the conventional dental profession, but that soon changed. “In time, dental implants became so successful that, by 1982, even the most reluctant skeptics began asking me questions about performing implant procedures,” Dr. Weinstein remembers. Dr. Weinstein was among the first specialists to become a Fellow of the American Academy of Implant Dentistry, and since those early days has performed thousands of implant procedures and has lectured and taught around the world on the topic of dental implants. OPTIMIZING IMPLANT SUCCESS WITH EXPERIENCE AND TECHNOLOGY Today’s highly refined dental implants have a 95-97% success rate, with more than 40 years of highly documented research. Fixed restorations, such as bridges, last from 3 to 25 years, with an average of 12 years. Refining the implants themselves has been just one aspect of improving their performance. “Experience is a key factor in implant success,” notes Dr. Weinstein. “Our experience has resulted in significant refinements in technique and in our understanding of the role of the supporting bone. Most patients with missing teeth have experienced some bone loss because bone atrophies in the area of the missing tooth. Rather than simply placing implants in whatever bone remains, we now understand that placement is most successful when supporting bone is in the proper position. If it is not, then the procedure must be staged, using bone grafting to replace bone where it is needed to securely hold the implant and ensure long-term success. PHOTOS COURTESY OF DR. ROBERT WEINSTEIN Example of a 3-D CT scan of #17 and #32 areas to determine nerve position. “Methods of bone regeneration have become much more sophisticated, so we can regrow bone where it is needed to securely support the implant. With the restoration of adequate bone, the implant can withstand the forces of chewing in a more natural way, which minimizes the risk of failure. “Patient selection is another crucial consideration. It’s essential to look at the patient’s complete health history. Smokers, uncontrolled diabetics or heavy bruxers are not good candidates for dental implants.” Advances in bone grafting have played an enormous role in improving the success of dental implants, but a recent development in computerized imaging technology has initiated a second revolution in implantology. New volumetric CT imaging enables the clinician to visualize the area in three dimensions, dramatically enhancing diagnostic planning for implant placement. These three-dimensional images enable clinicians to analyze bone density and structure, nerve location and tooth orientation, and plan implant placement with extreme accuracy. With this information, the clinician can visualize the area and determine whether the bone volume, density and location are sufficient or if bone augmentation will be required. It also facilitates selection of the most suitable implant prior to surgery, which helps ensure a good outcome. “The CT gives information that is not possible with a simple two-dimension radiograph,” notes Dr. Weinstein. “Bone quality may look good on a pano but prove to be less dense or calcified than ideal on CT. Three-dimensional imaging also helps identify and locate vital anatomical structures and nerves so as to affect the least complications and the best results.” In addition, better diagnostic tools are being joined by high-tech solutions to long-standing challenges in the field of implantology. Platelet-rich plasma, autologous bone grafting and bone morphogenic protein have each contributed to the advancement of the procedure’s success and expanded the number of patients who can be helped with dental implants. Dr. Weinstein has taken the initiative to stay current with all of these new developments and continually utilizes them to As an oral and maxillofacial surgeon, Dr. Weinstein has received four years of specialty training in medicine, general surgery, anesthesia, otolaryngology, plastic surgery and physical diagnosis. His training focused specifically on the jaws, face and mouth. As a result of this highly specialized training, he is licensed and well prepared to perform procedures that are commonly performed by plastic surgeons, including reconstructive surgery of the nose and orbits of the eye, cleft palate and facial aesthetic surgery. He has trained extensively with leading cosmetic surgeons around the country. His advanced training in anesthesia and expertise in pain control allow him to provide comfortable, convenient and safe care in an outpatient setting. Cutting-edge technology is present everywhere in Dr. Weinstein’s practice and has been central to his introduction of facial cosmetic surgery services. He is currently the only oral and maxillofacial surgeon in Texas, Oklahoma, Louisiana or Arkansas to own and offer the Fraxel SR1500 laser, which provides a safe, noninvasive method for treating fine lines and wrinkles, acne scarring and other aging skin conditions. Conventional full laser resurfacing uses an Erbium YAG or CO2 laser, and is associated with two to three months of intense redness and a lengthy downtime, as well as a risk of pain and infection. By comparison, the Fraxel laser ablates thousands of microscopic targets at a time, instead of targeting the entire area. This results in a dramatic immediate effect with minimal downtime. Most patients experience only a mild sunburn-like effect with slightly dry skin that lasts four or five days. The effects of the Fraxel laser treatment continue to progress as natural healing occurs and new collagen, elastin and skin cell growth are stimulated. The results, simply put, are amazing. Dr. Weinstein offers a number of nonsurgical cosmetic procedures, including the minimally invasive “mini-facelift” known as Silhouette facial threadlifting, Botox treatment, laser hair removal, dermal fillers, microdermabrasion, mesotherapy, facial spider vein therapy and FotoFacial. He has acquired five different lasers, each with specific capabilities that allow him to offer a wide range of cosmetic treatment. He also performs a wide range of cosmetic facial surgery procedures including blepharoplasty, genioplasty, jaw surgery, facial liposuction, Diamond Wire wrinkle correction and VeraFil lip augmentation. Dr. Weinstein is the first in Texas to offer VeraFil lip augmentation, which uses soft, flexible saline-filled implants to provide long-lasting, natural looking and feeling volume without injections or repeated cycles of treatment. After being positioned, the implants are precisely filled to the correct volume through a self-sealing valve. The minimally invasive procedure takes about 30 minutes and produces no visible scars. The Kevlarsided silicone sacs encourage tissue to integrate into the Kevlar material so the implant Heather Rangel, LSO, performing a Fraxel laser treatment. cannot be felt, even by the patient. VeraFil is completely removable if necessary. PHOTO ©JAY YOUNG PHOTOGRAPHY Cutting-Edge Cosmetic Procedures DALLAS/FORT WORTH DOCTOR OF DENTISTRY PHOTO COURTESY OF DR. ROBERT WEINSTEIN Dr. William Starck recently joined the team at Texas Wisdom Teeth and Dental Implants, allowing the practice to provide same-day emergency care and convenient access to care at both office locations. Dr. Starck is a board-certified oral and maxillofacial surgeon with 15 years of experience. Robert A. Weinstein, D.D.S., M.S., has practiced over 30 years in the specialty of oral and maxillofacial surgery, having gained extensive expertise in dental alveolar surgery, particularly in wisdom teeth removal, dental implants, general anesthesia, IV sedation, TMJ, facial trauma, bone cysts, preparation for dentures, chin augmentation and reduction, orthognathic surgery, oral pathology, reconstructive and cosmetic jaw surgery. Dr. Weinstein has also received extensive education and training in minimally invasive facial cosmetic surgery. Dr. Weinstein is an accredited member of: • American Association of Oral and Maxillofacial Surgeons - Fellow • American Academy of Implant Dentistry - Fellow • International College of Oral Implantology - Fellow • American Dental Association • American Dental Society of Anesthesiology • Rocky Mountain Society of Oral and Maxillofacial Surgeons • American College of Oral Maxillofacial Surgeons • American Academy of Anti-Aging Medicine • American Academy of Cosmetic Surgery • American College of Stomatologic Surgeons - charter member • Dallas County Dental Society • Dallas Dental Implant Study Club • Metro Dallas Dental Society Dr. Weinstein has lectured extensively on surgical procedures, case management and dental implantology in various regions of the United States, as well as internationally. He is a published author in professional journals and has held licenses to practice in Illinois, Colorado, Texas, Guam, the Commonwealth of Northern Mariana Islands and Jamaica. He is still drawn to travel and to the sea, where he enjoys sailing, scuba diving and spending time with his family. DALLAS/FORT WORTH DOCTOR OF DENTISTRY enhance his treatment armamentarium. The volumetric CT can also be beneficial in planning wisdom tooth extraction, particularly if the tooth is impacted in the lower jaw. In certain cases, there is a risk of trauma to the nerve near the impacted tooth, which can result in paresthesia. Accurately visualizing the nerve and other anatomical structures in the area prior to the procedure can help avoid such complications ADDING TO EXPERTISE AND CONVENIENCE Since its inception, Dr. Weinstein’s practice has grown and now occupies two locations. In keeping with his commitment to excellent, attentive patient care, Dr. Weinstein was recently joined by an associate, Dr. William Starck. This enables the practice to provide same-day emergency care and convenient access to care in both locations. Dr. Starck is a board-certified oral and maxillofacial surgeon with 15 years of experience. Dr. Weinstein and Dr. Starck have a highly trained and qualified staff ready to help make DALLAS/FORT WORTH DOCTOR OF DENTISTRY PHOTO COURTESY OF DR. ROBERT WEINSTEIN Dr. Weinstein and his family at the recent graduation of his son, Joshua, from Southwestern University. One daughter, Soonja, is not pictured because she is overseas serving our country in uniform as a rescue diver. each patient’s experience pleasant and comfortable. The maxillofacial surgical assistants, aestheticians and professional office personnel are committed to providing the best care possible. Each member of the clinical staff has been trained and certified in basic life support, advanced cardiac life support, infection control and sterilization technique, as well as dental radiography. There are staff members who speak English, Spanish, Korean, Japanese, Russian and Farsi. Drs. Weinstein and Starck are now state-accredited PACE providers, hosting continuing education courses to referring dentists at no cost on wisdom tooth extraction, implants, Botox, ACLS and CPR recertification. According to Dr. Weinstein, “Texas dentists are licensed to provide Botox injections and dermal fillers. Cosmetic procedures are also expanding into the offices of all kinds of physicians. But in my opinion, a trained dentist is better equipped to perform these procedures than a trained gynecologist, dermatologist, ENT, ophthalmologist or general surgeon. A general dentist is specially trained in the anatomy of the face. In addition, they are particularly attuned to the demands of cosmetic procedures because they typically have an eye for minute aesthetic details. Also, dentists are especially adept at injections because injectable medications are a routine part of day-to-day dentistry. These skills translate well to the realm of cosmetic procedures.” Dr. Weinstein himself takes approximately five times the required number of course hours for continuing education each year, maintaining his commitment to a position at the leading edge of the latest oral DALLAS/FORT WORTH DOCTOR OF DENTISTRY and maxillofacial surgery procedures. He is trained and accredited in 10 different implant systems. As a dedicated member of the global and local community, Dr. Weinstein makes two mission trips to Mexico each year and provides care through Jewish Family Services in Dallas. Dr. Weinstein’s patients often reward him for his exceptional commitment by telling friends and family about the special attention they received while in his care. Referring dentists are confident in the acuity and fineness of his surgical technique, but also understand that each patient’s positive experience builds confidence in the referring dentist. “I try to provide patients with the best possible care from both a surgical and a personal standpoint,” he notes. “When I am honored by a visit from a member of a patient’s or referring dentist’s family, I know I have done my job well.” For more information on Dr. Weinstein, call (972) 960-1111 or visit www.texaswisdom.com or www.cosmeticyouth.com. ■ DENTAL IMPLANTS www.texaswisdom.com 14856 Preston Road #104 Dallas, TX 75254 (972) 960-1111 www.cosmeticyouth.com 7750 N. MacArthur Blvd # 115 Las Colinas, TX 75063 (972) 869-2525