Posted on 28 Feb 2015. Filed under: Uncategorized
When your orthodontist is trying to move your teeth, he also needs to work with the laws of physics. If you start to pull on the teeth, there’s a chance that they will slide the wrong way—especially if you are just trying to close a gap or move a single tooth. In these situations, what is an oral surgeon to do? Dr. Leslie H. Sultan has a solution: skeletal anchorage surgery.
When Do You Need This Surgery?
Skeletal anchorage surgery is needed when there are large gaps in the teeth or bite. For example, if your son has an open bite due to sucking his thumb, he might need this surgery to fix it. Or if you have deeply impacted molars, this could be the solution. After consulting with Dr. Sultan, he will be able to tell you if this is a viable solution for whatever oral problem you are facing.
What Does It Entail?
Essentially, a tiny screw is placed in the jaw to be used as an anchor. This keeps the other teeth in place, while a series of plates and springs helps move the teeth that need to be adjusted. While this might sound painful, it is no more uncomfortable than normal braces. Dr. Sultan is a professional who makes the situation as comfortable as possible for you. The screw is so small that, while you will be numbed during installation, you feel no pain as it is placed, and there is surprisingly no pain while the screw is in your mouth.
Prevention is the Best Cure
Of course, the best part about these tiny anchors is that they prevent a variety of other serious treatments. Why worry about embarrassing and uncomfortable headgear, extra years of braces, or even tooth extraction or jaw surgery when you can use skeletal anchors to fix the problems in just a few short months.
Talk with your orthodontist and Dr. Leslie Sultan about what this surgery can do for you. It can probably help you get a nice, new smile, free of gaps and full of charm.
Posted on 7 Feb 2015. Filed under: Uncategorized
Below is my address in its entirety. The title of my speech “Inspirational Wisdom for the New Graduate” was written to inspire my fellow alumni with references from my experience, humorous anecdotes and spiritual pearls.
I hope that at least the essence of my thoughts help those who seek challenge, intellectual adventure and are able to overcome emotional and physical hardship.
Leslie H. Sultan, BS 1980, DDS 1985
To all the distinguished faculty, staff, friends, family and graduates in attendance:
Thank you very much for allowing me the honor and privilege of speaking to you today, the graduating class of 2014 at the University at Albany.
I am here today, having joined a select group of giants in industry, billionaire entrepaneurs, nobel laureates and famous celebrities in hopes of inspiring you: the new graduate.
Although I am certainly none of the above, I am here to tell you a story, actually my own story, with my own pearls of wisdom thrown in.
Pearl #1: Try to gleam at least one pearl from today and incorporate it in your daily life.
The last time I took to the stage here at SUNY, as we were once called, was to emcee the Albany student telethon back in 1980. Unfortunately, I am told this tradition is no more. The annual student telethon took place every march and raised money for a local children’s school. Months of preparation culminated in a 24 hour show of shows. A major production, really. Even after giving many presentations over the years, I will always remember my first…. given in the campus center.
Yesterday I took a walking tour around campus, awakening many old memories I thought I had forgotten. There are so many stories to tell, although some not in public. As we passed through each building, I began remembering names and faces, along with my personal anecdotes. It’s unfortunate that many of you could not have experienced many of the fine professors I had the privilege of knowing. But suffice it to say that the university at Albany has grown to a major institution of higher learning that I am extremely proud to have been a part of.
So let me suggest that our lives are productions, much like movies. And as a rocker from the 70’s once sang, dream that you are in a Hollywood movie, and you are the star of that movie. You are not only the star, but the producer and director as well. The screenplay has been written, different subplots have been developed, and possible endings are in place. Our lives have been cast, and it’s up to us as to how we play the parts of our Hollywood hit.
The chapter of my screenplay regarding my Albany experience was instrumental in molding me, my personality and my vision.
i began as a shy insecure freshman from a middle class family in Brooklyn. I came to college the goal of being a “doctor.” What the word doctor meant I had absolutely no idea. I began as a premed, starting off my academic curriculum with biology, chemistry, calculus and physics.
I was first housed on Indian quad, and then migrated to Dutch, and finally off campus. I have great memories of campus life, whether it was in the library, on and off the tennis court, and of course podiating.
This time honored tradition, I am proud to say, began during my undergrad years in Albany. The term has even made it into the urban dictionary. To podiate, it is defined is to sit on the academic podium at SUNY Albany relaxing or chilling when you are supposed to be in class, or whenever. Fountain Day and National Podiate Day eventually developed. I understand it is also called Hap Day, for happy apathetic people day.
We all looked forward to the throw of the first Frisbee, the turning on of the fountains. People we had not seen all winter, hiding in the wind tunnels finally came out to play. It brought us all a little bit closer.
Sadly, I struggled academically through my freshman year, my confidence waned and I became frustrated. I dropped calculus and was failing physics. I worried; would I make it through the next 4 years?
It was then I met and befriended my first educational mentor, who was there to listen, inspire and guide me.
So, pearl #2: Choose a mentor, even though you may not think you need one.
I chose chemistry as a major after my first semester of organic with Dr. Shelton Bank. The subject matter, although immensely confusing at first, seemed to just make sense.
I’m glad to see that Dr. Bank has been honored for all the education and guidance he has given to so many chemistry students. There is a story about Dr. Bank that I must share. Every year, he and his family invited his undergrad and grad students to a picnic at his home. It was about a week prior to finals. I was worried enough about the organic chem final exam, let alone trying to rub shoulders with the professor. During the student faculty volley ball game, as luck would have it, I fractured my tibia going for a spike. There goes my final exam, there goes my grade! Dr. Bank, being the gentleman that he was, gave me a two week period of healing and offered me a take home final. Fortunately I passed his course and I hope earned his respect. I will never forget his graciousness and professionalism for what he did.
Back in the 70’s at SUNY, slide rules were slowly being replaced with handheld calculators.
Windows 8 and Mac maverick operating systems were not around. Basic, Fortran and punch cards were. I spent many a night hand writing those weekly 20 page p-chem lab reports. But I was proud to sport my “honk if you passed p-chem, honk twice if you got an a” bumper sticker. Yes, I was a chemistry nerd.
Disco and Saturday Night Fever hit the airwaves. Bruce Springsteen and the Grateful Dead now completed with Donna Summer and the Bee Gees on the campus radio station WCDB. Even a former student government president became famous as the doorman at Studio 54, true story, eloquently characterized in the cartoon strip Doonesbury. We had the first toga parties reminiscent of animal house.
I volunteered as a research assistant under the tutelage of Dr. Henry Kuivila, and eventually had my name added to my first paper in the journal of organic chemistry. I began to train my mind to think like a computer utilizing algorithms to guide my thoughts.
Vast memorization of organic molecules helped train my mind to think three dimensionally.
Little did I realize, but some of my undergraduate research, utilizing mass spectrometry, and then nuclear magnetic resonance, would become the precursor of magnetic resonance imaging, a modality that I utilize frequently with my patients. I am proud to say that I took part, even though immensely small, in development of that groundbreaking technology.
Let’s skip a few pages of script.
I eventually graduated with honors in chemistry, and chose to pursue a PhD in organometallic chemistry at another institution.
I decided to take not the MCAT or the Dat Butthe GRE. At first I thought of studying biopharmacology, but Dr. Kuivila advised, emphatically, no, you must study pure chemistry. I then chose to become a PhD in organometallics, as he had done. A different type of doctor, to my parent’s chagrin. They just didn’t understand. Just what did a chemistry doctor does, they asked. Unfortunately, it was difficult to explain to them. As the only member of my family to make it past high school, their preconceived notions played into my decisions.
Maybe it was fear of the unknown, comfort in what I already knew, or lack of confidence in making my own choices, I chose this path.
Pearl #3: Set your own goals, not someone else’s. Be focused and never stop, whether things are good or bad.
It’s not that I regret making the choices I did. That subplot in my life had already been written in stone.
After one year, my interest in pure research and playing with organic solvents waned. Truthfully, I had more fun at the football games of this big 8 school than in the research lab!
I really didn’t know what I wanted out of life. I was following an undetermined path with no direction.
For a short while, I worked part time for a pharmaceutical research lab synthesizing the precursors of the skin care product Retin-a. A girlfriend with self -admitted psychic powers told me at the time “Les, you will definitely reach your goals, but it will not come easy”. Well, she was correct. I quit my job soon after, and gave notice of giving up a full scholarship and teaching assistantship at Penn state.
It was then I met another mentor who guided me towards another path in healthcare. And fast forward a few more years, I chose to attend and graduate from dental school at the University of Maryland, by the way the oldest dental school in the world, eventually specializing in oral and maxillofacial surgery.
I have since expanded the envelope of my training and experience to utilize computer guidance and virtual planning for surgery in reconstruction of the face, mouth and jaws. My ability to visualize objects in 3 dimensions, taking them apart and then rebuilding them all began from my roots of playing with my framework molecular models, the chemist’s pick-up stix of its day. Very similar to the German chemist Kekule as he dreamt of the structure of the benzene ring (most likely during a mind altering experience), I attempt to develop ways, for example, of rebuilding a face fractured into many segments. I now live in Fort Lauderdale, FL, far from the snow squawls of the Albany winters. I am in private practice, but also teach residents and peers in surgical technique. After all, the true meaning of the word doctor is “to educate”.
I now realize I have come full circle from my rudimentary beginnings in organic chemistry.
So now comes my time to reflect on my story and extract those pearls that I feel would be most helpful for a new graduate.
I can honestly say that I truly love what I do. I have had many choices in life, and feel I have chosen wisely in my career path.
Pearl #5: love what you do, and just as important, who you are with. Once again, another classic rocker to inspire us all.
Surround yourself with people and things that inspire you to be a better person. And if you have not found your chosen path or companion, never give up searching, and don’t settle.
Pearl #6: Understand the difference between idealism and realism. Be the best you can be; it may not be the same as being the best there is.
Learn your strengths as well as weaknesses; test your limitations and gradually push the envelope.
Challenge makes you grow, habituation is stagnation.
There are so many pearls, so little time. So I will paraphrase from a few of my life mentors:
Let the insight of Dale Carnegie guide you to win friends and influence people………….
Let the tenacity of Donald Trump empower you to dream big, plan bigger and kick you know what……….
Knowledge is power!! Exclamation point!
Be passionate in achieving your goals. Set your goals and constantly re-evaluate them.
From a personal note……never let stress overtake your goals in life.
Life must hold a spiritual balance.
A balance between our health; our relationships and our financial stability.
I learned this all too well in recent past.
I was originally scheduled to give this address last year. However, I was delayed, as I was diagnosed and treated for prostate cancer a little over 13 months ago. I truly believe that stress played a major role in my disease process.
Life hit me like a brick and I was not prepared for what was to come.
My diagnosis was devastating, my treatment was long and fraught with complications. My recovery was slow and painful. I lost my confidence, my mojo.
I didn’t follow my own pearls.
Looking back on the last year, fortunately now being healthy, cancer free and enjoying a new lease on life, I have had time to reflect on my life and project where I will be for my next 50+ years.
- I now understand the implications of stress on my health
- I don’t sweat the small stuff
- I don’t worry about criticism. It is truly a compliment in disguise.
- I think before I speak, meaning I try not to react
- I take joy in doing a great job, and am passionate in my work
- I surround myself with positive people and truly enjoy them
- I focus on solutions, not problems
- I don’t dwell on negative thoughts
- I stay happy…and stay foolish
- I am mentally tough and don’t give up
Lastly, life is full of challenges. Go out of your comfort zone and take chances in life.
Trust your gut.
Remember Tom Cruise in “Risky Business”….
You should never have to say “what if”. Say “why not”…..
This positive attitude will help you grow physically, emotionally and spiritually.
These pearls are the best of all, as they will assure you a balance in your life.
And as this commencement is a new beginning, I hope that my pearls help guide you along your new path.
I wish all of you the best that life has to offer.
Posted on 31 Jan 2015. Filed under: Bone Grafting
There are many situations that can destroy or alter your facial bones. A facial injury or even missing teeth can cause the bones of the face to lose the strength to support facial contour. In some cases, patients who could benefit from dental implants may not be able to get treatment because of insufficient bone quality and quantity in the face.
The solution is bone grafting. Here’s how it works.
What is a bone grafting procedure?
A bone graft is often recommended by Dr. Sultan for patients who have problems related to their bones or joints. Along with a bone tissue transplant, bone grafting can help fix bones that have been damaged due to trauma, joint problems, or the growing of bone around implants.
What are the types of bone grafts?
There are two common types of bone grafting: the allograft and the autograft. In an allograft, bone is taken from a cadaver or a deceased donor and is cleaned and stored in a tissue bank. Allografts are usually used for knee, hip, or long bone reconstruction. This method in bone grafting is advantageous because it doesn’t require additional surgery on the patient’s end to acquire the bone, minimizing additional risk of infection.
An autograft is created from the bone inside the patient’s own body. This can be taken from the hips or the ribs.
Bone grafting in Fort Lauderdale
Have your facial bones repaired by the best oral and maxillofacial surgeon in town. Request an appointment with Dr. Sultan today by calling us at 954-771-8772. We look forward to hearing from you!
Posted on 15 Jan 2015. Filed under: Orthognathic Surgery
Orthognathic surgery, or corrective jaw surgery, is done by your oral and maxillofacial surgeon to treat various irregularities in your jaws and teeth. The surgery improves jaw alignment, speaking, chewing, breathing, and bite issues. Although some people choose the surgery as a cosmetic treatment to improve the appearance of the jaw area, it is usually performed by Dr. Sultan to improve and correct functional problems.
Do you have to get your jaw corrected?
There are many conditions that can merit corrective jaw surgery, including the following:
- Difficulty in swallowing, chewing, or biting food
- Excessive tooth wear
- Headaches or pain in the jaw or jaw joint that has persisted for years
- A space exists between the upper and lower teeth when the mouth is closed, also known as an “open bite”
- Facial injury due to trauma
- Unproportioned facial features, either from the front or side
- Significant problems in appearance, such as a protruding jaw or a receding chin or lower jaw
- Genetic or birth defects
- Chronic breathing through the mouth
- Having to strain to have your lips meet
- Sleep apnea, which is characterized by snoring or other problems in breathing during sleep
During your first meeting with Dr. Sultan
Dr. Sultan will determine if you are a good candidate for the procedure during your initial consultation. However, know that the course of your treatment could take years to achieve the results that you and your surgeon desire.
If you have experienced any of the conditions mentioned above, consider orthognathic surgery today. Call us today at 954-771-8772 to request a consultation with renowned oral and maxillofacial surgeon Dr. Sultan.
Posted on 31 Dec 2014. Filed under: Cheek Implants
Hollowed cheeks are a sign of aging and can give your face a very sick and old look. It can rob you of your beauty and make you look older than you really are. However, there is no need to worry; there are treatments available for this problem.
The primary reason for this hollowing is old age. With the passage of time, we lose the fat reserves that once made the cheeks look full and plump. This results in the formation of these unsightly pits in the cheeks.
In the olden days, there was not much you could do to solve this problem, but nowadays there are a numbers of options that can be used to reverse the sinking and recover the plumpness of your cheeks. Cheek implant surgery is among those options. It is a perfectly safe procedure and can help you in getting the full cheeks you one had during your youth.
At Sultan Center for Oral Facial Surgery, we will perform your cheek implant surgery with complete precision and care, making sure that you get the desired results. We use the most advanced materials in performing the procedure, so there is no change of contour irregularity in your cheek implants. While the procedure is performed, you will be under general anesthesia, so there will be no pain. The surgery involves making small incisions at suitable sites on the face. Then, the implant is inserted into the cheeks through these incisions.
At our clinic, this cheek implant procedure is offered on an outpatient basis, meaning that you can go home on the same day of the surgery. After the surgery, full recovery might take up to a week. But no fear—you will be able to resume your daily activities within a few days of undergoing the procedure.
Whether you are looking to return your youthful and plump cheeks, or simply want a change in appearance, you should come to our clinic and talk to our specialists about a cheek implant surgery. After talking with us, you can make an education decision on if and how to enhance your facial appearance. We assure you that you will not regret this decision.
Posted on 15 Dec 2014. Filed under: Dental Implants
What do people see when they first look at you? Chances are that one of the first features they notice is your smile—and your teeth can make or break that first impression. If you want to dazzle those around you, you need white and shining teeth, while if you have yellow and mismatching teeth, people might be scared off by your ugly-looking smile. Perhaps the worst-case scenario for your smiling in missing teeth. Not only does your mouth look horrible, but if you are missing teeth it is also difficult to eat or even speak.
The most obvious cause of loosing teeth is improper oral health care. Not brushing or flossing your teeth regularly can lead to infections—and then to tooth loss. It is very important to take these simple precautions, as tooth damage and loss is very hard to reverse. But there is a way to effectively repair your smile long term: dental implants.
Dental implants look exactly like real teeth. They can help you in filling in your mouth with a complete set of teeth, returning your smile to its original, charming state.
At Sultan Center for Oral Facial Surgery, we offer you the best dental implants available. Not only are the implants top quality, but we perform the procedure with extreme care and finesse. You will not experience any kind of discomfort or pain during the surgery. In addition, it is an outpatient procedure, so you will be able to go home immediately after the surgery is completed.
After a day or two, you will be allowed to resume your regular activities. However, full recovery might can take up to a full week. No matter how long your recovery is, you will see immediate results from the procedure. Because the doctor is essentially inserting fake teeth into your mouth, your smile instantly looks like new. You will notice the physical and visual effects of your new smile right away.
If your smile is marred by missing teeth or teeth infections, you are probably experience a myriad of discomforts, whether physical or social. But getting dental implants through our clinic can solve all those problems! Come in and talk to us about your available options today, and get your charming smile back.
Posted on 30 Nov 2014. Filed under: Surgical Root Canal
Do You Need an Apicoectomy?
The nerve of the tooth can become inflamed due to trauma or severe decay. This inflammation is irreversible and at times leads to death of the tooth root. A root canal procedure is usually done to correct this condition. However, some root canals fail later on. This is when Dr. Sultan recommends apicoectomy for his patients in Pompano and Fort Lauderdale.
What is an apicoectomy?
Apicoectomy, also known as surgical root canal, is a procedure that removes the apex or the tip of the root together with the infected tissue. The end of the root is then sealed with a filling made of either cement or silver.
When do you need an apicoectomy?
Root canal therapy may fail due to residual infection in the root of the tooth, cyst formation, root fracture, or the presence of unfilled canals. When a previous root canal is not successful, apicoectomy may be performed by Dr. Sultan.
How do I prepare for an apicoectomy?
You will have a consultation with Dr. Sultan to determine if you need an apicoectomy. He will also take x-rays and provide you with antibiotics, anti-inflammatory medications, and mouth rinses as part of your preparation for the procedure.
During your consultation with Dr. Sultan, make sure to inform him if you have high blood pressure or if you have encountered any problems with epinephrine. The local anesthetic used during your apicoectomy has more epinephrine than what is used for dental filling placement. Extra epinephrine in the anesthetic constricts blood vessels to minimize bleeding in the treated area in order for Dr. Sultan to have a better view of the tooth root.
Find out if you need a surgical root canal. Call us today at 954-771-8772 to schedule a consultation with Dr. Sultan. We look forward to hearing from you!
Posted on 15 Nov 2014. Filed under: Sleep Apnea & Snoring
The whole business of sleep is mysterious to most people. There is far more going on than you realize. And one thing that could be happening is sleep apnea. While it seems realitively harmless, it can, in fact, be very dangerous. If you think you may suffer from sleep apnea, based on the observations of others, or if you know someone who has been snoring like a freight train lately, read on.
Do you have sleep apnea?
There are two types of sleep apnea: obstructive and central. The former is more common and occurs when the throat muscles relax; the latter occurs when there is an obstruction in the signals from the brain to the breathing muscles. It may be hard to detect if you have sleep apnea, but if you suspect you do, Dr. Sultan recommends you ask someone to observe you as you sleep. You may be suffering from this condition if you:
- Seem too sleepy, even in the daytime
- Snore loudly. This is a more prominent symptom in patients with obstructive sleep apnea.
- Experience episodes where your breathing ceases while you sleep
- Experience headaches in the morning
- Are frequently awakened abruptly due to shortness of breath, an indication of central sleep apnea
- Are frequently awakened with a sore throat or dry mouth
- Have trouble focusing your attention
- Find it difficult to stay asleep, a condition known as insomnia
Snoring and Sleep Apnea Treatment in Ft. Lauderdale, FL
If you have the above symptoms, or if you have noticed them in your partner, consult a medical professional right away. Heavy snoring is easily shrugged off and seen as normal, but it wouldn’t hurt to visit your doc for a checkup. Give us a call today at 954-771-8772 to book an appointment with Dr. Sultan and know if you are suffering from sleep apnea.
Posted on 15 Oct 2014. Filed under: Oral Cancer
Oral cancer is among the least of the things we would want to experience, yet anyone can be at risk of having the disease. It is an unusual growth of cysts, tumors, or soreness in the mouth that just does not disappear. This medical condition can be life-threatening especially if undiagnosed or not properly treated during its early stages.
The question is: are you at risk for oral cancer? Know if you are at risk for oral cancer and seek immediate treatment here at Dr. Sultan’s oral surgery practice in Fort Lauderdale.
According to a research done by the American Cancer Society, males have a higher risk for developing oral cancer than females. Men who are 50 years old and above tend to have the greatest risk.
Smoking is a habit that triggers a wide variety of medical conditions – including oral cancer. Researchers have found out that people who are frequently exposed to cigarettes and pipes are six times more likely to develop oral cancer than those who do not smoke.
Even those who do not smoke tobacco but take in quite a hefty amount of it through chewing, dipping, or snuffing, are a whopping 50 times more likely to get cancers of the gums, cheek, and lining of the lips.
Too much consumption of alcohol can get you in trouble and lead to oral cancer. Individuals who excessively drink alcohol are six times more likely to acquire the condition than those who do not drink alcoholic beverages.
However, it is important to note that about 25% of those who develop oral cancer are not males, do not smoke, and do not drink alcohol excessively. Thus, it is important to talk with an oral cancer expert and undergo routine evaluation in case there are changes within your oral cavity. Call us today at 954-771-8772 to request a consultation with Dr. Sultan and learn more about how you can stay away from oral cancer.
Posted on 30 Sep 2014. Filed under: TMJ Replacement
The temporomandibular joint (TMJ) is an important part of the body and has essential functions. However, when it has been compromised and has started to cause you pain, then TMJ replacement surgery by Dr. Sultan might be a good option for you to consider.
Good Candidates for TMJ replacement
Most of the time, a TMJ disorder comes with chronic symptoms, such as pain and jaw dysfunction, which can affect your quality of life. A TMJ replacement will not only provide pain relief, but will also restore the lost functional properties of the joint. It is a serious surgery that must be thoroughly assessed and reconsidered.
This type of surgery is frequently recommended for patients who are experiencing the following conditions:
- Different arthritic conditions
- Functional deformity
- Resorbed or degenerated joints that are characterized by severe anatomic discrepancies
- Joints that have been under multiple operations
- Joints that have been in failed revision procedures
- Avascular necrosis
- Developmental abnormality
- Benign neoplasms
Contraindications for TMJ Replacement
Some conditions may prevent you from having TMJ replacement.
- An active or a chronic infection
- A systemic disease that makes one susceptible to infection
- Extensive perforations in the mandibular fossa or any bony parts in the TMJ area that may severely compromise the placement of the artificial fossa
- Allergic reactions to any of the components used during the operation
- Severe hyperfunctional habits such as teeth grinding or clenching
- Partial TMJ reconstruction
- Mental or neurological conditions that may sabotage the success of the operation
TMJ Surgery and Replacement in Ft. Lauderdale, FL
Request a consultation with Dr. Sultan to find out if you are a good candidate for a TMJ replacement procedure. Call us today at 954-771-8772 to book an appointment with Dr. Sultan.