Posted on 15 Apr 2015. Filed under: Oral Cancer
Tumors can develop almost anywhere in your body, and your mouth is no exception. And when they’re cancerous, it’s a huge problem. Although there are many things that could be a factor in the development of oral cancer, smoking or chewing tobacco is often a major factor. Here’s what you need to know about the various types of oral cancer.
Although technically not cancerous themselves, these two conditions are anything but benign. If a whitish patch starts to form inside your mouth, you might have leukoplakia. If a similar patch appears except it is red and raised, it might be erythroplakia. Either of these conditions can become cancerous, and so you should get them checked out by a doctor as soon as possible.
Squamous Cell Carcinoma
90% of oral cancers fall under this category. Your squamous cells are the cells that line your entire oral cavity: mouth, tongue, and lips. Therefore, this cancer affects the linings of your mouth and throat. It is not invasive until it spreads beyond the lining.
The most common oral cancer, lip cancer is usually a type of squamous cell carcinoma. It affects men much more than women. Symptoms include:
- A sore on the lip that will not heal
- A lump
- Constant or consistent pain
- White or red patches in the mouth, as mentioned above
It is important to pay attention to the symptoms, as many people originally believe them to be signs of a persistent cold or something much milder than cancer.
This is another cancer that is most often in the squamous cells. Very similar to lip cancer, this is defined by oral pain, difficulty chewing or swallowing, and a sore throat. The main difference is that the symptoms will be concentrated around the front part of your tongue. If you are experiencing pain in the back 1/3 of your tongue, it is actually not considered oral cancer, but rather head and neck cancer.
More general, mouth cancer has similar symptoms but can affect any part of the mouth. It can actually include both tongue and lip cancer.
If it is detected early enough, the best treatment is surgery to remove the cancerous growth. However, lip cancer can also be treated with radiation, chemotherapy, and drugs.
Posted on 31 Mar 2015. Filed under: Botox
Guys, welcome to the scene. Women have been using Botox for years to reduce those fine lines and wrinkles. So it’s no surprise that men are finally embracing the procedure, too.
But just when we thought the gender gap was narrowing, the use of Botox reminds us that perhaps men are from Mars and women are from Venus. While women want to turn back the clock and reduce all signs of aging with a wrinkle-free look, men are opting for a more natural, “not-overdone” look.
The term “Wall Street Wrinkle” was coined by a doctor in New York to describe the look his male patients requested. These patients primarily worked in the finance district, and wanted a less-is-more approach to their Botox treatments, choosing to wear a toned-down version of their wrinkles as battle scars. Rather than trying to reverse time, these patients just wanted to look “well rested.”
According to the American Society for Plastic Surgeons, more than 385,000 men got Botox injections last year alone, representing a 310% increase from 10 years ago. While cosmetic procedures are generally more accepted across both genders, many men are trying to level the playing field professionally.
After the economic slowdown in 2008, many men in their 40s and 50s found themselves competing with younger professionals for the same jobs. A little Botox went a long way in helping them appear younger and more confident in the eyes of hiring managers.
Some speculate male use of Botox is driven by women. Many men report that their significant other encouraged them to “get rid of that wrinkle.” Men report liking the procedure because it’s quick (Botox can be done during a lunch break.) and relatively painless. However, it’s important to keep in mind that Botox does require patients to come back every 4-6 moths to maintain their appearance, regardless of gender.
Dr. Sultan would be happy to help you find your Wall Street Wrinkle! Give our offices a call to schedule your appointment today.
Posted on 15 Mar 2015. Filed under: Sleep Apnea & Snoring
Whether you snore or sleep next to someone who does, it’s important to know that snoring can actually be a symptom of some major health issues. Most people snore on occasion, especially if they sleep on their backs, have allergies, or are particularly congested. However, of greater concern, are the undiagnosed adults who likely have sleep apnea. Sleep apnea has been associated with major health concerns, including heart disease and high blood pressure.
People with sleep apnea may stop breathing for seconds at a time as a result of a severely obstructed airway. So how can you tell if your snoring is safe, or something to be concerned about? Dr. Sultan has a few tips:
- If your partner reports that you stop breathing, and then snort or gasp for air, you could have sleep apnea.
- If people complain that you snore LOUDLY, you could have sleep apnea. Loud snoring is a good indicator that your body is working extra hard to get the oxygen it needs.
- If you are aware you snore and find yourself extremely exhausted during the day, it’s possible you have sleep apnea. Sleep apnea prevents the body from getting into the deep sleep cycle that leaves you feeling refreshed during the day. If you’re ready to curl up and take a nap anytime, anywhere, then Dr. Sultan may be able to help.
The good news for those who suffer from sleep apnea? It’s highly treatable! Sleep studies, 3-Dimensional airway analysis, and fiber optic exams of your breathing passages can help Dr. Sultan assess your condition.
A variety of treatment options exist, including non-surgical options. Two popular non-surgical options include Continuous Positive Airway Pressure (CPAP) and oral appliances. If non-surgical options are unsuccessful, there are surgical options to remove the obstructions in the airway. Dr. Sultan will work with you to find the best treatment plan possible.
Regardless of the severity of your snoring, it’s a good idea to have it evaluated. Give our offices a call to schedule an appointment today.
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!