Now offering Botox Cosmetics and Juvederm for Dentistry

facial estheticsDr. Baxter and Dr. Marshall have completed advanced education and training through the American Academy of Facial Esthetics ( to offer  Botox® and Juvederm® facial esthetics services as part of their clinical practice.

We excited to offer these services to our patients in the convenience of our office!  Application of these products can usually be completed in a short appointment:

Botox has been used for nearly a decade to temporarily correct years of squinting, concentrating or frowning, resulting in

  • Frown creases and wrinkles
  • Crow’s Feet
  • Vertical lines between the brows (referred to as “11”s)

 Juvederm and dermal fillers may be used underneath the skin to temporarily plump out lips, facial folds and laugh lines to create a smooth appearance.

We are also pleased to provide an additional application of Botox in dentistry –  management of symptoms associated with TMJ (Temporomandibular or “jaw” joint) disorders, including teeth grinding (bruxism), headaches, jaw tension and pain.

Treatment by Professionals You Can Trust

Dentists have an extensive understanding of the facial nerves and muscular-skeletal structure by training and in practice.  The application of Botox and dermal fillers is a wonderful compliment to cosmetic dental procedures and a practical alternative for non-surgical treatment for many patients that are struggling with TMJ disorders.

We invite you to contact us to schedule a Complimentary Consultation and learn more about these services.



April is Oral Cancer Awareness Month

Oral Cancer prevention winder GaOral and pharyngeal cancer kills roughly 1 person per hour, 24 hours a day.  The incidence of oral cancer deaths is higher than most of the cancers that we hear about, such as cervical cancer, Hodgkin’s lymphoma and skin cancer.

The death rate attributed to oral cancer is not because of difficulty in diagnosis, but rather that symptoms often go unnoticed until it is in a very advanced stage.

There have been two main causes identified as being linked to oral cancer:  1) long term use of tobacco and alcohol and 2) exposure to the HPV-16 virus (human papilloma virus version 16), which is also the most common cause of cervical cancer in women.

Warning Signs of Oral Cancer:

Oral cancer usually appears as red, white or discolored lesions, patches or lumps in or around the mouth, including the lips, gum tissue, tongue, cheek lining and roof of the mouth.   It is usually painless in the early stages, and often goes unnoticed, so screening at routine dental exams is recommended.

Call us right away if you experience:

  • Mouth sores that persist longer than two weeks
  • Pain, soreness or numbness in any area of the mouth or lips
  • Swelling, growths or lumps anywhere in or about the mouth or neck
  • White or red patches in the mouth or on the lips
  • Difficulty chewing, swallowing or persistent hoarseness

 VELscope® Oral Cancer Screening System

Our office uses the VELscope® Oral Cancer Screening System to help us detect this deadly disease. VELscope® is an oral examination system for the detection of abnormal soft tissue that can be an early warning sign of oral cancer. Using a revolutionary safe blue light technology that is completely pain-free, we are able to view different fluorescent responses that help differentiate between normal and abnormal tissue and reveal conditions that should be investigated further.


If you have questions about oral cancer and would like to learn more, please Contact Us.

Oral Cancer Foundation
 American Dental Association®

Related links:

Oral Cancer & HPV

Rebuilding Your Smile

We often see new patients in our practice that have avoided seeing the dentist for years because of fear of treatment, or, fear of the costs involved in repairing their smile.  Some are even embarrassed about the condition of their mouth.  As dental care professionals, we know it is never too late to bring health back to a smile, we just need a plan.

dental smiles in winder gaOral Health is a Priority

Having a healthy mouth is really important to the rest of your body – bacteria that cause periodontal (gum) disease have been linked as a risk factor to systemic conditions, including diabetes, respiratory illness and heart disease.  Dental infection is a very serious concern for patients undergoing cancer treatment.

We are committed to working with our patients to create solutions to help them work through challenges that stand in the way of their own oral health.

Where do I start?

If you or a loved one is struggling with broken-down teeth or an ill-fitting dental appliance, the first step is a complete dental examination with necessary xrays.  Our doctors can assess where you are today and talk with you about options and collaborate with you to build a plan that works for your schedule and your budget.

 Affording Your Smile

Addressing your dental needs now vs. later will save money in the long run.  If we can treat a tooth with a filling or a crown and avoid a root canal, that is a significant savings!

We offer low-interest, third party financing and can help you through the application process.  If you have dental insurance, we will help you get the most from your coverage.  We can also strategize on ways to phase your treatment to maintain your oral health and work within your budget.

If you have questions about rebuilding your smile, please Contact Us – we would be glad to help!

Learn more about restorative options:

Dental Implants

Restorative Dentistry

Beating Bad Breath

dental bad breath

If you or a loved one suffers from halitosis, or bad breath, it is important to know that it could be a sign of an underlying condition, and you should have it checked out by Drs. Baxter and Marshall or your physician.

What causes bad breath?

Sometimes bad breath occurs when we eat spicy foods, onions or garlic.  This is temporary, and will usually go away in 24-72 hours with good oral hygiene.

Frequent bad breath is most commonly caused by the accumulation of food debris and bacteria in the mouth.  When this is not removed with regular brushing and flossing, oral bacteria breaks down the food particles and creates waste, which produces a sulfur compound and causes an unpleasant odor. 

Periodontal (gum) disease can make it very hard to clean your mouth, and is often a contributing cause for bad breath.  If you have obvious dental problems or bleeding gums, please Contact Us to schedule a dental examination so that we can help you get your smile healthy again.

Don’t Ignore Chronic Bad Breath…

Bad breath may also be the sign of a medical disorder, such as diabetes, kidney or liver problems, sinusitis, bronchitis, gastrointestinal issues or respiratory tract infections.  Stress, diet, snoring and hormonal changes can also affect your breath. 

Smoking is harmful in so many ways, it is also a source of bad breath.  We encourage our patients to ask us for help with quitting.

Many medications and cancer treatments can cause Xerostomia (dry mouth), which reduces saliva flow and contributes to bad breath.  Drs. Baxter and Marshall or your physician may recommend artificial saliva supplements to provide relief for medication side effects.

Our doctors may refer you to a physician if they suspect that bad breath is not related to your oral condition or routine causes alone.

What you can do to prevent bad breath:

A clean, healthy mouth is the best defense – we recommend that patients brush and floss thoroughly twice a day.  The key is to completely remove any food particles from the teeth, tongue, cheeks and roof of the mouth, especially before going to bed.  Tongue scrapers are handy for cleansing the tongue surface, or gentle brushing with a toothbrush will work just fine.

Some patients also respond to a regimen of sugar free gum, mints, or special mouthwashes.  Be sure to check with our hygienists to find out which products will work best for you.  And, stay up to date on your preventive visits with us.  We can help you keep your smile and your breath fresh and healthy!

February is National Children’s Dental Health Month

Each February, dental professionals across the country work together with teachers and child caregivers to raise awareness about dental health.

If you are involved with a school,  employer, church group or community organization that would like for us to present a lecture on oral health education, please Contact UDental Health Months – we would love to help!

The American Dental Association® sponsors educational resources and information that is available to the public to help promote good dental habits and oral health education.

ADA web site

Parents and Educators, please check out these links to the American Dental Association® web site:

ADA® for Kids link

Interactive games, videos and fun dental health information for kids.

ADA® Educator Resources

Download and print coloring sheets and educational materials for your students

Dental Health Update: Have you heard about Periodontal Disease?

Periodontal Disease is an oral infection that is caused by harmful bacteria that penetrate between the teeth and the gums.  This progressive disease slowly destroys gum tissue and supportive bone in its path, and, if left untreated, can cause teeth to become loose and fall out.

For adults, periodontal disease becomes more likely than tooth decay as we age.  Brushing, flossing and regular visits to the dentist become even more important to prevent this destructive disease.

The Mouth-Body Connection

Not only is periodontal disease an oral health concern, it can be a complicating factor for other health problems, such as diabetes, heart disease or respiratory illness.  The increased bacteria and inflammation levels in the mouth are also a risk factor for expectant mothers.

Studies show that the bacteria that cause periodontal disease can actually be passed through saliva to others, making it possible to spread periodontal disease through common contact between family members and couples.

dental checkup

Drs. Baxter and Marshall and our dental hygienists continually study current ongoing research about periodontal disease to diagnose and treat this destructive problem as early as possible.  At each examination visit, we will “measure” your gums to look for early signs of infection and provide you with up-to-the-minute information on prevention of periodontal disease. Shadows between teeth on dental xrays can reveal areas of concern that are not visible to the naked eye.

Common signs of periodontal disease are bleeding and swollen gums, persistent bad breath, and gum recession.

In most cases, periodontal disease does not hurt.  If you believe that you or a loved one may have periodontal disease, please Contact Us to schedule a complete dental examination with necessary xrays and take control of your oral health.

Should I use my Dental Insurance this Year or Next Year?

Dental Insurance Baxter and MarshallDo you have dental insurance?  You may not know that most dental insurance plans “start over” on January 1st.  Meaning, that if you have a plan maximum of $1,000 or $1,500 for example, your 2011 benefits end on December 31st and you begin 2012 with a new allowance.    Many Health Flex Spending Accounts function the same way.

Why is this important to me?

If you have dental treatment needs, you may be missing out on maximizing your  coverage between now and the end of the year.  Most insurance and health flex spending plans are a “use it or lose it” benefit; the annual benefit “re-set” can actually cost you money.

Planning for your oral health

Many major dental services, such as root canals and periodontal services, can be phased.  During this time of year, we can sometimes look for ways to complete an initial phase of treatment using this year’s benefits, and follow with the next phase in the upcoming new year.

– A “this year, next year” approach allows you to get the most from your coverage and complete your treatment in a timely manner to achieve the best results.

If you have dental treatment needs, we can help you with a strategy to use your insurance coverage effectively.  Contact Us Today and take advantage of the benefits that you worked hard for!

Halloween Smiles

Happy Halloween from Drs Baxter and Marshall and Team

We want you and your family to have lots of fun this Halloween!  Here are a few tips to keep those little ghouls and goblins’ smiles healthy:

Did You Know?

Sugar-free gum and candy that contains the artificial sweeteners sorbitol and xylitol actually help reduce cavities.

Research confirms that of all factors studied, xylitol most likely inhibits the growth of Streptococcus mutans, the oral bacteria that causes tooth decay.

In addition to gum, there are a number of popular sugar-free lollipops and hard candies available; consider including these for your trick-or-treaters this year to protect those precious smiles!

Understanding the Time Factor

While we all know that eating a lot of candy is not a good idea, the frequency in which sweets are consumed also plays a big role in oral health.

Damaging acids form in the mouth every time you eat a sugary snack and continue to affect the teeth for at least 20 minutes before they are neutralized.   So, if we nibble on sweet snacks all day, our mouth is continually exposed to these acids, increasing the risk for tooth
erosion and decay.

We recommend limiting sweets and sugary snacks or combining them with meals to minimize the duration of acidic activity.  And, brushing twice a day (and always before bedtime) along with daily flossing will help you and your little ones enjoy healthy smiles all year long.

Have a Safe and Happy Halloween!


Reference: AGD

October is Breast Cancer Awareness Month

cancer awareness

Visit these sites to learn more:

American Cancer Society

Susan G. Komen for the Cure

Dental Care during Cancer Therapy

If you are preparing for cancer therapy, we want to support your treatment by making sure your mouth stays healthy. Baxter and Marshall dental care

We recommend that patients undergoing any major medical treatments see us beforehand, if possible, to ensure that there are no dental conditions that could result in a secondary infection.

– As part of this visit, we will help you develop an oral care plan with instructions and aids to help you maintain proper oral hygiene throughout your treatment.

Common Symptoms

Oral symptoms and discomfort such as dry mouth, changes in taste perception (including unpleasant taste or complete loss of taste), soreness, or difficulty in chewing or swallowing are common side effects experienced by patients undergoing cancer treatment.

– We may recommend special fluoride applications or rinses to help build up resistance to decay-causing bacteria and ease discomfort.

Home Care Tips

Keeping the mouth, tongue and gums clean is especially important during cancer treatment, when the body’s ability to fight harmful oral bacteria is compromised.

– Consistent tooth brushing after every meal and before bedtime goes a long way in reducing the risk of dental flare-ups.  If your gums are sore, soften toothbrush bristles in warm water to make brushing more comfortable.

– Gentle flossing once a day is also recommended.   During cancer therapy, avoid any areas that bleed, and report them to your doctor or dentist.

– Reduced saliva flow increases the risk for decay, so we recommend rinsing with water often to keep the mouth moist.  Sugarless gum, sugar-free candy or ice chips can also help.

– Avoid mouth rinses that contain alcohol, as this can actually dry the mouth further.

If you wear dentures, we recommend checking them for a good fit before cancer treatment begins.   During your therapy, we recommend cleaning your dentures after each meal with a antimicrobial solution (we can suggest a few).

– Remove dentures while sleeping, and also during any periods of significant mouth soreness.

If you are a health care professional or are caring for a loved one that is undergoing cancer treatment, please do not hesitate to contact us with any questions you may have about oral health care during this important time.

Visit the National Institutes for Health NIDCR web site to download a guide  Chemotherapy and Your Mouth 

Reference: National Cancer Institute,


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