Minimizing COVID-19 Risk With Nitrous Oxide (Laughing Gas) Delivery

For information concerning the Silhouette, you can reach Dr. Guyette at [email protected]

The Silhouette System is a paradigm shift in how Nitrous Oxide is delivered. It is designed to be more comfortable for patients while providing incredible access for doctors performing dental treatment. Silhouette is a single use system which greatly decreases escaping gas that is known to transmit the SARS-CoV-2 virus.

The following videos are from our 2015 FLIR Silhouette Nitrous Oxide study. The first video below shows the typical nasal cannula at 4 L/m (2 L/m O2 and 2 L/m N20). The thermal cloud is Nitrous Oxide visualized in real time. One might extrapolate that this also reflects potential viral aerosolization.

The next video again uses thermal imaging with the same flow rate and gas mixture connected to standard scavenging. There is minimal gas leakage. Head movement shows no increase in escaping gas. This may reduce risk of viral exposure when delivering only oxygen.


We are currently evaluating the silhouette system to minimize the potential for virus dissemination in view of the COVID-19 pandemic. Please contact me with any comments or questions. You can find out more information about the silhouette system by clicking on the following link or by contacting me directly:  www.porterinstrument.com/silhouette

Meet Your Facial Expert

Meet Your Facial Expert | Guyette Facial and Oral Surgery, Scottsdale, AZ

The Guyette Facial & Oral Surgery offices in Scottsdale and Avondale, Arizona are the country’s leading experts in facial and oral surgery. Board certified with over 25 years of experience, including 13 consecutive years voted Top Dentist.

Did you know that not everyone who offers microneedling, Botox or Dysport injections, laser hair removal, and a variety of Medi-Spa options is an MD? Or that even fewer of them are board certified? When you’re addressing facial issues and concerns, you deserve the very best. Dr. Robert Guyette is both an MD and DMD, which gives patients not only peace of mind but the absolute best experience, skills, and expertise from virtually every facial procedure from mouth reconstruction  to facelifts.

Time to Face the Facts

When your facial expert is trained as both a dentist and a board certified oral maxillofacial surgeon, you take advantage of his unique experience and training. Dr. Guyette is the inventor of the Silhouette Nitrous Oxide Mask, a revolutionary nitrous oxide nasal mask that makes procedures smoother and more comfortable for patients. Nearly invisible, it offers unprecedented access to a number of oral and facial procedures. With dual doctoral degrees, it’s only natural that some of the best oral and facial inventions are born out of this degree of passion and experience.

Have you ever visited a dentist and been referred to someone else for a facial procedure? Have you wondered if the person administering your facial filler is experienced, had proper training, or are facial experts equipped to handle any situation? Dr. Guyette doesn’t delegate any of our procedures, including dermal fillers and Botox and/or Dysport, to someone else. He performs them himself, so patients enjoy comfort and security.

Our top doctors have the training and experience you need whether you’re preparing for an All-on-4 dental procedure, a facelift to restore self-confidence and a youthful appearance, or removing a mole or  lesion. They perform all injections personally and work with patients to achieve the best and safest results.

It’s easy to put your best face forward when you have Arizona’s premium oral and facial surgeons on your side. Don’t trust just anyone with your face. It’s the first thing people notice about you, from your winning smile to that youthful glow. Guyette Facial and Oral Surgery is your facial expert team. Contact us now for a consultation – 480-657-7065.

Our New Site is Live: Take a Look!

Our New Site is Live | Guyette Facial & Oral Surgery, Scottsdale, Arizona

Have you visited our new Guyette Facial & Oral Surgery website? With offices in both Scottsdale and Avondale, Arizona, Dr. Robert Guyette, and Dr. Mark Beehner now have a third place where you can connect with the team, find out more about procedures, book Medi-Spa appointments, and peruse our impressive gallery of before and after photos.

Follow the Guyette blog for updates on dental hygiene including tips for best practices at home. Did you know it’s actually better to floss before you brush? Keeping up with current hygiene best practices is the best way to tackle preventable issues in between appointments. You can also keep abreast of the latest oral surgery procedures, like All-on-4 dental implants that usually don’t require any wait time—unlike standard dental implants that can take weeks between the first and second appointment.

Our blog with highlight the latest Medi-Spa treatments available from chemical peels to microneedling. You’ll be the first to find out about special offers and when new procedures are added to the roster. Ever wondered what the difference between Dysport and Botox are, or why a facial expert is the best professional to handle a facelift? The blog gives you the inside scoop.

Take a Look Around

We’ve already been Arizona’s premier maxillofacial and facial cosmetic surgery choice for more than 26 years. Both Drs. Guyette and Beehner are board certified oral and maxillofacial surgeons and dentists, with MDs and DMD/DDS degrees, who have committed themselves to improving the lives of patients. For 13 lucky (alright, well-deserved) years, we’ve been voted Best Dentist in Arizona, but there’s so much more to Guyette’s than standard dental and oral surgery proceedings.

We specialize in improving both the form and function of the face. With a holistic approach to both health and aesthetics, a variety of treatment options are available. If you’re new to Guyette’s approach, our new site offers a sneak peek at our state of the art facilities in both Arizona locations. Discover the difference a compassionate staff can make. Check out our patient testimonials and gain a deeper understanding of the life-changing procedures available from a patient’s perspective.

At Guyette Facial & Oral Surgery, we understand how important facial expertise can be. So, what do you think? Is our new and improved website changing what you think dentistry coupled with facial and oral surgery should be? We’re the same dependable, cutting-edge dental and facial experts you’ve trusted for decades, but we have to admit a virtual makeover looks and feels pretty good.

Take a look around, book an appointment online, and sign up for our blog for the latest news and updates. Our amazing transformations are always being updated, and it revolutionizes what many people expect from a dental and facial specialist.

We adore our new look, and would love to know what you think about it – please call 480-657-7065 for a consultation.

Life Lessons from a Legend

Life Lessons from a Legend | Guyette Facial & Oral Surgery, Scottsdale

I could write a book about all I learned from former UCLA coach John Wooden. Although he died 6 years ago at the age of 99, his example continues to positively influence people from all walks of life. Most recently, Coach Wooden was featured in a cover story in Success Magazine.

I consider the time I spent with him and our correspondence as one of the highlights of my life. His example, the interest he took in me and his philosophy of life contributed to my success as a husband, father, surgeon, business owner, teammate, and friend. And although we all called him Coach, he wasn’t even really my coach.

A Phone Call

As a 17-year-old high school student, I was recruited to play college basketball. By my senior year, I had narrowed the list to 4 schools and finally selected the University of Kentucky. On a Friday afternoon in the spring of 1971, I called Coach Adolph Rupp and let him know that I had decided to attend Kentucky. The very next morning, Coach Wooden called for the first time and said that he had heard I had not yet signed and invited me to visit UCLA. The week before that call he had won the 6th of his record 10 NCAA championships.

I told Coach Wooden that although I would have loved to visit UCLA, I had committed to Kentucky and couldn’t change my mind. He said that he understood and congratulated me on my decision and had great things to say about the Kentucky program and Coach Rupp. But, instead of ending the conversation right then, he proceeded to spend an hour and a half talking about what to expect in college, what to be wary of and what to seek out. He also spent a lot of time talking about how to be successful both in basketball and in life.

The game

The next time I saw Coach Wooden was 4 years later, the day before our Kentucky team played UCLA for the national championship. Although closely contested, his UCLA team beat us 92-85 in the 1975 NCAA national championship game, the last game he would coach.

The lessons

Some of the many maxims (Woodenism’s) that I have incorporated into my life include the following:

“Success comes from knowing that you did your best to become the best that you are capable of becoming.”

When my basketball career ended, I attended dental school. In order to enhance and expand my knowledge base even more, I decided to also get a medical degree. Training in both dentistry and medicine opened many doors and allowed me to expand the scope of my practice and make an impact upon the Facial and Oral Surgery world that I am blessed to call home. I am constantly learning and encouraging others on our team and myself to continuously strive to be the best that we can be. This philosophy has greatly contributed to our success, professionally and personally, as well as individually and as a team.

“Be quick but not in a hurry.”

Although this was one of Coach Wooden’s favorite sayings when coaching his teams, I often use this quote with my surgery team. When I speak of “quick”, I usually exchange the word “focused”. Performing surgery requires 100% focus from all team members. Complete focus promotes excellence while being in a hurry promotes mistakes.

“It is the little details that are vital. Little things performed correctly make big things happen.”

I remind myself and my team of this every day. By focusing on continually examining and improving our systems, we are able to accomplish big things for our patients every day. We rely on each other in every way to ensure that our patients’ experience is world class. Empowering our people to impact patient service, patient communication and systems has resulted in consistent superior service.

“Be more concerned with your character than your reputation because your character is what you really are and your reputation is what others think you are.”

At the end of the day, your character is what you face in the mirror. The path of great character is not always the most financially rewarding or easiest but it makes us who we really are. Surrounding myself with people of high character who are not afraid to make the unpopular decision for the right reasons contribute to our long-term success.

The list goes on and on. Fortunately, I had the opportunity to formally thank Coach Wooden for sharing his wisdom with me. 25 years later, my oldest son was invited to play at a high school basketball camp at UCLA. Coach Wooden invited me and my 2 oldest sons to spend the afternoon with him at his home. He got to know my sons and imparted much of the same wisdom that he shared with me so many years before. His stories engaged us all.

Coach Wooden was truly a man of great character both on and off the basketball court. Although he never coached me in basketball, his life mentorship affected me more than he ever knew. I can only guess at the number of people who he affected in the same way. You don’t have to go any further than Coach Wooden to find a true example of how to live a good and successful life.

Robert Guyette, MD, DMD

Top Dentist 2014

Top Dentist 2014 | Guyette Facial & Oral Surgery, Scottsdale

For the 12th year in a row, Dr. Robert Guyette, M.D., D.M.D. was voted as one of the Top Dentists by Phoenix Magazine. How are the dentists chosen? Every spring, Phoenix Magazine mails out 1,600 surveys to randomly selected dentists throughout the valley. The survey asks the dentists whom they deem the best in each of the nine specialties. The surveys get tallied by Phoenix Magazine and Phoenix magazine obtains the dentist information from the Arizona State Board of Dental Examiners. Phoenix Magazine does not give any preference to dentists who advertise in their publication. The Top Dentists are determined purely based on the number of votes the dentist receives. With the exception of the five randomly chosen dentists that are profiled in the magazine, the dentists have no advance knowledge of whether they have made the list.

It is truly an honor each year to find out that Dr. Guyette is chosen as a Top Dentist by his colleagues.

Give our office a call to schedule your time to meet with Dr. Guyette and find out why he is chosen year after year as one of Phoenix’s Top Dentists. At the Guyette Facial & Oral Surgery Center, we specialize in Dental Implants, Teeth in a Day, Oral Surgery, Facelifts, Eyelid Surgery and so much more.

Do you know how Dr. Robert Guyette became fluent in the Spanish language?

Do you know how Dr. Robert Guyette Speaks Spanish | Guyette Surgery

In 1975, at the young age of 22 and after finishing his career with the University of Kentucky, Dr. Guyette was drafted by the NBA as well as the ABA. Instead of playing basketball in the United States, he accepted the offer to play professional basketball for the premier basketball team of the Spanish league, the Futbol Club Barcelona globally known as “Barca”. That decision continues to have a positive impact on his life and that of his family, the friends he made in Barcelona, and now his oral surgery, facial cosmetic and implant patients at the Guyette Facial & Oral Surgery Center.

Dr. Guyette learned to speak Spanish rather quickly as an American on a Spanish team with a Yugoslavian coach. As anyone may imagine, learning team plays and ordering recognizable food in restaurants was a high priority! That very same year, the Spanish dictator, Generalissimo Franco died and Cataluña was given their freedom. An era of democratic euphoria and long-awaited autonomy began in the Catalan region which had lived under a dictatorship that persecuted its language and culture. Dr. Guyette embraced that Catalan culture, their people, and their customs while defending the FC Barcelona colors.

The relationships that were formed over the next five years with the players of Barcelona, directors and fans of the club are significant to Dr. Guyette and his family. For that reason the Guyette Family continues to visit Barcelona frequently. On their most recent trip to Barcelona this past September, Dr. Guyette was interviewed by the main TV station in Barcelona and asked about his memories of his days in Barcelona and events of his current life. Accompanying Dr. Guyette was his teammate and great friend, Manolo Flores.

As both a Physician and Oral Surgeon in Scottsdale Arizona and the Phoenix metro area: serving Litchfield Park, Avondale, Buckeye and Goodyear, Dr. Guyette welcomes the opportunity to serve Spanish speaking people and proudly converses in the Spanish language with his patients and referrals.

Is Anyone Listening?

Is Anyone Listening? | Guyette Facial & Oral Surgery, Scottsdale

At the Guyette Facial & Oral Surgery Center, with offices in Scottsdale and Avondale, IV sedation, in conjunction with local anesthetic, is used in many of our surgical procedures. Surgeries such as All On 4 (Teeth In A Day), dental implants, removal of wisdom teeth and facial cosmetic surgery, including facelifts, rhinoplasty, and blepharoplasty. The combination of IV sedation and local anesthetic provides a very safe and comfortable environment for patients to undergo these types of procedures. In order to enhance the patient experience and help create a relaxing environment, we normally have light music playing in the surgical suite to help patients relax.

Recently, in a publication of American Academy of Cosmetic Surgery, Michael Gellis, M.D., from Novi, Michigan, addressed the patient awareness of their surroundings while under IV sedation. Some patients may remember some of the things said by the surgeon and staff during the procedure. Dr. Gellis wondered if those patients who do remember the conversation during their surgery would have a negative reaction to hearing the doctor and staff speaking during the procedure. Dr. Gellis reported on a study that evaluated patient’s responses to ambient sounds and conversations in an operating room and whether or not this has a positive or negative effect for the patient.

The survey was given to 200 patients upon discharge from an outpatient clinic. Patients were asked questions such as “Was music playing during your surgery and id it help you to relax?”; 65.3% of the patients responded with a yes and 20% responded that they could not remember and “Would silence have been better for you?”, of which 86% responded no. In answer to the question “Did the surgeon talk to you during the surgery?”, 81.6% responded with a yes and 75% of those said they felt the conversation helped them to relax. When patients were asked if side conversations and chatter among the staff and the doctor made them feel like they did not receive appropriate care, 85.7% of the patients said no and not one patient responded yes to that question.

I want our patients to know that when they have surgery at the Guyette Facial & Oral Surgery Center, we will take the utmost care in providing you with the safest and most comfortable environment possible. We will ask you if you would like to have music playing while in the operating area and we will try to choose the type of music that will be most soothing to you. Some patients will hear me speak to them during surgery, but the conversation among the staff and doctor will be kept to a minimum and will be focused on your treatment. If you have questions about your surgery and what you can expect from me and our staff, please feel free to ask those questions before you proceed.

Bone Grafting Procedure

Bone Grafting Procedure | Guyette Facial & Oral Surgery, Scottsdale

When you lose a tooth or multiple teeth, you may experience different dental problems. There’s the issue of aesthetics, which is obvious, but there are also issues with function and bite strength to keep in mind. That may be why dental implants have been growing in popularity for people looking to replace missing teeth. They are strong, stable, and even prevent various oral health problems from occurring. A Scottsdale oral surgeon can discuss all these issues with you in greater detail, though we’d like to look at the basics of tooth loss, dental implants, and bone grafting right now.

About Tooth Loss
When you lose a tooth, a gap is left behind. Both the gum tissue and the jaw bone are no longer supporting a tooth/tooth root in the area of the gap. As a result, it’s common for the gums in that area to recede and the jawbone to lose density. This can be quite pronounced over time, resulting in problems with the teeth adjacent to the tooth gap. It’s important that you visit our oral surgery and facial surgery center in Scottsdale should you be missing a tooth so such matters can be addressed in a timely fashion.

Why Dental Implants are Ideal for Missing Teeth
Not only do Scottsdale dental implants provide the most secure hold of dental bridges and dentures, the dental implants prevent gum loss and bone loss in the area of the tooth gap. You see, dental implants are artificial tooth roots, meaning that surgically placing them prevents loss of hard and soft tissue in the area of the tooth gap.

Addressing the Issue of Bone Density
If the gums and the bone have receded in the area of the tooth gap, it will be very hard to support a dental implant. We can take preventative measures if we extract a tooth at our practice, preserving the socket with a special bone graft. For people already experiencing such issues, the solution is a bone graft surgery. This will rebuild the bone density so it can support a dental implant.

What Happens During Bone Grafting Surgery
During bone grafting surgery, bone from one part of the body is used to bolster and rebuild bone in another part of the body. In the case of oral bone grafting, the donor bone is usually taken from the patient’s mouth. This donor bone fuses with the recessed jawbone, creating a dense and sturdy foundation/restoration of hard tissue.

Common areas where donor bone is extracted include the wisdom tooth area, the chin, and the inside of the mouth from the lower jaw. If a patient requires more substantial donor bone, surgeons can take bone from the patient’s hip or even from the patient’s tibia (the lower leg/shin).

Other Ways of Preparing Patients for Dental Implants
We mentioned that gum tissue is also important for supporting dental implants, which is why we also offer soft tissue grafting to rebuild the gums. We can discuss all these matters with you in greater detail during your visit to our practice.

Learn More About Oral Surgery and Facial Plastic Surgery

For more information about oral surgery options as well as facial plastic surgery procedures such as facelift and rhinoplasty, we encourage you to contact our Scottsdale office today. Our entire team is here for you and looks forward to discussing all of your health and cosmetic goals in greater detail.

Phoenix Magazine Top Dentist 2012

Phoenix Magazine Top Dentist 2012 | Guyette Facial & Oral Surgery, Scottsdale

Dr. Robert F. Guyette
Oral Surgeon
9741 N. 90th Pl., Scottsdale
480-657-7065, guyettesurgery.com

Dental School: University of Kentucky College of Dentistry
Medical School: University of Alabama School of Medicine
Years in Practice: 23 years in Scottsdale and the West Valley

What attracted you to oral/maxillofacial surgery?
During our second year of dental school, my best friend fainted after getting a TB test, fell and landed on his face, fracturing his cheek bone and the bones around his left eye. The chairman of the oral surgery department allowed me to observe the surgical procedure to repair the fractures, and I was hooked. I began spending more time in the oral surgery department and following the residents on rounds and to the operating room. At this point, I knew my calling.

What do oral surgeons do that most people don’t realize?
The field of oral surgery is so broad that it is impossible to be an expert in all areas. The scope of oral and maxillofacial surgery includes oral surgery, dental implant and related procedures, head and neck cancer surgery and reconstruction, TMJ and facial pain, trauma and reconstructive surgery, microscopic nerve repair, surgical treatment of obstructive sleep apnea and micro vascular surgery, among others.

What factors should people consider before getting dental implants?
If someone is missing permanent teeth or about to lose a tooth, dental implants should always be considered. In my opinion, the success of dental implants has been the single biggest improvement in dental care during my 23-year career.

Describe the atmosphere of your office and how you try to make patients feel.
I would describe our practice atmosphere as professional, caring, high-tech, competent and efficient. We are continuously looking for ways to improve our systems and provide the best care possible while respecting patients’ time and making them feel welcome. One example of this is our practice of assigning a specific team member to each patient. It is this assistant’s responsibility to be an advocate for the patient. The patient can build rapport with this staff person and can call that person with any question. This process has enhanced communication and resulted in an improved patient experience.