In Canada, the scope of practice for dentists administering botulinum toxin (e.g., Botox) and dermal fillers varies by province, with each dental regulatory authority setting specific guidelines. Here's an overview based on information from provincial dental colleges:
Ontario: The Royal College of Dental Surgeons of Ontario (RCDSO) permits dentists to inject botulinum toxin and dermal fillers intra-orally for both therapeutic and cosmetic purposes, and extra-orally for therapeutic purposes only. Administering these agents extra-orally for cosmetic purposes is not within the scope of dental practice in Ontario. Dentists must complete appropriate training to perform these procedures.
RCDSO
Alberta: The College of Dental Surgeons of Alberta (CDSA) allows dentists to administer neuromodulators and dermal fillers following a structured training program. The CDSA's "Standard of Practice: Facial Esthetic Therapies and Adjunctive Procedures" outlines levels of training from applied anatomy review to advanced non-surgical esthetic procedures. Dentists must adhere to these standards and obtain certification for each level before performing corresponding treatments.
CDSAB
Nova Scotia: The Provincial Dental Board of Nova Scotia permits dentists to use botulinum toxin and dermal fillers, provided they have completed appropriate training. The Nova Scotia Dental Association offers courses, such as the "Level 2 – Basic Botulinum Toxin Course," to certify dentists in these procedures.
NS Dental
Quebec: The Ordre des dentistes du Québec (ODQ) has provided information regarding the use of botulinum toxin, emphasizing the importance of adhering to safety guidelines and being aware of potential adverse effects. Dentists are advised to consult the ODQ for specific regulations and training requirements.
Odq
Saskatchewan: The College of Dental Surgeons of Saskatchewan (CDSS) has guidelines for various dental procedures. While specific guidelines for botulinum toxin and dermal fillers are not detailed, dentists are encouraged to consult the CDSS for current standards and training requirements.
Saskatchewan Dentists
British Columbia: The British Columbia College of Oral Health Professionals (BCCOHP) oversees dental practices in the province. Dentists should refer to the BCCOHP for the latest guidelines on administering botulinum toxin and dermal fillers, as regulations may have evolved.
General Considerations: Regulations regarding the administration of botulinum toxin and dermal fillers by dentists differ across provinces. Dentists must consult their respective provincial dental regulatory authorities to understand the specific scope of practice, training requirements, and any restrictions. Ensuring compliance with local standards is essential before incorporating these procedures into dental practice