Dr. Howard Katz pioneered the use of Botox in dental practice but many states still have outdated laws on the books. While its use is beneficial, not every state allows it and the ones that do have limitations. Current regulations for dental applications of Botox and dermal fillers vary from state to state. The following is a partial summary of the law defined by dentists in the following 27 states:
The use of Botox in dentistry is limited to oral and maxillofacial surgeons that have completed an extended residency in the states of Virginia and Mississippi.
Florida, Idaho, Iowa, Alaska, Nevada, New Hampshire, New York, Connecticut, Kansas, Maryland, North Carolina, Texas, Washington, West Virginia, and Wisconsin allow the use of Botox by dentists who have completed an intensive course of study by the American Dental Association and restricted applications to treatments only.
In the states of Louisiana and Arkansas, the use of Botox is permitted by dentists who have completed a study course accredited by the American Dental Association and covering topics such as assessing patients, its uses and contraindications, the side effects and potential risks, preparation, treatment, therapeutic uses, and hands-on use with patients. The law also restricts use to dentists only and must be administered in-office. It also forbids use by hygienists and dental nurses.
Massachusetts, South Carolina, South Dakota, and Wyoming, New Mexico, and Pennsylvania presently has no regulations regarding the use of Botox by dentists.
Delaware is the only state that is choosing to be neutral and is making no recommendations either way. The state currently treats reported violations on a case-by-case basis. The Board of Dentistry and Dental Hygiene for Delaware is taking no position at all in regards to the use of Botox in dentistry.
On a final note, training programs for Botox from an accredited program of study are a requirement for some malpractice insurance carriers. Check the laws in your state for more clarification.
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