Use of Botox Treatment by Dentists

The KDA regularly receives questions regarding the use of Botox treatment by dentists.  The Kansas Dental Board has issued the following rulings as it pertains to Botox treatment.

FACIAL INJECTIONS TO REDUCE SIGNS OF AGING IS NOT THE PRACTICE OF DENTISTRY

All dental boards are facing the issue of whether or not a general dentist can use botulinum toxin type A, commonly called Botox, or dermal fillers, as a cosmetic remedy for facial aging. There are many continuing education programs that promote this procedure to physicians, nurses and dentists. Some of the courses have ADA/CERP approval. The Kansas Dental Board discussed this issue at the meeting of Oct 31, 2009 and adopted the following policy:

the use of these products is to be “limited to the practice of dentistry, and the practice of dentistry is defined in the Dental Practices Act.” When reading the definitions of dentistry, there is no mention of any facial enhancements, and in fact the closest portion of the definition of dentistry would be:

KSA 65-1422. Persons deemed to be practicing dentistry. A person shall be deemed to be practicing dentistry:
(a) Who performs, or attempts or professes to perform, any dental operation or oral surgery or dental service of any kind, gratuitously or for a salary, fee, money or other remuneration paid, or to be paid directly or indirectly, to such person or to any other person or agency who is a proprietor of a place where dental operations, oral surgery or dental services are performed; or

… (f) who diagnoses, or professes to diagnose, prescribe for, or professes to prescribe for, treats, or professes to treat, disease, pain, deformity, deficiency, injury or physical condition of the human teeth or jaws, or adjacent structure; ..

While the continuing education and pharmaceutical businesses find it profitable to market these drugs and procedures for facial procedures, if they are not a part of a dental process, the dentist is practicing beyond the scope of the dental license.

At this point there are no statutes or regulations pertaining directly to this point, however, any dentist who is doing injections that are not for a dental purpose will be considered as not practicing within the standard of care of dentistry, and will be subject to discipline by the board.

 

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