STATE | ASPS's Efforts Stop Regulatory Move in Nevada to Allow Dentists and Dental Hygienists from Administering Botox and Facial Fillers. Legislation May Be Next.
Last summer, ASPS worked to oppose a regulation drafted by the Nevada State Board of Dental Examiners (Board) permitting dentists and dental hygienists to administer Botox and dermal fillers. ASPS's comments focused on educating the Board about the negative impact that this draft rule could have on Nevada patients, and twenty local plastic surgeons signed-on. Specifically, ASPS's comments focused on the insufficiency of dentist and dental hygienist training in the majority of facial anatomical areas (especially areas in which Botox and fillers are FDA approved for use); the increased likelihood of inappropriate candidates for cosmetic treatments receiving them in a dental setting; and the increased risk of complications and lack of training in treating serious complications. ASPS worked with the Las Vegas Society of Plastic Surgeons, the Nevada State Medical Association, and the American Society for Dermatologic Surgery Association (ASDSA) to pressure the Board not to adopt the draft rule. Despite these efforts, the Board moved forward with adoption. However, in Nevada, the state legislature has final approval over regulations drafted by state boards.
During the legislative review process, ASPS renewed its advocacy efforts and informed the legislature of its concerns with the Dental Board's proposal. As a result of these efforts and the efforts of the Nevada State Medical Association, the legislature refused to approve the rule, and it has been tabled. Nonetheless, ASPS anticipates seeing this issue introduced as legislation in Nevada's upcoming legislative session. Therefore, ASPS is continuing to track this issue and will work with the Las Vegas Society of Plastic Surgeons when the bill is formally introduced.