American Society of Plastic Surgeons
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STATE | Dentists Attempt to Administer Botox Cosmetic and Dermal Fillers in Nevada

ASPS is currently working with the Nevada State Medical Association (NSMA), the American Medical Association (AMA), the American Academy of Dermatology (AAD) and the American Society for Dermatologic Surgery Association (ASDSA) to pressure the Nevada State Board of Dental Examiners (Board) to reconsider their recent proposal to permit dentists and dental hygienists to administer Botox and dermal fillers by educating the Board about the negative impact that this draft rule could have on Nevada patients. ASPS's comments focused on: the insufficiency of dental and dental hygienist training in the majority of facial anatomical areas; the increased likelihood of inappropriate candidates receiving treatment in a dental setting; and the increased risk of complications and lack of training in treating those complications once they arise. ASPS is in the process of submitting comments, and is working to recruit the support of plastic surgeons in Nevada. AAD and ASDSA are also planning to submit comments requesting that the Board not issue the rule. Additionally, NSMA is working with the Board on the possibility of withdrawing the rule.

Since its approval by the FDA for cosmetic purposes, Botox and dermal fillers have grown exponentially in popularity. ASPS's figures indicate that the administration of Botox has increased 759% since the year 2000. Because performance of these medical procedures is so lucrative, many unqualified and untrained medical and dental providers are trying to cash-in. It is the responsibility of state legislatures and state health boards to try to ensure that patient safety remains protected in a culture where health care professionals with inadequate training are perennially attempting to expand their scopes of practice.