The Dental Quality Assurance Commission (commission) has issued an interpretive statement about the Dentist Scope of Practice – Use of Botulinum Toxin Injections/Dermal Fillers. The interpretive statement was approved by the commission on July 26, 2013, and filed by the Office of the Code Reviser on August 20, 2013, as WSR 13-17-090. The use of botulinum toxin injections or dermal fillers in the soft tissues throughout the face can be within the scope of practice of a dentist licensed under chapter 18.32.020 RCW when:
- Used to treat functional or esthetic dental conditions and their direct esthetic consequences; and
- The treating dentist has appropriate, verifiable training and experience.
According to the commission, the use of botulinum toxin injections or dermal fillers outside the treatment of dental-related conditions for purely cosmetic purposes is not within the scope of practice of dentists who are not specially trained as oral and maxillofacial surgeons (RCW 18.32.020).