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The Thin Edge of the Wedge: Injectable Cosmetics in Dentistry
Justine Galambus1, Edward Zabawski1,2, Seemal R Desai3,4
1Department of Dermatology, Lake Granbury Medical Center, University of North Texas, Dallas, Texas.
Summary
Dental professionals are increasingly authorized to perform cosmetic injections, expanding the scope of dental practice. This trend is driven by regulatory boards, not legislation, and now includes dental hygienists.
Area of Science:
- Dentistry
- Medical Scope of Practice
- Cosmetic Procedures
Background:
- Scope expansion is a significant concern for medical and dental organizations.
- Dental organizations are pushing to allow dentists and hygienists to perform cosmetic injections.
- This expansion redefines the traditional practice of dentistry.
Purpose of the Study:
- To analyze the scope expansion allowing dentists to offer cosmetic injectable procedures.
- To examine the role of state dental boards in this expansion.
- To understand the implications for dermatology and dental professions.
Main Methods:
- Searched state statutes, rules, and regulations using Westlaw and BillTrack50.
- Directly contacted state dental boards for rule clarification.
- Analyzed non-legislative actions by regulatory bodies.
Main Results:
- Several states authorized dentists for cosmetic injections starting in 2011.
- Expansion primarily occurred through State Boards of Dentistry rulings, not legislation.
- Licensed dental hygienists are now permitted to administer certain cosmetic injections in multiple states.
Conclusions:
- Regulatory boards, not legislatures, are key in shaping dental scope of practice.
- Dermatology advocacy should monitor and challenge administrative rulemaking, not just legislation.
- This shift requires a broader advocacy strategy to address regulatory changes.
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