Associates of Dental Arts
Dr. Gregory Kivett


While hearing about a dentist providing Botox or Juvéderm may sound odd at first, Dr. Louis Malcmacher in his article on the American Academy of Facial Esthetics website brings to light the myths and truths that show that a dentist may be one of your best choices for a Botox or Juvéderm provider.

Botox Myth #1: Only Dermatologists and Plastic Surgeons should do Botox.

According to the article, even if Botox is provided in a Dermatologist’s or Plastic Surgeon’s office, it is usually administered by a nurse or physician’s assistant. According to Dr. Malcmacher, most of the nurses he has talked to told him “…that their training was completely on the job with absolutely no additional training in facial anatomy, physiology, pharmacology of the products, and adverse affects. They just learned where to place these materials by watching and learning.”

Botox Myth #2 Only Physicians’ offices should administer Botox

Dr. Malcmacher takes on the idea that Botox and other derma fillers belong in a physician’s office. He points out that Botox is being provided by “OB/GYN’s, ophthalmologists, gastroenterologists, internists, registered nurses, physicians’ assistants, medical estheticians (who may or may not be medical personnel), and even podiatrists.” Is a podiatrist really better trained than a dentist in dealing with facial muscles?

Botox Myth #3 Botox is only useful for cosmetic purposes

Botox, especially in a dental setting, can be used in any number of beneficial ways. According to the article, Botox is useful in treating TMJ and bruxism cases, especially patients with chronic TMJ and facial pain. Botox can treat high lip lines, help denture patients having trouble adapting to new dentures, and even has uses in orthodontic cases if retraining of the facial muscles is required. “No other healthcare provider has the capability to help patients in so many areas as do dentists,” according to Dr. Malcmacher.

Botox Fact #1 Dentist have some of the best training for administering Botox and Juvéderm

As the article points out, dentist already have experience and training on maximizing comfort while giving injections. The results for dentist Dr. Malcmacher has trained? “…Patients compare (dentists) to the other healthcare professionals they have gone to before for these procedures and by far, the dentists injections are quicker and much more comfortable.”

Botox Fact #2 Dentist are experts in facial cosmetics

In order to provide cosmetic dentistry and orthodontic care, it is critical that dentists understand the desired proportions of the face.  This translates perfectly into administering Botox and Juvéderm for cosmetic reasons. As Dr. Malcmacher points out, “Do you think for a moment that other healthcare professionals [besides dentists] know or are concerned about the proper ratios of lips to teeth, the smile considerations when the patients go into a partial or a full smile, proper phonetics, and how the teeth relate to the soft tissue surrounding the mouth? I have found just a few plastic surgeons and dermatologists that have a very cursory understanding of this, but don’t really give it much thought at all.” A dentist is not only an expert at comfortably administering Botox or Juvéderm, they are also excellent in providing the desired results.

Botox and Juvéderm in dentistry may sound like a strange match. But as Dr. Malcmacher’s article shows, dentists have an equal or better foundation for administering Botox and Juvéderm then many other providers.

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