Botox Patient Demo

Filler Patient Demo

As TMJ patients search for alternative treatments to manage their pain, a doctor may have suggested the possibility of trying Botox injections directly into the chewing (masseter and temporalis) muscles to relax these muscles. In addition to its well-publicized cosmetic uses, Botox has been approved by the FDA for painful conditions potentially related to TMJ, such as cervical dystonia and migraine.  When injected into facial muscles afflicted with soreness and discomfort, BOTOX® relieves TMJ and jaw tension for many patients. The injections often eliminate headaches resulting from teeth grinding, and, in cases of severe stress, BOTOX® can even minimize lock jaw. Although BOTOX® treatment for these conditions is presently in its early stages; evidence indicates that it can be extremely effective.


Direct excerpt from RCDSO Dispatch November/December 2013

“Members who wish to use botulinum toxin and dermal fillers may do so, but only for procedures that are within the scope of practice of dentistry. Members may inject botulinum toxin and/or dermal fillers intra-orally for either therapeutic or cosmetic purposes, or botulinum toxin extra- orally for therapeutic purposes, but in either case only if they are appropriately trained and competent to perform the procedures. It is not within the scope of practice of dentistry and members are not authorized in Ontario to inject botulinum toxin or dermal fillers extra- orally for cosmetic purposes.”

Direct excerpt from RCDSO Dispatch November/December 2013

Members who wish to use these substances as described are expected to successfully complete a course of instruction that adheres closely to the following criteria. The course should:

  • be conducted by persons who have had recognized education and training, preferably university-based, and significant experience in the parenteral administration of these substances;
  • include a didactic component with formal evaluation that addresses:
    • pharmacology of these substances;
    • physiological activity of these substances;
    • diagnosis of relevant conditions;
    • indications for the use of these substances, as well as other first-line treatment modalities;
    • contraindications for the use of these substances;
    • related head and neck anatomy;
    • adverse reactions and their management;
    • include a hands-on clinical or clinical simulation component with formal evaluation;
    • promote the critical evaluation of research and literature on related topics.

Botox and Filler Training

BOTOX AND FILLER TRAINING MODULES are available individually or as a package. Registrants will be provided with an access code to view pre-recorded live theoretical lectures in a high-definition webinar format. This gives practitioners the flexibility to acquire the theoretical knowledge on their own time and to learn it at their own pace. A course manual will be provided in a downloadable PDF format, so that the lecture segments can be easily followed along with the slides and written notes. Injectors are encouraged to make their notes and collect any questions that may arise. These will be answered during the hands-on session with Dr. Sky prior to patients being injected. Once all the theory has been completed online, injectors can book the ONE-ON-ONE hands-on training session with Dr. Sky Naslenas to complete this comprehensive course and obtain the certification, along with 10 CE credits (level III). The hands-training component is offered in two formats: a group session with max of 6 injectors, or a private session, with one-on-one environment.



TEAM TRAINING MODULE has been added to accommodate practices where a doctor would like to acquire the training himself and would like the team at his/her clinic to acquire the knowledge about injectables to deliver consistent information to the patients. This module allows various team members to recognize their specific roles within the practice, and to determine how to best support the doctor in these novel procedures. Office managers, receptionists, hygienists and assistants can all be involved in educating patients about injectables be it for Orofacial pain management, grinding and clenching habits, or cosmetic enhancement of a smile. The doctor will be provided with an access code to share with up to five team members. Upon course completion, the injector will be certified to perform these procedures in the office, and the entire team will receive 10 CE credits (level III).



REFRESHER MODULE was added for those practitioners who would like to have additional training in specific areas. Some injectors who have taken the course in the previous years may not have had time to implement their skills and would like a reminder and clarification on these skills. Doctors may also use this time to discuss managerial strategies of implementing Botox and fillers into their practices. This module is designed to cater to the doctor’s needs and allows for a one-on-one session with Dr. Sky Naslenas.