Quebec Dentists: Botox & Dermal Filler Regulatory Requirements

Quebec has formally approved Botox® and dermal fillers for dentists

The Ordre des dentistes du Québec (ODQ) has established a Standards of Practice covering the use of neuromodulators, including Botox and dermal fillers for dentists. Quebec’s standard is among the most detailed in Canada, particularly regarding photography and documentation.

Training and level progression

Quebec uses a structured, gated certification model. Dentists must complete each level in sequence before advancing. A minimum of 20 patients must be treated before advancing from one level to the next.

• Level 1: Applied anatomy review — foundational only, no patient treatment authorized
• Level 2: Basic neuromodulators — upper face and bruxism treatment
• Level 3: Advanced neuromodulators — mid-face, lower face, and neck
• Level 4: Dermal fillers and deep muscle neuromodulators

Key requirements

• All training must be declared in the ODQ continuing education portal
• Course attestations must be retained and available for professional inspection
• Treatments must be provided within the dental office setting
• Records, photography, and CE documentation must be accessible on request

View the Quebec guidelines

View the guidelines below or click here to view online at the ODQ website.

Quebec’s calibrated photography requirement

Quebec is the only province to formally define what constitutes acceptable clinical photography. The term used is calibrated photography, and it requires:

• Standardized camera equipment with fixed focal length
• Controlled and consistent lighting conditions
• Calibrated markers (measurement scales or reference points) visible in the image
• Fixed patient positioning for reproducibility
• Multiple angles: frontal, profile, and three-quarter views

This standard means an ad hoc smartphone photo taken in variable lighting does not meet Quebec requirements. Photography must be reproducible and suitable for clinical comparison and regulatory review.

Documentation requirements

Quebec requires a structured 13-section file template. Each patient record must include:

• Product name, lot number, expiry date, concentration, needle gauge, and dose per injection site
• Calibrated pre- and post-treatment photography
• Written consent for publication of patient photographs for teaching purposes, if applicable
• Training declared in the ODQ continuing education portal
• Course plans and attestations retained for professional inspection

PTIFAT recommends Facetec as the preferred tool for clinical photography and patient documentation. Designed specifically for dentists, Facetec streamlines photo capture, patient records, and case documentation, making it easier to build your 20-case portfolio and maintain the standards required by the ODQ.

Learn more about Facetec

PTIFAT is an accredited education provider

The ODQ requires dentists to complete training through a college-approved institution at each level. PTIFAT is an accredited educational provider and our programs are specifically designed to meet and exceed the Quebec Standard of Practice.

It is the dentist’s responsibility to confirm that any training program they enroll in is approved by their college before beginning.

View our approved training pathway

Ready to meet Quebec’s requirements?

PTIFAT’s Level 1 and Level 2 programs cover anatomy, injection technique, documentation protocols, and practice integration — everything you need to obtain your certificate with confidence.

Speak to an educational advisor