Manitoba Dentists: Botox® & Dermal Filler: Regulatory Requirements

Manitoba has formally approved Botox® and dermal fillers for dentists

The Manitoba Dental Association (MDA) has established a Bylaw and Guide for the Use of Neuromodulators and Dermal Fillers. Dentists must be approved for inclusion on the MDA Registry of Members Authorized for the Use of Neuromodulators and Dermal Fillers before providing any of these treatments.

Regardless of previous education or certificates from training providers, dentists must hold the appropriate MDA written authorization before treating patients.

The Manitoba roster system

• Roster I — Neuromodulators for Myofascial Pain & Parafunction
  • Roster IA: Bruxism treatment (temporalis and masseter muscles)
  • Roster IB: Management of headaches, migraines, and temporomandibular disorders
• Roster II — Neuromodulators for Other Uses
  • Roster IIA: Upper face (frontalis, glabellar complex, procerus, corrugators supercilii, orbicularis oculi)
  • Roster IIB: Mid-face, lower face, and neck
• Roster III — Dermal Fillers
  • Treatment of nasolabial fold, lip augmentation, gingival augmentation, malar enhancement, nasojugal groove, glabellar, laugh and marionette lines

Key requirements under the MDA Bylaw

• Patient must be a patient of record within the dentist’s own dental practice
• Treatment must be provided in the dentist’s approved dental practice location — not in stand-alone spas, salons, fairs, or private residences
• Appropriate antidotes must be present when performing injections
• Dentist must maintain continuity of care and emergency coverage
• Significant adverse reactions must be reported to the MDA Registrar in writing within 15 days

View the Manitoba guidelines

View the guidelines below or click here to view online on the MDA website.

The separate log requirement — unique to Manitoba

Manitoba is one of two provinces that requires a separate contemporaneous log of all neuromodulator and dermal filler treatments, maintained in addition to the patient chart. This log must include:

• Patient name
• Purpose of treatment
• Neuromodulator or dermal filler type and dosage used
• For dermal fillers: filler type, concentration, and specific anatomical locations

The log must be available to the MDA Registrar at any time upon request.

Documentation requirements

• Pre- and post-operative photographs in the patient chart
• Medical history and clinical examination on file
• Informed consent documenting risks, benefits, and alternatives
• Comprehensive treatment plan

Continuing competence

Dentists should ensure they are providing treatment for at least 8 to 10 patients per roster category every year to maintain safe clinical skills.

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 maintain the standards required by the MDA.

Learn more about Facetec

PTIFAT is an accredited education provider

The MDA 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 Manitoba 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 Manitoba’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