Botox and the Role of Registered Dental Assistants in Alberta

The College of Alberta Dental Assistants recently issued the following statement regarding the role of Registered Dental Assistant’s (RDA’s) with Botox in Alberta.

Position Statement

Reconstitution of and Drawing Up of Drugs (i.e. Botox, neuromodulators, antibiotics in oral surgery/implant procedures): The RDA’s Role

The College of Alberta Dental Assistants supports registered dental assistants, under the direction and supervision of a dentist, reconstituting drugs with water or saline (not with any other drugs), and drawing up (loading) the mixtures into syringes during dentally related procedures providing the registered dental assistant is competent in the appropriate knowledge and abilities after proper education, training, and experience as per guidelines set out by CADA (see Appendix A). The registered dental assistant must be able to demonstrate relevant education and training. Ideally the dental assistant should be participating in the training as part of the dental team. Training should include theoretical and clinical instruction and successful completion of a meaningful examination/evaluation to ensure competence in the procedures.

It is the joint responsibility of the registered dental assistant and the supervising dentist to determine competence.


As the dental industry evolves additional dental services become available to patients through their dentists. The role of the registered dental assistant is to provide support to the dentist and the patient. Registered dental assistants have been indicating that they have been attending educational courses with their employers and are being provided with opportunities to enhance their skills and support. Current dental assisting education includes assisting with local anesthetic and assembly of syringes, the preparation of and drawing up of irrigation solutions, the ability to access and interpret drug reference materials and manufacturer’s directions, understanding the common effects of drugs, obtaining vital signs (temperature, respirations, blood pressure and pulse) and documentation of all procedures. Registered Dental Assistants are also knowledgeable about adverse reactions to topical and local anaesthetics, and unusual reactions to some materials. Reconstitution of drugs with water or saline is not a restricted activity.

Now is the time to ensure your entire dental team is trained and ready to integrate Botox treatment into practice. Our Level 2 team training program includes necessary theoretical and clinical hands-on experience for dental assistants, hygienists, office managers, receptionists. You can register any team members for the team training program of the Level 2 course. View upcoming course dates or contact us for details. For further details on the statement from the CADA, please log-in to the membership website of the Botox Study Club.