Therapeutic and Esthetic Use of Neuromodulators in Dentistry – Upper, Mid and Lower Face and Neck

Therapeutic and Esthetic Use of Neuromodulators in Dentistry – Upper, Mid and Lower Face and Neck

February 22-23, 2025: LIVE Online Synchronous Didactic Lecture with Online Asynchronous Examination 

Module II-A/B DIDACTIC – Therapeutic and Esthetic Use of Neuromodulators for Upper-face, Mid-face, Lower-face and Neck

AND

March 29-30, 2025: In-Person, Hands-On Clinical Session 

Module II-A/B CLINICAL – Therapeutic and Esthetic Use of Neuromodulators for Upper-face, Mid-face, Lower-face and Neck

Description

“Botulinum toxin blocks neuromuscular transmission by binding to acceptor sites on motor nerve terminals and inhibiting the release of acetylcholine.  Injectable drugs (neuromodulators) derived from this paralytic agent are listed in Schedule 1 of the Manual for Canada’s National Drug Scheduling System published by the National Association of Pharmacy Regulatory Authorities.” (referenced from the Manitoba Dental Association Bylaw for the Use of Neuromodulators and Dermal Fillers).

Neuromodulators in therapeutic and esthetic doses produces partial chemical denervation of the muscle resulting in reduction in localized muscle activity and potential muscle atrophy. Neuromodulator therapy has been used therapeutically to treat both the muscles of facial expression as well as the masticatory muscles in temporomandibular dysfunction and other parafunction. It can also be used as a treatment modality for orofacial pain, including headaches and migraines, and various forms of facial parafunction.  The use of neuromodulators may include treatment for the management of bruxism that includes clenching and grinding as well as treatment and management of myofascial pain that includes headaches and migraines.  The esthetic use of neuromodulators to the upper, mid, lower face and neck have shown benefits to reduce facial wrinkles and provide lift to areas of the facial complex to address wrinkles in the forehead, around the eyes and mouth, between the eyebrows as well as lift the upper lip to reduce “gummy smiles” to name a few.  Understanding the mechanism of action of neuromodulators and its appropriate dosages to target muscles will help to educate the provider and patient to understand what the injectables can do, and more importantly, what their limitations are.

This two-course series must be taken together, and will provide certification-level training that includes didactic and hands-on clinical sessions to enable the participant to competently perform patient assessment, diagnosis, treatment planning and administration of therapeutic and esthetic doses of neuromodulators in treating the face and neck.

PRE-REQUISITE:

Module II A/B Didactic – prerequisite is NMD/DF Anatomy –  Neuromodulator and Dermal Filler Use in Dentistry – Introduction and Applied Anatomy

Module II A/B Clinical – prerequisite is Module II A/B Didactic

Full attendance of the online course, Module II-A/B Didactic (Therapeutic and Esthetic Use of Neuromodulators for Upper-face, Mid-face, Lower-face and Neck) by CPD Dentistry & Dental Hygiene, Dr. Gerald Niznick College of Dentistry, University of Manitoba, and successful completion of a formal assessment following the course, will be required to proceed to the clinical component of the course, Module II-A/B Clinical (Therapeutic and Esthetic Use of Neuromodulators for Upper -face, Mid-face, Lower-face and Neck.

The clinical module is intended to enable the successful participant learner to fulfill clinical requirements to be eligible for Roster IIA and Roster IIB of the Manitoba Dental Association’s Bylaw for the Use of Neuromodulators and Dermal Fillers.

Each registered participant will bring three (3) of their own patients from private practice and will partner up with another participant to administer botox injections in live patient care, under the clinical supervision of certified instructors.  All patients will have read and completed applicable documentation that include medical history, informed consent, course protocols, clinic protocols, and UM protocols. Each registered participant will have screened, assessed and evaluated each of their own patients for suitability as patients prior to attendance for the clinical component of this course and will be responsible for continued maintenance and care after completion of the course.

A Certificate of Completion intended to be compliant with Section II, 1.a.ii, Section II, 1.a.iii and Section II, 1.b.ii and Section II, 1.b.iii of the Manitoba Dental Association Bylaw for the Use of Neuromodulators and Dermal Fillers will be provided upon successful completion of this portion of the course.

Full attendance and successful completion of the final clinical component of the course, Module II-A/B Clinical – Therapeutic and Esthetic Use of Neuromodulators for Upper-face, Mid-face, Lower-face and Neck, will provide eligibility to roster in compliance of the Manitoba Dental Association’s Bylaw for the Use of Neuromodulators and Dermal Fillers, Roster IIA and Roster IIB, pertaining to the esthetic use of neuromodulators, as an expanded scope of practice for the dental practitioner.

Scope of practice is dictated by provincial dental regulatory bodies that determine which professional group can administer neuromodulators for therapeutic and cosmetic uses.  It is the responsibility of the Participant to understand the regulatory requirements for this scope of practice respective to their jurisdiction of practice.    See Flowchart for the course path to roster according to the MDA Bylaw for the Use of Neuromodulators and Dermal Fillers. Flowchart_NMD.DF_v4

Learning Objectives

• • Review of head and neck anatomy, masticatory, neck and facial muscles, nerves, skin, etc including neurophysiology, musculature and circulatory systems
  • Understand aging of the face
  • Review and understand pain and dysfunction of the orofacial complex
  • Understand the etiology of, diagnosis of, treatment options, complications and therapeutic and esthetic management for upper, mid, lower face and neck
  • Understand the difference in treatment approaches for therapeutic vs esthetic of the facial/neck complex
  • Acquire foundational knowledge and understanding of therapeutic and esthetic neuromodulator uses in dentistry as it relates to application, risks/benefits, complications, and its management
  • Perform patient assessment and evaluations to determine an appropriate differential diagnosis and application of neuromodulator therapy for optimal therapeutic and esthetic outcomes
  • Complete and maintain documentation that includes informed consent, medical history, patient information, assessment and evaluation documentation and continued maintenance/follow up care
  • Properly handle and prepare injectables for treatment applications
  • Understand and perform injectable techniques specific to target muscles including mapping of anatomical muscle sites and facial landmarks
  • Perform administration of neuromodulator injectables in direct patient care during clinical sessions under instructor supervision

Instructor(s)

Dr. Sherif Elsaraj  B.Sc., M.Sc., D.M.D, Ph.D

Dr. Elsaraj was raised in Ottawa where he attended JS Wordsworth Secondary School followed by a B.Sc. Honours in Biochemistry from Carleton University (2004). He then completed his M.Sc. in Oral Biology (2006) and Doctor of Medicine in Dentistry (2010), both at the University of Manitoba, and a Ph.D. in Craniofacial Pain and Health Sciences from McGill University (2022).

Dr Elsaraj is an active member of the Canadian Dental Association (CDA), Manitoba Dental Association (MDA), Ontario Dental Association (ODA), and the Order des Dentists du Quebec. Dr. Elsaraj is a Faculty Lecturer with the University of Ottawa (Faculty of Medicine), McGill University (Department of Dentistry at the Jewish General Hospital) where he lectures and supervises graduate residents of the General Residency Program of Orofacial Pain (OFP) & Temporomandibular disorders (TMD) & Clinic. He is the current Chair of Continuing Education committee of the Ottawa Dental Society (ODS), Executive Treasurer (ODS), Executive Council (ODS & ODA), and Economics Committee Advisor (ODA). He is also an active member of the American Academy of Dental Sleep Medicine, Political Contact dentist- Nepean West (ODS), Dental Emergency Service (ODS), Long Term Planning Committee (ODS), a TMD consultant for the Oral Health Group and Hull Hospital, a Dental Advisor for the Canadian Academy of Clinical Sleep Disorders Disciplines (CACSDD), and a Certified Botox Provider.

Dr. Elsaraj engages in research at McGill University Jewish General Hospital Campus and the Centre de recherche en médecine psychosociale du CISSS de l’Outaouais. His focus includes identifying biomarkers for early detection of sleep apnea, exploring risk factors linked to the transition from acute to chronic pain, and evaluating the effectiveness of new bite techniques in MAD therapy to mitigate the severity of sleep apnea.

Dr. Mohamed-Hasan Kadhim

Registration Fee:

Dentist/Health Practitioner:    $4500.00

Refund Policy

Registrants may receive a refund provided they give written notice to withdraw a minimum of thirty (30) days prior to start date of the event. An administration fee will be retained to cover staff costs of processing refunds and other costs associated with cancellations.

The University of Manitoba reserves the right to cancel or postpone any educational program due to an insufficient number of registrations. The decision to cancel will normally be made at least fourteen (14) days prior to the program date. Each registrant will be notified by email and provided with a full refund of all registration costs. The University of Manitoba is not liable for any loss, damages or other expenses that such cancellations may cause, including, but not limited to, non-refundable airline fares, hotel penalties or lost income.

Study Credits

This 2-course series provides up to 32 hours of Continuing Dental Education (CDE) Credits.

Dr. Gerald Niznick College of Dentistry, University of Manitoba Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. The current term of approval extends from July 1, 2022 to June 30, 2026. Provider ID# 214210. Subject Code 200.