Neuromodulator and Dermal Filler Use In Dentistry – Introduction and Applied Head & Neck Anatomy

Course date: May 26-27, 2023

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 has been used both cosmetically and therapeutically to treat both the muscles of facial expression as well as the masticatory muscles in temporomandibular dysfunction and other 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.  Understanding the mechanism of action of neuromodulators will help to educate the provider and patient to understand what the injectables can do, and more importantly, what their limitations are.

“The use of dermal fillers for the treatment of the naso-labial fold, lip augmentation, gingival augmentation and other areas of the face, including but not limited to: malar enhancement, treatment of the nasojugal groove, and the treatment of glabellar, laugh and marionette lines.” (referenced from the Manitoba Dental Association Bylaw for the Use of Neuromodulators and Dermal Fillers).  The techniques involving injectable dermal fillers is used to increase facial volume, enhance lips and reduce deep facial lines and folds.

Understanding the injectable substance and knowing how to navigate the full facial, head and neck anatomy in hands-on anatomical cadaver lab sessions will enable the health provider to administer the injectable with confidence and aid in providing acceptable outcomes and help to prevent complications.

Day 1 will consist of a full day in-person didactic instruction (8-hour) that will cover an introduction of neuromodulators and dermal fillers to include discussion of the pharmacological and physiological considerations of its use.  A comprehensive review of head and neck surface anatomy, muscles of facial expression, muscles of mastication, cervical musculature, relevant vascular anatomy, and neural considerations as well as the temporomandibular joint complex will be thoroughly presented and discussed.   Enrollment for the in-person cadaver session (4-hour) on Day 2 will be assigned based on timely, ‘first-come’ course registration. Additional cadaver lab sessions may be offered in the event of high course demand.

Successful completion of a formal written evaluation and full attendance of lecture and cadaver lab sessions are required to receive a Certificate of Completion and is intended to be compliant with Section I, 1.a.i, Section II, 1.a.i and Section III, 1.b.i of the Manitoba Dental Association Bylaw for the Use of Neuromodulators and Dermal Fillers.  Note:  This course is the first of a 3-course series to become eligible to roster according to the MDA Bylaw.

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_v3 

Learning Objectives

• Understand the full facial, head and neck anatomy to include musculature, vascular and neural considerations with focus on the upper facial, mid-facial, lower facial and neck region, as well as the temporomandibular joint in addition to the pharmacology and physiology relevant to neuromodulator and dermal filler use
• Anatomic comprehension of where the injections are aimed and what structures to avoid utilizing hands-on cadaver lab sessions
• Understand the therapeutic and cosmetic uses of neuromodulators
• Understand the cosmetic use of dermal fillers
• Know the risks and complications of injecting neuromodulators and dermal fillers
• Understand the benefits and limitations of neuromodulators and dermal fillers
• Understand record keeping and documentation principles for neuromodulator and dermal filler use

Instructor(s)

Murray L. Fain, D.M.D., F.R.C.D.(C)

University of Manitoba was Dr. Fain’s alma mater for degrees in Dentistry and Oral and Maxillofacial Surgery. He is a fellow of the Royal College of Dentists of Canada and is American Board Certified in Oral and Maxillofacial Surgery. Dr. Fain’s interest in cosmetic surgery arose when studying for his American boards.  It was a requirement to have knowledge on the subject, so he attended a number of courses in the US, and fortunately, has been able to practice that scope in British Columbia. Dr. Fain’s Botox training was actually with the Carruthers, who pioneered the use of Botox for cosmetic use. He has been 28 years in private practice in White Rock, BC, focusing on orthognathic surgery and implantology.  His scope includes facial cosmetic and reconstructive surgery, as well as trauma and all aspects of minor oral surgery. He has taught in both undergraduate and postgraduate programs at University of Manitoba as well as the undergraduate program and general practice residency program at University of British Columbia.  Dr. Fain served as chief of surgery at his main hospital for 5 years and has an excellent association with fellow colleagues in Plastics and ENT, which has allowed collaboration in a number of cosmetic surgical cases. He is married with two daughters and two dogs.  In his free time, they love to travel, often scuba diving as a family; a hobby first learned in Manitoba at West Hawk Lake along with  archery and fishing.

Dr. Aleksandra Glogowska,  PhD

Dr. Aleksandra Glogowska is an Instructor II at the Department of Human Anatomy and Cell Science, College of Medicine, University of Manitoba.  Dr. Glogowska has devoted her academic career to teaching Human Anatomy in the undergraduate and graduate programs in the Colleges of Dentistry and Medicine. During her teaching career, she has been nominated for and awarded Teaching awards by her students for excellence in teaching.

Dr. Glogowska is a dedicated researcher with more than 15 years of experience using molecular biology technique. She has published her research work in professional international journals.

Leilanie Clayton  BSc, MSc

Leilanie is the main pro-sector in the Department of Human Anatomy and Cell Science, College of Medicine, University of Manitoba.  She is responsible for creating anatomy specimens, images and videos for labs and lectures in many different courses for the Colleges within the Rady Faculty of Health Sciences.

She likes to combine in-person traditional anatomy labs with online educational apps and technologies. You can often find her in the gross anatomy lab dissecting and creating images and videos for anatomy course material.  Leilanie is heavily involved with most labs taking place in the gross anatomy department.  She is an invaluable asset to the department hen it comes to planning the lab, creating material or being part of the lab itself.  Currently she uses the surgical camera and our touch screen VH dissector to aid in her creation of these labs.

Leilanie is interested in all aspects of anatomy but if she had pick her top three, it would be; MSK, UT, and CV anatomy.  She is an excellent educator and past presenter for CPD Dentistry.

Registration Fee:

Dentist/Health Practitioner:    $2575.00

Refund Policy

Registrants may receive a refund provided they give written notice to withdraw a minimum of thirty (30) days prior to the event. An administration fee will be retained to cover staff costs of processing refunds and other costs associated with cancellations.  Refund requests with written notice to withdraw received by CPD less than 30 days prior to the event will be at the discretion of the Director of Continuing Professional Development for Dentistry and Dental Hygiene.  No refunds will be considered fourteen (14) days or less prior to date of first day of event.

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 course provides up to 12 hours of Continuing Dental Education (CDE) Credits.

Rady Faculty of Health Sciences, 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 310