The knowledge, facilitators and barriers of providing botulinum toxin and dermal filler treatments in UK dental practice.

Background Botulinum toxin and hyaluronic acid dermal filler injections are the most widely used aesthetic facial treatments and dental professionals are well-positioned to provide them due to their knowledge of facial anatomy.Objectives To study the knowledge, types of treatment, facilitators and barriers that dental professionals have in providing botulinum toxin and dermal filler management in United Kingdom dental practice.Methods A questionnaire was developed, and after piloting, was distributed through an email link via the British Association of Dental Therapists and the chief investigator's personal network of dental professionals from different dental backgrounds and with varying scopes of practice. A sample size of 100 respondents to the questionnaire was anticipated.Results A total of 110 questionnaires were returned. In total, 47 (43%) of 110 participants were trained in botulinum toxin and dermal filler management. Of those 47 participants, currently only 22 were actively offering these treatments. Of those, 100% offered treatment for facial wrinkles, 73% for lip augmentation and 50% for chin and cheek enhancement. Training courses were of short duration of between 1-4 days. Also, 46% of trained participants identified a lack of confidence in managing complications.Conclusions The study revealed a significant interest among dental professionals in offering botulinum toxin and dermal filler treatments, which could represent a potential growth area for the dental profession. However, concerns were raised about the adequacy of hands-on training provided through short courses, which highlighted the need for more comprehensive and hands-on training courses.