Botox Laws by State 2022

Federal Laws Regarding Botox

Many laws vary from state to state on who can administer Botox injections, and further on the site itself. For example, Botox is an FDA-approved method of injection that serves different purposes. While it has been romanticized and idealized by the media as being a cosmetic approach to having fuller features, such as dimples and chin, Botox injections can also medically help some patients with their quality of life.

Laws regarding Botox on a federal level limit who can administer them, so that only medical professionals can conduct this procedure. This means that licensed aestheticians usually cannot perform Botox injections, even if the purpose is purely cosmetic. At a state level, Botox is usually regulated for such issues as dermal fillers. This is why each state has a different approach from its dental board regarding injecting dental botox. Arkansas, Iowa, and Mississippi have the most guidance on the laws regarding Botox injections.


Permits in this state are not issued by the board for Botox (botulinum toxin) or dermal fillers. It also does not issue these permits for dental materials of any kind. Because of the unreasonably high amount of deregulation in this industry, the dental board of Arkansas has outlined certain requirements that must be met before administering the treatment of clients. Dentists must complete comprehensive training and a full course from an approved medical or dental course, either through the Commission on Dental Accreditation or a continuing education course that meets certain criteria.

Botox and dermal fillers can only be used in offices that observe the precautions set by the FCDC. Treatments are only able to be done through a dentist. Staff is not allowed to train themselves or administer the Botox or dermal filler directly.


Iowa prevents its dentists from providing dental treatments that are outside the scope of the common professional practice of regulated dentistry. This means that dentists are allowed to diagnose through examination and treat patients who are suffering from different ailments related to their teeth, mouth, and gums. The appropriate treatments are defined as medications, appliances, or surgery necessary to fix the issue at its root. A proper dental exam, client history, and training must be done on any method that the dentist will use to treat their patient or candidate. The Iowa dental board has rules that dentists may use Botox or approved dermal fillers if the use is only for dental practice and the dentist has proper training.

The only safely recognized training under this regulation is offered by the American Dental Association in the administration of Botox.


The dental board in Mississippi met in 2007 to determine whether dentists were able to administer Botox or any other approved dental fillers. After much consideration, they determined that procedures may only be performed by dental surgeons who have completed their residency in both maxillofacial and oral surgery. The residency must have been accredited through the American Dental Association.

Botox Laws by State 2022