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

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  • Neuromodulator Use in Dentistry - Introduction and Applied Head & Neck AnatomyJun 16, 2023 - Jun 17, 20238:30 am - 1:00 pm


UM Bannatyne: Dentistry Building: 1st Floor Dental Clinic

University of Manitoba, 780 Bannatyne Ave., Winnipeg, Manitoba, Canada, R3E 0W2

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June 16-17, 2023 (tentative date to be confirmed pending status of current MDA Bylaw)


“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.” ( reference 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.  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.  A discussion and video demonstration on the preparation and handling of the substance will be presented.

Understanding the injectable substance and knowing how to navigate the full facial, head and neck anatomy in hands-on anatomical cadaver lab sessions will aid in improving outcomes and help to prevent complications. Enrollment for the cadaver sessions will be made based on timely, ‘first-come’ course registration. A second cadaver lab session 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 and Section II, 1.a.i of the Manitoba Dental Association Bylaw for the Use of Neuromodulators and Dermal Fillers.

Scope of practice is dictated by provincial 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.

Learning Objectives

  • Understand the full facial, head and neck anatomy and musculature with focus on the upper facial, mid-facial, lower facial and neck region, in addition to the pharmacology and physiology relevant to neuromodulator 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
  • Know the risks and complications of injecting neuromodulators
  • Understand the benefits and limitations of neuromodulators
  • Understand record keeping and documentation principles for neuromodulator use


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.

Registration Fee:

Dentist/Health Practitioner:    TBA, pending cost evaluation for cadaver sessions

Refund Policy

Registrants may receive a refund provided they give written notice no later than 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.

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

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Program Coordinator