First everyone needs to understand allowing this change would have to be through a Legislative change.  In the late 90's the scope of Dentistry was changed to allow Oral Surgeons to perform Cosmetic procedures.  This was very difficult with considerable push-back from the Plastic Surgeons.  We finally got them to agree as long as there were periodic cosmetic reviews done by an independent source and we had to have a separate Cosmetic License and a separate Oral Surgery License.  Unless I am missing something, the only way to allow Dentists to give Botox and Fillers is to Legislatively reopen the Scope of Dentistry and change it.  When you do this, then everything in the previous ruling can be challenged which could affect all Dentists and Specialists and not necessarily in a good way.  Virginia is different from other states on this, so it is not just an easy fix.