I have always been an advocate of general dentists and their training/abilities/knowledge which are usually underestimated by the medical community. However, as on OMS resident, my experience has been that most general dentists are lacking in their abilities to handle complications outside of routine restorative procedures. Maybe this is because the culture of the profession has revolved around the idea that the OMS guy is always available for a referral down the street. While I don't think botox is outside the abilities of a general dentist, I do think those dentists using this stuff should be well versed in the complications, which can last 3-6 months. I doubt too many OMS's will be very happy getting referrals in these types of cases. This is only my opinion, though.