No — in the ADHA's Practice Act Overview (8.24.26 update), dermal fillers is the only one of the chart's 22 tracked functions with zero jurisdictions listing a permitted supervision level for hygienists.
All 51 rows, every state plus DC, show a dash.
That makes it more restricted than Botox, which the same chart lists as permitted, with conditions, in three states.
Always confirm the current rule with your state dental board.
The short answer
No jurisdiction shows a listed supervision level for dermal fillers in the ADHA's Practice Act Overview (8.24.26 update) — the same 51-jurisdiction chart behind our local anesthesia, nitrous oxide, and Botox articles.
Every state and DC shows a dash on the Dermal Fillers row, which makes it the single most restricted function of the 22 the chart tracks.
That's a different picture from Botox, a separate row on the same chart, which lists a supervision level in three states.
Dermal fillers and Botox are often discussed together, but the ADHA tracks them as two distinct hygienist functions with two distinct results.
Informational only — confirm with your state board
Dermal fillers vs. Botox: two rows, two different pictures
Botox is a neuromodulator — it relaxes muscle.
Dermal fillers, typically hyaluronic-acid based, add volume instead.
They're different substances with different mechanisms, and the ADHA chart treats them as separate permitted functions rather than one combined "injectables" row.
On the chart's Botox row, three jurisdictions list a supervision level: Arizona (General), Kansas (Direct), and Oklahoma (Direct).
The Dermal Fillers row lists none.
For the states testing the waters on Botox specifically — what's required, and why California doesn't permit it — see our full Botox scope article; this page covers what the chart shows for fillers, not the broader cosmetic-scope argument.
Broader industry discussion sometimes treats Botox and fillers as expanding together into hygiene practice, but this specific chart is more current (8.24.26) and more granular than that general narrative — and on its Dermal Fillers row specifically, no jurisdiction lists a supervision level at all.
What "-" means here
A dash on this chart means the function isn't listed as permitted hygienist scope in that jurisdiction's row — it is not the same as a stated prohibition.
The chart simply records no authorized supervision level for dermal fillers anywhere it tracks.
Where the chart does list a level for other functions, the codes come from its own legend: D — Direct Supervision (dentist present), ID — Indirect Supervision (dentist authorizes and is in the office), and G — General Supervision (dentist authorizes beforehand, need not be present).
None of those appear on the Dermal Fillers row in any of the 51 jurisdictions.
Dermal fillers supervision, by state
Quoting the chart as written, here is the listing for every jurisdiction — a dash in all 51.
| State | Dermal fillers supervision level (ADHA chart) |
|---|---|
| Alabama | - |
| Alaska | - |
| Arizona | - |
| Arkansas | - |
| California | - |
| Colorado | - |
| Connecticut | - |
| Delaware | - |
| District of Columbia | - |
| Florida | - |
| Georgia | - |
| Hawaii | - |
| Idaho | - |
| Illinois | - |
| Indiana | - |
| Iowa | - |
| Kansas | - |
| Kentucky | - |
| Louisiana | - |
| Maine | - |
| Maryland | - |
| Massachusetts | - |
| Michigan | - |
| Minnesota | - |
| Mississippi | - |
| Missouri | - |
| Montana | - |
| Nebraska | - |
| Nevada | - |
| New Hampshire | - |
| New Jersey | - |
| New Mexico | - |
| New York | - |
| North Carolina | - |
| North Dakota | - |
| Ohio | - |
| Oklahoma | - |
| Oregon | - |
| Pennsylvania | - |
| Rhode Island | - |
| South Carolina | - |
| South Dakota | - |
| Tennessee | - |
| Texas | - |
| Utah | - |
| Vermont | - |
| Virginia | - |
| Washington | - |
| West Virginia | - |
| Wisconsin | - |
| Wyoming | - |
Source: ADHA Dental Hygiene Practice Act Overview, 8.24.26 update.
How this compares to the other functions on this chart
Dermal fillers sits at the most restricted end of this 22-function chart. Scaling and root planing and x-rays are listed as permitted in all 51 jurisdictions. Local anesthesia is unlisted in only 2. Nitrous oxide is unlisted in 17, and soft tissue curettage in 8.
Botox, the function closest in kind to dermal fillers, is unlisted in 48 of 51 — tied with Vaccines as the chart's next most restricted functions, though neither reaches dermal fillers' zero.
Don't assume permission for one function implies permission for another.
The ADHA lists each one separately, and this article covers dermal fillers specifically.
Confirm your state's exact rule
A dash on this chart means dermal fillers isn't listed as a permitted hygienist function in that state — it doesn't mean the state has prohibited it outright, only that the chart records no authorized supervision level there.
Practice acts and their interpretation change over time, so treat this chart and this article as a snapshot dated to 8.24.26 rather than a permanent rule.
Start with your state dental board's practice act.
For the rest of what a hygienist can and can't do, see our full breakdown of hygienist scope limits.
This article is general information, not legal or clinical advice. Scope-of-practice and supervision rules vary by state and change over time — confirm current requirements with your state dental board.