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South Carolina Cracks Down on Risky Teledentistry
22 Apr
Summary
- A new bill requires in-person follow-up for teledentistry orthodontic evaluations.
- Mail-order dental companies often force patients into non-disclosure agreements.
- Eight other states have already enacted similar legislation to protect patients.

A bill advancing in South Carolina aims to prevent harm caused by mail-order orthodontic companies. These companies offer teeth straightening services via mail-order kits, bypassing traditional dentist or orthodontist visits. However, patients have reported significant adverse effects, including jaw misalignment and irreversible damage.
The proposed legislation mandates an in-person follow-up after any teledentistry appointment for orthodontic appliance evaluation. This measure seeks to ensure patient safety and proper treatment. Professional associations for dentists and orthodontists are backing the bill, citing numerous cases of negative outcomes.
Additionally, the bill addresses problematic contract terms, prohibiting mail-order companies from forcing patients to sign agreements that prevent them from filing professional complaints or lawsuits. This aspect of the bill is particularly crucial as state regulatory boards previously had limited recourse.
Similar laws have already been successfully passed in eight other states. The legislative push reflects a broader effort to enhance oversight in teledentistry, ensuring that remote consultations are safe and effective, especially when dealing with complex treatments like orthodontic appliances.