The New York State Education Department has issued new guidelines on do-it-yourself dentistry, which can be read below.

Professional Practice for Dentists

"Do it Yourself" Dental/Orthodontic Treatment

With the rise of "Do-It-Yourself" (DIY) dental treatments marketed directly to consumers, often at reduced costs, patients are increasingly seeking alternatives to traditional in office care.  These DIY products and services may include, among other things, orthodontic appliances, tooth whitening kits, mouth guards, and even at home solutions for crowns, veneers, or tooth replacement.  DIY dental treatments can pose significant risks to patients.  As trusted healthcare providers, dentists should be prepared to counsel and treat patients who are considering or using DIY products.  As dental professionals, it is essential that you are aware of the risks these treatments may pose and to help patients in making informed decisions.  Below are key considerations to keep in mind and discuss with patients who may be contemplating the use of DIY products:

• Patient Oral Health: Are the patient’s teeth and periodontal status healthy enough for the treatment?  Without a proper examination, underlying conditions such as caries, periodontal disease, or occlusal issues may go unnoticed and lead to complications.
• Diagnostic Records: Are proper records, including radiographs, photographs, and impressions/scans being taken prior to treatment?  Will these records be available for review prior to a licensed dentist’s evaluation and treatment planning for comprehensive care.
• Quality of Materials:  Are suitable materials being used for their intended use?  Are the materials used consistent with the safety and durability necessary for intra-oral use?
• Orthodontic Movement Risks: If the DIY treatment involves tooth movement, patients should understand that improper orthodontic forces can result in poor clinical outcomes.
• Company Dissolution: What happens if the company goes out of business during the course of treatment?  Will the patient be left without support or access to necessary follow-up care?