I strongly support the amendment that a digital scan is the equivalent of a final impression and to specify that a patient/doctor relationship should be established in a face-to-face encounter. Many times patients are referred to periodontists for treatment prior to or during orthodontic care, or may be monitored closely throughout treatment by the orthodontist and general dentist if a future referral may be suspected. Unsupervised treatment can lead to potential harm and irreversible damage which would result in early tooth loss for the patient.