I am the current Vice President for the Virginia Association of Orthodontists (VAO) and I believe that I speak for the entire VAO membership as well as most licensed dentists in Virginia.  The American Association of Orthodontists, of which the VAO is a constituent, and the American Dental Association, of which the Virginia Dental Association is a constituent, both believe that it is in the best interest of patient care for every patient to have the opportunity to discuss treatment options with a practicing dentist in the State of Virginia located in the State of Virginia.  The laws of the State of Virginia were and still are intended to be strictly followed by dentists licensed to practice in the State of Virginia and were codified to protect the public. 

The creation of any type of final impression or final scan that is utilized to fabricate any oral appliance-including aligners-is defined by the code of Virginia as the practice of Dentistry and must, therefore, be supervised by a dentist licensed to practice Dentistry in the State of Virginia.

Respectfully submitted,

A B Hammond, III DDS MA

Lexington VA