A South Carolina House panel has unanimously advanced Senate Bill 453, which would end mail-order orthodontics by requiring an in-person appointment to follow any teledentistry consultation for orthodontic appliances. The bill, reported on April 21, mandates direct patient evaluation before orthodontic treatment can proceed.

Teledentistry rules for orthodontics

Senate Bill 453 establishes that teledentistry cannot be used as the sole method for orthodontic diagnosis and treatment planning. Any virtual appointment to evaluate a patient for orthodontic appliances must be followed by a mandatory in-person visit. This requirement aims to ensure that patients receive proper clinical assessment and direct supervision from an orthodontist before receiving aligners or other orthodontic devices through mail-order services.

Impact on remote orthodontic services

The bill targets the growing practice of companies offering direct-to-consumer orthodontic treatment without requiring initial or ongoing in-person care. If enacted, South Carolina would join other states moving to regulate teledentistry in orthodontics and restrict purely remote treatment models. The regulation reflects concerns about patient safety and the need for professional clinical oversight in orthodontic care.