Finally, the potassium citrate helps get rid of any tooth sensitivity you already experienced, prior to treatment, for an entirely sensitivity-free experience. Cheap Veneers for Teeth: Where to Get Them and What They Cost, Get Smile Brilliant professional whitening, Try Smile Brilliant professional whitening, Tooth Whitening/Bleaching:Treatment Considerationsfor Dentists and TheirPatients, Global teeth whitening products market report (20233 to 2017), U.S. population: Usage of tooth whiteners from 2011 to 2024, Top Braces Only: Cost and Eligibility for Braces on Top Teeth Only. Violation of the law could mean up to a year in jail and $5,000 in fines, Faulk wrote. For instance, in North Carolina, personnel at salons, spas and mall kiosks can offer whitening services, however, in Alabama, the whitening process can only be administered by licensed dentists, hygienists or dental assistants. Numerous over-the-counter (OTC) whitening products (e.g., strips, gels, rinses, chewing gums, or paint-on films) are also widely available for self-application at home.4, Tooth (and dental) discoloration are terms used to describe any change in the color or translucency of a tooth,1 as well as discoloration in multiple teeth or the entire dentition. Frank AC, Kanzow P, Rdig T, Wiegand A. Is teeth whitening illegal for non dentists Texas? ". The expertise of a qualified professional, High-quality, concentrated whitening ingredients, Assistance if you experience sensitivity or any other problems, How well you care for your teeth after whitening, The kinds of food and drink you consume after whitening. Dentists know this and are constantly working to offer the best ways to help patients achieve a whiter smile. In Georgia, earlier this year, the owner of a teeth-whitening business sued the state after receiving a cease-and-desist order from the Georgia dental board, Jonathan Serrie reported in May for Fox News. Brooks JK, Bashirelahi N, Hsia RC, Reynolds MA. Dent J (Basel) 2019;7(3). The limited studies to date on DIY or natural whitening interventions raise questions regarding the efficacy and safety of these approaches. But remember, not everyone is a good candidate, so check with your dentist first. 30 East 40th Street Park AvenueNew York, New York 10016. Nightguard vital bleaching: Current concepts and research. Actually I think youll find teeth whitening is open to anyone with all kinds of teeth, from those who have dull looking teeth because of trauma or if they want to make their smile even brighter and already have white teeth! European Journal of General Dentistry 2014;3(02):93-99. Fernandes MT, Vaez SC, Lima CM, et al. Oral arguments in the case, North Carolina Board of Dental Examiners v. Federal Trade Commission, are scheduled for Oct. 14. Effectiveness, side effects and long-term status of nightguard vital bleaching. Note that the main benefit of laser and LED whitening over take-home trays is the speed at which they produce results. tested contained more than 10% hydrogen peroxide. A randomized clinical trial investigating three vital tooth bleaching protocols and associated efficacy, effectiveness and participants' satisfaction. Dentists know this and are constantly working to offer the best ways to help patients achieve a whiter smile. Tooth-whitening products and kits bought over the counter on the internet can legally only contain up to 0.1 per cent hydrogen peroxide. Dental Practice Act Business & Professions Code beginning at Section 1600; Existing Regulations: The Dental Board's regulations are under TITLE 16, PROFESSIONAL AND VOCATIONAL REGULATIONS, DIVISION 10, DENTAL BOARD OF CALIFORNIA. However, results will diminish sooner if you consume a lot of foods and drinks that cause teeth to stain. Allowable Duties HARTFORD -- A lawsuit filed Wednesday seeks to block new regulations by the state Dental Commission that make it illegal for nondentists to provide certain teeth-whitening procedures at salons and . Required fields are marked *. So, is the higher in-office teeth whitening cost really worth it? She explains the process in detail and shows each step as it happened, so it's interesting to watch if you're considering having this treatment. Br Dent J 2020;228(5):333-37. Using technology from Phillips, this works in a similar way to laser whitening but instead uses LED lights to accelerate a whitening agent. The statute goes on to define what dentistry means in a list of thirteen items. When a state board has a controlling number of active market participants in the occupation it regulates, Kennedy said, state-action antitrust immunity cannot be invoked unless two requirements are met: 1) the challenged restraint of trade is clearly articulated and affirmatively expressed as state policy, and 2) The policy is actively supervised by the state.. This procedure is typically limited to treatment of extrinsic stains or defects that do not extend beyond the enamel.15, 43 Overall, the removal of intrinsic stains within the dentin is considered near impossible when using an external whitening procedure (i.e., chemical and/or mechanical) whitening treatments.17, Whitening of non-vital discolored teeth may be performed through intracoronal (internal) bleaching, a procedure that uses carbamide peroxide, hydrogen peroxide, or sodium perborate to provide adequate internal bleaching of non-vital teeth.44 In rare instances, non-vital tooth bleaching has been associated with reports of external cervical resorption, but the overall incidence of this adverse effect is not considered common.45, 46, Examples of whitening treatment considerations may include the patient lifestyle, socioeconomic status, and present oral health.32, 33 Since restorative materials generally do not change color, identifying and documenting existing tooth restorations as part of the dental examination can help promote and achieve an acceptable tooth bleaching outcome. Rodrguez-Martnez J, Valiente M, Snchez-Martn MJ. Laser teeth whitening, when performed in-office by a licensed professional is safe. PAP whitens teeth without sensitivity. Greenwall LH, Greenwall-Cohen J, Wilson NHF. Another professional teeth whitening option is Zoom whitening. These costs of teeth whitening, including laser whitening costs, depend on where you go and the exact procedure you choose. For lower-level actors, California Liquor Dealers Assn v. Midcal Aluminum, Inc. provided a two-prong test. Different light-activation systems associated with dental bleaching: A systematic review and a network meta-analysis. I didn't know teeth whitening was illegal Illegal tooth-whitening is a 'health gamble', say experts Six of the products that Which? Meanwhile, in Alabama, teeth-whitening entrepreneurs are challenging that states ban on retail teeth-whitening on constitutional grounds. 5 (100%) 1 vote [s] This article was originally published on 12/22/2021 and was most recently updated on 02/26/2023. Heymann GC, Grauer D. A contemporary review of white spot lesions in orthodontics. http://www.encinitassmiles.com/services/whitening, In EU the 6% strength is used by dentists and 0.1% for cosmetic. Dental whitening has grown into a multi-billion dollar business and the struggle over whether non-dentists should be allowed to bleach teeth has been playing out across the country in recent years. Illegal tooth whitening. However, state regulators sent Eck a cease and desist order from the Georgia Board of Dentistry after an investigator decided that her business was an unlicensed dental practice. Note that although laws vary by state concerning who can legally carry out tooth whitening, the ADA recommends all bleaching is performed or supervised by a professional. Dental professionals are responsible for managing patient care, and are a key resource on oral health to the public at large. Costa CA, Riehl H, Kina JF, Sacono NT, Hebling J. Effect of bleaching gel concentration on tooth color and sensitivity: A systematic review and meta-analysis. Statista: U.S. population: Usage of tooth whiteners from 2011 to 2024. Whitening the teeth of those under 18 is now illegal. Newton R, Hayes J. There are different perceptions as to why some of these laws are in place, some believing dental professionals are aiming to capture a greater share of the whitening market by banning anyone else from offering these services. The dental team member who assesses the patient's oral health needs and who is legally responsible for the care of the patient is: A. the dentist. J Am Dent Assoc 2015;146(2):87-93.e1. With increasing age, enamel becomes more translucent and thinner, which allows the yellower dentin to show through and the overall tooth color may darken.1, 18 Other causes of intrinsic discoloration include certain antibiotic use in childhood (e.g., tetracycline),19 caries, amalgam restorations, and pulpal hemorrhage, decomposition or necrosis.5, 7, 20 Intrinsic discoloration can also occur with prolonged use of antiseptic mouthrinse (e.g., chlorhexidine rinse).21, Reducing intrinsic stains involves a chemical reaction that changes the color of the tooth. A laser shone on the teeth during treatment is what makes this whitening technique so quick and effective. A bleaching kit supplied by your dentist is a more affordable way to achieve good results while still under the supervision of a dental professional. Gingival irritation can result from contact with peroxide-based gels when whitening strips or any gel-based product is used for whitening. Compend Contin Educ Dent 2012;33(1):72-3. The results of laser whitening should be clear after just one visit,but your dentist may recommend repeating the process toachieve the results you desire. Georgia is one of 30 states that have granted dentists a lucrative monopoly on teeth whitening, as the Institute for Justice documented in its 2013 report, White Out. If you're looking at take-home whitening kits, we recommend you check out Smile Brilliant. Mendes L, Laxe L, Passos L. Ten-year follow-up of a fragment reattachment to an anterior tooth: A conservative approach. Materials (Basel, Switzerland) 2018;11(9):1694. Cooper JS, Bokmeyer TJ, Bowles WH. Torres CR, Crastechini E, Feitosa FA, Pucci CR, Borges AB. Tooth-bleaching procedures and their controversial effects: A literature review. It should only be undertaken following a proper assessment by a registered dentist and on their prescription. There are some cases, like if your teeth are severely discolored from taking certain antibiotics as a child, that may not be suited to professional whitening. You are free to go! I see NY spas (non-dental) offer teeth whitening all the time and they have techs perform the service and obviousy touching the patient/client when applying the bleaching material and barriers. 1-888-STR8-SMILE 212-972-3522 Request an Appointment New Patient Forms 30 East 40th Street Park Avenue New York, New York 10016 Orthodontics & Dentistry Request Consultation Invisalign Teeth Whitening Crtes G, Pini NP, Lima DA, et al. Int J Tuberc Lung Dis 2014;18(2):251-2. First, decide which kind of whitening you would prefer. You may also call Dr. Jacquie Smiles at212-972-3522. However, there is a gray area when the anticompetitive conduct comes from a state agency or board as opposed to the state legislature itself. J Dent 2010;38 Suppl 2:e17-24. Oper Dent 2005;30(2):156-63. Charcoal-based mouthwashes: A literature review. J Am Dent Assoc 2017;148(11s):S20-s26. In the majority opinion(pdf) Justice Kennedy wrotethat the Board does not have state-action immunity because North Carolina is silent on whether the ban on the unauthorized practice of dentistry includes teeth whitening. Many dentists offer the service, which involves applying peroxide-containing preparations to the teeth. J Am Dent Assoc 1997;128 Suppl:19S-25S. Currently you have JavaScript disabled. Products that bear the ADA Seal of Acceptance (a voluntary program for OTC oral care products), indicating that the company has demonstrated that the product meets ADA Seal Program requirements for safety and effectiveness when used as directed, include toothpastes and whitening strips. If the prices mentioned above seem high to you, or if you simply don't have the time to spare for several dental visits, an at-home teeth whitening kit could be a good alternative. If you are happy with more gradual whitening, a take-home bleaching kit will still give good results over the duration of the treatment. Dent Clin North Am 2011;55(2):255-63, viii. They ask these non-dentist providers to cease and desist. Charcoal-containing dentifrices. Consulted 12th April 2023. Don't be tempted to exceed this in the hope you'll get better results gel can easily leak out of overfilled trays and damage your gums. Bottom Braces: Can You get Braces for Your Bottom Teeth Only? Joiner A. Whitening toothpastes: A review of the literature. The FTC urges that the need for active supervision is especially acute when the agency is not accountable to the public but rather to the very industry it purports to regulate. Sincethe Board could not show it was actively supervised, it was not immune from federal antitrust law. examined the ability of a strawberry/baking soda mixture to whiten teeth, but were unable to find measurable improvement.63 Yaacob et al. Share this conversation Before hiring a lawyer, make sure they're the right fit Book your free consultation In partnership with Answered in 1 minute by: 10/16/2017 Business Lawyer: Infolawyer She continues to follow her passion for connecting people with the healthcare they need by writing informative content about dentistry and medicine. Tooth whitening: What we now know. Teeth whitening at the dentist's office is a quick way to get a whiter smile, but is it the best whitening method for you? The strong bleaching products that dentists use can easily lead to increased inflammation or sensitivity if used on patients with untreated dental problems. Larry Salzman, lead attorney for the Institute for Justice, says the state dental boards or regulators are using government power to outlaw their competition [and] keep prices high. Algarni AA, Ungar PS, Lippert F, et al. Alqahtani MQ. A critical review of modern concepts for teeth whitening. This is nice information blog. Join or renew today She has been a regular contributor to Dentaly.org since 2017, and collaborates with dozens of dentists to keep this content accurate and up-to-date. Its surprising these days that consumers can walk through a mall and suddenly have the opportunity to whiten their teeth from a kiosk that doesnt employ a licensed dentist. For any questions or concerns about your medical condition and/or deterioration of your state of health, always consult your doctor or your dentist. Over-the-counter products, which will take longer and require some dedication on your part. using anything above 6% hydrogen peroxide is now illegal! Haywood VB. J Am Dent Assoc 1994;125(9):1219-26. It's UV light that causes sunburn and skin cancer, so using it in the mouth can damage gums, cheeks,and lips. Once your trays have been made, you'll return to collect them. All of these methods of professional teeth whitening at the dentist can be expensive. This teeth whitening service, also known as laser bleaching or power whitening, uses special teeth whitening lasers to accelerate the bleaching effect of a concentrated gel that is applied to the teeth. Irusa K, Abd Alrahaem I, Ngoc CN, Donovan TD. Then, you can begin your whitening treatment. J Esthet Restor Dent 2019;31(5):431-40. It could take up to a month to see any results, and your teeth are going to get maybe three or four shades lighter. Click here for instructions on how to enable JavaScript in your browser. If you're considering whitening your teeth, you'll be joining a popular trend in 2020, 37 million Americans used teeth whitening treatments, and dental bleaching is more than a $5.2 billion global industry (as of 2021). At-home whitening with custom trays involves whitening gel placed in trays by the patient at home. OTC and Dentist-Supervised At-Home and In-Office Options, Anecdotal Claims and Do-It-Yourself Whitening, https://aacd.com/proxy/files/Publications%20and%20Resources/AACD%20State%20of%20the%20Cosmetic%20Dentistry%20Industry%202015.pdf, https://www.aapd.org/media/Policies_Guidelines/P_Bleaching.pdf, MouthHealthy: 5 Things to Know about Getting a Brighter Smile, MouthHealthy: Natural Teeth WhiteningFact vs. Fiction, National Childrens Dental Health Month reaches thousands during February observance, Three-day ADA airway event to help children get best start in life. The Second, Fifth, and Tenth Circuits take an approach that is more likely to treatthe Board as a public entity. Review of the mechanism of tooth whitening. It is typically due to poor-fitting trays or improper application of the protective barrier or gel.22, 48 Li suggests that use of local anesthesia be avoided during in-office bleaching so that patients can detect any burning sensations, which could indicate gel seepage through the barrier, and that patients be instructed to alert the dentist to any discomfort during the procedure so that integrity of the barrier can be checked.22, A 2018 Cochrane review on the use of home-based whitening products found that tooth sensitivity and oral irritation were the most common adverse effects, which were more prevalent at higher concentrations but also considered mild and transient.1 A comparative systematic review of tray-delivered carbamide peroxide gels versus hydrogen peroxide products (for at-home bleaching) found that both whitening systems had relatively equal levels of tooth sensitivity and gingival irritation.61 As with sensitivity, gingival irritation is typically transient and resolves shortly after completing the treatment.22 Additionally, a 2022 systematic review concluded that hydrogen peroxide-containing products used for tooth whitening do not appear to have carcinogenic effects on the oral mucosa.62. Dental whitening is a multi-billion dollar business that non-dentists have managed to tap into and earn a piece of the pie, but is it illegal? It's worth getting quotes from more than one dentist for the laser teeth whitening cost since professional dental teeth whitening costs vary from one clinic to another according to a number of factors. STAY TUNED for upcoming video consultations!! Alternatively, you could get cheaper teeth whitening while on holiday in places like Costa Rica or Thailand. The trays are made in the office to fit comfortably and minimize contact of the gel with the patients gingiva. Dental abrasion pattern in a selected group of Malaysians. Operative Dentistry 2020;45(3):265-75. Adderall XR lasts for an average of around 12 hours, compared to the typical four . Policy on the use of dental bleaching for child and adolescent patients. Oper Dent 2016;41(4):341-56. An amicus brief filed by the North Carolina State Bar argued that a ruling for the FTC could affect state bars power to regulate lawyer ethics and the unlicensed practice of law. Sasha Volokh, writing for The Washington Post, argues that the Fourth Circuit approach is best. You send your teeth impressions to a lab and they make your custom mouth trays. Oper Dent 2015;40(1):E21-7. The Supreme Court of the United States granted certiorari on March 3, 2014, to a U.S. Court of Appeals for the Fourth Circuit case titled The North Carolina State Board of Dental Examiners v. Federal Trade Commission (pdf). Ultimately, the Supreme Court allowed an antitrust action against the Board. A rise in dental treatments, as well as interest in or awareness of the significance of oral health, are anticipated to drive the development. With the advancement in technology, innovations in dentistry are aiming to improve the patient experience by focusing on comfort, creating a quicker recovery time and performing minimally invasive procedures. Content is neither intended to nor does it establish a standard of care or the official policy or position of the ADA; and is not a substitute for professional judgment, advice, diagnosis, or treatment. Please try later. But the Supreme Courts decision in the North Carolina case could have wider implications for teeth-whitening shops and for the dental and medical boards that regulate the health professions nationwide. Best professional teeth whitening procedures in the US. Li Y. Stain removal and whitening by baking soda dentifrice: A review of literature. Extrinsic tooth discoloration by metals and chlorhexidine. When you buy via the links on our site, we may earn an affiliate commission at no cost to you. Due to the quick process, some clinicians may not recommend this method for people who wantteeth whitening for sensitive teeth. Bonafe E, Bacovis CL, Iensen S, et al. The bill would still allow the over-the-counter sale of teeth-whitening products in the state, Manny Corea reported in a May story for the Orangeburg Times and Democrat. In this table, you can see a summary of how much professional teeth whitening costs at the dentist using the different methods we've mentioned. Thats a little intimidating.. J Nihon Univ Sch Dent 1990;32(3):175-80. The Fourth Circuit approach is significantly different from the other two approaches; this approach gives weight to one or two factors, such as market participation and political accountability. The products are currently treated as cosmetics. The Supreme Court has likely granted certiorari in this case to resolve the current three-way split in the United States Circuit Courts of Appeals in order to make the federal law more uniform. I've had it in my head that the two options are shelling out $$$ for whitening at a dentist's office, or using the at-home strips (endlessly . Dentistry Review. Some consumers have reported they were given a high dosage of peroxide, the main ingredient in most teeth whitening gels, that made their teeth extremely sensitive. Patients who have tooth-colored restorations (including crowns or implants) should be aware that only natural teeth will be affected by the bleaching agent and treatment could result in differences between natural teeth and restorations, which will not change color.28 The American Academy of Pediatric Dentistry discourages full-arch cosmetic bleaching for child and adolescent patients in the mixed dentition and primary dentition.34 Additionally, some research suggests that bleaching protocols may alter the surface roughness of enamel, which may also reduce the shear bond strength between enamel and composite and ceramic restorative materials.35. J Appl Oral Sci 2018;26. who now offer tooth whitening are breaking the law. Bleaching compounds in over-the-counter whitening products are peroxide-based and typically contain carbamide peroxide or hydrogen peroxide at lower concentrations than in-office or dentist-prescribed, at-home bleaching techniques. To benefit from state action immunity, the Board had to satisfy the two prongs of the Midcal test. The association of external cervical resorption with modern internal bleaching protocols: What is the current evidence? Clear alignersare one of them. Consulted 12th April 2023. Lin S, Moreinos D, Kaufman AY, Abbott PV. by [deleted] Professional (Non-Dentist!) Smile Brilliant's whitening system comes with a 45-day satisfaction guarantee, so why not give it a try? Tray method provides the fastest, most predictable delivery of whitening. Li Y, Greenwall L. Safety issues of tooth whitening using peroxide-based materials. Laws and Regulations Dental Board Statutes and Regulations. In recent years the industry has struggled over whether non-dentists should be allowed to whiten teeth. Zoom teeth whitening costs around $400 on average, and laser teeth whitening costs around $1,000. Tooth sensitivity with a desensitizing-containing at-home bleaching gela randomized triple-blind clinical trial. The dentist will check that you're a suitable candidate for safe teeth whitening. How much does professional teeth whitening cost? As a result, the Federal Trade Commission (FTC) brought an antitrust action against the Board. J Endod 2022;48(2):171-78. Studies reveal that 20 percent of the population in the United States would consider receiving teeth whitening treatments at mall kiosks, beauty salons and other establishments that dont have a licensed dentist on the premises. The new law prohibits the "bleaching of the human teeth" by non-dentists, and even makes it illegal if a non-dentist "instructs the public in the use of any teeth bleaching product." 9 That means that a non-dentist who simply sells customers an over-the-counter product and instructs them on how to apply it to their own teeth is . In contrast to well-researched professional and OTC approaches to tooth whitening, do-it-yourself (DIY) methods using fruits or other household items (e.g., coconut oil) have been promoted by print and online media as alternative, cost-effective means to whiten teeth. Br Dent J 2013;215(1):29-34. Tooth whitening: From the established treatments to novel approaches to prevent side effects. James P, Worthington HV, Parnell C, et al. American Dental Association Dental boards or regulators in at least twenty-five states have ordered teeth whitening businesses to shut down. Kwon SR. Introduction to tooth whitening. Zoom QuickPro was designed so that patients could spend a minimal amount of time in the dentist's chair. Click here for instructions on how to enable JavaScript in your browser. It takes 45 minutes and teeth can get up to 8 shades whiter. The 6-3 decision allows the FTC challenge to the boards cease and desist orders on teeth whitening by non-dentists. Pediatrics 1999;103(2):E19. Pontes MMA, Gomes JML, Lemos CAA, et al. These are used to create your custom trays, which will fit snugly in your mouth to ensure even coverage of the gel. The Institute for Justice is currently challenging these restrictions in Connecticut and Alabama as well. In-office whitening is performed by your dentist. Comparison of efficacy of tray-delivered carbamide and hydrogen peroxide for at-home bleaching: A systematic review and meta-analysis. Laser teeth whitening costs more than other methods. The best way to whiten teeth professionally at home is with a take-home kit provided by your dentist. J Coll Physicians Surg Pak 2015;25(12):891-6. Although home whitening doesn't give you the assurance of a dental professional administering your treatment, it is safe as long as you choose a good quality product and follow the instructions carefully. J Dent 2004;32 Suppl 1:3-12. Only natural teeth can be whitened, not tooth-colored restorations. The 6-3 decision allows the FTC challenge to the board's cease and desist orders on teeth whitening by non-dentists. (More info about recent lawsuits on the subject can be found here on DrBicuspid.com.). He comes from the dental board, and hes telling me he can shut me down. The information contained on Dentaly.org is not a substitute for appointments with your dentist, including regular checkups as recommended by the ADA/Oral Health Foundation. Products that contain over 0.1 per cent hydrogen peroxide can legally only be sold to a dentist. Compend Contin Educ Dent 2011;32(8):50-6. Eck closed her business to avoid any legal consequences, but was adamant she did nothing wrong. Dentaly.org is reader-supported. There are several popular methods that dentists use to whiten teeth. Others may feel that they want to insure that there is no damage done to their teeth, so they may go to a professional. Most home whitening kits just do superficial work, cutting down on surface stains. Anyone caught before 12 March this year faced a maximum fine of 5,000, but now the . If you opt for a professional bleaching kit, you should start to see results after a few days of daily use, but treatment continues for around 10-14 days. For some time, there has been consistent consumer demand for whiter, brighter teeth and an attractive smile.1-3 Professionally administered (in-office) tooth whitening, also known as dental bleaching, remains a popular esthetic procedure and can be performed using a wide range of techniques and application protocols. Some states, includingGeorgia, Alabama, and Connecticut, have pending litigation concerning this issue. Professional teeth whitening can last for 2 to 3 years after the procedure. The purpose of this post is to start an open discussion regarding your thoughts on the subject should teeth whitening services be provided by licensed dental professionals only? Teeth whitening is considered to be practice of dentistry and can only be provided by registered dental professionals. Can whitening toothpastes maintain the optical stability of enamel over time? Tooth discolorations are typically classified as extrinsic, intrinsic, or a combination of both types.5, Extrinsic stains commonly result from an accumulation of colored compounds on enamel. Amanda specialises in writing informative content about dentistry. Or, should non-dental cosmetic business owners be able to use the same OTC whitening products on clients that consumers can buy and use freely without a dentists supervision anyway? In-office whitening treatment may involve application of a peroxide-containing gel, used with or without a light intended to accelerate and enhance the bleaching process (known as a light-activated system).40 Another in-office bleaching procedure, known as power bleaching, uses concentrated solutions of hydrogen peroxide in water (with or without light activation), which may be applied for up to 30 minutes.17, Dentist-supervised whitening approaches include at-home and in-office options (note: whitening products supplied by dentists for use at home or applied by dentists in the office are considered professional products, and are not eligible for the ADA Seal of Acceptance).
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