Good afternoon, 

I strongly support the comments made by the AAO in regards to this NOIRA. I also additionally support the definitions and training protocols that the VDA has proposed to the board. I think it is incredibly important for a dentist or orthodontist who has initiated treatment or fabrication of a dental appliance via teledentistry (where the patient was scanned by specifically a dental scan technician) to be verified for accuracy and appropriate fit prior to delivery. It is disservice to our patients and standards of care to require anything but. 

Thank you for your consideration.