Although I support the ability of well trained practitioners to perform these procedures, I was President of VSOMS during the efforts to change the Definition of Dentistry to include cosmetic procedures.  Although we were successful, this was done with trepidation due the risks of loosing more than we gained in the process.  It requires more than a regulatory change.  It is a legistlative change which would again need to open the Definition of Dentistry in order to make.  Hopefully we will be carefully guided in the process.