1062 - Applied Antitrust Law

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Appeal: 12-1172

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CASE NO. 12-1172 ________________________ IN THE UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT _____________________________________ THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS, Petitioner v. FEDERAL TRADE COMMISSION, Respondent ________________________ ON PETITION FOR REVIEW OF AN ORDER OF THE FEDERAL TRADE COMMISSION ________________________ JOINT APPENDIX, VOLUME I9 ________________________ Noel L. Allen M. Jackson Nichols Catherine E. Lee Nathan E. Standley Brenner A. Allen, of counsel ALLEN, PINNIX & NICHOLS, P.A. Post Office Drawer 1270 Raleigh, North Carolina 27602 Telephone: 919-755-0505 Facsimile: 919-829-8098 Email: [email protected] [email protected] [email protected] [email protected] [email protected] Counsel for Petitioner

Imad Dean Abyad John F. Daly FEDERAL TRADE COMMISSION 600 Pennsylvania Avenue, N.W. Washington, D.C. 20580 Telephone: 202-326-2375 Facsimile: 202-326-2477 Email: [email protected] [email protected] Counsel for Respondent

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CASE NO. 12-1172 INDEX TO DOCUMENTS IN APPENDIX VOLUME I Pleadings Description of Item/Date Relevant Docket Entries FTC’s Administrative Complaint (6/17/10) Response to Complaint (7/6/10) Complaint Counsel’s Motion for Partial Summary Decision (11/2/10) Respondent’s Motion to Dismiss (11/3/10) Respondent’s Motion to Change Hearing Location (1/14/11) Respondent’s Motion to Disqualify the Commission (1/14/11) Order Denying Respondent’s Motion to Change Hearing Location (1/25/11) Opinion of the Commission [non-public version] and Order Denying Respondent’s Motion to Dismiss, Granting Complaint Counsel’s Motion for Partial Summary Decision, Denying Respondent’s Motion to Disqualify the Commission, and Granting Respondent’s Motion for Leave to File Limited Surreply Brief (2/3/11) Commission Opinion Denying Respondent’s Motion to Disqualify the Commission (2/16/11) Order Denying Respondent’s Motion to Dismiss at the Close of Evidence Offered in Support of the Complaint (3/30/11) Complaint Counsel’s Post-Trial Proposed Final Stipulations of Law, Fact, and Authenticity [excerpts] (4/25/11) Initial Decision and Order (7/14/11) Respondent’s Notice of Appeal (7/28/11) 2   

Record Appendix Entry No. Page No. N/A 1 R.1 12 R.6 19 R.22 43 R.25 R.59

49 53

R.61

60

R.83

72

R.98

76 94

R.114

96

R.129

104

R.142

109

R.165 R.167

116 250

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Description of Item/Date Oral Argument Before the Commission [excerpt] (10/28/11) Opinion and Final Order of the Commission (12/7/11) Respondent’s Application for Stay of Order Pending Review by U.S. Court of Appeals (1/13/12) Order on Respondent’s Application for Stay of Order R.182 Pending Review by U.S. Court of Appeals (2/10/12) Petition for Review w/o exhibits A-F (2/10/12)

Record Appendix Entry No. Page No. R.176 253 R.177 R.180

265 311

R.183

332

R.184

339

VOLUME II Excerpts from Hearing Transcripts Name Hearing Transcript Giniger, Dr. Martin

Hearing Transcript Giniger, Dr. Martin Hearing Transcript Gibson, John William Nelson, George

Osborn, Joyce

Nature of Testimony Direct Direct Direct Direct Direct Cross Direct Direct Direct Direct Direct Direct Direct Cross Cross Direct Direct Cross

Date 2/17/2011 2/17/2011 2/17/2011 2/17/2011 2/17/2011 2/17/2011 2/18/2011 2/18/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011

3   

Cited Page Nos. 111-121 128-132 149-150 169-172 180-183 461-466 613-615 622-633 733-736 740-743 769 774-778 785-789 834 850-851 653-656 668-675 716-719

Appendix Page No. 343 344 355 360 362 366 370 371 377 405 408 436 440 444 445 450 455 456 420 424 432

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Name Valentine, James Patrick

Filed: 07/06/2012

Nature of Testimony Direct Direct Direct Cross Cross

Hearing Transcript Hughes, Margie

Direct Direct Direct Direct Direct Direct

Kwoka, Dr. John

Wyant, Brian David Hearing Transcript Kwoka, Dr. John

Cross Cross Cross

Hearing Transcript Owens, Ronald K., DDS

Direct Direct Direct Direct Direct Direct Cross Direct Direct Direct Direct Direct Direct Cross Cross Cross Cross Cross Cross

Wester, Millard W., III

   

Date 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/23/2011 2/24/2011 2/24/2011 2/24/2011 2/24/2011 2/24/2011 2/24/2011 2/24/2011 2/25/2011 2/25/2011 2/25/2011 2/25/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011 2/28/2011

 

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Cited Page Nos. 523-533 561-570 575 597-599 606-607 934-936 940-948 981-984 994-997 1005-1009 870-885 1114-1115 1136-1137 1219 1436-1438 1440 1445 1449-1454 1457-1459 1464 1474-1475 1278 1280-1281 1285-1286 1288 1290-1291 1300-1302 1311-1315 1321 1323-1324 1337-1338 1352-1353 1400-1408

Appendix Page No. 378 389 399 400 403 458 475 478 487 491 495 459 500 501 503 505 506 539 542 543 544 550 553 554 507 508 510 512 513 515 518 523 524 526 528 530

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Name

Nature of Testimony

Hearing Transcript Owens, Ronald K., DDS

Cross Cross Cross Cross

Hearing Transcript Baumer, David Lee

Direct Direct Cross Cross Cross Cross Cross Cross Cross Cross

Hearing Transcript Runsick, Brian Keith Hearing Transcript White, Bobby

 

Direct Direct Direct Direct Direct Direct Direct Direct Direct Cross Cross

Date 3/1/2011 3/1/2011 3/1/2011 3/1/2011 3/1/2011 3/2/2011 3/2/2011

3/3/2011 3/3/2011 3/3/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011

 

5   

Cited Page Nos. 1576-1579 1589-1590 1618-1621 1662-1664 1763 1781 1845-1850 1855-1856 1859-1862 1884-1885 1896-1898 1900-1903 1910-1915 1926-1935 2108-2109 2111-2116 2194 2197-2198 2202-2203 2208-2209 2219-2220 2226-2227 2232-2234 2255 2317-2319

Appendix Page No. 556 557 561 563 567 570 571 572 573 579 581 585 587 590 594 600 610 611 613 619 620 621 623 625 627 269 631 634 635

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Name Hearing Transcript Haywood, Van Benjamin

Hearing Transcript Hardesty, Willis Stanton, Jr.

Haywood, Van Benjamin Hearing Transcript Haywood, Van Benjamin

Nature of Testimony Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Cross Cross Cross Cross Cross Cross Cross Cross Cross

Date 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/9/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/10/2011 3/16/2011 3/16/2011

6   

Cited Page Nos. 2403 2449 2458-2459 2461-2462 2464 2472-2474 2530 2545 2567-2568 2570-2572 2762-2766 2771-2772 2774-2776 2780-2785 2804-2805 2818-2823 2829 2856-2858 2864-2866 2695-2696 2713-2714 2728-2729 2915-2917

Appendix Page No. 638 639 640 641 643 645 646 649 650 651 653 656 663 668 670 673 679 681 687 688 691 657 659 661 694 695

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VOLUME III Excerpts from Designated Deposition Transcripts Name

Date

Allen, Stanley L., Jr., DDS

9/3/2010

Bakewell, Carolin

10/13/2010

Baumer, David L., Ph.D, J.D. Brown, Benjamin W., DDS

1/21/2011

Burnham, Joseph S., Jr., DDS

10/8/2010

Efird, Zannie Poplin Feingold, Clifford O., DDS

9/1/2010 10/5/2010

Cited Page Nos. 18 26-27 33-35 38 79-81 87-88 181-182 214-215 318 28-34

Nature of Testimony Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct

Appendix Page No. 699 700 702 705 707 710 712 714 716 718

8 15-17 26-27 40-41 43-44 77-79 101-102 104 222 224-225 70 72-73 114-115 146-147 151-153 171-174 41 10-11 49 64-66

Direct Direct Direct Direct Direct Direct Direct Direct Cross Cross Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct

726 727 730 732 734 736 739 741 742 743 746 747 749 751 753 756 761 763 765 766

9/2/2010

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Name

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Date

Friddle, Teresa W.

10/14/2010

Friddle, Teresa W. (Investigational Hearing) Goode, Casie S. (Investigational Hearing) Hall, Neplus S.

7/7/2009

Hardesty, Willis Stanton, Jr., DDS

10/29/2010

W. Stan Hardesty, Jr., DDS (Investigational Hearing) Hasson, Michael L., DDS

7/23/2009

Holland, Charles Wayne, DDS

7/8/2009

Cited Page Nos. 22-23 59 62-63 6-15 39 96 24-26

Nature of Testimony Direct Direct Direct Direct Direct Direct Direct

Appendix Page No. 770 772 773 776 786 787 789

4-5 16 34 38 53-55 60-62 67 87 98 145 30-31

Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct

793 795 796 798 799 802 805 806 807 808 810

60 62-63 85-87 32-33 35-38 49-51 84-85 138-139 145-146 154-156 248

Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Cross

813 814 816 820 822 826 829 831 833 835 838

9/1/2010

11/16/2010

9/17/2010

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Name

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Date

Kurdys, Sean

10/7/2010

Morgan, Brad C., DDS

10/15/2010

Owens, Ronald K., DDS Oyster, Gary D., DDS Parker, Alec M., DDS Runsick, Brian Keith Tilley, Larry F., DDS

11/8/2010

Cited Page Nos. 17 37-38 53 57 81-82 30 80-83 127-128 146 258-259 287-288 169-170

Nature of Testimony Direct Direct Direct Direct Direct Direct Direct Direct Direct Direct Cross Direct

Appendix Page No. 840 841 843 844 845 848 849 853 855 856 858 861

14-15 32 8-10

Direct Direct Direct

864 866 868

60-61 113-115 139-140 16 21-22 50-52 7-10

Direct Direct Direct Direct Direct Direct Direct

672 875 878 881 882 884 888

9/24/2010 9/23/2010 11/4/2010 11/12/2010

Wester, Millard W., III, DDS

9/3/2010

White, Bobby D.

11/9/2010

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Complaint Counsel’s Exhibits Exhibit Number CX25

Description

Letter to Dr. Benjamin Brown from Terry Friddle re: Welcome Back to the NC Dental Board dated 6/26/03

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Appendix Page No. 892

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Exhibit Number CX28

CX32 CX33 CX35

CX36

CX38 CX42 CX43 CX44

CX45

CX50

CX54

CX56 CX58

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Filed: 07/06/2012

Description

Letter to Dr. Millard "Buddy" Wester from Bobby White & Terry Friddle: re: Welcome to the NC Dental Board dated 6/25/08 E-mail to Terry Friddle from [email protected] re: Great White Case #03-184 dated 7/15/2004 Fax to Dr. Benjamin Brown from Terry Friddle re: Richard Yeager DDS Complaint dated 9/28/2003 Fax to NCBoard from Kelly Kreeb, DDS re: Edie’s Salon Panache Offering TW Services dated 10/15/2004 Fax to Dr. Stanley Allen from Terry Friddle: re: Caryn Massari, DDS re: Edie’s Salon Complaint dated 10/7/2004 Letter to Serenity Day Spa from Terry Friddle: re: taking dental impressions dated 1/11/06 Collection of letters sent on same day to BleachBright locations from Board dated 1/19/09 Fax to Carolyn Bakewell from Jerry Butler DDS re: BleachBright dated 10/27/2008 E-mail to Friddle, Dempsey, Smith et al. from Burnham: re: Star Bright Whitening Systems at Cutting Crib dated 5/15/06 Fax to Dr. Joseph Burnham from Terry Friddle re: Star Bright Whitening Systems, Inc. dated 5/12/2006 Letter to Terry Friddle from Pamela Weaver: re: Cease and Desist Letter to Nicole's Hair dated 3/27/07 Fax to Dr. Stan Hardesty from Terry Friddle re: Dr. Reese Complaint Form – Signature Spas dated 9/11/2006 Minutes from NC Dental Board Meeting: Morrisville, NC dated 2/9/2007 Letter to Tom Jones Drug from Casie Goode dated 2/18/09

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Cited Page Nos. 1

Appendix Page No.

1-8

894

1-5

902

1-2

907

1-18

909

1-5

927

1-40

932

1-13

972

1-6

985

1-7

991

1-3

998

1-6

1001

1-8

1007

1-2

1015

893

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Exhibit Number CX59 CX65

CX66 CX67 CX68 CX69 CX70 CX74 CX77 CX79 CX80 CX92

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Description

Letter to Port City Tanning from Casie Goode dated 10/7/08 Letter to Patrice Barragan (Sunsational Tan) from Carolin Bakewell re: White Science dated 12/27/2007 Letter to Algis Augustine from Carolin Bakewell re: White Science Email to Van Essen from Carolin Bakewell: re: Teeth whitening Memo dated 2/7/07 Letter to Joe Willett (BleachBright- Crabtree Valley Mall) from Casie Goode dated 2/20/08 Letter to Sherry Johnson (Body Mind and Spirit) from Terry Friddle dated 3/29/07 E-mail to Friddle from Holland re: Body, Mind & Spirit Day Spa Log #06-217 dated 3/22/2007 Letter to Dotson, Nelson and York (Celebrity Smiles) from Terry Friddle dated 11/21/07 Letter to Champagne Taste from Carolin Bakewell dated 2/8/07 Letter to Tim Williams (Movie Star Smile) from Casie Goode dated 12/18/07 E-mail to Friddle, Dempsey and White from Dr. Brown re: Case 04-090 dated 11/7/2005 E-mail from Treman to Goode re: www.shinewhite.net/retailers.php dated 3/4/2008

Cited Page Nos. 1-2

Appendix Page No.

1

1019

1

1020

1-3

1021

1-2

1024

1-2

1026

1-2

1028

1-2

1030

1-2

1032

1-2

1034

1-2

1036

1

1038

1-6

1039

1-4

1045

1-2

1049

1

1051

1017

VOLUME IV CX94 CX96 CX97 CX100

Letter to Terry Friddle from Joe Bracey: re: Sean Powers- Order to Cease and Desist dated 12/18/07 Letterto Margie Hughes (SheShe Studio Spa) from Terry Friddle dated 2/23/07 Letter from to Patrice Barragan (Sunsational Tan) from Terry Friddle dated 9/4/07 Letter to White Science from Bakewell dated 12/4/2007 11 

 

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Exhibit Number

Description

CX102

Letter to Kyle Taylor from Carolin Bakewell re: Status of Whitening Kiosks in Carolina Place Mall Closed Session Minutes from NC Dental Board Meeting in Morrisville, NC 8/10-8/11/2007 & 2/78/2008 dated 8/10/2007, see Sealed Volume VI below E-mail to Bakewell from Recker re: your letter May 9, 2007 dated 7/24/2007 Closed Session Minutes from NC Dental Board Meeting in Morrisville, NC 3/14-3/15/2008 dated 3/14/2008, see Sealed Volume VI below Letter to White Science from Carolin Bakewell re: selling teeth whitening services to non-dental professionals dated 2/13/2007 E-mail to Dr. Holland from Terry Friddle re: Log 09-047 Please Assign w/attach: Complaint Form from Dr. Stephen Smith dated 2/18/2011 Letter to Jason & Shanon Rabon (Sunsational Tan) from Terry Friddle dated 3/26/09 Letter to Fantasticians from Casie Goode dated 9/24/08 Letter to Florida White Smile from Casie Goode dated 10/7/08 Letter to Joe Willett (iBriteExpress) from Casie Goode dated 9/24/08 E-mail to Dr. Holland from Terry Friddle: re: Log 09-049 Please Assign Case dated 2/18/09 Letter to Ortho Depot from Friddle re: Unlawful Practice of Dentistry dated 10/3/2000 Letter to Barry Hughie (DOWD Central YMCA) from Terry Friddle dated 2/12/2002 Letter to Barry Hughie (DOWD Central YMCA) from Friddle re: setting a dental practice dated 12/10/2001 Letter to Serenity Total Body Care/Bleach Bright from Casie Goode dated 9/22/09

CX106

CX108 CX109

CX110

CX111

CX112 CX120 CX122 CX123 CX128 CX136 CX138 CX139

CX153

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Cited Page Nos. 1-3

Appendix Page No.

1-5

v.VI 1698

1-42

1055

1-3

v.VI 1703

1

1097

1-6

1098

1-2

1104

1-2

1106

1-2

1108

1-2

1110

1

1112

1

1113

1

1114

1

1115

1-2

1116

1052

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Exhibit Number

Description

CX155

Letter to Heather Wiecek (Buena Vista Smiles) from Casie Goode dated 12/14/09 Letter to Suave D's-BleachBright from Casie Goode dated 12/22/09 The News & Observer: State Lets Whitening Kiosks Be dated 3/19/2010 Letter to Board from Tonya Norwood (Modern Enhancement Salon) dated 2/9/2009 American Dental Association: Talking Points; Whitening at a Salon or Mall Kiosk by Unlicensed Individuals dated 1/2010 Fax to NC Dental Board from Dr. Davis re: Movie Star Smile ad in Hickory Daily Record dated 2/6/2008 Letter to Blue Ridge Mall from Carolin Bakewell dated 11/21/07 Letter to CBL & Associates Properties from Carolin Bakewell dated 11/21/07 Letter to Colonial Mayberry Mall Office from Carolin Bakewell dated 11/21/07 Minutes from NC Dental Board Meeting in Morrisville, NC 8/10-11/2007 dated 8/10/2007 Letter to Clifford Feingold from NC Dental Board: re: Welcome Letter & Training Information dated 7/8/05 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 11/13/06 Letter to Joseph Burnham from NC Dental Board: re: Welcome Letter & Training Information dated 6/26/03 E-mail to Kurdys from Bishop re: Teeth Whitening at Southpoint Mall Investigative Memo to Owens and Bakewell from Kurdys: re: Mr. Shawn Powers (Savage Tan) dated 8/30/07

CX156 CX158 CX162 CX185

CX198

CX203 CX204 CX205 CX206 CX219

CX235

CX242

CX245 CX247

13   

Cited Page Nos. 1-2

Appendix Page No.

1-2

1120

1-2

1122

1

1124

1

1125

1-2

1126

1-2

1128

1-2

1130

1-2

1132

1-5

1134

1

1139

3

1140

1

1141

1

1142

1

1143

1118

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Exhibit Number

Description

CX249

Investigative Memo to Owens and Bakewell from Kurdys: re: Bailey's Lightening Whitening dated 8/13/08 Investigative Memo to Holland & Bakewell from Kurdys re: Inspire Skin & Body (Felicia Brown; Case 08-214) dated 2/3/2009 E-mail to White from Bakewell re: Teeth Whitening dated 11/27/2007 E-mail to White from Bakewell re: Teeth Whitening dated 3/24/2008 Fax to Frank Recker from Terry Friddle re: Celebrity Smiles Cease & Desist Letter dated 11/20/2007 Letter to Algis Augustine from Carolin Bakewell: re: Joe Willett/BleachBright dated 3/10/08 Investigative Memo to Hardesty & Bakewell from Dempsey re: Spa White/White Science (07-020) dated 11/21/2007 Letter to Cleveland Mall Office from Carolin Bakewell dated 11/21/07 Letter to General Growth Properties from Carolin Bakewell dated 11/21/07 Letter from Hendon Properties from Carolin Bakewell re: Unauthorized Tooth Whitening Kiosk dated 11/21/2007 Letter to University Mall Office from Carolin Bakewell dated 11/21/07 Letter to Westfield Eastridge Mall Office from Carolin Bakewell dated 11/21/07 E-mail to BCFamilyDentistry, CC: White & Friddle from Bakewell re: Salon Ads Submitted by Dr. Mathew dated 9/8/2008 Chart of Carolin Bakewell's Cases dated 3/11/09, see Sealed Volume VI below Letter to Inspire Skin & Body from Casie Goode dated 4/3/09

CX251

CX254 CX255 CX256

CX257 CX258

CX259 CX260 CX261

CX262 CX263 CX265

CX270 CX272

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Cited Page Nos. 1

Appendix Page No.

1-2

1145

1

1147

1-2

1148

1-3

1150

1

1153

1-2

1154

1-2

1156

1-2

1158

1-2

1160

1-2

1162

1-2

1164

1

1166

1-2

v.VI 1706 1167

1-2

1144

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Exhibit Number

Description

CX276

List of Teeth Whitening Case Files, see Sealed Volume VI below Letter to NC Dental Board from Nicole LeCann re: Bleach Bright in Crabtree Valley Mall dated 2/27/2008 Letter to Shohreh Rafie (Carmel Day Spa & Salon) dated 10/1/07 E-mail to Friddle, Bakewell & White from Hardesty re: Concern about Unlicensed Person Bleaching Teeth dated 1/20/2007 E-mail to Weinstein & Smith from Hardesty re: Concerning about Unlicensed Person Bleaching Teeth dated 1/19/2007 E-mail to Friddle and White from Hardesty: re: Case Assignment 06-198 dated 9/12/06 Investigative Memo to Stanley Allen and Denise Stafford from Terry Friddle: re: Edie's Salon Panache dated 10/7/04 E-mail to Friddle, Bakewell & White from Hardesty re: Salon Bleaching dated 1/20/2007 E-mail to Friddle, White & Bakewell from Holland re: Case Assignment 08-214 dated 12/1/2008 E-mail to Friddle from Hyman re: Lightening Whitening dated 6/17/2008 E-mail to Friddle from Owens re: Case Assignment 09-269 dated 12/10/2009 Letter to Boone Mall Management from Carolin Bakewell dated 11/21/07 Letter to Northgate Mall Office from Carolin Bakewell dated 11/21/07 Letter to Randolph Mall Management Office from Carolin Bakewell dated 11/21/07 E-mail to [email protected] from Bakewell re: Illegal Tooth Whitening Kiosks at Crabtree Valley Mall dated 11/21/2007

CX278

CX279 CX281

CX282

CX283 CX284

CX293 CX297

CX304 CX311 CX323 CX324 CX325 CX326

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Appendix Page No.

1

v.VI 1708 1169

1-2

1170

1

1172

1

1173

1

1174

2

1175

1-2

1176

1-8

1178

1

1186

1-2

1187

1-2

1189

1-2

1191

1-2

1193

1-2

1195

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Exhibit Number

Description

CX347

E-mail to Dempsey, Friddle, Smith et al. from Hardesty: re: Amazing Grace Spa (07-021) dated 1/16/08 Investigative Memo to Holland and Bakewell from Dempsey: re: Body, Mind, & Spirit Day Spa dated 8/7/07 E-mail to Dempsey, Friddle, Smith et al. from Owens re: Case 07-208 Celebraity Smiles (Southpoint) Letter to Christiane Dotson and Sherry Nelson (Celebrity Smiles) from Terry Friddle dated 11/20/07 Investigative Memo to Hardesty and Bakewell from Dempsey: re: SheShe Studio Spa dated 8/7/07 E-mail to Dempsey from Neal re: Teeth Whitening dated 2/13/2008 Investigative Memo to Feingold and Bakewell from Dempsey: re: Carmel Day Spa and Salon dated 9/24/07 E-mail to Friddle from Owens re: Whitening Spa dated 11/20/2007 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 9/7/07, see Sealed Volume VI below E-mail to White, Burnham, Hardesty et al. from Owens re: Teeth Whitening dated 3/17/2008 Letter to Enhanced Light Technologies from Carolin Bakewell re: Illegal Teeth Whitening dated 2/13/2007 Dr. W. Stan Hardesty's Response to the FTC's Subpoena Duces Tecum dated 9/7/10 Letter to Alan Elrod from Terry Friddle dated 1/31/07 Letter to Bailey's Lightning Whitening from Terry Friddle dated 7/17/08

CX348

CX350

CX351

CX353

CX354 CX361

CX365 CX368

CX369 CX371

CX378 CX386 CX387

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Appendix Page No.

1

1198

1

1199

1-2

1200

1

1202

1

1203

1

1204

1-2

1205

1-2, 5 1

v.VI 1710 1712 1207

1

1208

3, 12 1-2

1209 1210 1211

1-2

1213

1197

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Exhibit Number

Description

CX388

Letter to Lite Brite from Terry Friddle dated 7/17/08 Letter to Triad Body Secrets from Terry Friddle dated 9/24/08 Letter to Whitening on Wheels from Terry Friddle dated 11/12/08 Letter to Cynthia Blust (The Extra Smile, Inc.) from Terry Friddle dated 12/31/08 Tooth Whitening/Bleaching: Treatment Considerations for Dentists and their Patients dated 9/2009 [excerpt] AACD: First It Was Atkins, Then It Was South Beach, Now It’s the White Smile Diet dated 6/22/2008 Symposium on Esthetic Restorative Materials: History, Safety and Effectiveness of Current Bleaching Techniques: Applications of the Nightguard Vital Bleaching Technique; by Van B. Haywood (1991) E-mail to Casey & Bakewell from White re: Question Bobby White’s Call Log Files: Referencing Whitening/Bleaching 2004-2010 E-mail to White from Reitz: re: Anything New? dated 3/2/2010 Letter to Ronald Owens from Bobby White: re: Welcome Letter & Training Information dated 7/8/05 Letter to Ronald Owens from Bobby White: re: Welcome Letter & Training Information dated 6/25/08 E-mail to [email protected] from Steinbicker: re: Question about Serenity Total Body Care dated 9/1/09 Two Buena Vista Smiles Advertisements – undated

CX389 CX390 CX391 CX392

CX397

CX402

CX404 CX411 CX419 CX449

CX450

CX452

CX455

17   

Cited Page Nos. 1-2

Appendix Page No.

1-2

1217

1-2

1219

1-2

1221

1-3, 5, 8 1-2

1223 1226 1227 1228

3-8

1230

1-3

1236

1-4

1239

1-2

1243

1

1245

1

1246

1

1247

1-2

1248

1215

Appeal: 12-1172

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Exhibit Number

Description

CX462

Open Investigative Files to Dr. Owens from Terry Friddle dated 8/12/10, see Sealed Volume VI below E-mail to Friddle & White from Owens re: Case Assignment 10-061 dated 4/6/2010 Dr. Ronald K. Owens' Subpoena Duces Tecum Response dated 9/30/10 Michael Hasson’s NCBDE Complaint Form Against Port City Tanning dated 2/20/2008 Letter to NCBDE from Michael Hasson re: Ms. Sharon Tran dated 1/12/2009 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 5/1/09, see Sealed Volume VI below E-mail to Hansen from Bowman: re: June BOT Report dated 5/20/2008 [excerpt] 2008 Gallup Study of Dentists’ Attitudes Toward Tooth Whitening Products & Services – Summary Volume – September 2008 Letter to Michael Catanese from Carolin Bakewell: re: Tooth Whitening Kiosks dated 1/23/2008 E-mail to Mosley and White from Bakewell: re: Tooth Whitening Kiosks dated 3/24/2008 E-mail to White from Francis: re: Teeth Whitening Info Dr. Michael Catanese’s Response to the FTC’s Subpoena Duces Tecum dated 9/1/2010 Dr. Mark Hyman’s Response to the FTC’s Subpoena Duces Tecum dated 9/13/2010 Dr. Kurt A. McKissick’s Response to the FTC’s Subpoena Duces Tecum dated 9/3/2010 Dr. R. Kelly Kreeb’s Response to the FTC’s Subpoena Duces Tecum dated 9/9/2010 Dr. Michael Treman’s Response to the FTC’s Subpoena Duces Tecum dated 9/13/2010

CX465 CX467 CX476 CX477 CX478

CX488 CX513

CX524

CX525 CX542 CX599 CX600 CX601 CX602 CX603

18   

Cited Page Nos.

Appendix Page No.

3-4

v.VI 1713

1

1250

1

1251

1-4

1252

1-5

1256

3

v.VI 1715

49

1261

1-87

1262

1-3

1349

1

1352

1

1353

1-4

1354

1-4

1358

7-14

1362

1-3

1370

1-3

1373

Appeal: 12-1172

Exhibit Number CX605

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Filed: 07/06/2012

Pg: 19 of 366

Description

Dr. Jessica L. Bishop’s Response to the FTC’s Subpoena Duces Tecum dated 9/1/2010

Cited Page Nos. 1-4

Appendix Page No.

2

1380

2, 4 21-22

1381 1382 1383

1-2

1385

1

1387

1

1388

1-3

v.VI 1716

1-4

v.VI 1719

1-3

1389

1-17

1392

1

1409

1-4

1410

1-4

1414

1376

VOLUME V CX608 CX611 CX616 CX619

CX620 CX621 CX622

CX623

CX629 CX647 CX649 CX650

CX651

Dr. Scott P. Guice’s Response to the FTC’s Subpoena Duces Tecum dated 9/7/2010 Dr. Christopher N. Reese’s Response to the FTC’s Subpoena Duces Tecum dated 9/17/2010 Dr. Craig Q. Adams’s Response to the FTC’s Subpoena Duces Tecum dated 9/2/2010 Fax to the NC State Board of Dental Examiners from Luis E. Arzola, D.M.D.: re: Complaint about spa teeth whitening dated 9/11/2006 Investigative Memo to Terry Friddle from Andrea Smyth: re: Serenity Day Spa dated 11/3/2005 Unsigned fax: re: Complaint about Sunsational Tanning dated 1/28/2007 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 7/16/2007, see Sealed Volume VI below Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 2/29/08, see Sealed Volume VI below Letter to Steven J. Osnowitz from Brian Wyant: re: Mall leasing history dated 9/27/2010 E-mail to Osnowitz from Feit: re: Teeth Whitening Inquiry dated 8/27/2009 Letter to Frank Recker from Lili C. Reitz, Ohio State Dental Board, dated 8/25/2006 Memorandum to Albert L. Partee, III, from Robert E. Cooper and Sue A. Sheldon re: Tennessee Board of Dentistry, dated 6/7/2010 Letter to Sandra Rowe from Thomas J. Balistren: re:teeth whitening dated 2/22/2005

19   

Appeal: 12-1172

Exhibit Number

Doc: 63-4

Filed: 07/06/2012

Pg: 20 of 366

Description

CX653

Expert Witness Report of Martin Giniger dated 11/26/2010

CX654

Expert Witness Report of Professor John Kwoka dated 11/26/2010 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 8/25/08, see Sealed Volume VI below Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 2/15/08, see Sealed Volume VI below Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 5/11/07, see Sealed Volume VI below E-mail to Nelson from Nelson: re: Fwd: Savvy Salon dated 8/31/2010 Statutory Provisions Governing Membership Composition of and Selection Criteria for North Carolina Occupational Licensing and Regulatory Boards (3/18/2011)

CX658

CX659

CX660

CX814 CX862

Cited Page Nos. 1-9, 21-23, 37-44 1-33

Appendix Page No. 1418 1427 1430 1438

1-6

v.VI 1723

3

v.VI 1729

1-5

v.VI 1730

1

1471

1-37

1472

Respondent’s Exhibits Exhibit Number RX1 RX2 RX4 RX5

Description

Selected documents from Amazing Grace Spa Investigative file, Case 07-021 Selected documents from Bailey’s Lightning Whitening Investigative File, Case 08-133 Selected documents from Bleach Bright Investigative File, Case 08-029 Selected documents from BleachBright Investigative File, Case 08-072

20   

Cited Page Nos. 1-3

Appendix Page No.

1-4

1512

1, 5-7, 30-33 1-5

1516, 1517, 1520 1524

1509

Appeal: 12-1172

Exhibit Number RX6 RX8

RX9 RX10

RX12

RX13

RX14 RX15

RX16 RX17 RX19 RX21 RX22 RX23 RX24

Doc: 63-4

Filed: 07/06/2012

Description

Selected documents from BleachBright/Inspire Skin & Body Investigative File, Case 08-214 Selected documents from Carmel Day Spa & Salon Investigative File, Case 07-146 Selected documents from Celebrity Smiles Investigative File, Case 07-208 Selected documents from Champagne Taste/Lash Lady Investigative File, Case 07114 Fax from Larry Cook to Dental Board, from The Extra Smile, Inc. Investigative File, Case 07-146 Fax from Stuart Whiddon to Carolin Bakewell, from Fantasticians, Inc. Investigative File, Case 08-206 Selected documents from Florida White Smile/ Sam’s Club Investigative File, Case 08-083 Selected documents from Hollywood Smiles/Brandi Temple Investigative File, Case 04-188 Selected documents from iBriteExpress/Joe Willett Investigative File, Case 08-199 Selected documents from Lite Brite Investigative File, Case 08-132 Selected documents from Movie Star Smile Investigative File, Case 07-223 Selected documents from Port City Tanning Investigative File, Case 08-018 Selected documents from Sean Powers/Savage Tan Investigative File, Case 07-148 Selected documents from Serenity Day Spa Investigative File, Case 05-210 Selected documents from SheShe Studio Spa Investigative File, Case 07-026

21   

Pg: 21 of 366

Cited Page Nos. 2-7

Appendix Page No.

6, 9-10, 13-17 2-3, 7 1-3

1535 1536 1538 1543 1545 1546

1

1549

1-2

1550

1-2, 4-20 9

1552 1554 1571

1-6

1572

1-2

1578

1-7

1580

1-10

1587

18-19

1597

2-3

1599

3-5

1601

1529

Appeal: 12-1172

Exhibit Number RX25 RX26 RX27 RX28 RX29 RX30 RX31

RX32 RX34 RX35 RX36 RX37 RX38 RX39 RX78 RX82 RX83 RX84

Doc: 63-4

Filed: 07/06/2012

Description

Selected documents from Signature Spas Investigative File, Case 06-193 Selected documents from Spa White/White Science Investigative File, Case 07-020 Selected documents from Star Bright/Cutting Crib Investigative File, Case 06-114 Selected documents from Suave D’s Investigative File, Case 09-272 Selected documents from Sunsational Tan Investigative File, Case 07-120 Selected documents from Tom Jones Express Smile Investigative File, Case 09-049 Fax from Mike Doyle to Carolin Bakewell w/advertisement from Triad Body Secrets Investigative File, Case 08-195 Selected documents from WOW Whitening on Wheels Investigative File, Case 09-049 Newsletter of North Carolina Board of Massage & Bodywork Therapy Newsletter of North Carolina Board of Massage & Bodywork Therapy, Winter 2007 Newsletter of North Carolina Board of Massage & Bodywork Therapy, Winter 2008 Kansas Dental Board Newsletter Letter from Brian K. Bishop to Paradise Tanning Salon w/ affidavit Letter from Leah Diane Howell to White Smile USA Expert Witness Report of Dr. David Baumer Article: When It Comes to Tooth Whitening, Shoppers Beware News Report: Mall Teeth Whitening: Is It Safe?; New Trend in Billion Dollar Industry Article: Sarah Albrecht, What Are the Dangers of Teeth Whitening?, ehow.com

22   

Pg: 22 of 366

Cited Page Nos. 15, 25-27 1-19

Appendix Page No.

1, 4, 6-10 1-4

1627, 1628, 1629 1634

1-2

1638

5, 8 2

1640 1641 1642

1, 4-5 3

1643 1644 1646

3

1647

5

1648

2 1-3

1649 1650

1-2

1653

8-9 1

1655 1657

1-2

1658

1-2

1660

1604 1605 1608

Appeal: 12-1172

Exhibit Number RX85 RX86 RX87 RX88 RX89 RX90 RX91 RX94

RX96 RX101 RX103

RX115 RX116 RX117 RX123 RX128 RX129

Doc: 63-4

Filed: 07/06/2012

Description

Article: David Chandler, Dangers of Tooth Whitening Chemicals and Treatments Article: Julia Temple, Dangers of Tooth Whitening Article: Special Report: Hidden Dangers of Teeth Whitening Article: Teeth Whitening Dangers?, teethwhiteningreviews.com Article: Laurel Naversen Geraghty, The Dangers of Teeth Whitening, Prevention Article: The Dangers of Teeth Whitening Press release: How Safe Is a Bright Smile?, Green Facts Article: Barney Calman, It Seemed as if My Teeth Had Been Dipped in Acid; Now I Drink Coffee Through a Straw, The Mail Article: Harvard Health Letters, A Guide to Pearly Whites, Chicago Daily Herald Article: Teeth Whitening in State Needs a Dentist, Birmingham News Article: Andy Miller, Licensing at Issue; Dental Group Frowns on Kiosk Whitening, Atlanta Journal-Constitution Article: Salon, State in Pearly White Fight, Billings Gazette New Report: Sue Manteris, Should You Trust Your Teeth Whitening at the Mall? Article: Teeth Whitening May Be Health Concern News Report: State Dental Board Bans Teeth Whitening at Mall Kiosks Media Release: Magistrate Rules Against Tooth Whitening, Australian Associated Press Article: Magistrate Rules Against Therapist Whitening Teeth, Australian Associated Press

23   

Pg: 23 of 366

Cited Page Nos. 1

Appendix Page No.

1

1663

1-2

1664

1-2

1666

1-5

1668

1-2 1-2

1673 1675

1-3

1677

1-2

1680

1-3

1682

1-2

1685

1

1687

1-2

1688

1

1690

1-2

1691

1-2

1693

1

1695

1662

Appeal: 12-1172

Exhibit Number RX133

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Description

News Report: David Wade, Curious if Teeth Whitening at Mall Kiosks Is Safe

Cited Page Nos. 1-2

Appendix Page No. 1696

VOLUME VI SEALED MATERIAL Complaint Counsel’s In Camera Exhibits Exhibit Number

Description

CX106

Closed Session Minutes from NC Dental Board Meeting in Morrisville, NC 8/10-8/11/2007 & 2/78/2008 dated 8/10/2007 Closed Session Minutes from NC Dental Board Meeting in Morrisville, NC 3/14-3/15/2008 dated 3/14/2008 Chart of Carolin Bakewell's Cases dated 3/11/09 List of Teeth Whitening Case Files Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 9/7/07 Open Investigative Files to Dr. Owens from Terry Friddle dated 8/12/10 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 5/1/09 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 7/16/2007 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 2/29/08

CX109

CX270 CX276 CX368

CX462 CX478

CX622

CX623

24   

Cited Page Nos. 1-5

Appendix Page No.

1-3

1703

1-2 1-2 1-2, 5

1706 1708 1710 1712

3-4

1713

3

1715

1-3

1716

1-4

1719

1698

Appeal: 12-1172

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Exhibit Number

Description

CX658

Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 8/25/08 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 2/15/08 Memorandum to Members of the Board from Terry Friddle: re: Closed Investigative Files dated 5/11/07

CX659

CX660

25   

Cited Page Nos. 1-6

Appendix Page No.

3

1729

1-5

1730

1723

Appeal: 12-1172

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BRA(;RY PIUVATE INVESTIGATIOl"'l'S Jos.!!'e 0. SRAC:Y P. O. Be:! 1!&l D...w-, NC 18036 OFFICI: I PAX (70+-7I4-I38l) MOBILE (704-877~m!) 1I:IIWlIbr!lm'Dl'i'"aro!Iua.rr.C
D~.l:.TE:

12-18-07

TO!

Terry J. Friddie

FROM:

Terry, At IIw.Y~ it was Iced to talk with yUli today. Attadaed are my Suneillu.ce Lop in thiI tale. I hAve no doubt he knew.; e:;:ii~ "hi the Cease ad Desist Order says ac:tordiDI to bis wile.. She tal"-d Mth him via teI.epIUHie ud he wanted me to ieave the order with her.. I kept inIiatine: be gt'ept it personallYt but lie wuilld DDt show hia face.. He told her be woakl. call me OD JZ-l9-Q7. [!eft ber &tcpj' or ~ o.;Ia- ;., take to or IUd it to biJD by telepholle lut night. She iQ~ he we 01.-t of t.,..., ... but I duubt it. Mrs. Powers did ackDowIedp receipt or the Order with her !!patu:-e.

r. pJllclq dI_ do......eab Sanae To ill High Point.

[email protected]~ wit!o ~

i:!o.-m.-tiv.. I obtaiaeci irom Sileny Smitll at

I diet you know if Powen ul" me. I do !!
NCBOARD363

1039

CX0094-001

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CX0094-002

Appeal: 12-1172

NCBOARD364

1040

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r U1 ni ~ InurI' II}il 'L" U

II I I U L i1

.'

8Ui'V"eilliiiiee Log Day ,.nate: 1\-londay, December 17,2007 Imoe.-tiptor: Joe Bracey

2lS0PM tl-i! lve at 611 Th..~e Oab Di'h-e, Blijh Point, Ne. No one Jppean to be at horne !t.'I!d no one ww:U =--wer Dl"',i kno-~!;e at the front door. (See Photo ofHQtJq:) Wait for a ~ m'-~ to see If iiiljrVile eumes to the door after a Fe~ trgrlr -!"rived a..wtd left : pc.Jr;;ge. r-.repti-ve.

3:41PM Talk 1¥ith Sherry Smithi Owner ofS:v:gc Ta.~ 3g-~ 8edjebrouk Street, Hfsb Point, NC. She eJ.l!onted when !{'.!e..-ticned by this 1iiY"e..-tiptoi' that Sean Powen wu present !It s..""-ee Tan IfIe date the !!.-=t =.-tifted letter arrived from the Dental Board. He refu8ed .~.I..d.nee of the =:1:!f!ed lelter from the postuJlID. Smith went on to say, Powers took hia tooth wbfteningmadtme home the first time the first Investlgator came to her shop (Invutigalol:' Sean IC!!rdy!! on o8-lla-0'7). She also 1"eIated me heard him hang up on a deputy 8herH'f' who had eaiIed to talk with him about the Order to Cease and Deai!lt. Upon my request, she pro-vided me with sevend broc:bdl ea still in hel:' shop whim were used by Powers to promote "Beyond 'White8pa". She said Powers had not worked in her mop for along time and she wu ii1U'e he waa not doing anything with teeth whitening now. He haa pUl'diased a tow truek and is working with it at an unknown 1:-eportedly _ _ 4-1 _ _ .&v....uva....

Smith <-ailed ran. Pow-en, Sean M. Powen spouse for me (eell # 336-4715627). She agreed to meet with me at her nearby piaee of employment in Kerners-..oille:t HC.

NCBOARD365

1041

CX0094-003

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f"nllrlnrllTI AI

LUIH'IUtfJll!ll ,' iiet with Una Powen at Prudential Carolinas Realty, 500 PIneview Drive, Suite 201, Kernersviile, NC. Mrs. Powers said her husband WU Dilt on a job. She had spoken with him by telephone and he wanted me to leave the Order with her. I did allow her to make a copy oftbe order and left it with her to MOW to her husband whenever he eame home. I had her sijiil and date the copy (see attached). I told her it would be much better if I could jiei'iiOJlil1y present the Order to her husband. She said this wu not pl)So-ible rillee he wu oui of town, but she would have him call me on 12-194r.;brm

-M..-=. ~I'

Pcwe..-s said her hwiband had paid. company located In CaUfomia a!mo=t $6000 fOi'the e.toiJ.'pmefii and suppiies. She said he charged the equipment en her credit card. A.-;a-'n-UhlJ to tin. rowen, • repre.lentative from Ch---!ctte, NC had be..;--u the Qliiiiici pa'RJD. for this eompany. Further. he had brought the equipment hOiiie and WM afraid me Dentai Board wu gomg to seize his prcpert-,f. She w- ev--Ne Lhow..!!: whe..-e her =a-'arad bad ~ tu-w truck, the name of bia c:ompany and e..... etty ~ere he wad wcrtdni; out oftuwu UHby. one saiei Ibe badjust talked with him. by phone ._d \\~uld. G"'p'..'u....-.ge hjm to can me tomorrow so we eou1d I'll tb!e Is!r~ to rest. I reminded hei' b1ii failure to cooperate would tum thl. tna.tter int-... a mud: !Leu legal is.-ue. Flii'iher, he needed to contact the Board and !let up !! 'Ime to meet ",ith their im'A-till"tOi' if ubd to do so. I think sbe has very little eontrol over Mr. Powen. I do believe she kn~ hi: exact loeation today, but had been In8tructed by hhn not to divulge thle Information to me. I SeriOU81y doubt he wiD contact tbis I~gatn!' Be promised. .

5a8rm Leaving Ms. Powers work I observed what I tbOU3ht to be her vehicle - a iate model silver Honda Ckrte, 4 door, NC Taa if. VXA-a850. I will verily this with Dil-v. Termhiaie Survellianee and thls Investigation for this date. Arrive home - Davidson, NC.

1042

CX0094-004

Appeal: 12-1172



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rnfii~ln~h!f;f.l



U U III I U Llf

I 111 L.rI .. ~ .. -,.-

h

*". Ot·,~nd - S;'~4 •e.rc rG".~

NORI'H CAROLTIII!A STAlE BOARD OF DEniAL EXAMINERS

IV ~ ~",. -;

l'ir'''.tJ' . uff. ",,:4, -I"

W.JTAN

0;"." 7'0.

S~.,.

C'l.JPJ'ORD 0. RIlfCOLD. n..n.s.

1IAlUJ~ "na'9~1u'

IWIIALD Ie. OWDIlI,.o.n.a,-,..'!'!== JOIIPII 8. BUIlNJIAM,DJ>.S., ... . . . UlIMIlI\ P. uum,c-_

c. WAYIIJ: Rou.A!iD, D.D.S. BaAl) ClIIOltGAI'!, D.D.S.

I\'ULUS S. BALL, II.D.H.

November 26, 2007

Mr. Sean Powers

611 Three Oaks Drlva High Point, North Caroiina 27265 NOTiCE AND ORDER TO CEASE AND DESIST Dear Mr. Powers: Tile North Carolina State Board of Dental El<.amine!ll is invell"..gating a report that you are engaged In the unlicensed practice of dentistry. Practicing oentisUy without a license in North Carolina is a crime. See (NC General Statutea § 90-40 and §90-40. i). You are hereby ordered to CEASE AND DESIST any and au activity constituting the practice of dentis1!y or den+.al hygiane a5 defined by North Carolina General statutes §90-29 and §90-233 and the Daif.al Board Ruies promuigated thereunder. Spec!f!ca!!y. G.S. 9O-29(b) states that .... "A person shall be deemed to be practicing dentistry in this State who does. undertakes or attempts to do. or claims the abllity to do anyone or more of me foiiowing acts or things which, for the purposes of this Article. constltute me practice of dentistry.-

"(2)

Removes stains. accretions or deposits from the human !eet.,;"

"(7)

Takes or makes an impression of the human teet.". gums or jaw's;"

.. ( 1O) Performs or engages in any of t"e c!lnlcg! practices included in the curricula of recognized dental schools or collages. II

NCBOARD367

1043

CX0094-005

Appeal: 12-1172

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CONFIDENTIAL



Mr10 Sean Powers.

..,nn.,. N nva~.:· ...... ,'_' ... ~1iiI1 ,"'))2 'V,:_"''''"'''' D~~,T... -



~'tf""l

.Wl'U

~Nontr Caf!;Jllllil Sfatfl~ofDtlrMl ~~~. lath$~lal& age.-...;d1arged

Witb~;adngtJ1t1PniQtiC8Qf~~JnNo~C~~~ISUi"j:i~~.rn;:yto c6ndu.c::t lhiSiIl~;Tfi8EJe9!'Ii~y use .8nyfSgat;rriia"a litadi$pOsai to conduct thl$ln~n inCIUdIi!g.liYi notHm~to, I~.df;-;,,,,~illic curnlnjlind fOrmer.. patiems.•. sutVe~; afll:Uh."ltfnf1i~l~.tet ~"rtS. . . . . -. , .

The Board~.1!!e:t}'Qu«:9P&tlr... i;ttN~fitinYef!lfQ~n bY caDlnglhe Board's .Qt'fIea. ~.nd. alt"'[!y!e~ . ti3. •. b#:.I.'tt~vi~. ~m. aoal'!f"~ugator ·a"ndby su~ a~ ~_ tcthf$'IUIlCe&fidoro8l:withln~(15Jday$ of the'. 1"8C$!!)fofftl!6 lett.." . . . ~+

•.......

f\r:."" filL I.

~~~II~

~fe$tGOod· . · .

~D1~bt.~ti!· ........•.•.•......•.•...•..••....•...............•.• ··4,~a~

~J.~~~.Al;'~





NCBOARD368

1044

CX0094-006

Appeal: 12-1172

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NORTH CAROLiNA STATE BOARD OF DENTAL EXAMINERS



JOBIPK S. BURNHAM, D.D.S. _ _ W. STAN HARDESTY, D.D.S., s.a-y--rr..o.u.r STANL£¥ L. ALUN. u.D.S., Put Pn!aident

CLiFFORD O.lIKlNGOLD, D.D.s.

C. W• .YN~ HOU.A."!D, n.n.s. NIPLUS S. IIALL, R.D.R

z....._IiIfNtE P. K,n:1U)J Cooiwnar Member

February 23; 2007

CERTIFIED MAIURETURN RECE!PT Ms. Margie Hughes SheShe Studio Spa 17336 US 421 Sout~ Dunn, North Carolina

NOTICE AND ORDER TO CEASE AND DESIST Dear Ms. Hughes: The North Carolina State Board of Denta! Examiners is investigating a report ihat you are engaged in the unlicensed practice of dentist")"_ Piacticing dentistry without a I icense in North Carolina is a crime. See (NC General Statutes § 90-40 and §90-40. 1). You are hereby crderoo to CEASE AND DESiST any and all activity constituting

the practice of dentIstry or dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Deniai Board Rules promulgated thereunder. Specifically, G.5. 90-29(b) states that ...... A person shall be deemed to be piacticing deniisiry in this State who does, undertakes or attempts to do, or claims t,'1s ability to do anyone or more of the following acts or things Which, which, for the purposes of this Articie, constitute the practJce of dentistry:"

"(2)

U'~a human teeih;" teeth;" Removes stains: stains, accretions or deposits from t,a

"(7)

Takes or makes an lmpression of the human ieeth, gums or jaws;"

"(10) Performs or engages in any of ihe ciinical practices included in the curricula of recognized dentai schoois or coJleges."

'n'. ,..rd.prr.

E.nctn1YI ornel • 50? AlJlPORI' BOULEVARD. sum II:!! • MmUI!!vn..L~ NCltre CA.:roUNA l?$i&.-i"'Mi nurHDh"'j; (tit) 67W213 • FAX (91" "'-'4"12 • DfAlL.: d.. www.. edotant.rd.orf:

NCBOARD411

1045

CX0096-001

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Pg: 33 of 366

Ms. Margie Hughes FebnJSij 23. 2007 PageTwQ

The North Carolina State Board of Dental ExamineiS is the staie agency charged with regulating the practic.e of dentistry in North Carolina and is me proper agency to conduct this investigation. The Beard may use any iegal means at its disposal to conduct this investigat!cn including, but not iimited to, interviews with current and former patients; surveillance, and the hiiing Or undercover agents. The Board requests thai you cooperate in the current investigation by ca!!ing the Board's offiCe and arranging io be interviewed by the Board's investigator and by submitting a writien response to this notice and order within frfte'3n (15) days of the receipt of this ietier.

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Deputy Operations Officer THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS

cc:

Case Officer Ms. Carotin Bakewell. Board Attorney

NCBOARD412

1046

CX0096-002

~

~

1047

(ii1ft Cle't~fi(:ateiS A~clillable

;3. A wuch-u.p "pplkation C<1IIl be touch-u.p Ilpplkation lleltfornJLed Ill' Ill' needed to nwnt.lli.n uwnt.lli.n yow, J[D~LXiJ[Dum ][D~l.xi][Dum williteneBli.

'1r:Ia,7Jie 1J~~hies, j~; C~R

Stau(k, ~1'.~ 1?336: 'lis 42:1 So., ~DI~rln, ~f{(; 2'S33.4

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,. . . . . . . 1'.--..... ",)1 ~~.(.., )

CX0096-003

(91C~ 8:90-216lb

~~~G~1ltme1~t t'Oj~lyl! t'Oj~ly'!

Ca,lO~ra1t

Stuiio ~P"

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Filed: 07/06/2012

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Wlithin days, we will p.rol7ide you with 2. Wlithiu your cu/3t(.m-fil; tJ'Sys tI'Sys ~llld proles.,ional profes.,ional wbiteniDB: gIll. Wu 'IIill also pl'1~vide ycJlU wbitenillB: iustructions on the amoUJllt with detailed instructions amoUIlt Df ~d the pJ:oller care fol' YI)W~ DC Igell to use and y')w~ new trays.

'~ld~riI'l~r;••~II'~l '~ld~riI'l~I ~11'4l 6~1~1~~ld'~_'II••' 6~1~1~~.d'~_'II

lVfi1rtenfr~1 lVfi1ftenfr~1

~'r~~~~ss£onar j~~~etfi·

Doc: 63-4

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1. Impr:i:nta wiill be tab" of your smile. The impriint weill be used to mue the cusl<.m·fil, tJ'ays that 1101<:1 1'01<:1 tb.e teetb wiliteninj;: g
to 11'" IJtfllrled.

)l2Q Im,",:k Oi8U! UI aU )l20 1m"".

P..il:,.!j

Appeal: 12-1172 Pg: 34 of 366

1048

T'ooth whitemDg whitEmog luIS Tleeth has IIlso IlIao aJways been in, dental ofl~co!8, olfered in ofl~"'lB, allt.ilough at a p1iCOl 0:f$400 o:f$400 - $6;00. Oru,..hour p1i"'l Oru..hour w:bitenillj~ (Iigbt (Iiig1~t ,adiv:atEtd) as se:eD, whiteninj~ 8fieD, OJ1 ul)w,uds .or t."., COlits UI)W,ards of $fl;oo $600 + aDd mod tbe sam,l sam,) IlOBlllul 1fI!l'8 dE,]j\'ers the IlOB\lIt.! thai, tbai, we ..o1fl!r8 at a frBiCtiioo. frBlCtiiOD. of tille 'lOS,t.

,mort toerm, oorm, but they IU'B the Imort aIll dis.pOJ!ahle, dis.poI!8.b1e, IXlStJinjj: you hVlDdreds hvwdreds of dollars over IXOStJinjj: tim.,. tim."

The,se whiulIU!r8 whiuml!l'8 all ~eeJn The'ile ~loelD nffi)nllalde Ilffilnllalde in

Othem provide ~l ol~e-'sil~ lliul alII unoDmtfolrtabin unoomfolrtabln moutb mouth. tray, 'ii'hi,ch is built)' ~d C:8.11>le:B the gel to) be S1wallowed ofheldsglluJlLst the S1waUowed instoelW insoolW ofheldeglluJILst uoeth. u!Ilth.

Whitoernug pumi; OJ~ Whiteaiug sbip! fiill ofl' wod pami; whitoeneJ'S a,way. whiooneJ'S lire wasl~ed s,way.

",1

Our wllitomilljj' gI,1 is the exacl~ elifec:ti'''', elifec:ti'rB, ntliaibl,a stnl'llIlth Btre'llIlth 8.Il,d ~lfe" nJiaobl,a 8.Illd bnllld bnlDd nllIne nOOle p100uct tI~l: tI~j: is. ruledl wledl ill, Ploouct ilIl d,mjtal dlmj~ olllico18 ollli"'18 e,'elydJOY. Its easy Il~ apply collsisu.ncy consistE.ncy IlIld ,plElaBantly fIIlV<.ned ililV<.ned fonDllla andplfl8.8antly fonnllJa IWm18 wllritenm,;r BIlBY 8J~d w~d fun. You ..ill DDtice wllriienm,;r that your te
8Iee,piJ~. 8IeelpiJ~.

at .

Soda Alltibiotics ..wm as te,[;rBiCYdiJlle) toe1i;rBiCY,cliJlle) Antibiotics ((I!w:h

SE~olrilJlg SEtlolrilJl8 heredits.ry stains Ajj~g or herooits.ry stW18

h't

1

a.

CX0096-004

Sensitivity 1:10 hot Billd cold food or o:r hE,ver&igell bE,ver&igell iEl IXlmll1(,n C
m

wbiienillj~ bas hEten 1r(!E,th whileninj~ i>Eten performed plriol'lned IllUely Ilately iontl elifec:tively for yeBl1~ aud iont! and CllIntiquetl Cll
I

A. HealtJ,y M._th 181110st 1"':l'JO'rUJIli~11

Wbit;eDiIlj~ is not eflectiv,e eflOCiiv,. u,n r.roWIlB I(CS.pa), Whit;eninj~ I(CS.pu), tooth,..:.)lored fillitlgl! filliDgl! and other BLrtifi(:ial1 tootb..,.llored IlLrtJifi(:ial1 denull wo.rk. Whitening WbiteJliIlg l!el 8bou~d ODJy be dent.llwo.rk. be.uthy te.~th, U&ed by tbose lrith beAluthy te<~thl w~d 8J~d gums.

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Filed: 07/06/2012

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Ovltr-llliE'-"OWitE:r whiteners OVllr-llliE'-"OWite:r whitoeners ,lin) not able 'trul u!Ilth, uoeth, to signifilcantlly ligbtEn JigbtEn ,till, unsatisfactoolY lreB,uli"'. causing unsalisfactol'Y lreJ3,uli"'.

11'htlre' WlllDllny d.iifflrent te.lth. wre IDllny d.iif"rent whJiternng whliteaing Opltio:ns op'ticms available today, BJtbough aU lire not .:reatolli eqwLl.

lOur Bystem L1ses V'lC1.IWn , ....led, lIses "' V'lC1.,Wn "WI1:I>1I1-fitiied, eDSUre.. "WI~II1-fitiied, tr ay that enm""" .:namnum Il8lfed fit. IDllmnum wlutomilljj' wld a lle!'fed Our trays 'willlJ,ot alIlO\1' salin in too to 'willll,ot allO\1' dilutf, ~l'htlY 'Win unly dilute, the 'iVhitfmog 'iVhiteniJog gel. ~I'ht!y "OIltactwilt.il Y01111' have "'lIltactwilth y01111' te.,th, teI,th, not your ~rwns,. elimirulting elimirultiog the possibility of Bensitivity. The custclm··fit tray is j:hiJ~ awll comfo~Ib1~,. l:b.iJtl awl! nlearly n,ssrly invisibJle. invisiliJle. fnoed,OD1 U) You havla tlile fnoed,on1 Ul WeJBr your trays ~lurilljr tile daytimll daytiml! OJr at Diigllt 'whJlc' ~lurinjr night ·,.,bJlc'

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Tooltb color is lwrgEIly Ina.tti!l' of inherited lwrgE,ly a Ina.tti!l"

11

Doc: 63-4

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iit is oftEn UtE, first. tbing IlOOpl'l IlOOpll) notice about yC)U. whitenilog is OII!e of tlile yC)U. T'leth whiteniJog Inost 'Dost drlllDliatic dr"lDliatic ways of imlproviinjj: yow, nppellLrance. nppellLraDce. It leaveJ! you I..~killjj: wid fooling confident, lrefreillutd land mOJre youthful

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Appeal: 12-1172 Pg: 35 of 366

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 36 of 366

.'. NOR!'!! CAROLmA STATE BOARD OF DENTAL Ex..W.L~ERS



W; "'!'.O\N !f.um:crv. ii.D.8... Preltdent RONALD K. OWXNS.DJ)~ ~."ilatlnr JOSEPH So BURNR.Ut.I)'nA., p...= Prei~ ZANIIIE P. UlRD,CoooumetM_

CUFFOan 0. RIl"iGOLD. D.D.s.

c. WAYNE iiO~D, D.D.S. Bit"...!) C. MORCJ..,.~, D.D.S. NEPLUS 8.. R..4....LL,. P-DJL

September 4. 2007

CERTIFIED MAiURETURN RECEIPT Ms. Pairice Barragan Sunsaiional Tan 1537 North Road. Suite A Eiizabeth City. North Carolina 27909 NOT!CE AND ORDER TO CEASE AND DESIST Dear Ms. Barragan: The North Caroilna State Board of Dental Exam;ners is investigating a japan that you are engaged In the uniicensed practice of dentistry. Practicing dentistry without a license in North Caroiina is a crime. See (NC Genera! S!att.otes § 90-40 and §90-40.1).

YQU are hereby ordered to CEASE AND DESIST any and aii activity constituting the practice of dentistry or dental hygiene as defined by North Carolina General Siatutes §90-29 and §90-233 and the Denta! Board Rules promuigated thereunder. Specifically. G.S. 90-29(b) statas that ... :A person shall be deemed to be practicing dentistry in this State who does. undertakes or attempts to do, or claims tt,e ability to do anyone or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:" "(2)

Removes stains, accretions or deposits from tf-}e human teeth;"

"(7)

Takes or makes an impression of the human teeth. gums or jaws;"

"(10) Performs or engages in any of the clinical practices inciuded in the curricula of recognized dental schools or colleges:

5t1 AIRPORT BOULEVARD. iUt'l"I Its:. MOJUtDYlL~ HO!!TH CARO~"'IfA. 17~ ' !....", . . . ~~

TnD"QN~(!'!,>~.jji'M(Jj"'7W4Tl.IMiJL~Ur?

7

NCBOARD812

1049

CX0097-001

Appeal: 12-1172

.'

Doc: 63-4

.

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Pg: 37 of 366

"

Ms. Patrice Barragan September 4, 2007 P
The North Caronna State Board of Dental Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is the proper agency to conduct this investigation. The Board may use any legal means at its disposal to conduct 1his investigation including. but not limited to, interviews with current and former patients, surveiiiance, and the hiring of undercover agents. The Board requests that you c{)operata in the current investigation by calling the Board's office and arranging to be interviewed by ihe Board's investigator and by submitting a written response to this notice and oraer within fifteen (15) days of the receipt of this letter.

SiJt;erelY,

~

~l).~ TerryW.F~e Deputy Operations Officer

THE NORTH CAROLiNA STATE BOARD OF DENiAL EXAMINERS

cc:

Case Officer Ms. CaroHn Baks\"-Istf, Boaid Attorney

NCBOARD813

1050

CX0097-002

Appeal: 12-1172

Doc: 63-4

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Pg: 38 of 366

NORm CAROLINA STATE RO'&'RD OF DENTAL EXAMTh'ERS W. !TJ.._'" s.. ....P.DESTY, D.D.8., Pmitbat RON'J...LD .K. OVVEN!. DJ)~ s...w~1-T-rcuuraJOSEPH S~ BoaNH..I..M. D..D..!.. p..-= Pier.deut ZANNII P. EFIRD, ~ II'.=be<

CLIF'PORD 0. FnNGOLDy D.D.s.

c. WA¥Nlt BOLLAND, D.D.8. BRAD C. MORGAN, D.n.s. NEPLUS s.1IAU., R.D.B.

Dec. 4,2007 White Science 45 West Crossville Road, Stc. 514 Roswe!!, Ga. 30075

NOTICE TO CEASE AND DESIST Greetings: The N.C. State Bo~~ cfDental Examjners ieamed that your finn is offering teeth whiteniIlg ser,,'ices to members of the pubiic in this State at various shopping malls.

As tile Board advised you in its Feb. 13,2007 letter, any process that "[rJemoves stains, accretions or deposits from human teeth" constitutes the practice of dentistry. See North Carolina General Statute S~tion 90-29(a){2). Our information indicaies that your employees are assisting clients to accelerate the whitening process with an LED light; whjch constitutes the unauthorized practice of dentistry. This is a misdemeamor. See Nort..'1 Ca...'"Olli"1a Gene,al Statute Section 90-40. Tne Board hereby directs your company to cease its activities upless they are performed or supervised by a properly licensed North Carolina dentist. lfthe Board determines that you or your employees conti.l1.ue offering wt-..itening Sef\'lces to the public after receiving this Notice. it will have no choice but to seek reiiei in me courts of this State. Thank you for your cooperation.

Very tr..lly yours, f\

.

R ltuY--w~ UuU~

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Camlin Bakewell Counsel

501 AIRJI'ORT aoULEVARD.SUITlI05 - MORRrSVllLE. NORTH CAROLINA :1~.wv

TELEPHONE (919) 678..I2U. FAX (919) ,78-&411- EMAlL: Infoclm:dpraIM'rdA". ",-..acdtntalhoanLoI'I

NCBOAR0824

1051

CX0100-001

Appeal: 12-1172

Doc: 63-4

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Pg: 39 of 366

NORTH CAROLINA STATE BOARD OF DENTAL EX4...1\fl.l'I!ERS w. STAN /lAllJ)1STY, D.D.&, _;dout

CL~'""Il'ORD

RONALD iL OW"UiB. D.u.s.. Scc:retary-.Treaurer .]OSE.."'H S. BL'R.."P"nAM. D.u.s., Put ~ ZANNIJr: Po EFIRD, C~ M=tbcr

O. H:i"riGOLfJ. D.D.s.

C. W".YN!. HOUJ.."!D, D.D,S•

BRAD C MORGAN" D.D.S.

NEPLUS s. HALL, R.D.H. BOBBY n. WHInt., CI:rltJr~!OOwI Of!l=r

January 23 2008 7

Dr. Kyle W. Taylor 2315 West Arbors Drive ~t ... 1 n" Charlotte NC 28262

......""• • V J

Re: Tooth Wrutening Kiosks Dear Dr. Taylor. You will find enclosed a copy of a letter that the Dental Board has wr:itt.e.'l to the management of Carolina Place Mall regarding the improper whitel1!"'Jg of teeth by nODdentists. Staffwrote to the Chicago company that owns Carolin.J! Place Mall about t.~e subject in November 2007. Please let us know "if the practice continues and if we may be of additional service. Thank you for drawing this matter to our attention.

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l!L~...;,vv ~9" ....~ Carolin Bakewell Board Counsel

5D7 AIRPORT BOUL.EVARD, SUlTl 105 • MORRISVILLE, NORTIi CMlOLINA n'i60-8lD!) {91g) '7;...aZl3· ;:;..x (!ii'i)t7*-Un. &MAll,.: [email protected] ... ·www.lled.utalboud.m-c

T~LlI1'BO!'!!

NCBOARD885

1052

CX0102-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

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NORTH CAROLINA STA'I E BOARD OF DENTAL EXAMINERS w. STAN HAJUIESTY, D.D.8. PraideoI ROI'IALJ) I(. OWENS, D.D.8. Secmary-T _ JOSEPH S. IIUllNHAM, D.D.S., Put Prooidoot ~Nl:i

Ci....iFFOiW O. ,fItINGOLD, D.D.S. C WAi:7;";: HOi..I..Mfv, D.D.8.

BRAD C. MOItG~ D.DS. NL-t.US s. BALL.1t.D.H.

r. EFIRD, Couumr:r Member

BOBBY D. wurn:, ChiefOpomionl Off...,.,.

t~ov.

2i, 2007

Generai Growth Properties liON. Wacker Drive Chicago II. 60606

Re: Tooth Vv"nitening Kiosks

Dear Sir or Madam: The N.C. State Board of Dental Examiners is the agency created by the North Carolina legislature to enforce the dentai laws in this state. The Dental Board has learned that an out of state company has leased kiosks in a number of shopping malls in North Caroiina ior the purpose of offering tooth whitening services to the public. North Carolina law specifically provides that t~e removal of stains from human teeth constitutes the practice of dentistry. See l'.J".C. Gen. Siat. 90-29(0)(2), a copy of which is enclosed. The lli~auLi.orized practice of deniistry is a misdemeanor. See N.C. Gen. Stat. 90-40, a copy of which is aiso enciosed. ii is our intormation that the teeth whitening services offered at these kiosks are not supervised by a licensed North Carolina dentist_ Consequently, this activity is illegal. The Dental Beard would be most gratefui if your company would assist us in ensuring L'1at property owned or managed by your company is not being used for improper activity that eQuid create a risk to the public health and safety.

507 A!RPO~ BOULEVA,RU, Sli"iTi: iU5. MOliUUSviLLE, NORTH CAROLINA 17561)0.8108 TELEPHONE (,If) "1-8213. FAX f919} 67a-&41l- EM.......1L: 1_f;@__ 01 =t;;GtYiiJI,ijfj" ~""~.IIt::da;t&ibolirci.. .

NCBOARD886

1053

CX0102-002

Appeal: 12-1172

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Please feci free to contact me if you have question~.

Very truly yours, j)

,.....

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Carolin Bakewell Board Counsel

Enclosures

NCBOARD887

1054

CX0102-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

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Carolln Bakewel! From:

Frank R. R8ckGi [[email protected]

Sent:

Tuesday, July 24, 2007 5:59 PM

To:

[email protected]!!!!board.org

Sub,lact:

YOUr leiter dated May 9, 2007

Importance: High

Dear Ms. Bakewell:

I apoluglze fOf not responding sooner to your letter to me dated May 9, 2007 In which yO!! discus: the legality oi the application of tooth bleac:hlng materials to the COllIumer In a spa 01' salon letting. I thlnk. we are saying the same thing but I Wl!D.t to be sure there l: no misunderstanding. Please pardon my repetition of anything that wu cant.leed in my lettei of AprU 26, 20G;.

My client, Whiteseienc!!, sell! tooth wb.ltenlni ldtiliiiliter!.I. to various vendon. Tbose vendo" In tum sell those products, not ;enices, to eOiiilllDlen in various settings. As I wlll explain the system pro~cI.. I do Dot _ how It ean be considered the application of tooth bleac:hlng materiall by anyone but the COiiiliiiler, who oi conne lJ not regulated by Ueenslng agendes. Allluch tooth whltenllig- ovef the counier products- are non FDA regulated, and classified u cosmetics.

i also undentand that, at fint glance, an establishment other th!!!! a dental office t~t offer. 'tooth wblteninglbleaching' can easily get the attention of state regulator:. The product Is applied OIIIL Y by the consumer/purchaser. No one other than the consumer should toucb tOe mouth, lips, teetb, etc. We do our best to make this clear to vendor/pu.--clitier oiwDiiescienee produetl. No one but the consumer shonld touch the mead; or tEO;th otille eOlUnmer and doing otbenvbe is to risk a conflict with the relevant state reg-ulatui}' board(I).

==y

The 'whitenIng piii'kage' eolUisis of upper and lower molded trays with pre Impregnated foam Inserts that cOiltain Carbamide Peroxide, a bleac:hlng agent. For your dental Board memhen, the concentration of Carbamide Peroxide Is 21%. which translates Into!!. 7% hydrogen peroxide concentration. I have attached the MSDS sheet for the ble!!...hlng agent, an.d the manafa.;-tlirer's specWcatlonslhutrnctionsldlrections relative to the LED !!;ht :!::o employed Iii the Pfueesl by the consumer.

There are cnrrently over the counter prodii~li sold at Oruxsiores, salons, internet, etc., that contain a stronger concentratioii of hydr-ugen peroxide. For exampJe, ODe over the counter venio!! of Crest Whltestrljii li • 10% concentration of hydrogen peroxide. The product package sold by W'-uiteideiiee Is aiso very simiiar to a new product sold directly to consumers by AqUiifi'es.b. (bOo attached). To assist the release of hydrogen peroxide In the Whltescience foam Inserts, a small, over the counter LED light with alight mterfng sltade Is Pfls!ttoned near the mOiith, af"rei" the trays are Inserted Into the mouth. by the consumer. ! have at'".aclled aU the feievant iniormaiion regarding the light. There b very!!ttle heat generated by the IIgbt (@iOii degrees) and it is harmless. No prudent compAny would want any liability resuiting from any other type of Ught, especlaUy a 'laser' or similar high intellliitj. intense heat producing llght sometimes used in dental offices. The use of such II llght as Olin is not regulated by any governmental entity.

NCBOARD825

1055

CX0108-001

Appeal: 12-1172

Doc: 63-4

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! have again at'"LlIched iiii upinion from the Ohio State DenW Board and Ohio Board of Cos...etulug)' thai such consumer self applied tooth whitening products"'Il_~()T regu!ate..!1_~

mose BOaras:-

Of coone, aaytime a UeeDling board or a denti!t sees an ad for 'tooth bleiichliig,' images oi the un.Ueensed practice of dentistry appe-..r. But in reaHty, thii system is simpiy iaking an over the counter proprietary product and maldn.g it .vall.hie to (OOUIDen in an environment (saloD~ spa, beauty shop, cc:metic department, etc) where they might be more ineliued to purchase a tooth whltenmg product iiiid appiy it themseives within such an environment., with third party verbal iUPPOrt, as upposed to buying from a drug store, taklnalt home and tryin! to follow the written insiructions themselves. The individual who sells the nroduct .ndlor l!!sI!t! the consmner's self application Is doing jnst that: only verb.tly !!sIWlng the consumer In the self application. not touching the consumer. ADd the UJe of a tight to potentla!!y expedite the release uf hydrogen peroxide is not a novel concept as such is :l:c sold d1r~"1:Iy to the pubik by various companies alon! with their oW!! propriet:."')' tovtli whitenliig system. rne internet has many such products. Please let me Imow if yuu wuuid like more information. I would Hke to clarify this situation ... loon as jii1U:-tleable. Specifically, I would like your concurrence that the above described odteriaislproioc:ol does not violate N.C. Gen. Stat. 90-29 or any attendant !,~I.t!oD.!. ThllDkyon.

Frank Recker Fn.nk R. Recker, DDS, JD (Main otft~llng AddrMt!) Fl1U1k R. Recker & Associ. . ., Co, lPA 1850 San Marco Road, Suite A Marco "land, florida 34145 TEL: 800-224-3529 i'AX: 888 489 0151

Emaii: Rtekl.1ltrk..law.com CON-nDENl1ALITY NOTE: This email basbeell8eJlt from a law firm. Itmayco!!"'"'pri,,;leged and CC"..fidmtiol iDfomwiion intended fur the use of the peraon(s) named above. If you are not !be ;n.....ded =ipie!!t, }'OO!!!e h=eby notified Ibm any rli_ioaiion or dupiication of !be email is prohJbited and that there shall be DO waiver of privilege or confidence by your rec..;.,t of thli inWSmisaion. ii you have received 1hia email in em>r. please notify our office at 8(J().224-3S29 lIIld intft'ledi ....!y delete thii ffliiiii1 T.nank youi

NCBOARD826

1056

CX0108-002

Appeal: 12-1172

Doc: 63-4

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NCBOARD827

1057

CX0108-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

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MSDS: MATERIAL SAFETY DATA S1-4ro,r MSDS Name:

titeofproch&ct: ComployldelltificatioD



W,",'TESClence

Sp. wliitetHtbwtlitenibfPld Deat&lwhiteDiq

White Science is Wett Cra ....riDe R.o.d Suite 51.,. &,well. GAaoO?:;

Eme,.ucy COIlUct: low aDtt~poitoa center S;CTiQN ii, COMPOSITION Chemjc· 1 Nama

CAS NpmJrr

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Eye.:

....., CRIe dam.ap with uleeratton of the eorae& awl/or irritttio-. of the ~ lid. ewld oeca.r. PrttIODpd eoatact with th'll e'f~=-7~4~~damap.

I.JUaala&n: Small ~ of~ p~~ ~~ :!:..~~p~rrlil" .h...-,.ld uot'~iW-l..u.iiiiJ'. iDprioD. oiia.tJe11:DOUllU may caue initatiOll of the upper p.ttro-ll:IteI1iD.a1 tnet with paiD.. 111;",". conattpatioa. clianbea. dUteaaian of the ~'l!om= wd/... "~p. (Que to iiilenlioD of OZJP11land potential rid:: o(.wf'oett!oI1.

Eya:

InunecJ.iatdy nub eye. with pleat,. ofwaulr (or at leaH IS uUautel. Gel medical a14 withoat deb,.. prererably fJ'GJ:I1 aD ~~k!:t...!t.

Sk!!'l:

Iqe.tlon(onrdote):

!t~ ~ _kia _itb. pIeRi1 J ..ier torlll.u:, •• t 15 mi:mrtaa. 'rAe wbtti&hdiseolontionoftb.e Min iI DOrmalan.d will diaappear. If DOt. COQQct J'OUtpliy.icilia. IllIIOntbaDt.benpeutieQlWQlltoftbe~"Y!~lln~.d..o1!!kb...'r~Ql;t;.tariiideuWiil1i]V'U'"pb.y.iciaD.

Do .not i.JIduee l'OlDitiDf.

GeD&!raJ:

Gel. UiaotOlmmabJe. TbefOUll ilicomhll.ltibiematerillllld /!W.IU. wbenhuraial. hrteJue beatlnd: de!llfla:moke. Fire h"".'!'~ !1mo.!!~ :!:!ie td!-ec=.~,;,uu:d bi'AOhl.ilj iippiitIhU.

Pl.aah point: 'I'he loam cab, whu bhted. tnth aad ll.lmmabl. dteomplHitloD prone,. eaBh. paerated.. tll.l fan. dlltCOmpoallinl'! p•...1_ta lib .....-kiihl&ck. cuboa.~. eariIoa dioa1de. p.HOA ~aad.1iliTopD. ~f1:Oduct. caa.he p:aentcd ia.Yariou eoacemrarioll.l ~ Db tM ~~l'I'Ihn.,...!f.1!:!!! _.l4H __ ••.1= =r:oa..~ i ..... llaii-" pnerned itrO.lb'll"l.dlt coat.ia. fI.me ret.lr1i ..nta. NI'PAJ\altAi:

N'lA

ErplotionlimJ.t.I:

HlA

Eltmil1ltt every poI.ible lource of IpitiOI!. (gp~!! 6~. !p!.rl!:!, !!!!cl!:!l!!i. ;:t:;:. ~;~.:=;e.ill p~iMiu.iiel. Arvid contact wlth .ldo.ad eye&. trae proper penoa.a.I pf1)teetm equipment .. ind1c.t.ted in Section8.

Spilt.: Dtb tpilled product U lIUIeh., pouible with inen material. Collect the aptUap ill double. ndtahle dUpauJ Mn~ t,;,!.:lc;-;, Cl.w.i:;. ~ iii, liipill ••• JOOIl U ~ie. UltDJ aa.1.D.tm ablOmem material. Forthe relDGYll ol~ WU1e prodqcc, ~_cbapter 13. !\elida i. to bew..hed down with plenty ",~~ p!~!!!.! ~tt1 ~fpred.=t ia: p-..!;lk; ....ta'. K1IJtlD or loil. (.;ollect matetU!.od dilpoae orin. manner couaiIteDt with toc.l n!'PatioDl.

HaDdUnr:

kep iuaealedpacbce until immediately beror~ we, AYOidpJ CODuettllJ eye•.

SfC)r.ge: Store t.a,cooI dry place. Avoid expolare to dire<:t nDHpt or tell1perature. above room te.m~~.m!'!! mod "'!'e'!'e:! e::::t.;iii.i~ Duion. Store .aWl, from hut S(lureel (m.llthes, ctguMtel, opeD. Arel, raom ~Zld wlter beaterl, cooking devicea. etc. UV

hYI may uu.e aun.ltlfl I'Il.M!O!'!.t!O!! (ye!h,!~jll&l, Thi; dGe; MGt ...'fatt t},.;: tu.iii ql.i.Ji.l it)". Protect from vitibie and UV light

to prennt thia proceu .

... Z W CfQSivnt.

wo st. 514. Rosweii, GA 30075

i

P 1.566.70WI·UT. F 1.&64.7awl·UTIi:

I www.white.cienc •. net

NCBOARD828

1058

CX0108-004

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 46 of 366

MSDS:



EJiliIleeriuJ; eomrola:

W~ITESClenCe

Puilttte. .torlbJ orutilillDf thh...,terW.hould be equipped with .aeyewub. f.cility UKI ••dety .bowor.

Expo.are limlta: Not tftllable If gel!.= m~;r-~et with;;ki:;;., ",..-.h"-'ifra pI;:,ulj (It water. Eye protecnoDii DOI required if [be product is handJed with caution. Vetlti!.tioa. it not :reqUired..

W~U ml!! gb~~

Sii:CTiON iX, PHYSiCAL II: CHIliiMfCAL PROPIiRn;;S

Compoailioza:

Foam impregnated with YiKou. pi

pH: -1 Appearance:

Arom.a:

Speeincrrrvity!

Traruhacentpl inwbfte ce1htlarfMm.. ).([0&

ta-,300irttmil

Deeompo.ttio.a. tem.pemun: Ahow: .aooc Tbumal eJleJ'(J":

~.ooo QIkr

s'cnON x. ST4BIUTV. R,.o.CnVITV

CoDCiitiona to avoici:

Direct IlUDlIpll, h1fb temperature. eOlltillct. with metal. Uld alloy•• Inflammable orpalc complnuuta.acldll, ~,~.~~_"t!!.

a:u.l'dcu.det!O~!t~~ot!:

~

S'CTION XI. TOXICOLOGICAL INFORM ..TIO"

Shon rena. eifem of e:zpiIlUre:

Irritation of eyu .IUI tk1o.ad. poaai.bIe damap. AToid COQUet with eyu: and akiD am! do DOt awdlow.

Loqterm etreru of UPOIlUR:

IttttatioD of 81" and QiaaDd pouible damap. Avaid Cl)Dtact wttlteyes and ekiD aDd do IlOt .lWallow.

SilCTjON XII, 'COLOGICAL INJ:'ORMATION 8iodqradabtlJty: Other.

S'~TlON

The pi it dqnclable and II: if IIOtbarmfw to the emiroDmelli:. The loam is nat d~b!e i)!' d~~ =!~!j, DecompotitloD. pl'Oliactt an DOC handuJ ta the euriroDmeat. .. ID. cue alAre with polyumhane foallla. panicle. tJut fal1 til the wateruc barmleu. The," are .ieTed out of the

~~!" ;!!!d!o!"dW=t~F';= m ~ ~i"treitiii;;:Ui: pl..uii. LiriDe: Orp.n.itlDSl ill the waterl.ft DOtcaduprect.

XIII. DISPOS.o.l CONSID'UTIONS

SIiCTION XIV. TRANSPORT INJ:OAMATION

SECTION XV. D'GUlATOA!Y !NFORM.lT!ON StOR in eool dry place. Avoid proloqed apOIlUl'C to direct 1Willpt.

SECTION XVI; ACOITIO~-.lAL. H·.U::O;:UoiATJON Date: Octobe-r. ~oQ6

Foril'entaluleon1,. U.e productonlyu hldieated by uaertEUlllUlL Tb.einlomutioucolltained bereilll8 b~H~ed!Q b~ ;'.. CUi'i.i';; aad rej)i'cKiih: the oelli uuormadonaYlliI...blc to the D1UlUf&CtUrer. InforDUtiolll.lui ind_icutona here recorded were colll!!e1ed by belt effort from "fety resu11ll.ftD. (I~ the d!tf~n!!.! !!!.~dieat: aad baeed 011 expericucc ofmallufuturer.lnformatioD melllioned above 'I prullmtd to ~ cOJ'rect but dOell

~h~~e-:~:;:';;~;!:~i.~;h~;~;;:D~;£·~;~:~:!:::!i~u:.~tL;'t~~~:~:::~!~f.':ee;:=,,:~by

contaCt: with it. it il pCJ'mttted to make III luuiml1cd Dumber of coplet ofthu. dGalllumt for In-otf1ee UN onl,.

WHiTi SerENe.

<45 W Cro$Sviiie Rd ste 5''', Roswell, GA 30075

I

P 1.866.70WWITG ,: 1.566.7aW~ITIi

I

www.whitescience.net

NCBOARD829

1059

CX0108-005

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 47 of 366

UGHT WHITE COS?-.1ETIC TEETH W'Fil'l'E.r...1NG SYS'i.t:.M

NCBOARD830

1060

CX0108-006

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 48 of 366

WhiteS mile

LiGH

r

TraL.--rlng Manum Tabie of Contents 1.

2. 3. 4. 5. 6.

About WhlteSmileUSA® and WhiteSmileTexas Teeth Whitening Over..ie-w About [email protected] Teeth Se.n.sitivity Competitive Advantages of the LightWhite ® Process Setting Expectations

~ }~plicationlnsuuctions

8. Possible Side Effects 9. Teet.h Shading 10. Recommended Guarantee 11. Maintenance 12. Frequeutly Asked Questions 13. Contact Sheet 14. Test

NCBOARD831

1061

CX0108-007

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 49 of 366

WhiteSmile About WhiteSmileUSA and WhlteSoni!eTexa!I \

Atlanta-based WhiteSmlleUSA® ~.whitesmilp" ... """,l!o a =It
mown

8egtD.ent known as "Cosmetic Teeth Whitening-. Thei!' product and p~ as [email protected] is extremely fast, effective. and safe with tho"..... ds of happy clkuu. I ighlWhite® is the fastest growing product in the cosmetic teeth wh1tPning indust::y, including uver-ihe-counter products. WJriteSmileTexas is the exclusive distributor for [email protected] and ! .igbt\\'h.t'te®.

Teeth WDitening Overview: Tnere are two general types of teeth whiteoing. The ~mQ8toommt\T\-1y ltf_.ed to" as "in-otlice" wh.itenin& is a process where a high concentration of pemxid.e (('.sI~..mide or Hyri__vgen) is placed 00 the teeth to provide fust resulbJ. The lIlllior drawbacks of·~· w!!i+·n'OIl ar" price ($400-$900) and especlally teeth aenaftivity (due to the high peroxide p"=tages). The second type oiteet:h whitening is referred to·as "take-home- wb.it:emng whitoh inclnA.as the takE home tiliyi prescribed by a deDtlat or auy of the over-the-counter solUtioDll orncl!. !!!! c..... t White Strlpa. Thls ~ inclndes a iower concentration of peroxide that is placed on )'O!!!' teeth for an e:rteni!;o..1 pcroo of !p"3"

! ight\:.IT'hlte® combines the effectiveness ofboth of these aysteJns. UghtWbit4 Wbit.ening Gel coupled llo'ith· the fast activation of the [email protected] Whitening liIht provide dramatit! ~u!ts in jn.."'t l2, 24t or 36 mliiutai. without the drawback of severe teeth sensitivity. 4. 'L._."... l' .:,~.&.... aYL ~4-_"Q\ • ... :u.;:uu.~ .......... L yy DI~.

UghtWlo..ltfi® ~ a 1Urlquc product it system that combines a proprietaJy whitening formula with '" ('JA" 1 b!W!-LED ",hlt~nillg light. Tile result is whiter teeth in a wry short timeframe..12 minutes. -The UghtWhite(!! system "'1."8 a ~;an-i deiiiped silicon mouthpiece that fonns to your clients teeth. This anows the peroxide farmela to encapouli\u. the emire teeth, wbitenlng both the front and bacIr. of each tooth.

- Li&btWbit4 's peroxide gel is enl)on.-i >rith sil-.'er-lonle plioW initiatma. WIIe1l expo&ed to the FDA approved mile LED Whitening Ught, it eauoes milli....ilA of "m;ijl-explosioll8' all the teeth, QXidmng the stains away. "The LightWbite\l) blue LED light provides the light 8< heat reaction t.~.at iw't''''i... this proprietary formula and whitens teeth in only 12 minutes. - The eDa resuit? Your clients usually see the same results in ~ 1~ minute sprU "1l'imiS that they would gel at BriteSmile or Zoom or in a month of wearing the trays from the rl~"t!!t. - From a price pel'Spective. there is no comparison. Competitive informatioo shoWl! that UghtWhlte® pricca ~-e lesa than half of Britesm.ile and Zoom. and aQ-4096less than a dentist's tak..e hom.e tm}'S. P~ ...f.:siional

teeth whitening is no loDp' considered a huury.

NC80ARD832

1062

CX0108-008

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 50 of 366

WhiieSmHe Teeth Sensitivity-A Major Issue to poin!; Out to YW.1:' C1idits:

,

Teeth 5ensitNity is a major issue with the current teeth whitening proce'l-U.~ In=office procedures such as BriteSm.ile and Zoom use a high percentage of ~roxide (up to 40,96), ';\-ilich can cause sev-ere tooth sensitivity (zingers). Take home products 81Jl'h as the !rays a-nd Crest \-\.'1rltea-mP6 use a lower peroxide level, but reqnire continued exposure to th! p~1"Oxide, Thi: can cause SeYere sensitivity as well. Many people polled on this issue complai!!.ed of severe teeth se-w.;''';thit"i. The [email protected] Whitening System has the lowest leve1R of teeth sensith.it'"f en the market- Periodi

Competitive Advantages Light'White® System [email protected] is the m!J!'t oomprenen..;.+..-e and eff"-Cf,;-m.-e cosmetic teeth whitening systtm oD the m.ar~"'t today. '!'his unique system is dcsiaued. to whiten both top and bottom, and the front and 00·" of the teeth. •

CU&"o.Oiil '\\<1Ui:ening Tray -The whitening tray is composed of the softest plastic for maximum penetratlnn of light iO the teeth.. No need for uncomfortable retraClOts and soft tissue protective ba..rrie.."!! lIS used by dentist to get great results. mBYjrnnm comfort and is the clearest tray on the marUt aJ10wing for



Photo-AJcJl!eleratore - By U8ing the pu..".-er of exclusive siNer-ionic photo-aceeierator spray during th.~ whitening procaaa, OX)"-geIi. is released at an acee1erated pace from the speclally rnrmrnrtM propriem.., hl'd.."'OgeD p"r,-.,rid.. pi resuiting in miiiJoas of micro-bubblea that oxidize stHin~ Sl'!8.f.

• Removing Stains from Back of Teeth -Front teeth are !ran.lucent, thllS it is important to nmlOVt! stains from the back of teeth for mAximum results. No othu system on the market offers the benefita of whitening the back of the teeth. •

FAat. 20

Do your clients have 12 minutes? -The entire LightWhite® procedure takes

m'"'u+= (inclurllng prep time). it usually takes OVI!r an hoor and • half at the dentist (not

including traT~ time and waiting room time), •

AifordabiHty vs. Dental Procedures -The [email protected] S!r ..l-m 1& 60%-70% It2iii than Britesmile and ZooI:o deutal treatmentsj and 3~40~ less +..... ~ your de;r'uiit's iake home procilldS.

~

Con'''eldencs - Vw1tai can be more convenieut thaD getting your teeth whitened at your local salon or spa? "1lile getting your baimrt, lrlgbIights. or nai1a painted, you now have the option to "iu~ii your teeti:l.

• Safety. Low Side EffectS -UghtWlLite ® i! c

......tlemcl"l safe product when used onder the supervision of a certified oosmetic teeth v-:hiterJng speif.ali:!."t. o-ur proprietary iotmuia ma..'(imizea results while minimizing teet'.h sensimity and soft tiM-ue blanching. In faet.leas than one percent of customers h~ any nepm~ sid~ eff-~-t1; w-turd:~ver. Ii side effects do occut'. \:bey are temporary and 1J!I..Ia!!y a.."e reso}-..~ v..i.thln 10 minutes of compieiinS the procedure.



l\.{ade in the U.S.A. -The entire UgiltWhite ® Cosmetic Teeth Whitening System ;. manuiDctured in a FDA approved laboratory and distnbuted entirely in the United States. Bt.'Y with confideuce and support USA made products andjobs.

Setting Expectations

NCBOARD833

1063

CX0108-009

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 51 of 366

WhHeSmile Our general m1e of thumb is 2-5 shades with one 12_I'I"l~ .. nte aprJi.='tion, 4-10 with two !.a-minute

-

applicatio~ and 6-14 with three 12-minute applications. Resif'ts ",-ill v-aIy from person to person because peopJe have genetically diff~rent teet.h. Some peoples' te.--tli ..-ill be S shades whiter after one or two

applications; some ~p!e-!I teeth wi!!. or•..'y he 2 or 3 ihad.ei whiter.

Multiple applicatioDS can return a person's t~th closer to their original oolor. If a person's natura,i teeth color is a yeDowish tent then thei.1' teeth. will probabl-; ne-.."'tt be coiilpletely white, regardless of the measures they take. These clients ne-f multiple ~=mjnute applications combined with continued use of recommended maintenance product to a... hie". . ~ the best resw'ts. As a ruie, your ciient;s teeth will never become whiter their DBtt..L1"!!J bL1"t.,h color. Hum;n tee""di are similar to pearls in that all different including ShApe. ron10'tt tent. and sheen.

are

me.

Some people will have great results; some WlJ! have good. results, SGiiiC wiG have mediocre resuits, and. some will have poor reauhB.. Tb.is i! trtJe with eve..--y teeth wtu~Eiring product availabie in the market We have heard from cnstomen who kAYe t?i.sited. thea d,;,-ntist i.iid been advised that Zoom and Blitesmne, would probably not prodnce good 1e:siL1+~ because of thcU- type of teeth. POINT: The above messap should be con~ to each eust~mer 80 that th.e"'i Uild.ei'S""Uiiid teeth whitening and do not have umeallstic ~t!o!l!!,

I~"T_ LI\.JM

I

COSMETIC

APPLICATION iNSl'KUCITONS 1,

Have client sit down in whitening chair,

2.

Ask the client if they are taking any medication that reactJI adversely with .nnHght. If they li1llJ-wer Y"I, then ins1J'uct them seek their doctor's advice befure going through with the teeth ~-hitening application.

3.

Explain to client the possible side effeCi"..s from this procedib.-e: L

Blan"Mftg of Gums - Whitening of the soft gum. tissue

NCBOARD834

1064

CX0108-010

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 52 of 366

WhJteSmHe a. b.

Cause -ln50D1e c:uea Hydrosen Peroxide can ~!l minorl:m..P'f'Jn; sensation 1'1!SU1tin& in blaocbln .. If client experiences discomfort, diJcooltinue applic:atlon. Reiututiun -The blancbilll of the gums is a temporary side effect aod gwr.s wi!] retu."1l to their no..""iiial pink culoi' withiu 5-1.5 minutes after D~

2.

Teeth Se'DSitiYity - Discomfon due to tooth pain a.

h.

Cause - some clients have sen&itive teeth (genetics), over-exDOOUn! to peroxide (peroxide left on teeth too long), tind/or peroxide ~e to<> hip ill wbireniDg gei. ij. client hu. cavity, cracl
4.

P....ce biD around client's neck and attach with prQVided bib chain clip.

~

Uae provV'-1 Vit=. Pan Tooth Scale to ik-u:fi:Iiiile cli'cnm" pre-application teeth shada Have client look in mirror fur agreement of cu...... ~ teeth ahide Once the shade is agreed upon, raise-llP the appropriate teeth color on .luad... guide and place nat to client's .. hijir lOf comparison use after whitening process Is oompl~_

6.

Giaveup.

8.

Remove mouthpiece from pacbging.

9.

Require ciie.Dt to
10.

Have client gently rock jaw from front t{l h!!ckto!~ mouthpiece from t~Jl. lL.-ve client earefuJly relllOYe mouthpiece from mouth. Now you LFe !'P.1IOy to apply wb..itan1n g gel provided into the mouthpiece.

11.

Fill iiWu-clIpJece with whitening gel Ensure that each teeth cavity is at 1eaat 'h full with gel St'.a..wot f!lli..ng frow the front tccth to the baCk using jess pi per cavity' as yon move towards the h...Jr teeth. P..epea! p:oeeaa for the top and bot.~wm of mouthpiece. Once pi is applied, spray two (2) squirts of pHJv!dM Photo Initiator to the top and bu-uom tray.

12.

Before the clleut iDserts the mouthpiece, require client to dry their ~ with provided paper tDWei Why? Best resnIta occur when whitening gol is not diluted with saliva. Saliva present OD teeth can caDle iess than optimal results - IMPORTANT.

13,

Off-...r client q~tip wft-..h Vaseline to apply to lips u protective barrier from the tight drying out lips. Chap trti,.\ or li.-n!tic!t wi!! workju:t 81; \:.'ell. Hand mouthpiece with gel to client to self·administer, ensuring that !!lO!!tilpiece !s in-ri.ed correctly (make sure the tray is lined up properly) before client bites down into tray with gel

15--

Ha-ve client get oowt'oriabie in chair and provide them with the protective eye glasses supplied to' wee.: du...-ing ~idteil.ing pr0c.eB8.

16.

Adjust Whitening light into proper posinnn (approxirnetei-/l -

2,

inches al!t"S.Y from client's

mouth). 17.

Check timer aD whitening \ight to ensure that it is set oon:ectly on 12 minutes. Preaa the start

button.

NCBOARD835

1065

CX0108-011

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 53 of 366

WhiteS mile 18.

Check with client periodically for signs of discomfort. 1{,SS\le a..";...ees, dis---ntinue pro..."eSS. Very few clients ever have any discomfort, but it will happen 6:om time to ti..me.

1;.

~Vatch timers

20.

Once ~·minnt,.e p~~ is ever. the whitening light w-ill automatically cut off. Quickly remove light apparatus., have cli-nt!1t up and m.."'truct them. tu remu-ve tray from mouth into provided bib.

:u.

Provide client with 1.5 ounce water cup to waabout mouth. Have client rinse and spit contents oj mouth back into provided a-ounee cup. Repeat this step again with 2"" L5 ounce C"uji of WB.iCf+

carefully as you need to prepare two 1.5 once water cups for client to rinse mouth out i.1"'ter the i2 minute process is complete.

If client is only doing a single appl~tiD!! or saf-iaRed wit'..h the :tangle application, review results with them using raised teeth on Vrta Teeth S"Ati", {Step 6}. lI..atch the current a-hade after application with Vita Shade and raise the teeth. Th~ pratt-a w-ll de+..e..-mine tlR number of shades the ciiea.ra teeth moved during the initial applkatiQ!!" We st..ate that their t~ shoold wove at least 2 - 5 shades whiter with the I.

application.

If a 214 application is determined n~ - !'ep4!9.t {St~ 12.... 20}. We it~eth.at the client's teeth should move 4-10 shades whiter with two appll.....u."".

Possible Side Effects 1.

Peroxide Solution in Client's Mouth - Discomfurt due to solutiOn from. Bight p..,r.=:r&tiun Tray (BK!") spilllDg over into clients mouth

a.

Cause - It is not uncommon that SOIlJe of the solution inserted into the tray will drip into back of tru: clL.-nt's moU"Ji during the application. -

b. Resolution - Ifthll! pH...,.t is expe..":.encing (Hs.""iiiii.l~"'t from this excess solution in their month, advise them that they will. be .ble to IH!CLrd the solution into a paper cup as soon as the 12 minute application is OYer.

====

2.

Biane;';nc of G _ - Whitening of the soft gum tissue :'-_ C:'-=e =m sum" eun iiydropn Perozide caD cauae. minor IJaminc seuaation retaItIng In bt.~ !l client e:p;;1=rcee d1i;Q-.mtun, diacontillue appiieatlon. B. RMohstlon·Tbe blanc:bht-! of thf!! ginn. ~ It t=np...1"L-,l' ..nle iilfeet and JPlIIW wiD. rmun to their normlll pink color within 5-15 _ _ after p .....,edu.,ooe.

3. T ..eth Sensitivity - Discomfort due to teeth pain

a..

C:U:l:~

= soma clients have sensitive teeth (genetics), ov~ to peroxide (peroxide left on teeth too long), and/or pe..-oxide percentage" too high in whitening gel. If a client complaiM of zingers, simply .fu>"'""lntinue the tr-Qw.ent

h. Resolution - Due to our unique whitening ro!'!!!u.I.!! and the lim.~ exposu...-e p&.-iod (12· minutes), less than of our clients experience any teeth !!P..l!S!!ivity w"t-at so e",lcr. One of the major advantages of the UghtWhite® product line is the lack of teeth sensitivlty.

1"

4- Son J &w - Di&comiort trom biting down on mouthpiece

NCBOARD836

1066

CX0108-012

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 54 of 366

WhjjeSmiie a.

Ca_ - The Bite Reaistratioa Tray (BRT) fits wen In the majori..ty of cliellta l1".o:rtr.a, alluw"wsclients to relax their jaw during the application while the BRT staY!! firmly in place. However, some clients will experience pain In their jaw because they have to bite down on the mouthpiece in order to prevent their teeth fromslipp\ng out of the BRT.

b. R=h."tivn - Lower the back of the chair siightiy. allowing the client to lean back in a more horioWnt:.! position. Inatruct the client to try and reiax their jaw in intervals throughout the appUcatron.. hut also inform them. that it is iwporWrt fur their teeth to stay completely in the mouthpiece duri-.ng the application. If the clieut'a discviDfort is too intense. diacontino.e the application. 5. Burning of the Tongue - Burning of the tollglle duriJlg or lLfter the application 8.

Cause - In extremely rare cases, the Hydrogen Peroxide agent In this product C8Q c!!u.. minor buruing of the tongue. Usually, this is caused if the client burned their tollglle with a nGt food or be."rag" or cut their tongue before the application was ad.mmistered. rf client expe..-iecee: diacom..~rt beyund minor bnruing. discontinue appl.ieatioo.

Teeth Sh"din.. o:

- The .hAde g-.rlde should be hsld to the patiems mouth at 8.l'Jlfs length; - The light $Q1Lrre sJ..nu!d be diffuae, not d4~ i.iid U8e of uaturallight is best; - Teeth eolor abould be matt'!hed qu.ick..'y; , - Patientll should not wear Jivatlck or bright col--: - Use of a light blue bib is heipfuL

• • •

Dan't e-..... put your lingers in the client's mouth. We are not dentms and this is a self arlmi;;istered application. Ab.a)'i remember to put on your gloves before the application. Do not ever~ anything about the client's teeth. Tbey often aakyou for advice on anything that is wrong with their teeth. Simply let them know that they need to conllle!: !hm dentist.

wm

Realm.mended Guarantee: Y0'.1 W""..nt to make sure OM"Y cwrtomer is satisfied. We GUARANTEE 2-5 shades whiter, bUt do not offilr mon,,", barr ifUlUlililee omiesa absoiuteiy ne<' S'ary (it is up tIl the salon owner at your location). There is a ;x=ilra.it-J'thit someone'. teeth will not iigbten at aD, but this will be a rare occasion. As an administrator, you shouid be abie to loolc at someone'. teeth and if they are too staiJled to be bleached.

ten

You can ;;imply ask them if they have ever been to the dentiat and dlseuased teeth whitening. Most people ba~< bad the ooDvemation and were told by a dentiat that It was their opinion that the procedure would not have any effect on them. IF you h:\'e someone pay fol' two treatments and the t1nai results are only 1 shade lighter) than it would thia-u tr-c;&:tment at no cost (it is up to each individual salon to honor thls.).

¥,T!lI-..YTaUt a

MS1'ii n t--S"lce: There is 8. memb!'!!!!e tlut cO"';ers YQ;rh indiv"uiual! teeth. Tne bieaciling agent that we use breaks down the membrane and allows the gel to, work Oil removing the stains. The membrane will grow back in 24-48

NCBOARD837

1067

CX0108-013

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 55 of 366

Whlte5rnHe houn, but uuti1 then, the client will be bighIy susceptible to staln5. Thia _-Il!! far t"~ nlll
2.

3· 4· 50

6.

Coke Red wine Dip orsnu({

7.

8. 9·

Tea Jelly

10.

Coffee Cigarettes Tomato sauce Mustard Heavy sauces

A good rule of thumb. if it stains your shirt, it will stain your teeth. Ii they stain them in the next 48 hours. they will have to come back in fur an additional treatment ll1ld start the p!O""-A! all ""er aguln. Ii the client must have their cotfee, ~. etc. then it is viable fur them to drink oot of a straw, but at their own risk.

LIG H Fregpmtiv heW OnestIOPl

is. b1each ing ~!'OCf"...g that removes staiu: from )'0....11' dentin iiild eJlii.ijjel, 9viug you a whiter smile in just minutes~

.A; [email protected]

Q: Is It safe? k Peroxide-based teeth whitening has been employed by dentists fur over a decade, and over-the-ooU!!!er products such as Crest WhiteStrlpe are used by miDlolll of people worldwide with /JttIe or 00 aide elf"",", We don1 recommeod the UghtWhite® proceso fur anyone onder 16 yean of l!!e or pregnant or ~ting

women. Q' Vv'hy shouid I consider haviDg a whiter smlle? J..: Studies h:ve shO"'"~ thit not only do people who have whiter teeth iook younger than people who don't, but that there is a cc..i'.....~tiQn between high seii-esteem and a white, confident smile.

A; In most cases, no. Since our specially formulated peroxide gel is on your teet"..h for Oll.&'y 12 minutes tim~ our clienb rarely experience sensitivity. Product:! th!!t have pctMa!um nitrate in them like

at ii

Sensodyne Teethpaste offer instant reI!ef fur teet..!! senoilMty. Q: I have eaps on my front teeth. will LightWhiU® work on them? k No. We doo't recommend whitening fur caps, bonding, or veneers.

NCBOARD838

1068

CX0108-014

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 56 of 366

WhJteSmile Q: How long will It last? A: Simple: W. wbite!! your teeth,you stain thelli. By following our post whitening instructions, your

teeth will always be lighter tJ.. .... they "'-ere before. We generally recommend touch up applications every 3-6 months; or our rec.unl.Dlended maintenance program.

Clients who smoke cigarettes or d.....i.nk lL6e quantities of coffee, tea, red wine. cola, etc. wiD increase the probability of stain buildup on their teeth and ""'"' likely need to touch up their teeth more frequently_

Qt What Is the process? A: After gettlD& comfortable in the chaB. you and the Whit-iftg T~k'.Hi (Vv'T) will agree on your ~oefureiO shade on the VrtaPan teeth shader rmdtL~ ,!I',.and:.rd). The \\-"1" will ihen present you: with your custom tray. The UghtWhite® gel is p~ in eaeh cavity a..".. of the mouthpiece_ You then place the tray back in your mouth, put Oil your protective amb-...r SUng'"'iCi. aud the w'T wii1 tnm on the WhiteUght whitening light for 12 minu~_ It's thai. ea3"/_ A.zter the pnx:eUure, yoo and wr both agree on the "after" shade on the V1taPan seale,

Q: How" tbt. different from BriteSmiIe and Z--...? A:. The V.1JiteSmJJeUSA process is very similar to BriteSmile and Zoom (pe.t·oxide 3;... ,,1 "nith LED lighti, but there ate a few key dHfenmces including -self administra.tion·~ perc.entage cfpercD3e, and wOBt impurnmUy. price. Qt Don'tycu ha-ve to be a cientist to whiten teeth? A: No. The FDA has approved the use oflower peroxide percentages for over-the-rounter uae. Since our product Is ""If-."mlnl...e:ed, it's really no different 1han wbat yoo can do at home. The key ~ is the 1l8e of th~ 'lg"fWh!=® whitening llght and our photo-iDiliator technology to speed up the pr".....· into ~ minnt... We do tacoUlii:leiid reguiar visitJJ to your dentist..

Q: Do you whiteD the top. and bottoms? A: Yes. Our unique tray covers the tops Slid bott'-'!!!.! aftha tw..n. 'I'his pttJ<:eOII allows the client to have a complete wbltening.

J..:. There a..woe many tii.U8eS. The most common are aging and the consumption of stain;",! aga...nts such as tobacco, colli;;;, tea, red wine, and ataJnlDg foods (mustard, blueberries. tomato sau~ ",. ). A good rulc of tbmr.b is if it win stain your shin it wiD stain your teeth. Many people have what we ca!!. "~ !c::catfo,u- stiiiij, caused by tetracycline. antibiotics, or excessive fJuo~~ These stem" a...-:: t,;.'P~..,ilIy internal teeth Hains and resuits vary depending on degree of formatloru!, Our product d_ impiVve the appearanc:e of the ciieot;s teeth In most cases as staiDs are present, but has little effect on the tee""Ji formatioWi themseives. Q! H!>W can I ke;;l' tiiy results? A; By following our poet procedu.... rewiilIilendations, including no staining ageJlu for 48 hoUIII_ If yot! must consume a st~in...mg Uquid v..1thin the 48 hoUl"S it is recomm.ended that you drink out of a straw. This allows for the !!b\~tng liquids to be c-onswned without making contact to the teeth.

Also, continue to follow a he!!1thy dental re-"',..meil ine.\;ding bruabing twice a day, flossing; and regular check-ups with your dentist, It'••1_ " good id"" to rinse with water ofter consuming a staining agent.

Qt Who can benefit from teeth whitening?

NCBOARD839

1069

CX0108-015

I

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 57 of 366

WhHeSnlUe A;, [email protected]!!!.~

HO".....\;;vc..-, teeth whitening is a dynamic process. The procedure may not he as for some a; it is for- othen. Your Whitening Technician will go av'er ~ results dutmg preptoeed1J...re. 'Nt also ra::onun.end that anyone under the age of 17 or pregnant or led!.ti",! l';."Omen refnWl

eff~

from the ! ight\VhJ~ Procedure.

A; It depends on mR-D.y factore. Our general rule of thumb is 2-5 shades with one 12.. mm ute applw.Ation. 4-10 with two u-minute applications, aud 0-14 with three 12..minute applications. QI

I WlUI given tetracycline when ! "'lIS :;VUi>&. will it work for me?

A: MOBt likely it will not. Stains due to tetracyt'.J!ne, excessive fluurlde use, or other anti-biotics are what we call "intemal" staIDs.

Coniact Sheet Fi! out trJs sheafwi1h iO of yoorfriends and familyls names end numbers. Referrals a;e going fO ba the most effectiVe method of acquiring new customers. Co!! them a."'ld let them ct ieost Know what you ore doing and don't 00 c!fH..!id to ask. them for refertois.

Number Name

Number

Nome

Number

Number

Number

Name

Number

NCBOARD840

1070

CX0108-016

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 58 of 366

W .... II.... ~--..jI... I.It_"".u I III"':::;

_Name

Number

Name

Number

Name

Number

Name

Number

NCBOARD841

1071

CX0108-017

z

~

;0

~

(')

~-----

'''''''ll'8

PAJlIm'PANy, fif.J,-Gra.:o;EhlldtbKlinf, introducel' A'lIlI18:hm Wbit. ~l'nI)'8" an 'GV~II" IlliEH:<'Wllte" tnly-whitening Itreot.llt!I'lt c:liJlically prOVlW to oro.r ncticeably ..,hiler ro,mIJt.s in '18littla aa 3 do,ya. Soft IWt! tlJdn, the pred""adtraYBof JIO% hydnlll"D plI'Oliclle 1101,.till., h'>gtiu. CCllllt"'UB of IIPPI1' 1lJ1Ii1 Iower teed., prclVi"'ill~ contacl. and CClIlllj.Jet;e cov,.rage witbClUt, ~... meaocr hasile of strip., Ji'or cliilli<:al1cr Pro"8111 whilening: .....Ita. tlJ18 trBJ'lI sWluldbe wled &:.r a DllinimllJll' ot 30 minUQI8 '111<8 8 dlIY 10r 5 dlaya. AquaJ'resh White 'I'J'ays only ,.hlitelQ na'tw'a1 tEoeti~ and arB not rec:olllllOBndadl for

1072

1:...·1

FlFlJ:E.1nlo, (:irr:/" ;'13'2

dantlll-)lrofessionelcClm,

===::.~=;.-=::~--

""~'

CX0108-018

Filed: 07/06/2012

OIthlMh.ntic lpatienta" F<1Ir ad.. di,ti~'nol inforw.tion. (:aH GbulDllmUIlIl!Jline lot (811OJI 8113-118:111 or ·riait the With ,dtE,

,. . . ~-

)\

,~tl:."" ~'I!I ,r-, \ ",,~i ')1

lejefb jill As I.JttI4~ As 3 n~lYS

Doc: 63-4

-----_.- .----------Trleatnumt ~Clink~lllly ]Pr(nr(mt to 1~{b.it4eJl

lM[ay 20017

Ih~n1:is1~y Today

Appeal: 12-1172 Pg: 59 of 366

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 60 of 366

Ac;c;~mhlv R. ()no,.~+in,.. ...... +.... ,.+: ..... -~ .. ___ .. _.~ ...... "" ...............II'!1 1",.;JU U~LlVII;)

SOOQ"K white light tor consistent. dCcurolte

shade matching. .'j''!r\

A'"!A- __ .. _

......... v-"'T I VllUJ

1

cOOl

_·o.~· ••- •:.~•...... =.. .•• ...

oW

blue"lio-ht tor tcefh whiterung.

....... __ ..... ... -.- .-" ....-.-.... .-.-. ................ ...-.-...•......-.-..-.. ..-.. . . • • • = • --• •••••

-

...

..

e

_

_

....

0

• • • • • _ .

. . . . . _

. .

0

_ a • • _. . . . . . . . . . .

____

.. •

~

e

• • •

--

- .A_A

e..



:... •• ;; -~

_i : ~;;.. -

• - • • it \.

. . . . . . -••_

__ •

0

_.

*.W

o

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- - - -• •

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: .;: .'! •••••• ~ •• '; . ... . 0. . 0_ .

-

spa\l"HiTE'" I P.tc..~.u-.,'1i

ofl.;

Th&.-t4~
NCBOARD843

1073

CX0108-019

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 61 of 366

To prevent fire 01 shock hazard do not e..~se unit to water or moisture; do not submerge. f

II~v~~~. ~ . -

"'"U ___ . _ _ . ____

u

__

'v nC:LJu\....1: Inc. NI:>I\ Ut' tLt:LIKIL ;,t1Ul..K, lXJ

II nUYIV

C~l"I""I\i~

,-....\ilrn

~ "-v

,,-,,1'\1'"0., .................. t:n. urCN, un UI;)1\:)XM~Lt. A ........... - .

-

IJ

NOTII

.

I NO USER SERIilCEABLE PARTS INSIDE. I CU:C1:D C'~O\IIC'"'''' Tn..-.., ,A' ,,., ...... ""'r'!A!'-'" .......... ..-. •.•. -. I I, ,"-, '-,\ "" ..."y U~ IV \.lVf'\Uru:::L.J '::)I:nvK..t t"t:.I"DlJNNtL. I

Record your serial number here: I i i

i i i

IP111319111-1 I I I I I I I X

-1-

NCBOARD844

1074

CX0108-020

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 62 of 366

1

A Cotr!Stand Antmbly

1

7. 71i11stawmilly --1 UUptighUlC'lIIJ - - - - - - - - - - - - - - - - 3

iJ;.~'------------------------------J

1.40rid-uvna-Mmdr.RMJ9!,---------------J 1

unptKkJng light ~ ID St!!!Id 27T~~~~-------------------------­

5

U~~------------------------·-· S

lJl'rIwfr_

l4~~---------------------5 j

S)"!I!m 0pI!/!lItm • Ret AdjfJstmerrt

6 J.7l1p1t101t1rllllglt--,-----·---6 J.2i1lttvtJDndllllglt-------6

7 tl~tfL---------------------------7 4J~~.~~·--------------------------1 OSMrt 8

(4~~.~-------------------

-----8

4.S_ta!Jtl\!n'*"t---------------------",8

MIItut-----------------------B

Sjlimllip
x

AppendIx

14

No __SIniCt4bIt /XIIfl-

• 74

ortNh--------W......,·-------------7S lJ1toftlrtb..

74

QuicilmtrGuill-------

- - - - 76

-11-

NCBOARD845

1075

CX0108-021

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 63 of 366

System COrlloonents r------.;'--I

-

.. --

-1-

NCBOARD846

1076

CX0108-022

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 64 of 366

~

1

r"" .. i-/ci- .......... ,.,I '-0 I L/ •.JLO I IU

.

A ~~~mL...'· /"\::>::>el UIY ,

If you wiii be using the optional Cart/Stand, assemble It before attempting to install your bght The cart/stand is packed In a large carton. 1.1 Base ilsambty. Open stand carton by carefully cutting the tape around the perimeter.

Remove the verticai section and top sheif and set aside.

Using a pair of scis:iors, ca...·. duUy remC". "e . the w-rapping from the 5-spoke base. Aitemate1y, remove the casten and slide the wrapping off each

spoke, then reinstall casters. Set base on floor, CMLefi doWti.. F"Jp the caster iocks down to iock the casters so the base does not roll

-2-

NCBOAR0847

1077

CX0108-023

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 65 of 366

1.2 Upright section. Unpack vertical pole. Carefully insert blaclc fitting on bottom ofverti.... ' nn1". int"n 'I1M"A haC! .. ' rnu.h ................ u..:.t.. ~-.- - _ ......_..., y ...... ua

c --

&

~"en, rt-~; press-ute

" " " " .... "

" " ...

until the top of

the fitting is snug against the top of the base.

1.3 Unpaclt top shel£ Remove eye bolt, washers and wing nut from pole and set aside.. Set top shl'!lf on tDp of nnl,.. 'lIlttl'ftt ........ l.. .... I... : ... .. 1... ...It' • .....: ...L r--' ..........- "'.... 'u"'........ "" .. holes in pole. IniClt eye bolt through ----e~

A

1o.U.

hoies with washers positioned as shawn and secure with wing nut. DO Nor OVER TIGHI'EN! Your standi cart is now comniete.

~

.

• • DO NOT OVER TIGHTEN WING NUTI

,A

Manual and hex wrench storage. Your standica..-t is the ideal place to keep handy this manuai and the hex wrench. Use the enclosed tie to fasten them to the eye bolt that secures the top shelf to the vertical

pole of the SH'ld/cLrt.

-3-

NCBOARD848

1078

CX0108-024

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 66 of 366

i j n n.::lrid nf"l I in hi" t"" I "'::::1 L...I'::::J I 'l. -

I



\.A " - ' "

Mounting to Stand 2.1 'frave' case. Your DarT .ight SK is packed in a protecth"e tr....e! case, which is conv-eniefit for transporting your light for out-calls. Set the case on a flat surl'ace with the Daylight SK logo reading correct from lett to right. Open the: case by pulling up on the latches.

Lift lid. Release Velcto tabs and lift divider shel£ Store shelf in lid of t.h~ case

~mporari_1y.

Lift the convoluted foam pad. Your DayLight SK is stored below with its power suppli.

-4-

NCBOARD849

1079

CX0108-025

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 67 of 366

2.2 Attaching light. Remove the light assembrj_ You must attach it to tr.IE: top shelf of the stand or to a suitable flat, secure surface. Open the clamp by turning the knob countetclockwise until it cIears the surlace to which you want it attame-i Tighten the ...1amp to the fTII .......... ...:: ... _ . . . & .............

~

--o to"'e

.... ~-r-~ L __ ...... t1ffiifi<7 ;:IIULJ.iIU.,.", u y l _ _

knob clockwise.

2.3 Power connectlon. Attach. tJ1C pOw"ei' trupply to a 110120 VAC electrical outiet. Attach the co-axial connector on the end of the power supply cord to the mating connector on the bottom of do",p.

me

2A System Inltlallzat!on. Your DayLight 5K will initiaihe when power i. connected. During initialization you should see the numeric display sequence through several numbers, t.ne light head gl~.vs

momenta.1"i....'y and you hear 11 beep tone. This corliitms that power is supplied, all i. operating nominally and you are ready to move on to the operating section of this manual.

-5-

NCBOARD850

1080

CX0108-026

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 68 of 366

System nnt:lr:::ltil"'ln ......,,...,,-'U\.'V" Flex Adjustment Your Daylight 5K features two sections of a unique positioning technology. 1 be upper and lower flex sections utiliu three different fico< mate....;.1. workL'lg together to provide angular and azimuth adjustments t..t..~t allC"1I you to puiitiOfi the light head in 2n in~1lite number of p....~:tionsJ and do so without drooping or

s!ip?_'lg.

3.1 Up/clc:n.-n angl•• Use the lower flo: section to achieve the bulk of your desired up or down angle. Place one h~nd on t..l"e ,..JOII'¥lP wM1,. ~ni'J.u n1I"~1..~ __ ta'le control . - - - 0""'.........' t' .......~

housir.tg up Of down to desired angie. You can "fine tune" the upidown angle with the upper flex section by grasping the front of the control housing and gently pressing the ligbt head up Q:!, dawn to acr.iC"y"t: the desL.~d positioi'&.

A

KEEP IIENDS GENTLL DO NOT ~ . . . BEND FlEX SECTIOfl5AT . . . .SHARP ANGLES.

3.2 Rotational angl •• Your DayLight 5K is .pe,·H~~I!y designed to fit the shape of dle Spa\;t.,'}titf lens/mouthpiece. For best fit, the rotarlonai angle of the Ught head should be parallel to the plane of the mouthpiece. To adjust

the rotational angle. gent..1y F-~ the

Iig..h.t head and ~1te upper flex 5~uOfi a,,-.!-Cl twist the flex tube to desired angie.

-6-

NCBOARD851

1081

CX0108-027

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

'1

Pg: 69 of 366

System Oper.=ttlon L (")ntrnl P:::and _,

... ,.....,.

I

\..AI I\""I

4.1 On/off. DayLight 5K will power on automatically when power is first applied. To turn off the power, press and hold the power switch until the display goes d.rk. From an OFF position, press and hold t'he power ~Nitch until t1-te display illU!!'.in.at-...s.

YOW'

iT! timed In

head w-ill. iii minute at a counting do notice the c -than amm

4.l Whit. light. 4.4 Stop. Thill control illUIr.lnates the light head 'i-V'hen the light is running iJ \--.ithout activ"iiting the timer. It is intended timed mode, pressing STAI STOP will pause the light, fur use during shade- matching measurements or visual inspections 80 that the light PAUSE mode is indicated ~ •

g

may be illuminated in its white light mode (blue filter oil) without ~fTectip..g timer set=

di~lay ~hing.

tings. To leave WHITE LIGHT mode, U1LJ~ T TI'""T..T'T' • 1"'....... ~\,,7n ~ agwn..

resume the treatment from point it was paused .

......... "'., <;11

T 1I".It. .......... J,;,r ......

Preising

START/STOP a second tit t

-7-

NCBOAR0852

1082

CX0108-028

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 70 of 366

1

i

_1... I'INnt. ._-- ft_..... r-·· ...· ""w •• .,. via.

,

ft .......... , _ ......

,VV"hen pressing a panel control for certain functions, it is necessary to hold the

Ibutton down for 1-2 seconds. This is an intentional cksign to pre\'"Cfit II accidental changes in operatior_

"'.,

lave set the d.ei.u-ed treatment time, activate the light od" by pressing the STARTis'1'0 P button. The light ctiwte and the timer will begin counting down one I time. When the timer reaches.1 minute, it begins own in seconds (60,59,58 .nd so on.). When you :lisplay c..hm'lging rapiAly, you know u'iiit you have less u.te before yOUi' client requires your attention.

_---~4.6 R!!MI'~ To stop light operation and return settings to nominal Dress

an

SInd holr1

..

'Dlt'~~ ......... ..., .........

4.5 More tlmelleu time. 1

{TI JYthc ne will

:he

To in~.a..fle the amount of time your DayLight 51{ will stay on in whitenL.....g mode, preis the arrow key that points away from. the display. To decrease the anlount of time your DayLight SK will stay on in whitening mode, press the arrow key that points towud the display. Pressing the arrow key for a short time will change t.he time oneminute per press. Pressing ~I'ld holding the a..~N Kt-f \\':J1 sequence the time in one t!"lnute increments or decrements until the button is released.

-8-

NCBOARD853

1083

CX0108-029

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

5

Pg: 71 of 366

System Operation \/\/hitQ I i,.,ht-/QI' Ip •• 1 111.'- L..I ':::II I V U u ....

... Li,...,h l':::jlll

Your DayLight 5K emits two light spectra. one for whitening teeth and another for .hade matching and measuring before/after differences. This is achieved through the use of color-corrected light emitting diode technology, The!!! !ig.~t emitting diodes are spo:ifically engineered to produce white light that replicates daylight (colQr temperature SOO(t Y.el-,rin), &0 your inal'~UOfi5 are w.ccu.ra.te and easily replicated, rcgard1esi of ambient lighting. .Ii ..- I , ......... 11_1..\ - _ .. -,. 1~ In ._--r--;-_ .... ;I ,wn ... _ ••••• ", ... vwa.

To use your DayLight 5K in inspection mode, flip down the blue filter by releasing the retaining tab at the front top of the light heod To retu.."!l to whitening mode~ restore the hl1!e flJter by g~nt-1y pres-C!~f"g it into place; you will he2l' a clear snap when t.."te retai....ing tab seats into the light head. SOOl"K whitt light fOr consistent, """"Me sh.de m,'\tthing.

, \ THE CLEAR LENS DOES NOT OPEN

-9-

NCBOARD854

1084

CX0108-030

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 72 of 366

5.2 Whitening ibiue iight) mode. The blue filter transforms the color-comcted white light into ..he idea! ~_t.rum for energi~ the a...""th."e ~"T'"'...dients in t..'1e Spa\\'}Jte padi. ,x/hen exposed to mooer-atel-l high amounts of light in the 430 to -470 nanometer spectrum. these active ingredients accelerate their release of hydroxy{ radicals. which act to break down stains on tooth enamel 43l>-47Omll"oool blue'

light fur t
5.3 Normai operating temperature. The advanced design and light-emitting diode tecb.no!ogy of your DayLight 5K ~l1nws it to operate without f~~ or other forced COOlii'lg methods. The '"""-tLemely efficient therUlal design alloW! the case temperature of the light head to rise to about il0~ and remain at that temperature as iong as the light-emitting diodes are illuminated. This temperature is quite safe and will not deform or affect the clear SpaWhite lens! mouthpiece. -10-

NC80ARD855

1085

CX0108-031

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 73 of 366

VVhat Yuu Should Know " ". - .... , c:. 'j Aoout tne "'paWh!te .,.,m!.e Rej uvenation Process

/

6

SpaWhite is the most 1Ch*'L-~ smile $venariQn. ttel.tm.mt !l1f!lil."hl. It will tn.;,!; your smile fresher) brighter. !"'l1d whiter. SpaWhite is different from other tooth Whitening systems beca\lle it deli=a better tesulb more I'IIpidIy and with greater safety than I... advanced methods. The process iwneoaeo unique, patented technologies born. out of. multimillion dollar research and development program induding: ~

A_11. imptt.&li! ted foam. ~m.l"'~esf...on pad demgned for ll..'lprecedented penetration ofhydroRD. peroxide into tooth enamel. the compreuion pod aIoo ~useo the hydrogen peroxide to l

releue at a more unifonn rate 0vertime. This IICtI to eliminate the tooth

• Th. advanced design of the light used """ith S~V,,'hite fK:iO the light head cue to about 12'"F abo-.r-e noiLiiil bod-r tt-rn~roatlJ.•toe; it reD1:in: at t..'lat Ie-y~ during the Sp&Wbite p!U"~. Tbi: is sufficiently warm to optl1Tlbe the Haw and molecular acitation of the hydr0gen peroxide through the pads and ontO the teeth, yet iJ cool enough 10 II not to ~ my discomfort or risk of radiAnt or contact burns, II may be the ~ with the aider technologies. • The Spa\\'hite pi!·~eSi employ. 'Ii narrow blue-light ~'"'tr'.m1 = just w+...ts needMi ~ ,,.,..,.I-ation. of the formation ofhydroxyl ndica.lI from hyd!'o/(ell

eo

'Ibe D&yT .ight 5¥...: A

Thio is important, sinee with Spa",'hite there i5 no UV light exp0sure or risk of over heating the teeth, iii iii ihc cue with some other systems.

!t1te-Of-the-L~

cosmetic teeth whitelting light that accelerates the whitening proceso ~

through interaCtion with the foam-

peroxide (the h'l'thm
the eomponeDtI m;t penl,e..te the tooth enl.mel and breik down stains).

oeruitivity t)pically UIOCiated with ofucr power and take-home whitening sy;tellli.

!'.ad-stabilized hydrogen peroxide. Thio light useo adwnced lightemitting diode technology, which is vudy more efficient than older, inc",,&e.cent technologies used by iess ady"'&iiced w-rutefi:in.g systems. T"niJ Oe'W light design is ~:treme.tr stable t-hermllilty, !'equL"'~'1g none of t..'tc ~"li or other foreed ooolL'lg mef'..hods required of older technology.

A u...nique light-gtliA.... g mouth 1'i= dw ~ bltl~ light over all tooth surfaces via its built-in optic21lens, This technolO!1Y allows YOU to comfortably close fOur mouth during the procedure and eliminate. the need for uncomfonable lip and cheek retrscton. It aiao acts to create a teeth-topad Dt that is actuaily superior to custom-made t:tays, as the mouthpiecei pad combin.ation ALi to optirniu: presS'J.."e h=d en the. bite position ir, real ritT!e.

-11-

NCBOARD856

1086

CX0108-032

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 74 of 366

ii?"'!'ie toothpute, ~ usually help rem-

How white wiii my t . .th get7

TI.e color of your smiie is determined. by

cay me appearance 01 these white spot>.

t"-..vo 1&jeri of tooth Hi1J.cture:

the lighter e"tI .....e! (outer ajow) ;',i"id the darker dentin (infl~ Layer). Th.e COInpo;ition of theie ii dmnnined by Y"'..!!' genetic:. Y0-.:: teeth

D...ital i.stoi.tlonj beat on naturai rooth stru.'·t"J."'e. .. It 1; not i.~tended to wrutcn dcnSt"aVlhite wor'Ai

will never be whiter thLn they Wtte ~-en they emetKCd in dtiIdhood. But fOt' m".,. individuaJI thia iI vaywhite. -- ---.

nl !'e!tOr!.tions s".l.ch :u :::ro'"M"'d or capi, ~ and white Alling!. The colo: of tlteae Itn1ctures will rem~n a! t.l:1ey were

The pgtM'!.kd SpaWJ...ite proce= ~n-.ck& and removes ~ deep J1"!I1'U that ~,,"e

when inItaJIed unless thev have JU:CUmulated 1t2ina. SpaWhite Will still ~;,.;,., a

brighter averill smile, but a cOlm~ denshould be consulted if you wish to have mese restontiOllJ match your natural whiter smile.

accumulated in YOUr tooth i!n.llmd _ th,. lighter colored Outer laver. &~~~­

'!"t

siRnifi-

mOlt individu.h will ~ce a ~r improvement. HoWever, no DO-O-

mVUiYe cosmetic whittning treatment _

oven SpaVYrute -can tighten your dentin. Tcot." sansltJ..it"1 The Sp;.White ted-anology make. it poui.. Ifyour tooth coamel is unusually thin or bie to get excc!lent co;mctk rti"Ylti withtt-.nsl-1lCent, Vi ifyour dentin ia especially out the tooth sensitivity typ .......n.., uaccio;.te(f dLoic, j'O"..l may not be able to acliieve the Ievel ofbri-ghtness yo".! de:i..ooe -n-ith.out ikli- with whitening procedUl'el. Hawever, on wry nre OCCWoQl tooth sensitivity can tal veneera pla.ced by a toemet!c de,.P1ti:t. occur. This iI uaually. mild and brio:i~dc Whit. spots ~ect, generally oubtiding within 24 honn. "Wblte spoil" represent areu of the teeth "! "reatment with an over-the-counter analwhore earlier dW.gea in the mineral con- gesic ~ ~ ibuprofen or.~ophen pn>YUJe tempor.uy relief. Normal tent have occurred. This alteration can be nu;y _....t_ L_._L' _ ..... •• .. !o!;UW:;: UJUaUUlg WID] IWOnae tootnpaste iI :=a~ by gen~, nu~!ion, poor dental tecomIr.ended. Spi.V..'hite haa a diagnostic UJ'I!lCIle, or unDalanced t1uoride intake .J.~_,

__

~

__ •

I .

bet!efu: Sen:i&"ity luting more u1...liU a few

• .. _ _

uunug ,oom aeveIOpment. White spots

daY' may !~ conditions that i"OU should C"'an become evident after orthodontic bnng to the attention of your dentist, 1r..lC.."1 ve b!'a.-""= }-:a ~n remuv"ed. The Spa~'hite smd,. !'eJLrven.....atiOn proceSI em i'e"'v-c-al wt-dte as ~&actures~ decay~ or leaki---.11...g re!ton.tionl. 5pOts previously hldrl'-n by stUllS. n.i:l effect usually fades within 24 to 48 hoo.!!·!!.

Blanching and Irritation Continued use ofWhiteIce and re..rn.r fluoride therapies, including b.,w,;;;g~th A slight blanching or whitening of the

gums is normal. UsualJy lasting no more

-12-

NCBOARD857

1087

CX0108-033

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 75 of 366

than 30 minUte8i thilt bl~n ...hin(Jl' repres....*C.ts • healthy healing phue in
...ojtamin E oll to" tW; a.tea will accelerate the Foil_lng up with WhIt..C4I hesnng. If =gniSr;nt discomfort is enT'nere iI no deiiniu. IJIIWe1' .. In how long 001.!!!~ du,.ri, the St'-W'-uite tn· -....-lure, a new bright SpaV""bite smile will iut he-,~-- ... _L~-JtA ~fY\nVIII'...L,. _ ..... ~..1._:-.... the ==< f.,.., beginning to &de - it ill highiy indi""""'" ----. - "'" ~~""land continue In whiten at home w!_ ·..id"an.-~ d.;-pending on many biochemiWhitdce. Minor inlIammation, chapping, c:a! and gen..."'1ic ~-tora. Puc & mh-llmWD of or irritation of the lips may also 0ttUJ in 24 hou-1'! Lon,..,. the Pro'"e51, -ini..,iu the rare cases, which caD be tti.ated with the consumption of d.!lrk ftloucu or bevers.ge: appiication oflip balm, petroleum jelly, or that have. propensity to otoin teeth. Of vitamin E oil An over-the-counter anticoone, bruab and floss .. directed by • ina,mmatory such as ibuprofen or acetadentist. mL.-lUyheii ilia! be used to provide rciiefin Keeping .. bright tuni~ i! htz"1y depeftcL~.t _t.. .... ~;n;r-j '.SCi ..-here symptomIWt on many iJJdiVidual facton, incl1Jd;ng tho mo!'e t:bm t'!!O hcu." use as di..""et..-ted Oil cwrent condition and comDOSition of tbe the b..bd of the!" m...n10"on. teeth. diet, tobtc:o COnsunlption, and Whitelce use. Whitelce is ian on-the-go Slngl....... mouthDIK. smiie maintenmc.e product jncluded in The patented mout!Unece ill intended to be your SpaVV'hite kit. It will maintain and utedfor one SpaWhiu. session consiIting impt<>Ye ieetb. whirenca when used .. diof one or more baclt-to-back applkationa. re..'"ted twici; dai&Y. Than.b to a patented Di&card the mouthpiece after the session; mi..:';:---" -iF·laMoD tech.i,ologyt \Vh.itd4:C do not _ it after oxtended storage, .. ~Al"!lll1y M~ . . -... -;;n.-t .. ..:.1._..... - 0 " - J........ n.l.l.I..I.UU." bacttria are introduced from immenion in causing. semitivity or L1'!'it2.tion., the iilUuth iiiid s-- -- will promoa: ..... "' ""i"'L__ ----, J ........ ,ti' Clienti who want to look their best can e.-...-.. .............. .....-....,;lQ~_----"C u.oc: WWQ " _ _ expect to repeat Spi.\Vhlte treitmcnt every ora.! Ln.fection or L"IitatiOIL 6 to 12 month:. Avoiding "" Irrlgtlon The lips ICe among the mQ8t senllitive ex-

-r----

m'

posed areas of the body. To prevent p0tential Uritation during atended periods of -13-

NCBOAR0858

1088

CX0108-034

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 76 of 366

No i.iiiif-HfYlcellbl. pam. There are no bulbs or other devices in your DayLight 5K which will "burn out." The advanced light-emitting diode technology out1a Rts, ~Q!lventiot".al liah .. hll1hC!

-e-'~

fo,..

"lI"

~_

- _................... _

.. ...t._•• I"J"'I.. ..., 1"81: 11'10 _ _ .1.. ...... : ___ ..t _____ ... L•• f\.._ ...v""'l!)...." U.lAl..l .lU.......U~lt'...~llL Uu.LU&

............... ......~ ........ .........J.LAO

by hundreds - even thousands - of times.. Shouid one of the diodes or any other part of your Daylight 5K ever tj,ii, contact your Territory Manager who will arrange to have it repaired or replaced for you as long as you are an authorized SpaWhite dealer in good standing.

Use of tIw hex w,.nch. o-vet time and with use the special nuts that secure me cODtroi section to the'upper and iower flex sections may loosen. Shouid this occur, the head will not hold position, but will tip from one side or the other. To correct this situation. use the thin hex wrench that came in your carrying case to fe-tiahten these:- two .... - nUb. -------.

-14-

NCBOARD859

1089

CX0108-035

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 77 of 366

_.....

_orT'"

~K

Dual-Mode Whitening and Shade-Matching liIumination System 430-470nnl"cool

50(XfK white light for consistent. accunre

blue" light lor teeth whitening.

shJ<1e matching.

.

Warranty- Service Policv Your light will be repaired or replaced for you at our option at no charge to you (shipping and handling charges may apply) for .. long

as you are an authorized Spa. WhJte de21er in good ~nd;ng. Should r--tir~ lU'Mr.. l"nn-,.."Whi·.... c::....: ..___ .. --vou _ _ - ""'"1.~ -' '--'- - ---, --_........... •• .... .............U ...1iO .... v.tU:;;

~

_£' ...1.._ r-"owifiir U.L U.U:;; lUU_ • ---0

location:: Sales & Marketing: 45 West Crossville Road Suite 5i4 Rosweii, GA 3007'5 USA TaU-Free: Voice 1-866-709-4483 Fax: 1-866-709-4483 Tech Support

2975 East H!!!crest [email protected] Suite 403 \Vestlake \'IHage, CA 9i 362 USA

... ,. .. ....... ...-.-..·........ -...... - .......... . ..-..-.. ··-.-.-.--.: ...... .: ......

Voice: 805-777-9222 Fax: 8OS-7n-4724

.. ..·....-.- -.-. .. ..-.... .... --.... ..-.--... ..... .- ....... .,

e - ••

~.~-.•••• - ____ _

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A

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-

- - ~- _e_ ....... ... ....

--

-.-



.O' $ : "

•••••

e

-15-

NCBOARD860

1090

CX0108-036

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 78 of 366

Quick Start Guide 1. Open stand carton; assemble stand. 2. Open light afton, iemove and open travei case. 3. Fasten ilght to stand top shelf; tighten damp by turning knob clockwise. 4. Plug po\ver supply fnto power (lutiet.

5. fiiug coaxlal connector on power supply cord Into mating connector on bottom of clamp. ~

_"

C:::Af' t(mAP.":'" ....I_rl .. _...1 _ ........ t __ ......... , "'...,

ny.

"'III;~III;U ~\"II

7. Have ciient clean teeth with wipe. 8. Lower blue filter. Position dose to mOll"th of client. Press WHITE LIGHT b~"tton. fv1atch teeth to shade gUide. Note shade number. Press wHiTE liGHT button. Snap blue filter

back into upright position. 9. Install foam pads into upper and lower mot:thpfeCe tiays. 10. Give mOu"thplece to dient. Ciient inserts loaded mouth-

piece into mouth, taking care to get pads flat against teeth. 11. Position light head with blue filter against front of deai mouthpiKe. Press START. TImer wilt count down from pre-set time to zero, then emit a beep tone and tum off at

_._1- II::IIU. __ ..I

'"'1UIII;

12. Repeat process If des/red. 13. Clean mouth \-.t-llth second Wipe. i 4. Discard used pads and mouthpiece. Do not re-use

mouthpiece. 15. Instruct client to use \'\'hite Ice daily for continued smiie rejuvenation. -16-

NCBOARD861

1091

CX0108-037

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 79 of 366

-

WH !TE sCIence

Th. art of the .mil. Whit. Serenee 45 '.lv.at C.-ossviil. Road Suite 514 Roswell. GA 30075 USA ToU·J:re.= Voic.l~866"709·4483 Fax: 1-866-709-4483 www.wn.tescience.net

NCBOARD862

1092

CX0108-038

Appeal: 12-1172

Doc: 63-4

AUG-ZS-08

02:14PII

Filed: 07/06/2012

F.

f.,y . .- .. •

Pg: 80 of 366

a •••

i ..ii

transm

'1.r n. .... y...,._ LH.J '--. 1'l...t.1 IL., tsq. if -r ..

P.ijUi/DUi

F-OOI

t t a

77 $uulh High SLr~tt. 15th Floor Col\ln\bus. Chio 432lS·6133

Extcllti ve 0 irectOI'

Phone: 614.0166.2530 Fa.'" 614.i52.8995

/ f

T.. .... OJ.

Fax#:

Date:

G{.

Rc;

-

Hth r.\x Tlt ..\:--;;.\II,.loJ:-.' C();o.;TAJ:-'S CO:-":FIDESTlAL l:-;fOA.Xt,~T!O'l. I r 1S 1:-; rr,.'.;l'. f.1l (J.'.; LY ,'on TilE L' SE OF TH E lS01\'1 0\':A1. on. E:-:T!T't' TO WHICH IT Ii ADDRESSED.

NCBOARD863

1093

CX0108-039

Appeal: 12-1172

Doc: 63-4

AUG-ZS-Ga

Filed: 07/06/2012

Pg: 81 of 366

02:!-4P11

T-II\

~

,

......., .....

D 1111.,/1'1111

August :!S. 2006

Prank it Recitet &.AsSOCIateS, Co, 18.50 San Marco Road Marco hland.. Florida 34145

..:. .. I:. • ', ..... :!~..

11,4..4sa·aua/ .... ""752·'"~

idwanl R. iini.. D.ii.S. 14ft 'T. ;h"..bou.

ii.u.s.. .

LPA

Tile Ohio State Dental Board', (Board) Scope of Pract1cc Committee COnsidered your InqulIy as to whether a tooth whitening mateItal could be sold at It salon, and. appl1ed by the cunomet ~ with the gn1rla..'\ce of

a salon employee. You ~1.Al1\ that the C'I'!t.omer ~..dd apply the ~+J.t.enirli m.a.uri.Al tt\ .......i,. _ _ p_h DftA .'"'_ . h _ . _ _.. l.1 .. _ 1 •• 1:. ............ _ .. L ... _____ - - - - - _ - ______ V'VV _ _ .... _ 1 w-r "W\oIo&U. -t'1""Y UOo"" u.u::;: ULat.al&l, ar.d. t.1W \vculd tm place several t.i.liei over the oourse 01 an hour. You uk 1Nnetba trJ.f: Dental PYactice Act prohibiu this activity. Io '

.. ;o.;~t..i..1"

---!_I

t.U

discussed this matter and d.etermined. that so lone: as the custOmc.r applied the whitening materlal to their own teeth, !Uld Mone ..he places their hands in the CLUtQme-t I !!\Q1J.w., that tbe cu!tomer an bUical!-;

·I1le Colnmittee

do rh,.." ."-"1'. tft ~...... ...,,_'....-..i.v...-..... ,.. 1. .._'- . -- anythinG' ~~~ ~--o -~-J ~~ .. ..- ,.h.-..i. _ . - ...... ,. ...............

FRnktin

u_ 'Wrilhi,. ii.N.D•.,

1 '10._ • ""'t""

.. 1..1_ IruC-- ...... ! ... ULLO.Ll U.aUUlLIun

!-

Q:

L-'-iul'• If you have additionai questions.

Uc:.Lp

piease

oonu.."'i: me at the Board office. Slru:crdy. THE OHlO STATE DRNT.A~ BOARD •

I '-"L.--""7 ,..

1"'""1

,...,.- ~t·,Lca&i "

L"id C. RE1·TZ. Esq. Executive DirectOr

)

,/

:-: 'i 11"11. :.t .., .. :. : ~I,' :"••••

'".,JnlI._,

')I,i"

.

::~'"

.:".

NCBOARD864

1094

CX0108-040

Appeal: 12-1172

Doc: 63-4

S• ..-Zo-08

Filed: 07/06/2012

10:31u

Pg: 82 of 366

Fr-'H!it !iETtEY ! !E1ER

+iiii4iUii

T-III

P.OOI/OOZ

F-e4e

FAX TRANSlViISSiON WiiiTE, GETGEY &: ME":fER co.. L.P.A. i100 Fourth &; "vine iC1W'llr. i Weat Fourth 8iraai: Clr.dtir..atl, Ohio 45202 513-241 .. Se!! Fax; 513-241-2399

To;

Frank 1<. RQ:ker

Date:

September 20. 2006

888-469-0151

ia.a

2 Pages (inciwiing cover ahcetj

SabJeet:

co~s:

NCBOARD865

1095

CX0108-041

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 83 of 366

~.DDZlDg2

T-I6I

F-I."

'The ...i.eIon a( the Ohio State ~ of C~'o&Y Is to protiM ..... *Upport tb
Kevin L. Miller. ExecutiVe Director

3700 s. HlgI> Street. SuIte 101. Columt>wo. Oblo 43207·4041 Phcme: (614) 4GG-3834 a: Fax: (IHo&) IWI. !!Bao ~.eoa ;-.lJtn~: eWqmebsi9sp!·llI,tt M'll'

--

Frank Recker Esq. Frank It F~.kAr &: ~uat6 Co. 1700 FOUl-tn &; Vme Towu . -01. Yie,t FelSlB, Street~Cincinnati, Ohio 45202

- -"

~

.

-_ ........... - -

The Bovd haa !'eCe2ve(i yo'.!!' letter dated AUifUit 28, 2006. AitI1r reviewing the inlonnatkJl>. provitl"'" i."1 yO".l% letter, it ia the position of the Ohio State Board of C"'n ""'letcl...."8'J that so long as me customer applies the pt'Oduet: to thernselves, ti'o..ere would .ppear to be no Violation of !hAt Ohio ReVisI!d Cod" @ection 4?13. HCv.Tver, our ofike would recommend tIuo.t any advertL.lIeIl\ent fo~ t.'Ua product in a 9Ilion should reflect the Iollowing. Wlill!! !:.~e cu..-tomer WO\lll1 be under the supervision and/or advisement of !! steff member; t.'lAi piVduct is to be applied ONLY by the c:ustomer, to

t.."!!1l'mves. Ii you have any questions, please contact my uffice at 6146'4 6139.

KLMIsr

NCBOARD866

1096

CX0108-042

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

NORTH C.i~...ROL!N..~ ST~-\TE

Pg: 84 of 366

BOAP~

OF DENTAL E~1\m~ERS

JOSUii s.. BUii1iiLUi, D.D,S.. Praideat W. STA.1iof HA.lUl~ItNfY, D.D.s.... SiJCi1iiii7~TI'CUwl::Il" STAN'L.tY L, ALL~. D.D.S.. p..-$t Pre:ident ZANNI); P.

EI'IJU),

ClJFF01U> O. FEINGOLD, n.ns

RONALD K. OWENS. D.D.S. C. WAYNE aOLi.,.Ai'i.tu, V.V.S. N!PLUS S. HALL, lUtE.

c:o..um.. M..,.,.,

BOBBY n. WJlITE, Chief Openli.... Qffiw

Feb. 13) 2007

¥lbite Science 45 West Crossville Road, Ste. 514 Rosweii, Ga. 30075

Dear Sir or Madam: It has come to the attention of the N.C State Board of Denta! Rxaminers that repre.sentatives of your :firm h::tve sold andior attempted to sell va..~ous teeth whitening systems to non-dental professionals in North Carolina, S"u.ch as spa and salon owllers. We gather t.l).at you may also be selling disttiblttorships.

Please be advised that, uudet North Carolina law, any process that "[r]emoves .cains, ac<.Tctions Or deposits from iUlman teeih" constitutes the practice of dentistry. See North Carolina General Statute Section 90-29(a)(2). Individuals who lise your products to provide teeth whiterung services to the public may be engaging in the lin authorized practice of dentistry, which is a misdemeanor. See North Carolina General Statute Section 90-40. The Board is providing this information to you, so that you may accurately inform

current and potential customers of the limitations on the provision of teeth whiteniTlg services in North CarQlin~ Feel free to contact me if you have questions.

Thank you for your cooperation. Very truiy YOUTS,

11

1\

~~ Carolin Bakewell Counsel

EXE-''1..''ITV: OIl'FlCE" 501 AlRrC"lIT ~OUL&"'~ru;, S'Ui'i'E. iGS' MORRIs-y'[i...LE.NOitTii C-.'-ilOLfliA l15-(1)..8wu TCLIPflONI. nH9) 67&,1123 • VAX ('1') i'JS...8.J72 • WAIL< [email protected]«lcRn"lbaamort· www.udAntalboard.6rt

NCBOARD1597

1097

CX0110-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 85 of 366

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!.., U I'd iJ L d d NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS ROHALn. '!C~ OWENS., J),DS" ~!d~t

JOSEPH S. BUR."fHAl".1:, D.D.S.

C. WAYNE HOLLAND, D.D.S.. S«-terory~Trealmer W. STAN IIARDESTY. D.D.S .. Pan President

BRAD C. MORG"'_N. I)J)$,

ZANNllE p, [II'IRO. umsurner Member

JENNIFERA. SHll"PARD, R.D.H.

L

MILLARD w. WI!STEll. n~ D.D.S.

MQrrlS_, /Ie 27580 Phone: (919) 678-11223

Fax: (919) 67e.a472

Dr. Wa~'!19 He!land

Fax:

From: Terri \Y. Friddle

(2!!2) 231-3117

_Pho_ne_,(252) 237.3118_ _~_ _ _ _ _.....;,.P.:;a;:. __•_ _ _ _ _ _ _ _ _ _ _ _ __ Re:

LOG '" 09·

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PLEASE PERFORM CASE REVIEW ON THE ATTACHED COMPLAINT:

CASE RevieR COiViPi.ETED

OPEN FiLE

CLose CAse

CASE ASSIGNED TO:

INVESTIGATOR: CASE MANAGER: THE PAGE{S) COUPRl$.lNG THIS FACSJMIJE

~AN.SMt.S.s!ON MA,Y CONT.A..!N CONF1DENTl."l. !NFOP..tvtATlON AND A.,E:tE .!,lILnENoc--n TO Ole net the oddr..... lind you 0,. not raaponsllfe for deiverklo mesa..... to

BE !he corlfi:tance Is

RECEIVED ONLY BY THE ADDRESSEE ABOVE. ff you

addreSsee. )"XI Ila~ ~ ltis lrar\3rt1iSsion by mistake, We request that you do not f'8'tIIIaw or copy this matenaJ. No pnvrage a to be wai'.'ed b'/ the rscslrr'.i!s trnl'.sm=fon IT. thi; rr.esaaga. If yo... hiO~ ;ecet',,"6d t.....li tiiinsfrissJOfl Ii effOf, pir:ase ROiiy U!i ai: (9-19)78i4901 so that we may arrange lor thi! material to be reh.med. Thank you. [rter.de:d

5e1 AIRPORT BOULEY.\RD. SUITE lOS· MORRISVILLE, NORTH CAROLIN.4. 11!:<10-8Z00 T£LuHOiiE (5'i7) i7i-ilZl' FAX(j19; i78--i471' EMAiL; [email protected])JGdtnBib9!!.r4 Q'1. ~""w.llc£l,e,JUlI(boanf,ol'J'

NCBOARD1702

1098

CX0111-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 86 of 366

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Date: -,",d-,,-,/,-/:..::&;;;;..(..:=O::'-~I-_ _ _ _ __

Fu: __________________________

Number of pages inc!llding cover sheet:__---'~~)'________

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________________Sincerely:·_-Il=-4i~~..)..:!'_0:....:.·rfJ.::..-_7t-..;..:..h""r'-!/.J;..1!IJJl!.'{r.t<_.~r..:'/"I~.!.J_ _ _ _ _ _ _ _ _ __ ....,

40S N~ 35th St. Marehead City, North CaiolfrUl 28557

(.252) 147-1169 Fa!: (252) 147.. 956.3 l"ww.~o8'taldentJ'Gtry.com

NCBOARD1703

1099

CX0111-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 87 of 366

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OF DEl'!'TAL EXAlVool'.RS jf,j7 AipDrt &ou;cvanj !:ute !IH' _"'Io,HCm~ (919) G71-12'D

!NSTRUC"TlONS

Pteage ttll In the Infomudion li*d below. Then answer the questions and lte ),()Ur G('IQ'!plo!1int on l~C: rcv~.f!Ie !Ide of till. fonn, A copy Dfyour oomplalnt will be aivcnto tit. dontlll being cornplolned Any peaon flies iii. cotnpi.int must be wfrHnS to appear IS a wUnll!!lJ. Icstf1It Mil be cro.u..examined concemmg the ancptio.-Ii tiiiidi. In the c;outpfrui'it.

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ll~ o/'IIc!atlJ'lfj th# f);mt;:l [.;;..~ uf ,"/Dr1s'i C;;fmliiIL ttuI 8qgn/ vI f)~mfif Exrfiffr';;dfijimls Gud. i;r;ema ;,n 1IId11JftJti tile Omlllll.trn: may t!l!dp!1~! ,It!! t!t!ntLqJi~rIall!ygl!!~~ 6p !!tki'VI !!den ~"r1h-.# !,~ !l~:::.r: (1..:', $tllfM1It/ or ,t!T1r1k~ ~ nan-) TIr, BIJI11'd dfJG If()( hnVt! statuterv mtllrorllJ 10 tnlllITd m,,,,mn danllllH1l 1J(1Irr dnd

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NCBOARD1704

1100

CX0111-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 88 of 366

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LICE.~SEE(S)

DENTIsrSNAME; ______

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COMr-....A.TNED ACAJ1,'ST

_________________________________________

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!f},out ~!ai."1t fnvc!v= oontcl tr~"1,,'i'ii'!ijt, WC;.:; YOii sC!;;n by arlOi:bCf Ut!i1ti3t for follow-up cuY1

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Tn die space jifOYid~ Sljie in fuii lIii fml: met, OPOI] witich yOW' eoml)lail'tt " bes:ed, fneludin& names, dafel of !l'tetmcn'.,. end any O!!o.er p=tir.:."1t infonnatfoo. If i"&-ie5.iN"t jjjjE iddiuani,i !pnw ol..~. Fj~e Eltt11Ch copies of any documents which support yt;tur CQm~.;lmt (!"'rt\I!!'S, om!, !'l-~a-/!I ~)

-------------------

NCBOARD1705

1101

CX0111-004

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 89 of 366

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NORTH CAROLlNA STA! E BOAP.D

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INSTRUCTIONS

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IMPORTANT T1!!t N!tft!t c....~.li! SIJ:!: !ccrd ::f D~ E.'t4tnll'ie~-; l;.-.:-lgiitti wmpIalni# ~ ~ IUUi imigj iytimBI.y gfNurth C!!rol!na. !ft.'t41!~ ~ D=.tDl E::a:r:L*l.R;lll"tIfJI tIu# fillcmieG Iiai _ Ilr6 L
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NCBOARD1706

1102

CX0111-005

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 90 of 366

rn ~!

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UCENSI!E($) COMPLA!NED .AG;\.!NBT ~~NAME:

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______________________________________________....____________________________________

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W1Iot denhll1mtmal1 did you """,1..7 ~s)vrt-.4bn~t: ~~~'1~J~qu/~~,,~£~tt~

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NcaOARD1707

1103

CX0111-006

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 91 of 366

NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS RO;o.iALD K, OWENS, D.D.S., President C. WAYNE

HOLL.-\.~D! D.D.S.~

JOSEPH S. BURNHAM. D.D.S. BRAD C. MORG,,"", D.D.s, MILLARD w. WESTER, Ill, D.D.S. JEN:'
Secretary-Treasurer

W. STA;"oI HARDESTI', D,D.S., Past President ZANNI Ii: P. EFIRD, Consumer Member BOBBY D. WHITE, Chief operatIOns Officer

fv1arch 26, 2009

Bleach Bright Jason & Shanon Rabon

80 7 'lJiUiamson Road #101 Mooresviiie, North Caroiina 28 i i 7 NOTICE AND ORDER TO CEASE AND DES!ST T .... \A/h ......... 1+ .. A ..... u 1'-'

r',..-.,.,-..,. .....

Y'fIIVIIIIL IVIO! VVIII..rCIII.

The North Carolina State Board of Dental Examiners is investigating a report that you are engaged in the unlicensed practice of dentistry. Practicing dentistry without a in Nnrth ic: ("rimo r-.o,-,.o An ......... ..lir.p.n~p .. '-. . ., .... .. r.:::Irnlin~ ...,l_._ ................. ........ ,.................... '~Ir \',. __ . . . ,. . ..>::I1 ~+~+II+'-'''''' 1:. nl1 .;:;rv--rv ~-'

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You are hereby ordered to CEASE AND DESiST any and ail activity constituting the practice of dentistry or dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Dental Board Rules promulgated thereunder. SpecificalJYJ G.8. 90-29(b) states that .... "A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do, or claims the abiiity to do anyone or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:"

"(22

Removes stains!

"(7)

Takes or makes an impression of the human teeth, gums or jaws;"

11.(10) '\._,

Pprfnrmc::: nr Anl"1::1I"1~C;: in .... !':In\/ nf tho. • -" •• •••• _ _ ........ ;:, .... ;:, .......... '" " 1 ..... ' .. ',..,

~Ccietions

Oi deposits fforn the human teeth;"

~

,...lini,..~1 tf"\r~,..ti ~~ i ........ I•• "" ..... "" i ..... h ..... •.tII;.oI ..... \,.I ... ......... ..,;IIII'-'IUUII;J1".I III "11110'

..... 1111 ......... 1

curricula of recognized dental schools or colleges."

~07 .UR?ORT BOUL£'<.ARD, SVITI!: 105 ~ MORRISHLLE, NORTH CAROLINA 2756u-8200 T&:LEPHONE (919) 678-8223' F--I.X (919) 678-8 ..72· E'\LHL: iflfl);/i'ncdeotalboard.on!· w",..w.n .. d",nt!l!!HH!!rd.orl!;

NCBOARD1708

1104

CX0112-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

~ORrH CAROLI~A

Pg: 92 of 366

STATE BOARD OF DENTAL EXAMINERS

RONALD K. O\VE;.iS. D.D.S .• President

JOSEPH S. BcRNHAM, D.D.S. BRAD C. ~ORGAN, D.D.S. MILLARD w. WESTER, III, D.DS. JEN~IFER A. SHEPPARD, RD.H.

C. n'AY:;;IE HOLLA~'D. D.D.S., Secretary*Treasurer W. STAN HARDESTY, D.D.S., Past President L\.NNlE r. tFIRD. COnsUiTiEI" Member

BOBBY D. WHrTE, Chief Oper~tions Oflicer

Bleach Bright lA'!:I ...,...h?~ ?nf'lQ IV .............. ' - ..... , "'-vvv

Page Two

The North Carolina State Boaid of Dental ExamineiS is the state agency charged with regulating the practice of dentistry in North Caroiina and is the proper agency to conduct this investigation. The Board may use any legal means at its disposal to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance, and the hiring of undercover agents.

The Board requests that you cooperate in the current investigation by submitting a written response to this notice and order within fifteen (15) days of the receipt of this letter. Sincerely,

Casie S. Goode A~~i~t~nt In\l~c::Jin'::ltif"\n~ •• '- ........ ~- •• ,. nir~r-tnr _ .................. r.f - ' .. , ............. ::1 ...... , .... , .....

THE NORTH CAROliNA STATE BOARD OF DENTAL EXAMINERS

cc:

Case Officer Ms. Carolin Bakewell, Board Attorney

50i ,\IRPORT BOULE":\RD, SUTE 105' MORRISVILLE. ;\ORTH CAROUNA 2i56{1~82nO TELEPHONE (9[9) 678~822J' P.X 191q) 678.-8472' LVI.\fL: infor/i'ncdenta[hQud or'" ..... \\-w.ncdentalhQard.org

NCBOARD1709

1105

CX0112-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 93 of 366

NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS JOSEPH S. BURNHAM, D.D.S.

RONALD K. OWENS, D.D.S., Ptesident C. WAi'NE HOLLAND, D,D.S.., Secrerary4Treasurer W. S1'A~ HARDESTI', D.D.S., Past President ZA~Nm F. EfIRD, Cunsumer lvfembet

BRAD C. MORGAN, D.D.S. MILLARD W. WESTER, III, D.D.S. JE"'''IIFER A. SHEPPARD, R.D.H.

BOBBY D. WHITE, Chief Operations Office!

CERTIFIED MAIURETURN RECEIPT REQUESTED CAtlr..ITACT.f"IAt\.IC I ... ..... • ~I" I"""" I I'-'I'-U '1"-', I I I ..... .

a14 Unity Street

ThomasvHie, North Carolina 27360

NOTICE At~D ORDER TO CEASE AND DESiST To Whom It May Concern: ThA __ .~ North _-_.~ .. r.;::(rnlin::. ....!_._ .... _

Rn:::lrrl nf n.o.nf-:::11 t:v~,..,.,i"L'\"~ i .... i ... " ........... : .... _,: _ _ _ _ .... ___ -" ........... _.......... _ ..... d 1t:::IJUIL LIIGll you are engaged in the unlicensed piactice of dentistry. Practicing dentistry without a license in North Caroiina is a crime. See (NC General Statutes § 90-40 and §90-40.1).

.....

~t~t,Q. _~

ILYI

...... "ClIlllIl...::;;: • .., • ..,

.&.l-.,...L

IlIVt::;:)LI~c111118

You are hereby ordered to CEASE AND DES!ST any and a!! activity constituting the oracticp. nf ____ r·-·---~.-!' --

npnti~trv ~-' .• ~.'- •• J

nr rfAnt!l1 •• huni.on.o _ ........... , ...... :J~ .............

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Statutes §90=29 and §90-233 and the Dental Board Rules promuigated thereunder.

Specifically, G.S. 90-29(b) states that ... ."A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do, or claims the ability to do anyone or more of the foHo'Ning acts or things 'v''v'hich, fOi the pUiposes of thi~

h.rii,..I.o ,.. ..... I"\~+i+U+ ...... +h ....

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"(2)

Removes stains, accretions or deposits from the human teeth."

"(7)

Takes Oi IT',akeS an impression of the human teeth, gums or jaws;ff

"( 10) Performs or engages in any. of the clinical .practices included in the curricula of recognized dental schools or co!!eges."

5&7 AIRPORT ROfJI.EV.\.RD; SUITE 105· !'f!ORRISV!LLE, NORTH CAROLl:"-lA 27560-3200 T[LEPHO:"{E (919) 678-8223· FAX (9I9) 678-8472' E~I.-\.lL: jn(Qiq:ncdentalboard.Qru, www,ncdentalbQQrd.org

NCBOARD1923

1106

CX0120-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 94 of 366

, I ~ .... I"t.."'''''i''nh ...... 01").04 ..... 'Wt''"'01I Il."Ivl ' ' ' ,

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Page Two

The North Carolina State Board of Denta! Examiners !s the state agency charged with regulating the practice of dent!strf in North Caronna and Is the propei agency to conduct this investigatIon. The Boaid may use any iegai means at its disposai to conduct this investigation including, but not iimited to, interviews with current and former patients, surveiiiance, and the hiring oi undercover agents.

The Board requests that you cooperate in the current investigation by ca!!ing the Board's office and arranging to be interviewed by the Board's investigator and by submitting a written response to this notice and order wlth!n fifteen (15) days of the receipt of this letter. Sincereiy,

Casie S. Goode Assistant Director of Investigations THE NORTH CAROLINA STATE

BOARD OF DEt"rrAL EXAiviiNERS

cc:

Case Officer Ms. Carolln Bakewell, Board A.ttorney

NCBOARD1924

1107

CX0120-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 95 of 366

NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS fH)NA,Li) K. OWENS, D.D.5., President C. WAY;-"'E HOLLAj"'~D, D.D.S., SeClet.3ry"TitaSun:r \\/, STAN HAnOESTY, D.D.S., P3St Pr,;sideni

JOSEPH S. BURNHAM, D.D.S.

Zi-\..'iNIE P. EF!RD. Con:;umer .'.1embcr

jiL~NiFER

8RAD C. MORGAN, D.D.S. _~ULLARD W. Wi
.'\. SHEPPARD, R.O.H.

BOBBY O. WHIT]!'., Chie-fOpe:ratio!1s 0ftlcer

r,

!~ i. r'I' Lr" It •' )i'··r t.~'r :; U Iii I U Llil

Florida White Smiie 2457 S. Hiawassee Road Suite 160 r\ .... -::lMl,..{1"\

...... II~II .... V,

.,nI til

r:ll"'I.ri..-t..,. "l'lQ"l£: IVIlva v"'-Vvv

I

NOTICE AND ORDER TO CEASE AND DESIST n.o.~r I=lr\l";rI~

...,...., .....

I

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The North Carolina State Board of Dental Examiners is investigating a report that you are engaged in the unlicensed practice of dentistry. Practicing dentistry without a license in North Carolina is a crime. See (NC General Statutes § 90 . . 40 and §90~40.1). You aie hereby ordered to CEASE AND DESiST any and aii activity constituting the practice of dentistry or dentai hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Dental Board Rules promulgated thereunder. ~nArifi,..~II\I

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practicing dentistry in this State who does, undertakes or attempts to do, or ciaims the ability to do anyone or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:" "(2)

Removes stains, accretions or deposits from the human teeth;"

"(7)

Takes or makes an impression of the human teeth, gums or jaws;"

"(10) Performs or enga.ges in any of the clinical practices included in the curricula of recognized dental schools or colleges."

51)7 ~IRPORT BOULEVARD, SliITE 105' "lORRlSVILLF., I'ORTH C .-\ROLINA 17560-~2I)O j-ELtPHO"U: ('H'n 678-8223' FAX (919) 678·B472· E'\L\JL: in(u(u.ncdf'ntalboard ..llli.· v.ww.ncdcnralboard.orJ;::

NCBOARD1931

1108

CX0122-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 96 of 366

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vvith regulating the practice of dentistry in North Caroiina and is the proper agency to

conduct this investigation. The Board may use any legal means at its disposal to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance. and the hiring of undercover agents.

The Board requests that you coopeiate in the current investigation by submitting a written response to this notice and order within fifteen (15) days of the receipt of this ietter. Sincerely, Casie S. Goode Assistant Director of Investigations THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS

cc:

Case Officei Ms. Caroiin Bakeweii, Board Attorney

NCBOARD1932

1109

CX0122-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 97 of 366

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NORTH CAROLiNA STATE BOARD OF DENTAL EXAMINERS JOSEPH S. BURN HAL"vi, D.D.S. BR<\O C. MORCAN, D.D.S. MILLARD W. WESTEP.., m, D,D.S.

RONALD 1<, OWENS. D.D.s .. President

C. WAY:\,E HOLLAND, D.D.S .• Secretary-Treasurer

W, STAN H . \ RDESTY, D.D.S., Past PreSident

ZANNIE

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C,msumer "vtember

A. SHF'PPARJ);-IUHL

BOBBY D, WHITE, Clllef Operations Officer

September 24.2008

SENT VIA EMAIL "-Ar _Ino \A/ill.o+t

. . . . . . . . . . . . . . . . . . II ....... "

iBiiteExpieSS [email protected]

NOTICE AND ORDER TO CEASE AND DESIST

Dear Mr. VVillett: The North Garoiina State Board of Dental Examiners is investigating another report that you are engaged in the unlicensed practice of dentistry. Practicing dentistry without a license in North Carolina is a crime. See (NC Genera! Stat!..otes § 90-40 and §90-40.1).

You are hereby ordeied to CEASE AND DESiST any and aU activity constituting the piactice of dentistry or dentai hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Dental Board Rules promulgated thereunder. Specifically. G.S. 90-29(b} states that ... o·A person shall be deemed to be practicing dentistry in this State who does. undertakes or attempts to do, or claims the ability to do anyone or more of the follo\,\;ng acts Oi things which, for the purposes oj this Article, constitute the piactice of dentistry:"

"(2)

Removes stains. accretions or deposits from the human teeth."

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"(10) Peiforrns or engages in any of ihe ciinical practices included in the curricuia of recognized dental schools or colleges."

507 ArRPORT BOl'LlZ';::"Rn, SLITE iOS' viORRiSVILLE. NORTH CAROLINA 17S60-8100 TELEPHONE (919) 61S-8213' F.\X (911J) 6,8-8472' [.VlAIL: jDfo"i\nc'h~nt.!l;thll..rrl.n~"· ~WW_!!~d~!H!!!h!).l!H"d.()=--g

NCBOARD1972

1110

CX0123-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 98 of 366

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Mr. Joe Willett September 24, 2008 Page Two

The North Carolina State Board of Dental Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is the proper agency to conduct this investigation. The Board may use any legal means at its disposal to conduct this investigation including bt.rt not limited to, intervie'vv5 with current and forrnei n-::ltic.ntc cllr\,o.iII ...... n.................. +........... i ............. $ ...... ..l _ _ _ •• __ ... ~""""'''''' mQI OJ IU Lilli;: IIIIIII~ VI UIIUCI\A)VCf t1ytjrll:::;. j

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The Board requesis that you cooperate in the current investigation by calling the Board's office and arranging to be interviewed by the Board's investigator and by submitting a written response to this notice and order within fifteen (15) days of ti1e receipt of this letter. Sincerely, .....

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1111

CX0123-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 99 of 366

NORTH CAROLiNA STATE BOARD OF DENTAL EXAMINERS JOSEPH S. BtJR"iHAM. .. D.D.s. BEt~D C. MORG . .U'''!. D.D.S. MII.LARn W. WESTER, m; O,D$. JENNIFER A. SHEPPARD, R.D,H,

RONALD fC OWENS, D.D.S., Prestdent WAY~fo: HOtLAND, D.D.S., Secretary-Tre:l.Sllrer

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HARDESTY. O.D.S.. Past Pmident P. [FrRO. Consumer Member BOBBY O. WHITE, Chief Operatlons Officer

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If you are not the addressee and you are not n!Sponsibia for ~ng [email protected]!S to thO!' addressee, you have received this transmission by mistake. We request that you do not review or copy this material. No privilege Of confidence is intended to be waived by the facsimiie transmission otttlis message, It you have received this transmission in error. please notify US at (919)7814901 SO that we rnay arrange for this mate.'ial to bs rett~msd. ThOilnk ,'Cu. RECEIVED ONLY BY THE ADDRESSEE ABOVE.

507 AIRPORT BOL'LEY..utD. St:ITi': iOS • ;;-iORRiSYiU.E, NORTH C ... ROLii'iA 27566-Szoo TELEPHONE (919) 673-3223· F,-\.'( (919) 67&..8412· E:\TAll: In{oijJI"dentalboard.on· www.nc:dentalhoD['d./)'l[

NCBOAR022?A

1112

CX0128-001

Appeal: 12-1172

Doc: 63-4

~!?~<>.

F.'Yi 1--~~~"~~ IJttffl4~AI' ,,~': I"

Filed: 07/06/2012

Pg: 100 of 366

NORT'd CAROLINA STATE BOARD OF DENTAL EXANu!"i~RS

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lalC"uTl"i OPPICK ·n.1 NA1l0H.U. DAJVI. SUtTS m·IAUUGIL NO!IrJl! CAROLJ."'M. ;iii] M'An.JloIO .-'Doam ~ rar. OffiCi BOX l2rIt ~ 1ttLI.ICH. N.C. 17m-U71 T!l..UlIOH& (JIll) 11'''''''.- f',\,c ttl" nl-4''''-· 1DWA1t,! h!;: WwW.ntdm.I'-rd,OF.

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I I I MICHAEL G. JtJSTIcz, lUI,$, I pI I 'ENJAMIN W. rntOWl'I. D.D.!. I $eac:e.y-Truaurer I I DELMA H. raNLA.W.D.DA I I I C. WAYNE 1I0lJ.Ull>. D.D_'1. I I BRAD C. MORGA..N.. D.!13. I I l!.l"'GlU..i:PS, D.D.8. I I .LYNNE TAnjM i..lT'n.S; 1t..D.H. I I DONNA BALL-MJ:I'CAU I MerIiIcf I I I !lAV!!! n. CAmn-m I Chi« O"...do.. 0 _ I I c.... H.. I Bxec:ativc. Oin::dtw I I 'IUry W. P'c1ddt. I I I cetest. R. KaWAI' LJ_Cco
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October 3, 2000

Ortho Depot 2453 Gumtree Ro!!d

COpy

Welcome; North Caronna 27374 Dear Sirn.,-'fsdam: It has come to the attention of the North Carolina State 80ard of Denta' Examiners that you are offering adjustments and rapairs of dentures directly to the public, which Is In violation of the Dania; Practice Act According to Gener!!! St!!tue 90·29 (b) (8). "...A person shail be deemed to be practicing dentistry in this Staie who makes. builds, constructs, fum~shes, reproduces. repairs, adjusts. supplies Of professionally places In 1.'1e human mouth any prosthetic denture, bridge. appliance, COrrsct,:'y6 device, or other structure designed or constn.!cted as a substitute fOi a natural human teeth or tooth or as an aid in the treatrnant of the maiposition or ma'fonnation of a tooth or teeth except to the ax1ent the same may be law1ully performed h1 accordance WiUi the piovisions of G.S. 90-29.1 and G.S. 90-29.2. I

This is to advise you that the Ncr'w'1 Carolina Siate Board of Dental Examiners is considering initiating a civil suit to enjoin you from the unlawful practice of dentistry. In erds; to avoid ihis process, the Board would like to have your written assurance that you have discontinued the unlawfui pr!!ctice of dentlstiY. We wiii expect to hear from you rega.rding your decision in this mater within ten (10) days of the receipt of tllis letter. If you have any questions or concems~ please do net hesitate to contact me.

sfrcare,y yours,

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Cc: Dr. C. \¥ayne Haiiand

NCBOARD5163

1113

CX0136-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 101 of 366

NORTH CAROLINA STATE BOARD OF DENTAL EXAMiNERS KENNETH R PHILLTPS, DJ).S. C. WAYNE 1I0LLAND. D.D.S. STANLEY I •. ALLEN. D.D.S. LYNNE TATUM LITTLE. R.D.I!.

DELMA H. KINLAW. D.D,S., Prt:sident BRAD C. MORGAN, D.D.S., Secretary.Trea.<;IIfl!f MJCHA!:l G. JUSTICE, D.D.S., Past President DONNA BALL-METCALF, Consumer Member DAVlD D. CASHWELL. Chief Operafions Officer

February 12,2002 Dowd Central YMCA Attn: Barry G. Hughie 4815 Huddersfield Drive

COpy

Harrisburg, North Caro1i.'13 28075 CERT!FIED MAIL .. RETUR~ RECEiPT Dear lvlr. Hughie:

On December 10, 2001, our office wrote to you and advised that we had received infomlatiun indicatmg that you may be setting up a dental practice in conjunction with the Dowd Central \-'1vfCA. You were notified that the Board began an inquiry based on this knowledge and were asked to provide OUr office with a mitten explanation. To date, our office has not received a response fron1 you. Please furnish our office with a written explanation within ten (10) days of the receipt of tJl.iS letter. If you have any questions regarding this matter, please do not hesitate to contact me at 919/678-8223, ext. 106.

Sincerely.

Terry W. Friddle Deputy Operations Officer Tv\lF/set ce: Dr. Delma H. Kinlaw, Case-Officer

P {' {.) '-'

EXECUTIVE OFFICE· 15100 WESTQN !,,",RK',",1AY, SUTE Hi1' CARY, NORTH CAROLINA 2750 TELEPHONE (919) 678-8223' FA.,X (919) 678-8472. EMAil: [email protected] firg' www.ilcdeii ... iwilrd.arg

NCBOARl)5173

1114

CX0138-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 102 of 366

NORTJi CAROLINA STATE BOARD OF DENTAL EXAMINERS DELMA H. KINLAW. D,D.5 .. Pre$ident BRAD C. MORGAN, D,D,S Secretary·Tre.asurer l\1ICHAEL G. JUSTICE, D.D.s., P.:t.~1 President DONNA BALL·METCALF, Consumer Member

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KENNllm R. PHILLIPS. D.DS. C. WAYNE HOLLAND, D.D.S. STANLEY L. ALLEN. D.DS. LY1'tNE TATUM LITTLE. RD.H.

~~# ~

DAVID D. CASHWElL. Chief Operations Officer'

December 10. 2001

Dowd Central YMCA Attn: Barry G. Hughie 481'5 Huddersfield Drive Harrisbvrg, North Caro!i...'1a 28075 Dear !'.1r. Hugr.ie: It has COme to the attention of the North Carolina State Board of Dental Examiners t.h.at you may be setting up a dental practice in conjunction with the Dowd Central Th1CA. This is to advise yeu that the Board is conducting an inquiry based on this knowledge. Please furnish our office with a written explanation witJun ten (iD) days of the receipt of this letter. If you have any questions regarding tbjs matter, please do not hesitate to contact me at 9 19/678-8223, ext. 106. Q\ .............. uX . . . ."'.1IO>'l, ~l~.

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Deputy Operations Officer

nvF/set cc: Dr, Delma H. Kinlaw,

Case~Officer

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EXECUTIVE OFF!CE '15100 \\'E.,.JON yAKKwAY, SUITE 101· CARY, NORTH CAROUNA27SIJ TELEPHONE (919) 673·3223· FAX (919} 678'·8472 • EMA!L·. ir;f)?1j!wlii"t;.jimani org • www.ncdentnlboard.org

NCBOARD5174

1115

CX0139-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 103 of 366

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NORTH CAROLIN ..A STATE BOARD OF DENTAL F.XAi\
\V, STAN HARDESTV, D.D.s. MIl.LARD w. W~STER. In, D.O.S. KEN~';ETH M. SADLER, O.D.S. .!F.r~N!F£R ..1•• S!!£rPARD, R.D.H.

FlRAD Co MORGAN. D.D.S., S~,·r.. r~!)·_Tc~a.m:''!~ RONALU K. OWENS, D.D.S., P3St Prtsidenl l.AN""·IE P. EFIRD, (Ilnsumer Member BOff;HY n. WHITE, ChlefOpo!ra(inns Officer

September 22. 2009

CERTiFiED MAiURETURN RECEIPT Serenity Total Body Care Bleach Bright 1DB-A Clay Street Mebane. North Carolina 27032

NOTICE OF APPARENT V!OLA.T!ON AND DEMAND TO CEASE AND DES!ST To Whom It May Concern: The North Caro!1na State Board of Dental Examineis is investigating a report that you are engaged in the unlicensed practice of dentistry. Pursuant io N.C. General Statute § 90-41, practicing dentistry without a license In North Caroiina 1s a misdemeanor. The Dental 80am hereby dernands ihat you CEASE AND DESIST any and aI/ actIvity constiti.J1ing the practice of dentistry as defined by North Carolina General Statutes § 90-29 and the Dentai Board Ruies promulgated thereunder. Specificaliy. G.S. § 90-29(b) states that • ... [a] person shall be deemed to be practicing dentistry in this State who does. undertakes or attempts to do. or claims the abiiity to do anyone or more of the following acts or things which. for the purposes of this Articie. constitute the practice of dentistry:

(2)

Removes stains. accretions or deposits from the human teeth;

(7)

Takes or makes an impression of the human teeth, gums Oi jaws;

5/1"'1 AIRPORT BOULEVARD, SUITE lOS' MORRISVILLE, NORTH CAROLINA 17560_82011 TE.LEPIIONE (919) 6'~..R~B· !i,I,.;<: (91'!) i-n-e~il· EM .... IL; jnff,i;}"L"P',~i;'''"r
NCBOARD5771

1116

CX0153-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 104 of 366

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NORTH Ci\.ROLf'i/\' STATE BOAlill OF C. ';,t.AYNE HOLLAND, D.D.S.,

DE1'"~TAL

EXAJ\tiiNERS

\~i. STAl',j flARDESTY. D.D.S. MJI.LARDW, WtSl £1{, III, O.O.S, KENNETH M . .'lAntER, D.D.5. JFNNff'-!<;R ..s.. :SHEPPARD, R.D.H.

Pr~S\(1ent

RHAD C. HORGAN, D.D.$" Secrerary-Tit ...,Uft:r RONALD K. OWENS, D.D.S., P:hl rn,~i(l"11t ZANNIf: P. F.fIRD, Con~llmer Member BOBBY D, WHITE, Chief Operation~ Offl(;er

Page Two

(10)

Performs or engages in any of the clinical practices Included in the curricula of recognized dental schools or colleges.

(11)

Owns; manages, supervises, controls or conducts, Bither himself or by and through another person or persons, any enterprise wheiein anyone or more of t'1e acts or practices set forth in [G.S. 90?Q{h\l1 \ _ f1()\1 _ .... , .... " , I \ , ...... /J,

(13)

R6piesents to the public. by any advertisement or announcement, by or through any media, the abiiiiy or quaiification to do or perform any of the aGis or practices set forih in [G.S. 90-29(b)(1) - (10)J.

I ne North Caroiina State Board of Dental Examiners is the state agency charged wiih reguiating the practice of dentistry in North Carolina and is the proper agency to conduct this investigation. The Board may use any legal means at its disposai to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance, and the hiring of undercover agents.

The Board requests that you cooperate in the current investigation by submitting a written response to this notice within fifteen (15) days of the receipt of this letter.

,.a,ssistant Director of InVestigations

THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMiNERS cc:

Case Officer ~",1s. Caiolln Bakewell, Board Attomey 507 AIRPORT BOULEVARD. SUITE IO~· \·10RRlSV1LLE, NORTH CAROLINA 275M>_1l21lO T£L[.!-'HONE {919': 67S-8223' fAX ,<:19) 673·8-:71' EMAIL: "*',il'ncY~miili!u;!.nj--,M.1,:. www.nc(j~nt,;1lbo~(d.orl!"

1117

CX0153-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 105 of 366

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NORTH CAROLINA ST}l,.TE BO_4.RD OF

DE1'"~TAL EXr\~IINERS

W. STA.~ HARDEST\-'. D.D.S. MILLAiW w. W!..:1'>IER, Ill, D.D.S. KENNETH M. SADLER, n,D.S. .JENNIFER A_ SHEPP..... RD, R.D.f!.

C. W.\VNF; HOLLAND. D.D.S., Pre~;,jcnr BRAn C MORGAN, D,D.s" S~cretary- Tre~I~IJTt">r RONALD K. OWENS, O.D.S .... Past Pre~ldent OR. JAMES B. HEMBV,JR., CO[l1>\Jrner Member BOBBY D, WHfHc, ChlCfOpmltlons Officer

December 14. 2009

CERTiFiED iitiAiLiRETURN RECEIPT Ms. Heather Wiecek Buena Vista Smiles 773 North Stratford Road Winston-Salem. North Carolina 27104 NOTICE OF APPARENT VIOLA.T!ON AND DEMAND TO CEASE AND DES!ST Dear Ms. Wiecek: The North Carolina State Board of Dental Examineis is investigating a report that you are engaged in the unlicensed practice of dentistry. Pursuant io N.C. Generai Statute § 90-41, practicing dentistry without a license in North Caroiina IS a misdemeanor. The Dental Board hereby demands that you CEASE AND DESIST any and all activity constituting the practice of aeniistry as defined by North Carolina General StatL1es § 90-29 and the Dental Board Ruies promuigated thereunder. Specifically. G.S. § 90-29(b) states that ..... [a] person shall be deemed to be practicing dentistry in this State who does. undertakes or attempts to do, or claims the ability to do anyone or more of the following acts or things which. for the purposes of this Articie. constitute the practice of dentistry:

(2)

Removes stains, accretions or deposits from the human teeth;

(7)

Takes or makes an impreSSion of the human teeth, gums or jaws;

SU7 AIRPORT ROlIU:VARD,SUln 105· fI.'fORRfSVILLE, I\ORTH CAROUNA 27560-8200 TEU_:PHONE (919) 67K-li22" P,,_x \9t91 "i~.~~l • ~~V,JL ;nf"!"'iiqktl!)t~· www.n("{i~lltalbo~rd./)r-g

NCBOARD6075

1118

CX0155-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

NORTH

C~t\ROLrN}~

Pg: 106 of 366

STATE B()ARD OF DENTAL EXA.lVIINEf{S

Co \~!AVNE HOLLANti, D.D.5., President BRA}) C. ,"fOR.GAN, D.n.s .. S~cre\:uy.1"rea5uicr RONALD K. OWENS, D.D,S., Past Prel;i,ient

W. STAN HARDESTY, D.D.S. MltLARD W, WESTER, III. D.[}.S. KENN£'i"H .VI. SA IlLER. D.D.S.

OR. JAMES H.lfEMBY,JR,ConSUJller Memi":er

JENNlFERA. SHErrARD. R.D.H. nOBBY D. \\1I1TE, Chiel"OperJliorh Offirer

Page Two

(10)

Performs or engages in any of the clinical practices included in the curricula of recognized dental schoo{s or colleges.

(11)

Owns, manages, supervises, controls or conducts, either himself or by and through another person or persons, any enterprise wherein Bny one or more of the acts or piactices set rorih in [G.S. 9029(b)(1) - (10)].

(13)

Represents to the public, by any advertisement or announcement, by or through any rnedia, the abiiity or qualification to do or perform any of the acts Or practices set forth in [G.S. 90-29(b)(1) - (10)].

The North Carolina State Board of Dental Examiners is the state agency charged Wit~, reguiating the practice of dentistry in North Carolina and is the proper agency to c-onduct this investigation. The Board may use any legal means at its disposai to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance, and the hiring of undercover agents. The Board requests that you cooperate in the current investigation by submitting a written response to this notice within fifteen (15) days of the receipt of this letter. Sincerely, /)

... ...,

JI

C;d~V.~

r.Q~ro ~ .... ""

Q

............

r::.r."...~ ~......,~<;;

Assistant Director of Investigations THE NORTH CAROliNA STATE BOARD OF DENTAL EXAMiNERS

cc:

Case Officer T\.~s. Carolin Sakewell, Boaid Attorney S()? AIRPORT 80ULE\-ARD, SUITE 105. MORRlS\'If,LE, NORTH CAROLINA 27560-8200 T!!:LEPHON£ {~t"'\ ~n...&t!3" F......'{ ,~l~) 67;;"3 .. n· EMAiL, illfu{£nrdenta!h.ulrg ~. www.ncdtnt;Ilb<.lIlrd.ol'J

NCBOARD6076

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{ (

'" i"~ORTH

CAROLINA STATE BOARD OF DENT1\L EXA.!VllNERS

C. \VA Y i'il'; HOLLAt'fD, D.D.S., Prt:~'dent BR.A.D C. :'.1"ORGAN, D.li.;).., Secretary·Treasurer RONA LD K. OWENS, D.D,S., P:l:;\ Pn::;i.knt OR JAMES n. HEMBY. JR., Consumer M(':mhf:r

W. STAN HARDESTY, O,D.5. MILLARD W. WESTER, III, D.Il.S. KENNtTH M. SAOLJ:i:lt, D.D.S. JE;..iNiFER A. SHEPPARD, R.ll.H.

BOB8Y D. WHITE, Chief OpeTSIiOIlS Ofrlcer

December 22, 2009 CERTIFIED MAIURETURN RECEIPT

Suave D's - BleachBrite 275 Parris Avenue Suite 105 High Point, North Carolina 27265 NOTICE OF APPARENT VIOLATiON AND DEMAND T ...... \A/h ............. 1+ .. A ..... " I ..........

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IO'lay VVI [1.,.,1:::111.

The North Caroilna State Board of Dentai Examiners is investigating a report that you are engaged in the uniicensed practice of dentistry. Pursuant to N.C. General Statute § 90-41, practicing dentistry without a license in North Carolina is a rnisdemeanor.

The Dentai Board hereby demands that you CEASE AND DESIST any and all activity constituting the practice of dentistry as defined by North Carolina General Statutes § 90-29 and the Dental Board Rules promulgated thereunder. Specifically, G.S. § 90-29(b) stales that • ... [a] person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do, or claims the ability to do anyone or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:

(2)

Removes stains, accretions or deposits fiom the human teeth;

(7)

Takes Oi makes an impression of the human teeth, gums or jaws:

501 AIRPORT BOliLEVAR[), SliITI!: lOS MORRISVILLE, NORTH CAROLINA 27561)..82{H) TElEI'HvNE (9i9) 67,
NCBOARD6085

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i

./

Page Two

(10)

Performs or engages in any of ihs ciinicai practices inciuded in the cunicula of i6cognized dentai schools or coiieges.

(11)

Ov.TIS, manages, supervises, conirois or conducts, either himself or by and through another person or persons, any enterprise wherein any 'one or more of ihe acts or practices set forth in [G.S. 90-

29(b)(1) - (iOlj,

(i3)

Represents to the public, by any advertisement or announcement, by or through any media, the ability or qualification to do or perform any of the acts or practices set forth in [G.S. 90-29(b)(1) - (10)).

The North Carolina State Board of Dental Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is t'le proper agency to conduct this investigation. The Board may use any legal means at its disposal to conduct this investigation including, but not limited to, interv'le'vvs with current and former patients. surveillance, and the hiring of undercover agents.

The Board requests that you cooperate in the current investigation by submitting a written response to this notice \:vithin fifteen (15) days of the receipi of this ietter. Sincereiy,

/l

A

, •



~~

casi~

Assistant Director of Investigations THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS cc:

Case Officer Ms. Caroiin Bakewell. Board Attorney

NCBOARD6086

1121

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'Modern nhancernent SALON 8320 Utchford Road # 144 Raleigh. NC 27615 (919) 875-8668

Dear North Carolina State Board of Dental Examiners, We are writing this letter in reference to the certified order to cease and desist all Bleach Bright teeth whitening services. We had contacted Bleach Bright on numerous occasions asking what this letter pertains to and they simply asked me to wait until their lawyers drafted a letter regarding this issue. They requested me to send the letter from their Lawyer on our behalf. I have attached the letter they have sent and wanted to write to you formally to state that we have not been in any violation of the governing laws of Dentistry. Bleach Bright came to us stating that their teeth whitening service was the same as an over the counter teeth whitening system that you can buy at a grocery store or drug store. Bleach Bright trained us on how to administer this teeth whitening system and explained that the whitening service is fully legal within the NC state guidelines and has the same strength as an over the counter whitener. Modern Enhancement Salon no longer performs this service as per your order to stop and will no longer perform teeth whitening services unless told otherwise by the NC Board of Dental Examiners. If you have any other questions or concerns regarding this matter please contact myself. Tanya Norwood, Salon owner or the Salon Manager. Heather Lombardo.

Sincerely, Modern Enhancement Sa·.....r----

~

NCBOARD1718

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1126

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1127

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NORTH CAROLINA STATE BOARD OF DENT.t1T. Ex..4.-1"m,,~RS W, j'f..Ajilj

K.",,!1'...!)~ry.

C".L..IWORn O. FEINGOLD, D.D,S.

D.D..!., ~

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RONALD K. 0WEI'IL1l; D.lk..' Sv..!'!l..!!y-!!"!!a.. .....

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BItU) Co MORGA."l, !).!)3. NVJLUS So. H.....LL, PJI.!!.

BOiiY D. Willi'" CbiciOpemions Officer

Nov. 21, 2007 Blue Ridge Mall

1800 Four Seasons B!vd. Hendersonville NC

Re: Tooth \Vhitening l(josk...s

Dear Sir or Madam: The N.C. State Board ofDentai Examiners is the agency created by the North Caroiina legislature to enforce the dental laws in this state. The Dental Board has learned that an out of state company has ieased kiosks in a number of shopping malls in North Carolina for the purpose of offering tooth whitening services to the public. North Carolina law specificaiiy provides that the removal of stains from human teeth constitutes the practice of dentistry. See N.C. Gen. Stat. 90-29(b)(2), a copy of which is enclosed. The unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Stat. 90-40, a copy of which is also enclosed. [t is our infonnation that the teeth whitening services offered at these kiosks are not supervised by a licensed North Carolina dentist. Consequently, this activity is illegal. The Dental Board would be most grater.Jl if your company would assist us in ensuring that property owned or managed by your company is not being used for improper activity that could create a risk to t.~e public health a."1d safety.

517 AIRPORT BOVUVARD. SVITI UIS' MORRJSVlLLE. NORTH CAROLINA 2756O-11G1 TELEPHONE (919) 671-811] • FAX ('19) 6'J8.8471 • EMAIL: [email protected]'hpud.o[l • ,.--.lIcdnta!hoard.era

NCBOAR0897

1128

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Please feel free to contact me if you have questions. Very truly yours, ,-'"').

I'

_

r-..

I

~

~Ai ~J,.o"17

Carolin Bakewell ~ Board Counsel

~

Enclosures

NCBOARD898

1129

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STATE BOARD OF DENTAL DF.NTAL EXAMINERS NORTH CAROLiNA STXTE CLIFI'ORD 0. FlIDiGOLD. D.J).5. C. WAYNE HOLLAND, D.D.S. BRAD c. MORGAN, D.D.s. NEPLUS s.1LU.L, R.D.H.

W. STAN HARDI!:ST\', D.D.8., Prmtleat ROl'IALD Ie. OWENS. D.D.8., 5e
Z.."j'iNii:

r. i~ Consumer Member BOBBY D. wmn, Chief Opcrati
Nov. 21. 2007

C B L & Associates Properties, Inc. eBL Center, Ste. 500 2030 Hamilton Place Blvd. Chattanooga, TN 37421-6000

Re: Tooth Whitening Kiosks

Dear Sir or Madam:

The 1'-,J.C. State Board of Dental Examiners is the agency created by the North Carolina legisiature io enforce the dental laws in this state. The Dental Board has learned that an out of state company has leased kiosks in a number of shopping mans in North Carolina for the purpose of offering tooth whitening services to the public. North Carolina la1,..v specifically provides that the removal of stains from human teeth constitutes the practice of dentistry. See N.C. Gen. Stat. 9O-29(b )(2), a copy of which is enclosed. The unauthorized practice of dentistry is a misdemea.1'!.Of. See N.C. Gen. Stat. 90-40. a copy of which is also enclosed.

It is our information that the teeth whitening services offered at these kiosks are not supervised by a licensed North Ca."Clina dentist. Consequentiy, this activity is illegal. 'f11e DentaJ Board wouid be most grateful if your compallY would assist us in ensuring that property owned or managed by your compa..T1Y is not being used for tiTIprOper activity that could create a risk to the public health ~md safety.

W'T AJR.PORT BOULEVARD, SVITI: lOS· MORRISVILLE,. NORTH CAROLINA 1156O-$~OO TELEPHONE (919) "Ls1:ll .. F.U ('1f) '1J..&;i11 • EMAlL: 1,[email protected]'Cdcny.bpudott·,"",,-.:doUlb4an!.ora ',[email protected]'Cdcny.bpudott·,"",,-.:doUlb4an!.ora

NCBOARD901

1130

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,Please feei free to contact me if you have questions. Veri trt:Jy yours, 11

.

{' fl.~a; ~. -~

Carolin Bakewell

Board Counsel Enclosures

NCBOARD902

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NORTH CAROLINA STATE BOARD OF DENT.•..t..L EXA¥...J1'-.rn:RS CLIFFORD O. FEINGOLD, D.D.S. C. WAYNI! BOLLAl'lD, D.D.s. BRAD C. MORGAIoI. D.D.s. NEPLUS s. HALL, Jl.DA

W. STAIoI HAJlD£STY. D.D.S., Pn:oid
BOBBY D. WlIITE, ChiefOponti .... ~

Nov. 21,2007 Coioniai Mayberry Mall Office i i 3 US Hwy 52N #80a-J Mt. AiryNC

Re: Tooth \V"nitening Kiosks

Dear Sir or Madam: The N.C. State Board of Dental Examiners is the agency created by the North. Carolina legislature to enforce the denta11aws in this state. The Dental Board has learned that an out of state company has-leased kiosks in a number of shopping malls in North Caroiina for the purpose of offering tooth whjtening services to t.;e pubiic. North Carolina law specifically provides that the removal of stains from human teeth constitutes the practice of dentistry. See N.C. Gen. Stat. 90-29(b)(2), a copy of which is enclosed. The unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Stat. 90~40t a copy of which is also enclosed.

It is our infonnation that the teeth whitening services offered at L"lese kiosks are not supervised by a licensed North Carolin!! dentist. Conseqlk;"'11tly, this activity is iilegal. The Denta! Beard would be most grateful if your company would assist us in ensuring t..~at proPerty owned or managed by your company is not being used for improper activity thai couid create a risk to the public health 'II!!! safety.

sum

105. MORRISVILLE, NOIITR CAIlOUNA 27560-&1_ ~1 Ji..iRiORi HOOLEVAJW. TELEPHONE (91 !II) "1.1223. F~~1( {!I" ;1:73-34il- iMAiL: m'''i''pcdng,,,,rd.on ~ ,"",.acdflltatJbMrd.GI'I

NCBOARD905

1132

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PleAse feel free to contact me if you have questions. Very truly yours.

~~-.,02(

Carolin Bakewefl Board Counsel Enclosures

NCBOARD906

1133

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MIN-u'i'ES NC STATti HUA.Jw 01' UJ:i UtiNTAL EXAMINERS '01"\..&. .... '1""'\. ... ~~ITt"""''Y''

DVAAU J.Y.J..E:..c. .Ill"! U .. ~.n ...... r .. --. ....... Uft ......~"l1 .L&&"", . . . . . ,,&.&,... ... ....... & ' - ' ..... v.&.LI..a

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)l~stl~11,2007

FRIDAY, AUGUST 10,2007

I.

CALL TO OIllER 8< EST,4.BLISRMENT OF QUORUM Call to Order

1\.

Dr. Hardesty

tV1 co .. '[J...l n ___!..l __ ... _r ..L_ -.1 __ 11 1 .'_ 1 nr'l.n. l..'t. W. VY • Stan ...,....an Hardesty, ~,L;jiiuesl.y, President I'"Lt;~L of 01 Ult; DUw:u, (;a.llCU we meeting mcc:ong to order orUer at 8:00 O:VU a.m., Dr. the Board, called the Friday, August 10, 200i, at the Board~s offices in Morrisville, North Catolina.

T'\

'0 ___

~

-.l

..

In accordance with Genenl Statute 138A-lS(e), it is the duty of avoid both conflicts of interest and appearances of conflict.

IWc%y

Board member to

Does any Board member hllve ~ny lmown conflict of lnte!e!t tnte!e!t or appe'2_'"2.!lce of conflict with respect to ~ny m2.tt'..e..1"5 coming before the BO'"......-d toda.;?

If so, please identify the coni1ict or appearance of confiict and refrain from any undue participation in the parrlcuiar matter invoived. B.

Roll Call All members of the Board were present. The members include Dr. W. Stan Hardestv. Dr. Ronald K. Owens. Dr. Toseoh S. Burnham Dr. Clifford o. Feirumld. W ..vn" H";liond. Feirumld Dr. C. Wavn" H";liond_ ~

..

..

~

II;I----~---------~------~

Brul C. Mnr=n. Hall R.nH. M. 7.nn; .. P Pfi.rI Rnhhw D.-~it;: n \Y!h; ... Dr. Brad Mo~~ Nenlu.. Neplu.~ ItD.H. .nrl and M!. Z~nnie P. ¥-r. -----, Bobby --c---- S. -- I-J~ ------- -,-_. --_. E-~~d. - - M. .-_. _ ............. _, rh,,.f Op __MhnnCl nthr_ Mill T .........,. \Y! Friddle, 1=i"fl..:l..n .. T'\ .......nr... (")....,, __ h ........... n&'S: ........ ... _A 1\,1'... Carolin .......... 1~ ... Ch,,.f Ms. Ten; Deputy Officer - - - Ope-f"2tions - - - - - Officer; -- ... _-_ ... , ...................... , W. " ................""""'", ..., ....,t' ....J Ope...--ations ................, ....., ..................... and "'~Tfs. ' .Li;J. r_ilLl.V.u.a..& Bakewell, Board Legal Couns~ were also present --

--

-

- --0--------" -

-~

-t'~-

4Llo ....

C.

Declantion of Quorum with all eight members of the Board present, Dr. Hard HArdesty ...ty declared a quorum for the purposes of conducting the business busin...s of the Board.

D.

Oath of Office Mo!g'JI-o' of Canton had been sworn in as a member of Mr. White reported th2t Dr. Brad C. Morg'JI-o' the North Caro!.in.3. State Board of Dental E.xa::n.ine...~ on Tht4.~d.ay, }l."ugust }l."ugllSt 9, 2007, by Teu.y !'.J"ota...y P-llblic. Dr. ~y{organ will serve a three yeat tetm, which will run from Friddle, a !'.J'ota... August 1, 2007 unrujuly 31,2010.

II.

OPENING REMARKS Dr. Hardesty A. Agenw Approval & Order of AlZt'llda Dr. D~.~ Owens moverl; which whi~h wM seconded by Dr, Hol1~n~ Hol1~n~ to accept the agen"''l as amended, Pres;rlent of the Board to detennine the orde:: of business. The motion and to allow t'he the President passed by general consent. B.

Dentai Report [No Report] NCBOARD1521

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10-11.2007

Fige2

C.

Dental Hygiene Report [No Report]

D.

Consumer Report [No Rtport]

A.

p:tem #lj MInutes of july 13-14, 200i Following a review of the Juiy 13- i 4, 2007, Minutes, Dr. Burnham moved to approve the Minutes as drafted. Dr. Owens seconded the motion, which passed by general consent.

nT nT

Dt~Bumham Dt~ BumhaJ.u

.1.&&.

At 8: i 0 a.m., the Hoard moved into closed session in order to conduct a settlement conference. Ur. Owens made the motion to move into closed session, which was seconded by Dr. Holland. The motion carried. The conference concluded at 10:20 a.m., at which time the Board moved back into open session in order to conduct a formal bearing involving Dr. Steven A. Roebuck. A court reporter was present to transcribe the proceedings. consulta--.nt to the HOLm. The hearing concluded at 11 ;30 George Hearn was also present and served a.., legal consultant a.m., at which time the B(YI..rd briefly met with Mar. He:u:n on an investigative :tn.!.tter. At 12:00 p.m., the Beard ...I \... t,... • ...... '..I' ...I' moved back into open sesslon session \\--ith its consideration of items. move .... uac... lnto to continue contmue \\-"ltu 1ts cOnsiucratlon 0 ...& agenda agenua ltems.

IV.

REPORT FROM PRESIDENT Dr.. H~rde!!ty Dr. HL--desty welcomed Dr. Morg"'..Il back en the BCY'-rd and thanked Dr. Burnham for his successful tefiuxe i.5 President and Dr. Ow-ens for his w;mngue55 to 5uve :is the new Secrewy-Tfea5"Ufef.

v.

REPORT FROM CHIEF OPERATIONS OFFICER Mr. White A. [Item #2] Financial Report Ouly) Following a review of the July Financial Report, Dr. Feingold moved to accept the report for infonnanonal purposes. Dr. Morgan seconded the motio~ which pa..5sed pa.5sed by general consent B.

Pel'Sonne1 tvfat'"u:.tS rClo8edj ur. t'etngolQ made a motion, wrucn was seconded by Dr. Owens, to move into closed Uf. session, pursuant to NCGS §143-318.1i(a)(1) and §90-41(g), in order to discuss a personnel matter. The motion carried.

Following the consideration of personnel matters, Ms. Hall made a motion to move back Lnto open session in order to continue t.ne Board's considetation consideration of agen..t~ items. Dr. Feingold seconded the motion, which passed by gen~~ consent.

C.

f..ii.sceilaneous items f..iisceilaneous ... Report on Meeting with Division of Radiation Protection NCBOARD1522

1135

CX0206-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 123 of 366

,,

l'..f1iutES

Ai.i!--uit 10-11,2007

Pige :}

Mr. White reported Wt he had recendy been invited to attend a meeting with the Division of Radiation Protection. Dr. Alec Parker, Executive Director of the North Carolina Dental Society and Ms. Rebecca King, Dental Director of the North Carolina Oral Health Section, were also present present at this meeting. Representatives from the Division of Radiation Protection reported rh!lt ch!lnges were not bei.flg 'h ......nT"'"" tn 'J't'-................. 1__ ... tng,rl ......ncz· ............... ....... t-i ......." .. ........ill ..................... .... ,................ .. _ ...............,.pnnl<:l~ ......, 1"\+$1 - -... fort th", -- -nMCl1nn'cz -e-......... _w •• ........ .... ...... ........ ............... H ........... ...I ........... " ___ ............. 'L.. :_ .. _ .......... _ _ _ L_ ...........:: __ ..... ____ ..l •• ___ L ... ! __ ___ __ _ more "hands ~th inspectors nbs.;... v illg Pl.V1..!;;UUl.!;;3 proceduxes being pfefottned. ................... UAU,....., on" approach APp......... .. ~-

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UlI:;: VIV lZUUll lZUUll O[ O[ nawanon rrOt;eC;UOn rrOt;eC;UOn rcquesrea VI.• .t'anter, m conJuncuon 'Wltb Ult: VIV requesrea mar VI their office, draft a series of articles notifying dentists of the upcoming change5. The Dental Board was asked to publish the articles in its newsletter as welL

Upon consideration, the Board elected to review a draft of the article(s) before making artide(R) -in OU! nut' nPW'!;.lf':ttP'r ox- not artide(s) .... a decision as to whether -- or --- - to -- oublis.h cpublish ------ the - - -----,-" - - newsletter. - - .. -----~.

VI.

I"\D C...,.. ... 1lI..TnTlilo.T,-. ,..."'........T"T"'T'~r.o~ " '.... STAl'-... ... .&'U ,.LI ...... ' u "'"'V1YU" ......... J. ,I:I.&;:,tiil OF TDn--":G COlYfl'"fITTEES Executive Committee [No Report]

D'C''DnD'''r~ ......... ~ P~PORTS

..."--... _

A.

~

B.

Finance Committee [No Report!

C.

CE Comm1tt'b! [No Report]

'f""'Io. T'"'\.

,;,cuaUOfi/ ,;,cuanOfi/ uenerw 1\.lleSmesa \.....Ommtttee \....Ommtttee [No Report]

1..J.

C"

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_

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_

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_. .•

E.

Consultant Task Force [No Report]

F,

Den"1 T.!Jbor Task Force

........ .......



_ ..... _1 11'>J ..... ...... g .............. L"" ................ ...............t' ..........J

Vii.

OLD BUSINJ:lSS BUSThu:.SS A. lItem #3) Approve Sedation Application Ms. Bakewell Ms. Bakewell presented the Board with a copv of the most recent version of all aoolications for ..... 2eneral an~sthesia and sedation. Unon r~ew_ th~ :o;;P.V,.~l ...... .. -. - - - rh-!lntwocz - .. .. - - - BOArd - - - - recnmmendpd -- - - - c ! ) -.. reoue~ted th~t M!;. R!J1rp-urpl1 ty,!J'k-,. th,. revicions rl"'tT'ic;nnCl "!Inri .. J.. ... rt ............................. h................... .. rt.- ........ J... .... and requested Ms. B!J1rewell "lind rnr_al.ntpresent the to the - -- - -1--- ..... - - - that - - - -.-,-- - " - - !!lake _ . _ - - the ............... ... _..._.............. - documents --.,--.a.A40 ............ back Boatd for approval ~

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1 " TO t .;):eaanon Awes l'" l"'

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iitem #4]

Ms. Bakewell

[See Saturday]

c.

New Dental Hygiene Statute/Draft Rules

[Item #5]

Ms. Bakewell

NCBOARD1523

1136

CX0206-003

Appeal: 12-1172

Doc: 63-4

~finutel

Filed: 07/06/2012

Pg: 124 of 366

.

AWNs' ... 10-1 L 2007 . P~4

dentai B().o:I-rd membe..~ reviewed a da.""3.ft of proposed rules pertalnmg to the pta(;ti(;e of 01 aenw hygiene under the limited supervision of a dentist. Upon review, the Board ditected staff to make the recommended changes and resubmit for consideration at the September meeting. Dr. Holland made a motion to move into closed session, pursuant to NCGS §l43§143318.1l(a)(1) 318.1l(a)(l) and §90-41(g), ~90-4l(~). in order to consult with legal Ie",,", counsel The motion was seconded bv Dr. Burnham and oassed bv oeneru cnmtent. •••

,

_

_

__ -

<:;10

1..10

.---.~~~-----

Follo'Wing its consultation with leg-.J. counsel, r. .fs. Efud tnadc a motion to move back into open session in order to continue with the Boatd~s consideration of agenda items. Dr. Feingold seconded the motion, which passed by generai consent.

D.

Mr. White Update on Temporary Volunteer License ptem #6] propOsed rules for a Temporary Temoorarv Volunteer License. The Board reviewed the first draft of proposed Upon review, several changes were recotnmended Board mP1'n~ requested th2.t staff make the proposed c~s ~nd re!ubf'nit for !evL~ revL~ at the September meeting. ...

...

..

.I

.,

,

The Board recessed briefly for lunch at 1:20 p.m. The Boord Boa_rd reconvened its meeting in open session 10 meettng 10 sesSlon at 2: 2:10 t"he consid"'-ration of Boa...rd bn.;;;ness. p.m., in order to continue with t-he

VIII. NEW BUSINESS A. F..eq-.JeSt for Rotation Site Approval

[Item #7] lTfi. Friddle recQ~ed it tcq-uest The B
Dr. Owens tnade a motion to approve the proposed !ot.2.t!on !ot.2.t!.on site. Dr. F~I"r()1d seconded t..-he motion; which pa~sed by gen~""3l consent. Dde to a possible conflict of interest, Dt. Lhe M .........rl"P2n r.,.,~C' .......I hi"",,,,, ...l+- k..... ..... - .. .....:.....;--...: ... - ~- ...L_ .l: __ u_!--u u-i' .-1""'-"';O
B.

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Light White Cosmetic Teeth Wnitening System

litem 1I'IIJ Ms. Bakewell Vaientine inquired into whether WhiteSmileUSA could market a teeth whitening product and procedure known as UghtWhite to spas and salons operated by individuals who are not licensed to practice dentistry in North Carolina. The spa employees would then use uso!! the product and procedure to provide tet!th teeth whitening semces to mpt"nbers of the public. t...ne literature, it 1}:.ras detennined that the application of this prOu..luct Upon review of t..ne prau-\Jct constituted the practice of dentis'ttj and must be provuied by a licensed dentist in this state. OrJy dentists and p.roperly licensed and supervised auxiliaries tnay assist in the removal of stains, accretions or deposits from the teeth of other humans. This would include the

Jim

NCBOARD1524

1137

CX0206-004

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 125 of 366

Mi.~ute!

Au;r...!!t 10-11,2007 P!!ge 5

application of ble;-.achii'lg gels Of similaf fil.atcri.als to a customer's teeth and using curing lights Or similar methods to speed the ptacess. Staff was ditected to respond to Mr. Valentine'. request. C.

Whitescience Cosmetic Teeth Whitening System [Item #9J Ms. Bakewell WhiteninlZ Svstem rept~senting Wbjtescience~ inquired into Mr. Frank Recker, an attomey representing Wbjtescience~ 1nqn1red if1to whether Whitesdence could market it's teeth whlten.i.r.g product and procedure to spas and salons n ...... to.:Ir• .rI hby ;j .... ...I~...I., ... 1~ -........... "'_ .......... 1; ....... _ ..... ...1 ...... - ...--....:-- ...l __ ....:_~ =- lIt.T_ ......L r':::io"i"v-linj TU'p-U-uoperated who a...~ not t-.J orill Caro.lina. Upon .... 1:"-.............. ........ , ind..~du.ab VL licensed to I..V ptactice denti5tIy ucu.u:tuy in ll.l L'IIU.l.u.L ....... -... • 1.I;;'" ~ of the lite:r-at"l..ilC. it was .LIi;;\,~ was detennined that the application of bieaching gels or similar simiia r materi21s to human teeth and the use of light to speed the curing ptOCess constituted the practice of dentistty and must be provided by .. licensed dentist in this state. Staff was directed to respond to Mr. Recket's inquiry. &&.&............................

D.

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A.I. .........

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pLilt.t...U"'~

Renewal Applications Dr. Hllrde!!ty Harde!!ty tJ.. e ...A.c:'l(L~y Dr. Hardesty reported thgt he h~d !ecent..1y been approached by the .L\.c:.l(L~y of Gene...~ "'~l1.""!ri,",,,, +J..",+ + ....... Bo2.&..u U ...... M ..assist ~ ... ~ ...... t..~; ........ __ .... ,; .."'...; ..... - in .- obtaining ..... l..taining .u..u.U.LLl.JJ:l,UVll :-~--;"....: --nPnhCtf"V' _ _ _ , {Ar::.n\ ____ I ... - , .. ............................................. vu Denrictry (A.GD) requesting that the theit org;ni'lation informaoOii from licensees. Specifirak'yJ Specifirak'y, the AGD :requested that the Board ask how many hours per 1 ...L 1" l ' ,. • • • .., • • •• week the dental services with the estimated dollar atnount wee. we licensee liCensee spends spenas providing proVlwng free rree aenw servtces Wlth. estlmatecl ao.ua.r associated with providing the free service, on the Board's annual renewai application. Following its considetation of this matter, the Board detetmined that petbaps the mote Hatdestv appropriate agency to obtain this information would be the Dental Society. Dr. Hatdesty • will report the Boatd's decision to the appropriate AGO reptesentative.· reptesentative. \~

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'11I e!!!etlts [Item #10] Dr. Ha...-ue:r/ R:tdiology Course Req111I n H,...nnr 7,I;I:u+,...nn an..l n ... 1\'(",-.. 1>.... nl .. 7 .... -........ _ __1_ lIt.T .... _L r ... __ 1: __ 1: ____ .J --__ , Zaytoun __ , ..... -.. and ... Dr. _ ........ "'q,&.1 Paub .......... ZajtOun-Steele, .............. l.",V"'U..I. Carolin.a ...... A.LULLLLlll licensed dentists Dr.... -Hen-toy l\ia...., ~.ror--Ji. ~-JL

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specialize in orthodontics, requested. th.at the Board of Dental exarninen consider and implementing a new radiology certification ce.rtification course for dental assistants in extra-oral radiology. As the statute now stands, in ordet for dental assistants to gain radiography certification they ate tequited to take a comprehensive intta-ow radiology course. However, orthodontic practices focus primarily on extr..-ow radiolOllV. radiology. In th;ir their dental assistants both inttaradiology. opinion, should to be trained in inti..and extta-oral radiol~. de~

~

-_. --

--- --

_. . _-e;.- . ,. . .

The Board Board noted noted that th~t th,. rnrn""nnttv College r,...l1 ..,.... system ~~r.. "'" ........ ..,:I""",,,, ,olIf't; .............. 11.-.+.. 1...... 'h.,... ...h;, .... ~ l-. ...... : ..... The th~ Commnnity does :m excellent job of +_ teaching basic _OLLA. - ................................ .................... M,.l1nn-t'Gnhu ,olIf't;.rI _ ........... .......... 1 ..... _ _ l.. ...... .... 1... __ ___ _,.. ...... __ L ____ =__ .t'''' ....... t!i''' ... ----er*-t" ...., skills ... _ - ........ - .............. - ........................ vlS..... ....... V.l becoming UI;\.Vl.LW..&g fa.miliat radiography and extra=oral radiography then becomes ....a. .l..L.l4&LLt;;;.L rn.atter of u.-ith different machines. Follow-h~ this discussion, the Board deteIlllined that training in eX1rA-otal radiography could be best dealt with by in -office training since extra-oral eXlrA-otal radiograph equipment may vat}' vary from office to office. Board staff was ditected to respond to Dr. Zaytoun's inquiry. ----~

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Approval of Boatd Meetinl! Meeting Dates Dr. Hardesty [Item #11J proposed meetL'lg ~Q tes for 2008. Dr. Bu.tt"'llam. Board reviewed prop-;'sed rneetL'lg ~~ Butr'llam. tnade a motion to approye the proposed dates v.rith the noted revisions. Dr. ~{org-..n Seconded the motion, ,.....,,; .............. ... ...11........ .... __ 1 __ ... which passed by, ~lI;;n~-al consent. .... t'a.;J>:I ............ .. .... UJ.J.:icu ... The Th;

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Ptofessiona! Association Renewals

Dr. Morgan

NCBOARD1525

1138

CX0206-005

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 126 of 366

NORTH CAROiJrr~A STATE BOARD OF DENTAL EXALViI~'"ERS BENJAMJN W. DROWN, D.D.S., President S'fANLEY L. ALLEN. D.D.S., Sef.Tt,:wy.Treasurer C. WAYNE HOLLAND, D.D.S., Past Preftidmt £.ANNiE P. EFiRD, Consumer Member

BRAD C. MORGAN. D.D.s. JOSEPH S. BURNHAM. D.D.S. W. STAN

HARDE~'1Y>

D.D.S.

NEPLUS s. HAIL. R..D.ii. BOBBY D, WHITE, ChiefOperationli Officer

July 8,2005

Dr. Clifford O. Feingold 153 Smoky Park Highway, Suite 4 Asheville, North Carolina 28806 Dear Dr. Feingold: Congratulationsl We would like to personally welcome you to the North Carolina State Board of Dental Examiners! Your task as a member of the Board is to help ensure the dental health, safety and welfare of the citizens of North Carolina. The Board, as you are aware, licenses dentists and hygienists and is responsible for investigating any complaints concerning dentists or hygienists licensed in North Carolina. These are the major functions of the Board, hut you will find thai a nllmber of other issues are addressed during Board meetings as well.

You must begin your term by taking an oath of office, which we plan to have administered at a formal ceremony on August 19&', during the scheduled August Board meeting. You will be given a copy of the oath and a copy will remain In the Board office files. To assist you as you step into this new role, I have enClosea several items for your review. This information inciudes ihe Board's meeting schedule for the remainder of this year, a iist of current Board members and staff aiong with their contact information, a map indicating the iocation of the Board office in Cary, a copy of the Dental Practice Act, the Board's Byiaws, Personnel Manuai, several months of past Board meeting Minutes, information on the upcoming AADE meeting in Phiiadeiphia, a sampie of the Board's expense form, the iast iwo Board newsietters and a copy of the investigations Manual. Once you receive this information and t-!cjve an opportunity lo review ii, pi ease feel free to contact the Board office with any questions.

Please make note of the Board's'website, which is www.(](;dentalboard.org. TI-le webslte is very' helpful in providing information to the publiC. It IS full of information regarding every aspect of the Board's operation and is updated as often as needed by the Board staff.

EXE-C!..IT!V! OFFlCE· 15100 WESTON p.... RKWAY, st!!'fE Hn • CARY, NOR:" C,'\ROUN,A. !"ISH TELEPHONE (919) 6'8-822.' • FAX (919) '7~11. EMAIL. ~~. WWW.ndilntalboard,OoTg

NCBOARD004638

1139

CX0219-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 127 of 366

_---- ------ _.. -- -..... ..... --. ... t'KUt'U~I:U I U

-_ ..... INVE5TIGATIVE FILt:5

-~

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CLOSED TO:

MEmBERS OF THE BOARD TEAAYW. FRiDDLE - DEPUTf OPERATiONS OFFiCER NOVEMBER 14. 2006

FROM:

DATE: 1)

DR. JOSEpH R. MOORiNG· [#U4-2iiij This general dentist was advertising in me yeiiow pages under me heading "Dentists Orthodontist.· Upon receipt of the Board's ietter, the raspondent mainiained that he was unaware of the listing, but agreed to remove it from the next edition of the teiephone book. Upon review of the newly published yellow pages, the Investigative Panel found that the respondent had removed his listing from under the specialty heading. In addition, all other listings appear to be in compliance with Board rules. Tha InVflstiaativa Panal reouests that this file be closed with a letter of caution regarding th..~ with --- ..i.;.:,ti~;;;;~~~~;"'n;;'ibilitv -_._---- ._-....-- ._----._" io -- make sura all of his advertisements are in compliance . Board rutes. --------

2)

STEPHA.~IE

n ... IJ_ ... '-'I 12 '='11 l"tel1

R. KEITH

....... A l.l ...... ClII'" ITlUJ'

!STA.~

---

BR!GHT WHITENING

-t"-t, &ov ?~ I'\ •• 'r ....... nfFiJ"'G rAl""Aiw:arl ...v ....... ....w ..... _ ...... _

- _.... - ........ __ ... 1__ ....... _- .............. ~~A...lll .......... Illaua UR:rG .... IIII~

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- [#06-114)

._ro._ r.nnr.Aminn _ .. __ ......

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-nmfAAAinnal lab r-- _. _ .... _._. _____ _

....au.H!!tnGI"Ir.tCIF t""",.

I",~I ,...,..,... • • l'iiP ...............

.... _~ 11_'_ .... __ ......II .... _ . __ • .-uoI ..... e.+ YI~lI"oUyglV\,ol u ......

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were being offered at a kJeai haif sakn,. The peiSOn listed in the advertisement maintained that she worked ai iii dentai office biJl had started the tooth 'h'hitanir.g company to suppiemem ner income. The respondent stated that st"t6 takas t'ia impressions, sends the impressions to a laboretory in Fiorida where the bleac.'ilng trays are fabricated. She then deiivers the trays onca they are returned irom the iab. On May 13,2006, the Board hand-dellvered a cease and desist ietter to me respondent The respondent agreed to cease the prectlce of taking impressions and submitted a Liability Waiver" that all clients must sign which states that all impressions are to be made by the client. Based on this information, the Investigative Panel recommends that this file be closed. No additional action is warranted.

3)

OR. ANTHONY J, M!CHI"LAJ(IS. [#O6-168} !n Jut}' of this year, our offlc-e rec-eived an anonymous complaint from a man claiming to be a friend of one of t~e respondenfs hygienists. Acc-ard!ng to the caner. the dentist was _If_un ......... .., .... -.+ ... 1 "'4"4";~+"""'+ ........arf","," h\l6"tjar'\.t:ro f1lnMinnC!: inl"hu-tinn Qr.:::IlinnA ~nt1 rtAAn ClIIU,",III'i::j CI U'CIIII.G.I Clo;t~I~I.G.II~ '''"' "''!iiJI' I,,",' '1' "1:t11'-"'" ........................ -.--••• ~ ---... ---r ...,1 ___ 1___

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or....... ....... 11_ ....... -t..._ .......!~d .... .., ...............A+ ... _ ....... ,.. .... ",he!ap\~ th.o. '2 .... ta. firut h:c:anA Anti I II.., \OGllal all.d\llvVYI"="-'\:I'CI\oI "1f;:U. II'CI I,g", II...,' ...,""_, '1''"''''" ...................... _~ •• _ •• __ •• _ ___ I _ - _1 __ - l_&"_ _ _ C __ '-1.._ .... _ ... __ ....., # _ _ , ... _ ......................... "'",..lanie!f

pcH:i~IJ1Y

i:tIUI'Y

IIllUl'lltlUUl1 UleaL Iia 'I'CIClIU IVIIII llig UlnIQI'"'J''' "l:t11.~.,.w ••

Tna respondent denied the aiiegations and expiained that there wei6 two other dentists in the office aside irom himseif and mat they empioyed three fuiHlme hygienists. He

3 NCBOAR01028

1140

CX0235-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

l'"~ORTH CAROLli'~A

Pg: 128 of 366

STATE BOARD OF DENTAL

BRAD C. MORGAN. D.E).$., PresirJenf C. WAYSE HOLLAND, D.D.S., Secretary~Trtaslirer DJll..M.A H.. KiNLAW, V.11.S.• f''l$! F'resiClcnf

EXAl\IIt~ERS

K£NNF.TH R. PHrUArs. D.O.S. MICHAEL G. JUSTICE. O.D.S. STANL£Y L. ALLEN. D.D.s. NEPUJS S. HALL. ItD.If.

June 26, 2003

Dr. Josaph S. Burnham

2912 Maplewood Avenue Winston-Salem, North Carolina 27103 Dear Dr. Burnham: congratulatlonsi i would like to personaUy weicome you to the North Carolina State Board of Dental Examinersi Your task as a member of ihe Board is io heip ensure the dental health, safety and welfare of ihe ciiizens of North Carolina. The Board, as you are aware, licenses dentists and hygienists and is responsibie for investigating any compiaints concerning dentists or hygienists iicensed in North Caroiina. These are the major funciions of ihe Board, bui you wiii find that a number of oiher issues are addressed during Board meetings as weiL

You musT begin your term by taking an oath of office, which we plan to have administered at the August Board rneettng. You witi be given a copy of the oath and a copy will remain in the Board office fiies.

To assist you as you step into this new role, I have enclosed several Items for your review. This information includeS the Board's meeting schedule fOi the remalndei of this yeai, a list of current Board iT'~mbeiS and staff along with Uieir contact infonnation, a rnap indicating the locatiotl of the Board office In Carj, a copy of the Dental Practice Act, the Board's 8yl3\V5, Personnal Manual, savaral months of past Board meeting ~v1inutas, information on t~a upcoming MDE meeting in San FranCisco, a sample of the Beard's expense form, the last t..,-,o Board nev...'Slatters and a copy of the Investigations Manual. Once you receive this Information and have an opportunity to rcvicvl it, please feel free to contact the Board office \·v!th any questions. Please make note of the Soard's; vJsbsite, which !s Vr".ANJ.ncdenta!board.org. The website is very helpful in pro1liding information to the public. It is full of information regarding every aspect of the Board's operation and is updated as often as needed by the Board staff.

EXECUT!VE. O!'P!CE '15!OOWL~ON !"••_lU
NCBO}\RD004564

1141

CX0242-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 129 of 366

From: JessIca L BI;hop, DeS, PA [email protected]]

Sent: Monday. March 17. 2008 8:05 AM

To:

[email protected]!board.org

Good momlrrg. ! waa at the Sct.1hpclnt Mall this Past weekend and found much to my disbelief a company whitening shoppers teeth In ,,'. center of the mal!. "Vllan I lnqulied aboul a dentisi being present. they said they only had technicians present. Is this legal 1 the atate of Ne? Thanlt..! In advar.c8 for YOUi iespunse. Ii it is not permissibie by the Board of Dentistry, I have contact information for the OOOlp.tny that t can rol"'I.'iLP(j to ;'OU.

Jessica Jel8lca l Bhlhgp. ~OS. PA 6015 Farrlnmon Rd Ste 102 Chapel Hili. NC 27517 9111-489-2793 of!Ic$ 919-967-4650 home 919-414-06&2 call

NCBOl',RD1 74

1142

CX0245-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 130 of 366

( INVESTIGATIVE MEMO

To:

Dr,. RonAld K Owen~ Cue OffIcer M~ Ca..ro!!D Bakewe!!, Beard Con-!1!el

From: Date:

Aupst 30, lOG;

Re:

Mr. Shawn Powen (Savage Tan) - J:Iigb. Point, (CaH 07-148)

In August of this year, OlD' office received a telephone call from a young woman iD the Hillh Point area 00nceminl! a newsoaner advertisement she bad 5cca for tooth whitening-services. She did not ha~e a of the ad but related the contact information fur !be ~ offeri..!'.g the !!ervi~ (M..r. Slutwn Powers). MI. CMie Goode look !be CAli AM informed the ca!ler that the pnY'-edu..res de8C!":bM S011nded !!!l1~h like the Z.oom. white:Jina procedu..--es and that only a dentist could provide this treatment

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Based on this ir.fo.watiOii., the investigative panel dL-ected me to stop in at the Iocatioii, find out exactly wbat was going Wi ~ if ttKi services offa..~ were indeed dcuial ~ to infonu the proprietor oi ihfj aDd direct himlhcr to s'"wp. This would be followed with • furmai cease and desist ietiQ'. So, on 11lunday, August 23, I presented to thenameci address, which bappcned to be Sava~ Tan saloD. Mr. Powers was not in, so I spoke with the person worldng there at the time, Ms. Shmy Smith. I introduced myself; presented my card and inquired of the bleaching services provided at the salon. She replied that she did oot pcrlonn the bleaebing procedures hcnelf; and that Mr. Powers'was the only ODe who did. As fur the procedure itself; she stated that Mr. Powcn bad a gel that he brushed on the penon', teeth and 1hen used a liJdrt to do the wb:iteninJL She did not know the brand nanie of the product or machine, but-she pointed to the curing light which was sittiDg on the shelf next to her.

I exp1ained that this was, indeed, a prot"-edure thet could be performed only by a. 'licensed dentist and that ~....fr. Powers would need to s+~p offer~. thi: scr..ice or risk ...riuJnal ~-ges by the Boa..-d ~...fa. Smith I'W"ISI.-kcd that t~tr. Powers had a bad cu.~tude and would not likely take the new3 well. I asked her to give l:i.W, my C81-d and have him call me ifhe had my questions, She said she would.

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INVESTIGATIVE :MEMO

To:

Dr. Ronald K. Owens, Case Officer Ms. Carolin Bakewell, Board Counsel 'f [i

From:

Sean Kurdys;; Investigator

Date;

Aug-list 13, 2008

Re:

Bailey's LightnJng Whitening - Greensboro, (Case 08-133)

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In June of dlis year, our office received a complaint from Dr. Ma.~ Hyman, a Greensboro general denti~~ regarding an advernS\;;;'Went he had seen for twJi whitening at a local salon. In particular, the advertisement indicated, ~~ITour specially trained Salon attendant wiii make an impression of your teeth and piace it into a sterile bag to be shipped to our laboratory." The specific teeth whitening system was Lightning Whitening.

Based OD this information, OUT office wrote the owner of the salon and issued a cease :1nd desist order. The respondent, ?vf~. Wanda Bailey, replied by mail that she had never utilized the pr'vduct in her fiiCJit'j and due to our letter had disposed of the prvd-folCt. She added that she would not be providing any teeth whitening services at her salOIL I was then instructed by the investigative panel to make an unannounced visit to the facility to verify that Ms. Bailey was no longer offering this service. I presented to the location on Tuesday afternoon, August 12 and found the place open for business. The salon. Bailey's on Elm" was a high-end hair salon where shampoo and cut for men began at $50 and woman at $75. These prices were beginning rates and did not include work by the master stylists. 1 checked out the wall of product and tound it all to be hair-care related. There was no evidence of the Lightning Whitening kits either on display or in their price guide. In fact, there were no teeth whitening services listed at all.

! then Lrltroduced myself to Ms. Bailey ~nd asked her about lite teet~ whitening. She explained that she had been talked into the ca."T',img the product by the Lightning Vlrutc;J.ling rev who called on her salon one day. She said they carried it only a short

whiie but never soid any or even practiced it on ihemseives.

Ms. Bailey went on to say that once she received the letter from the Board, notifying her that it was illegal to offer it in this manner, she pulled it from the shelves

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(

ii'rv I!;STIGAn v J!; MEMO To:

Dr. C. Wayne Holland, Case Officer MI. CaroliD Bakewell, Board Counsel

From:

Sean Kurdys, Investigator

Date: Re!

in October of iast year, our office received information from Dr. Lcollllrd Kapian regarding an ad from Inspire spa offering teeth-whitening sessions. The advertising flyer was distnbuted to merchants in the shopping center, ofwbich Dr. Kaplan and Inspire spa are both a part.

Based on this infonnation, the investigative panel directed me to present to the location and ascertain what was going on. As I had other work in the area. I presented to the location on October 9 and spoke with Ms. Brown, the owner. Ms. Brown reported that they had just started carrying the Bleach Bright product5 and were offering the service to the1....! clients. She gave me a brief explanation of the logistics involved but asked that ! retu.rn within the hour to ~...ak with the Bleach Bright sales reps who were to ~~pby.

I returned an hour later and met "!;;4in with lvfs. Brown as well as ~v{s. Leslie Newllam and Ms~ Brooke Boy-kin. The sales reps in..fonued we that the company owuers, David Maso and Peter Wolf wc:rc in contact wiiD. the Board to insure that what they were doing was iegai, and it was her understanding that mey had obtained permission to awket in me state. Tney gave me contact numbers for MI. Maso and Mr. Woif if we had any further questions.

I then had them walk me through the bleaching procedure. Ms. Brown led us to a room whexe the materials were kept and which was outfitted with a dental-type chair and LED light. The reps explained that the kit was self contained and did not require any impressions or physical contact on the part of the technician. They explained that the bleaching solution was integrated into foam pads which the client inserts themselves into mouth trays. The foam pads provided l\ one--size..fits-$.JI fotrn8.t and once the trays are inAerted into th.e client's mouth, there is a single button on the lighting unit tb..at engaged the LED for the prescribed fifteen mL1'lutes. j

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I asked ~.,1s. Brov.,1Jl how maflY clients she hat! serv'iced and if there had bee.."l any problenls or complaints. She replied that they had just sta..-ted Offi;;~.ing the bleacrili.g within the past few weeks and had only handled fa few clien.ts. She said that most of the ~"cusines~r had been with the spa staff just irying it out. She added that there have been no compiaints SO far, eltcept for whoever turned her in to the Board. She suspected it was one of the dentists who had practices in the shopping center. I had no other questions for the shop owner or the reps, so I gathered contact infonnation from them all and invited questions. They had none. With that, I thanked them for their time and departed.

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Bobby White ,~:

C..aroI!n BaJt~! [cbak~Cncd6titaJboii'd.orgl

Sent:

Tuesday, November'27, 20074:36 PM

To:

[email protected]

Prcm: Teresa Pea...,.., (maltw:[email protected] Sent: Tuesday, November 27/ 200i 3:38 PM To: carotin Bakewell SUbj:ct: RE: Teeth V.Jhttenlng Thank you ...... good luck wlu, your iitigauon and i wii be interested to see what happensl

From: carolln Bakewel! [mallto:cb!ke....:[email protected]'dentaJ~rd.o.v]

sent: Tuesday, November 27,2007 10:13 A."1 To: Teresa Peavy

eel bwtl/[email protected]!lboard,org

SUbject: Teeth WhitenIng Dear Ma. Peevy: Please accept this response to your message to Bobby White regarcUng regulation of teeth whitening In salcns and maiia by non-dentlsts. Tna N.C. State Board of Dental Examiners does not have any regulaUons that address this situation, as It Is covered by our statute, N.C. Gen. Stat. 00-29(b)(2). That sactlon, provides, In pertinent part. that anyone who does or represents Ih; ha/at-.a can do the following is engaged in the practlce of dentistry 1r)emoves stains, acc:reUons or deposits from the

human teaL',.· The definition in <3.5. go..29(b}{2} ~ broad enough to P.-Olilblt trL.18 aet.Lvity Hi out in your hypotheticai, even though the salon emp/oyee$ do no! !ake Impressions. The NC Dental Board fa engaged In litigation with a salon over this very Issue and I"'.as recent!y Issued cease and desist orders to an out of state company that has been providing bleaching Mf'IIc.es !n a number of malls !n the state.

i hope that this Information Is helpful and would be Interested In learning of the results of your sUlVlJYllnqulr!es.

Caro!!n Bakewell Board Counsel

C01'·,'FIDE1'.'T'".tAL'TY NOTICE: Aii contents of this e-mail, including any attachments, are confidential and proprietary, and the soie property of the Academy of General Dentistry (AGO). Any duplication and/or distribution of the contents of this e-mail, not including to the AGO, without express written permiS!!ion of the AGD, or any use of the contents oftbis e-mail in a manner that is inconsistent with the objective ofthls communication, is strictly prolubited. If you are not the intended recipient, please notify the sender immediately by replying to the sender only and destroy all e!ec!wniC Rnd hRrd copies of the co=unicaticn, inclwling any attachments.

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rn~lflr; ~f):l Ttl

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Caroiin Bakeweil From:

carollo Ba~' ([email protected]

SMt:

Monday. Ma.rc.~ 24, 2008 3:34 PM

To:

'[email protected]'

FW: Teeth Whllanlngl

From: [email protected] [~,.aHto:[email protected]&--hbrightca'-oJfna.cojnl Sent: ~, March 24, 2008 3:32 PM

To: [email protected]!!!bo.!!ro,org

SUbject: [FWD: FW: Teeth Wh!!:en!ng]

H.ello Carnlin. -

----

-~---,

I read a inte...~uilg a...-ticle in the Raleigh News &. Observer iast week regardins the teeth whitening kiosks in local mall. and wanted to follow up with you. I own a Bl~right branch and I would like to know what specific criteria the dentai boord looks at when deciding whether or not a teeth whitenina kiosk is in breach oi any ruies or regulations that would cause the dental board to take action to Shl~t opertation down. Best wishes, Chris Craig

I Original M~~.ge - --I ~11l\;~' FW· T .......... 11.:!1..-:.......... : __ _101.& """-WWU111Io I From: "('Iathy 1,,{osley· [email protected]> n-.: '-I___L....... ""1" ..'lR ·lU ..... •.. o am II .1'11; J.v.I.III1;Il -'vvv I !,:;; ·L~S!'?a~. I u:; <;clu:i3(glb1eacl1btigiltcllrolina.com> ~-.J~1o:i-" ... '"

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.....

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proof that the Beard of Dental EXamlneii will approve this. i have several Develope,.. letting me 1t_1'lOW that !.~!s use fa Ufegal In seve.-al states and ,,'-.at their operators have been shut down In their malls.

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r n 1.1 r,..· cathy

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~1osley

SpecIalty Leasing Manager & leasing Representative Hull Storey Retaii Group, LLC

1190 Interstate Parkway Augusta, Georgia 30909 (706 j 855-4023 • Direct (706j 832-0553 - Mobiie (7Q6) 866-7457 .. Fax

Frum: Usa Schaack Siint: Friday, Marth 21, 2008 12:08 PM To; Cathy Mosiey Q;: Ashiey Doice Siibj~ ieeUl 'vV"hitening

Cathy, i called Mr. Craig and he is still interested in talking with you. He said that the Board of Dental Examiners had observed the procedure that they use and did not have iBSl.!..."S with it. He would very much like to speak with you to answer any questions you may have. His number is 919.760.5042. I'llieavetbis to you unless you di...·ect me otherwise.

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NORTH CAROLL"'I"A STATE BOARD OF DENiAL EXAMINERS JOSitPH s. BURNIIAM, D.D.s., President W. STAN HARDESTY, D.D.s. ScaelIry·Treuurer STANLEY L ALLEN, D.D.s. Pur I'Iaidcnt

CL4~:m O. FEINGOLD. Db$. RONALD K. 0\\"'&~8, D.D,S. (", WAYN! HOLLAND, D.D.S. NEPLUS S. ft4.LL, P_!!.H.

ZANNj,i P. tfiRD. COOJI.1IMt Member BOBBY D. WlUTI:. Chief Opm:iona Officer

507 A!!port Bou!evard Suite 105 Morns"lte, NC 21580 rhooe: (919) 616-8223 ext 1791 Fax: (919) 616-8412

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From: Terry W. Frfddle Date:

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DI ____ .. __ ,. ... . - - - - - .

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THE PAGE'S) COMPRISiNG THiS FACSiMiLE TRANSMISSION MAY CONTAIN CONFIDENTIAL INFORMATION A"':D ARE INTENDED TO BE RECErVED ONLY BY THE ADDRESSEE ABOVE. If you are net the addressee and you are not responsibie for deUvering messages to the addressee, you have received this transmission by mistake. We request thai you do not review or copy this material. No privilege or confidence is intended to be waived by the facsimile transmission of this message. If you have rec..ehled this transmission in 6riOi, please notify Us at (919)678-8223 so that we may arrange for this materia! to be returned. Thank you.

I!:XECIJTIVJ: orner: • ~"1."!P...!'OR'T 9.0\JLEVARD. SiUln iUS. 1ri.uJtXlSvTLL.E. NORI'H CAROLINA 17.s61J..1%OO TELEPHONX ('19) 67)..8223 • FAX <•• ,> 67J..1.471 • EMAIL: I.WIKH:nt.Iha.rrt_ ..... ~-==--=t:!bo=nL;i'i

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NORTH CAROLIN"A STATE BOARD OF DEN lAL EXAMlNERS C"...JFFORD O. FEINGOLD, D.D.5.

W. STAN HARDESTY. D.D.&, Pteaident ROI'IALJ) I(. OWENS, D.D.s., s.a-y.T _ JOSIPH S. BURNHAM, D.D.s, Put Pteaident

C. w..~YN! HO~lIt.!D.l).n.s. BIl4.JJ C, MORGJ._~. n.n.s. NEPLUS S. HALL, R.DR

ZANNII r. EFIRD. C _ Memb« BOBBY]). WHITE. ChiefOperabons Officer

November 20, 2007

I I A •• _

.... _ _

• • •- - - -

n~"'U·UCLIVCrU:U

Ms. Christiane Dotson Ms. Sherry Nelson Celebritv - ' - - " . , 1 l'lmil - ••••• .. _"-

clo The Streets at ScuthPoint 6910 Fayetteville Road Durham. North Caroiina 27713

NOTICE A_t.!D ORDER TO CEASE A.ft..:C DESIST Dear Ms. Dotson and

~v1s.

Nelson:

The North Caroiina State Board of Dental Examiners is investigating a repor! that you are engaged in the unlicensed practice of dentistry. Practicing dentistry without a license in North Carolina is a crime. See (NC Genera! Statutes § 9040 and §90-40.1). You are hereby ordered to CEASE AND DESIST any and aii activity constituting the practice of dantist...·y Oi dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Dental Board Rules promulgated thereunder.

Specifically. G.S. 90-29(b) states that .... ·A person sha!! be 'deemed to be practicing dentistry in this State who does; undert~kes or attempts to do, Oi claims the ability to do anyone or more of the fcflc'Ning acts or things wii/ch, for the purposes of this Artic!e. constitute the practice of dentist;y:" ;;(7)

Takes or makes an impression of the human teeth. gums or jaws;"

14(10) Performs or engages in any of the clinical pidctices included in the curricula of recognized dental schools OF colleges. '"

:501 AIRPORT 3OL'L:'\~. su. I Co iVi· MORRiSvlLLr.. NORTH CAROLlNA 17560-1101 TELEPHONE ('19) '71--1223 • FAX "19"1 "s..84n . EM4ft! IntMII_ri"t.lh •• POI ~ ~.=~iiii:'lbviid.vifj

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Ms. Christiane Dotson Ms. Sherry Nelson November 20. 2007

.P~nATwn -;:,- ... -

The North Carolina State Board of Denta! Examiners is the state agency charged with regulating the practic.e of dentistrf in North Carolina and is ihe proper agency to conduct this investigation. Tha Boaid may use any iegai means at its disposal to conduct this investigation including. but not iimited to, interviews with current and former patients, surveillance, and the hiring of undercover agents. The Board requests that you cooperate in the current investigation by calling the Board's office and arranging to be interviewed by tha Boaid's investigator and by submitting a written response to this notice and oidei within fifteen (i5) days of the receipt of this letter.

Sirterely, /\ -

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·\~rt-A ~.dc::li,_

. .... " I \AJ. Fri Ie Deputy Operations Officer THE NORTH CAROLINA STATE BOARD OF DENTAL EXAM!NERS

cc:

Case Officer !\'4s. CaioHn Bakeweii, Board Attorney Mr. Frank Recker, Attorney at Law

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NORTH CAROLINA STATE BOARD OF nIi'NT;'..L EXA..1Id..TNERS \II •"

g.yo.a.'" u ... a.ftltC!......, ........ I. at ",.&1-0.,

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CUfIlORD O. FEINGOLD. D.D.s.

RON....-LD K~ OWENS. D.ns. Sew: .._y-TfeiiW'et JOSI'" S, 8V1U'IJH..·Ud. D.DS.. Put President ZANNII P. EFIRD. COMUrn« Member

C. WAYNE BOLLAND. D.D.S. BRAD C. MORGAN, D.D.S. NEPLUS S. BALL, R.D.B.

BOSBY D. W1II1'E, Chief OpImdOO!! Offic~

March 10, 2008 Mr. Algis Augustine. Esq. AUb'1lstine, Kern & Levens Ltd J 18 Nordl Jefferson St. ('!t... '}(}")

............. v ....

Chicago, In. 60661 Re: Joe WillettIBleachBright

Dear Mr.

~Augustine:

The N.C. State Board of Dental Examiners has received your letter of March 3 regarding Mr. Willet. Tn your letter, you make certain arguments regarding ti.e L*1terpretation oft,J',C. G-en. Stat. 90~29(b). Please understand that interpretirlg l'~olJ-1 Caroiina statutory language COIlstitutes tJ1.C practice of NorUi Carolina law. See N.C. Gen. Stat. 84-2.1~ 84-

4. The Dental Board will be pleased to communicate with you about this matter if you obtain a written opinion from the North Carolina State Bar, indicating that your participation does not constitute the unauthorized practice law, Ot, alternatively, if you retain North C!l.IQiina counsel. You may contact David Johnson.. the I'i.C. State Bar~s attorney dliefly respol"".l3ible for UPL matters, at 9i 9-828-4620. Thank you for your cooperation.

Very tru 1YyOUiS~

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C arolin Bakewell Board Counsel

S07 AIRPORT BOULIVARD, sum II!. MORRISVILLE, NORTH CAROLlNA

27~OO

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( IN'\'ESTIGATIVE l\mrtfO

To:

Dr. W. Stan Hardesty, Case Officer Ms. Carolin Bakewell, Board Counsel

From:

Lhie Demp-dY, Investigator

Date:

January 17, 2008

Re:

Spa White I White Science - Charlotte (07-020)

iovestiptiOD

On December 19, 2007, I presented to the Concord Mills Mall in Charlotte to follow-up on a teeth-whitening service that was operating in the mall. Ms. Bakewell visited in the past and had gathered information about the operation. In short, the company was using blCS'-ching traY! i1nd an LED light source to active the solution, Her memo is in the Case File. i asiced to speak to the owner, and Mr. David Cogan identified himaeii. i presented my credentials and my business card and explained that I was a representative of the DentaI Board. I asked ifhe was a dentist. Mr. Cogan said that he was not. When asked, Mr. Cogan stated that he had not received a Cease and Desist letter. He then

contacted another owner, Mr. George Nelson, on the telephone. Mr. Nelson was in F!OritfA .:A.1ter!!. few minutes, M"..r. C-Ogan hAnded the phone to me so that ! could !peA..!: ~ith ~Yir. Nelson.. l-..fr. ~~elson said that he and his att.orney, l-ytr. AI Aiu~M:.dle had been in contact with Ms. BakCiwell. He continued that he bid received a Cease & Desist cru.er and that they were "working it all out." i got this teiephone number: 6i2-648-i iii.

I then spoke with Mr. Cogan. Mr. Cogan explained that he had his own business and that he had not officially received a Cease & Desist Order. I explained that Mr. Nelson SAid thsd he ~ and that I was in...fowing hi'D. verbRlly thttt he needed to CCJlJC and desist.

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}>cloWil because

Cogan gave me an address, U8L.~g one ofms staffmem.bers as a. contact

he did not have an address in CharloL'..e. The address is;

David Cogan

C/O Sarah Stokes

2801 Telefaire Lane MO!l.!"Oe, NC 28110

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Mr. Cogan then asked ifhe brought a dentist in to ''watch" the process if that would bE: ok. f infurmed him that he sh~uld speak with Ms. Carolin BBkewell, and gave him severa! of her business cards. Before leaving, I exp!a;ned, once again.., that I was a. representative of the :NC State Boa..-d of Dental Examiners and that he was }lr"",,'"1icing dentistry without a license and ihat he should cease and desist. I encouraged him to contact Ms. Bakeweii.

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NORTH CAROLINA STATF. RnA...F.D OF DENTAL EXAMINERS CUFFORD O. FEIl'IGOLD, D.D.S.

W. STAN HARDESli, D.ii.s.. PresideDt RONALD K. OW&.~ n.n.&. Sccmary..TI:I:ISUm

e. WAYNE BOLLAND, D.D.5.

JOS!!'H !.. SL'!!.."'fDaaA.\f. D~ Put Pieaident u_~!r Po !!F!RD~ c...nnl!'a'.er l\.~

BRAD C. MORGAN, D.D.S. NEPLUS S. BALL, a.o.8.

Nov. 21. 2007 Cleveland Mall Office

2001 E. Dixon Blvd. C'h ... n .... ""-II"' ......... ~..., J J ... V

Re: Tooth Whitening Kiosks

Dear Sir or Mada.m: The N.C. State Board of Dentai Examiners is the agency created by the North . Carolina legisiature to enforce the dental laws in this state. The Dental Board has iearned that an out of state company has leased kiosks in a number of shopping malls in North Carolina for the purpose of offering tooth wbit""';'lg services to t.~e public.

NQrt...h Caro1il1a law specifically provides tJ-at the removai of stains from human teeth constitutes t.~e practice of dentistry. See N.C. Gen. Stat. 9O.. 29(b)(2)11 a copy of which is enclosed. The unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Stat. 90-40, a copy of which is also enclosed. It is our infonnation that the teeth whitenLng services offered at tltese kiosks are not supervised by a licensed North Carolina dentist. Consequently, L'ris activity is illegal. The Dental Board wouid be most grateful if your company would assist us in ensuring that property owned or managed by your company is not being used for improper activity that could create a risk to the public health and safety.

S81 AIRPORT BOULEVARD. SUIT! 185 • MORRlSVJLLE. NORTH CAROLIN4 1'~ TELAFiiuN"E ('19) '7WllJ· FAX (919) 671-1412 • EMAIL; [email protected]'lbant.an·_.DCdealalbGanLora:

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Please feel free to contact me if you have questions. Very truly yours, /'\-

( , •. D . ~'J.J.,l~ Carolin Bakeweii Board Counsel Enclosures

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NORTH CAROLINA STATE BOARD OF DRNT.;l T. W. STAN HAJU)ESTY.D.DA.

~

CLIFFORD O. FEINGoLD. D.D.s.

OWENS. B.D.&.. Seerewy-n..JOSIPH s. BVRNHAM. D.D.S.. Put ""'_ RONALD

Ii'X.A~l\flNERS

C. WAYNE BOLLAND. D.D.s. BRAD C. MORGAN, D.n.s. NUL US HALL, R.DA

I(.

ZANNI! Po EFIRD, ea........ Mcmbet

s.

BOBBY D. wmn:. 0Iief ()pmtiono Off'_

Nov. 21. 2007

General Growth Properties liON. Wacker Drive Chicago I!. 60606

Re: Tooth Whitening Kiosks

Dear Sir or M.fia.'ll: The N.C. State Board of Dental Examiners is the agency created by the North Carolina legislature to enforce the dental laws in this state. The Dental Board has jeamed that an out of state company has leased Kiosks in a n~"'tlber of shopping rnaUs in North Carolina for the purpose of offering toctl-:l wt-,iter.ing Sl;;1Vices to the pubiic. North Carolina law specifically provides that the removal of stains from human

teeth constitutes th.e practice of dentistry. See N.C. Gen. Stat. 90-29(b)(2), a copy of which is enclosed. Jne unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Slat. 90-40. a copy of which is also enclosed. It is our information that the teeth \l/hitening serviCeS offered at these kiosks are not supervised by a licensed Nort~1t Carolina dentist Consequentiy, this actiVity is illegal. The Dentai Board wouid be most grateful if your company WQuLd assist us in ensuring that property owned or managed by your company is not being used for improper activity that could create a risk to the public hea!t.lt and safety.

50'1 AIRPORT BOULEVARD. SUIn 10!' MORJUSV1LlL, NORTR CAROLINA 17!UO-1108 TELEPHONI (919) !1s.!l2J ~ FAX (919) "it-M71 • iMAlL: IINntdtpplbptnl orr. www.acdeatalboarcLlWJ

NCBOAR0907

1158

CX0260-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 146 of 366

Piease feel free to contact me if yO!! have questions. Very mIi y yours,

Qi~~

Carolin Bakewell Board Counsel Enclosures

NCBOARD908

1159

CX0260-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 147 of 366

NORTH CAROLINA STATE BOA-lID OF DENTAL E~'\1Th'ERS w. n.A_N H.4...D..DL.~, o..n.8., PiAidem RONALD I{.. (JYV£NS, D.D.8., S-. ...... i-~ J08I1:'H S. ButtNBAM. BAS.,. P-..s! ~~ ZANNIE Po EFIRD. C.........,

CLJF1!ORD O. FEINGOLD, D.D..'!. C. WAYNE BOLLAND. D.D.s.

1'.1_

BRAD c. MORGAN, D.D.S. NJ!PLUS S. BALL, aDA

Nov. 21, 2007 Hendon Properties 3445 Peachtreet Road, Ste, 465 Atlanta, Ga. 30326

Re: Tooth Whitening Kiosks

Dear Sir or MadlLtn:

The N.C. State Board of Dentai Examiners is the agency created by the North Carolina legisiature to enforce the dental laws in this state. The Dental Board has learned that an out of state company has leased kiosks in a number of snopping malls in North Carolina for the purpose of offering toollJ whiter..ing ser...-'ices to the pubHc. North Carolina law specificaUy provides that the removal of stains from human teeth constitutes t.lte practice of dentistry. See N.C. Gen. Stat. 9O-29(b)(2), a copy of which is enclosed. The unauthorized practice of dentistry is a misdemeanor. See N C. Gen. Stat. 90-40, a copy of which is also enclosed. (t is our information that the teeth whiteni..llg services offered at these kiosks are not supervised by a licensed North. Carolina dentist. Consequently, this activity is illegal.

The Dental Board wouid be most grateful if your company would assist us in ensuring that property owned or managed by your company is not being used for improper activity that could create a risk to the public hea!t..h and safety.

501 AIRPORT BOU'LEVAIUJ. SUITt 105· MOIUUSVILLL NORTH CAROI.IN.~ 1,!6f-.Il!M! T!LU'RON: (91;) 61.....~lj • FAX (9)') 671-10412 • EMAIL: 'n"t®aa'''lI'''''n! 9[1· www~.talbovd·ora

NCBOARD909

1160

CX0261-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 148 of 366

Please feel free to contact me if you have questions. Very truly yours,

Ca.-olin Bakeweii Board Counsel

Enciosures

NcaOARD910

1161

CX0261-002

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NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS CLD"FORD O. FEINGOLD. D.D.S.

W. STAN HARDESTY" PJ)-S.. FT-_i"RONAUl Ie. CJW£NS, D.D.s., Sommy-r...,.= JOSIPH s. BURNHAM. D.D.s., PIIII ""''''''', ZANNlI P. II'IRJ), c-.- Member

c.. WAYNE HOI..I..AND. D.D.s. iiRAi) c. MORGAN, D.nA t~LUS

So HALL, R..D.H.

BOBBY D. IVIUTI, Chief Openticna Offi=

Nov. 2i, 2007 University Mall Office

20 I S. Estes Drive Chapel Hill NC 27514

Re: Tooth \Vhitening Kiosks

Dear Sir or Madam: The N_C. State Board of Dental Exa.a~il'1erS is the agency created by the Nonh Carolina legislature to enforce the denta}laws in this state.. The Dental Board has lea.ued that an out of stale company has ieased kiosks in a number of shopping malls in North Caroiina for the purpose of offering tooth whitening services to the public.

North Carolina law specifically provides t.h.at the removal of stains from hUallan teeth constitutes the practice Qfdentistry. See N.C. Gen. Stat. 90-29(b)(2), a copy of which is enclQse--d. The unauthorized practice of dentistry is a misdemeanor. See'N.C. Gen. Stat. 90-40, a copy of which is also eficiosed. ft is our information that the teeth whitening services offered at these kiosks are not supervised by a licensed North Carolina dentist. Consequently, this activity is illegal. The Dental Board \:l/QuId be most grateful if yuur company wouid assist us in ensuring that property C"nLied or miil.aged by your company is not being used for improper activity that eouid create a risk to the public health and safety.

sum J05 • MQRRISVILL!, NORTH CAROLiNA 17S68-8l00

W7 AiRPORT BOULEVARD, (919) ~7!-!213 • FAX (9l~n

Tr:L~PIfONE

tii~i2

.. EMAJL: jgW.dm"ilm,m 4[1 • "",""nedtllbu,oud.ofl

NCBOARD915

1162

CX0262-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

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PJease feel free to contact me if you have questions. Very truiy yours, 11

A

{' •• .f.!. lJ{)..d--l.L-~ ~~ Carotin Bakewell Board Counsei Enclosures

NCBOARD916

1163

CX0262-002

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Doc: 63-4

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NORTH CAROLU"A STATE BOARD OF DENTAL EXAMINERS w. STAN HAJU)ESTY, D.D.S., Pneoid
CLiFFORD O. FEINGOLD. D.D.S.

RONALD K. OWI:NS, DJI.&, s...-y.n.uur.r

e. WAYr.. iiOLLAN"D, D,D.s.

JOSITPH S. BURNJIAM, D.D.&, Puc Prosidom UNNIIt P.ItFlJU), C - Member

BRAD Co MORGAN, D.D.S. NL.....L'S S. 9AI.L, R.n.H. BOBBY D. WIIITIt, Cbiof Opentiona Officer

Nov. 21. 200i Westfieid Eastridge Mali Ofc 246 N. New Hope Road Gastonia, NC 28054

Re: Toot...'" W'hitening Kiosks Dear Sir or Madam: The N.C. State Board afDental Exanu..'1ers is the agency created by the North Carolina legislature to enforce t.~ dental laws in this state. The Dental Board has leame-d that a.Yl out of state compai1Y has leased kiosks in a number of shopping malls in North Carolina for the purpose of offering tooth whitening services to the public. North Carolina law specifically provides that the removal of stains from human teeth constitutes the practice of dentistry. See N.C. Gen. Stat. 90-29(b}{2). a copy of which is enclosed. The unauthorized practice of dentistrj is a misdemean.or. See N.C. Gen. Stat. 90-40, a copy of wj1Jch is also enclosed. It is our information that the teeth whitening services offered at these kiosks are not supervised by a iicensed North Carolina dentist. Consequently. this activity is iiiegai. The Dental Board wouJd be most gratef..Jl if your compw'l would assist us in ensuring that property owne-d or ma..'1aged. by your company is not being used for improper activity that could Cieate a risk to the pubiic heaith and safety.

547 AIR..:"'ORT OOUU;yAii,ii.SUiTJ; 185" MORJUSvtLU.. NORTH CAROLlNA 17~l:" TlLEPHONE ('19) 6'78-8l:%3 • FAX (919) "~71· ~II,AI_'UL: ."'''--;;r4;-;;'t--uni urt· _.acae.taibani.0l'l

NcaOAR0917

1164

CX0263-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

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Please fee) free io coniaci me if you have questions. Very truly yours,

(i

()

~~

Carolin Bakewell Board Counsel Enclosures

NCBOARD918

1165

CX0263-002

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Doc: 63-4

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Carolin Baks\vell From: Caroiin Bakeweii [[email protected]]

Sent: Monday, September 08,2008 12:53 PM To;

'bcfami!ydentist,P
Cc:

'[email protected]'; 'Terry Friddle'

Dear Dr. Mathew

Thank you for sending copies of various salon ads to the Dental Board by facsimile earlier today. In response to your question, the Board has taken a ca5e~by-case approach to the provision of teeth whitening ser-Jices by nOrldeniisis. The Board has flied iwo jawsuiis against non-dentists who have operated whitening salons. The complaint the Boaid filed ir, Charloiie was serried with a consent order earlier this summer. The other lawsuit remains pending in Catawba County Superior Court ~

hope that this information is helpful

Very truly yours,

Carolin Bakewell Board Counsel

NCBOARD1802

1166

CX0265-001

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NORTH CAROLINA STATE BOARD OF DENTAL EXM.HNERS RONALD K. OWENS, D.D.S., Presid~nt C. WAYNE HOLLAND, O.O.S., Secretary·Treasurer W. STAN HARDESTY, DD.S., Past President ZANNIE P. EFIRD, Consumer Member

JOSEPH S. B(;RNHAM, D.D.S. BRAD C. MORGAN, D.D.S. MILLARD w. WESTER. Ill. D.D.S. JE;>INlFER A. SHEPPARD, R.D.H. BOBBY D. wlUTE, ChIef Operations Officer

Aprii 3, 2009 CERTIFIED MAIURETURN RECEIPT Inspire Skin &; Body 500-H East Cornwallis Diive Greensboro, North Caroiina 27405

NOT!CE AND ORDER TO CEASE AND DESIST To vVhom it May Concem: The North Carolina State Board of Dental Examiners is investigating a report that you are engaged in the unlicensed practice of dentistiY. Practicing dentistry without a license in North CaroHna is a crime. See (NC Generai Statutes § 90-40 and §90-40.1). You are hereby ordered to CEASE AND DESIST any and all activity c.onstituting the practice of dentistry or dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and t"e Dental Board Rules piomulgated thereunder. Specificaiiy, G.S. 90-29{b) states that ... :A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do; or c!aims tile ability to do anyone or more of the fonowing acts or things which, fer the purposes of this Artjcle c.onstitute the practice of dentistr-/:" j

"(2)

Removes stains, accretions or deposits from the human teeth;"

"(7)

Takes or makes an impression of the human teeth, gums or ja'.,'Vs;"

"(10) Performs Oi engages in any of the ciinicai practices inciuded in the curricuia of recognized dentai schools or colleges."

507 ,\!RPORT BOULEVARD, St.:ITE 135· MORRISViLLE, NUKIH C>\}U)UNA 17560-820() TELE:PHO'liE (919) 678-8223· FAX (919) 678--8472· EMAIL: info(Q)ncdentJllhfl:>r.d.~~' W'\¥w.!H:dent~!b{H:.~d.(ln!

NCBOARD1852

1167

CX0272-001

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NORTH CAROLINA STATE BOARD OF DENTAL EXMylINERS JOSEPH S. BURNH..A...M; D.D.S. BRAD C. MORGAN, D.D.S.

RONALD K. OWESS, O.O.S.. President C. WAYNE HOLLAND, D.D.5., Secretary~Treasurer W. STA.'I' HARDESTY, D.D.S., Past President

MILLARD W. WESTER, m, D.D.s. JENNIFER A. SHEPPARD. R,D.H.

ZANNIE P. EFIRD. Consumer Member BOBDY D. WHITE, Chief Operations Officer

I,.,~nir.o. ".v ........... C!lrin .. I _~

& C ..... MV ~vuJ

April 3, 2009 Page Two

The North Caroiina Siate Board of Dental Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is the proper agency to conduct this Investigation. The Board may use any legal means at its disposal to c.onduct this investigation including, bLrt not limited to, inteiv'iews with current and former patients, surY'eillance, and the hiring of undercover agents. The Board requests that you cooperate in the current investigation by submitting a written response to this notice and order within fIfteen (15) days of the receipt of this letter. Sincerely,

Assistant Director of investigations THE NORTH CAROLINA STATE BOARD OF DENTAL E)(t..,M!NERS

cc:

Case Officer Ms, Camlin Bakewe!!, Board Attomey

50'7 AIRPORT rELEp'HO~'E

30VLE"~\RD,

SLUE i05' MORRiSViLLE, NORTH CAROLINA 27~60-8200 in.&.&;ru:de!!t:!!!!!{!!!l"d.~mf • '>nn'l'.nedentalbo;;,d.•• ,¥

(919) 6'78-8223 • FAX (919) 678-8472 • E"rU. n.:

NCBOARD1853

1168

CX0272-002

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Doc: 63-4

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NORTH HILLS

FA_Mll~Y

Pg: 156 of 366

DENTAL CA~~

February 27) 2008 To Whom It May Concern:

Rec.,"llt!y r ....'llS infOi'iiled by my staff and patients that there is a "hlearhif\g kiosk" in Crabtree Valley Mall, Raleigh, NC called BLEACH BRIGHT. I was told that patients sit in the middle of the mall in a dental chair and have whitening IDJlb-ria! delivered to them in a tray and wi~ a UV ligb.t source by a non-dentallicensed sales persoll~

When the sales per"'~n ""as questioned about her training, she said she "~tt have 19 have a dentai iicense or dental training because the COii8UJIier pbysicai1ypw the bleaching material and-tray into their own mouth.,; I searched the website www.bleacbbright.com and found that their prices sta.rt at $99.00 and they compare their product to in-office whitening fees fOi Zoom and Brightsmile, ~1:y

question for the buard members is twofold.

1) Is this a iegai dentai venture in NC and has the NC Dental Board ofDentai Examiners approved of this in its NC Oental Laws? 2) Is this ethical in the eyes of the NC dentRI boa-rd.? At what point

does ~ ~.,J int~ to $lid in t!pholding the face of dental professionRlism? Frankly I au. appalled. Having a mall -bleaching kiosk" cheapens and degrades the dentai profession. .We work very hard as LlCbl'lSED dental professionals to educate patients about their entire dental health. Offeribg dental services at the Toft!! ma kiosk teaches the public to not value or. respect the dental PfQfessiQn as a whole~ Should we sOOn expect the medical profession to have non medicalliceru;ed sqic8 reps offering COllllletic procedures such &s"mp tlldLlr Dr "ooiOlC injeciions" in a mall kiosk? i, and my staff, kindly request that the NC dental oo!!!d of el'A,";ners investigates this matter quickly. .

Nicole LeCiihn, DDS and staff .

. j.

"

.• ,'

-,

',' 4814 Six Forb Rd. Suite 102 Raiei . ,NC 27609

(~j],\ .,an 6~Ot\ \J,j.J, IUJ·Ol..I'O'i

NCBOARD26

1169

CX0278-001

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nnUrlnr!ITIAI

1.11 N1-111 r I~ II AI \,1""5 • •

• ....... · . · · · , -

October 1, 2007 CERTIFIED MAIURETURN RECEIPT Ms. Shohreh Rafie t"a"",,4C!Io1 no:su Q ........ _PIIo..l _ _ 1,".91 -U1 ""tJ'a ClIII N

~

..... I__

VClIUII

8219 Carmel Road Chariotte, North Caroiina 28226 NOTICE AND ORDER TO CEASe AND DeS!ST Dear Ms. P.afie:

As you know, the NOlln Carolina ::itate Board of Dentai examiners is investigating a report that you are engaged In the unlicensed practice of dentistry. Practicing dentistry without a license in North Carolina is a clime. See (NC Genera! Statutes § 9Q..4() and §90-40.1). On August 20. 2007 a Board !nvsstigator presented to yvur business. to inquire abot.1 the tssth-v.'hitaning proQiam offeied at your facility. As a Joiiow up, you are being pi'6sented with official notice from the Board, and you are hereby ordered to CEASE AND DESiST any and ail activity constituting the practice of dentistry or dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Denta! Board Rules promulgated thereunder. ~nArjfit":Allv

'-r- ....... -

.. I '

n~ ........... O"-?Q{h\ y _ ..... ,w, ~

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tho. ","a,

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....... ___ ......... _u

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.... _____ ....

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practicing dentistry In t'1ls State VvTIO does, undertakes or attempts to do, or ciaims the ability to do anyone or more of the foiiowing acts or things which, for the purposes of this Articie, constitute the practice of dentistry:"

"(2)

Removes stains, accretions ordaposits from the human teeth;"

"17\

T'!:Iit'oc!! nr mol,.ae .... n ........ .." Illgn.Q~

,. I

~"

im" ...ft~"";-n ,..~ ..."" .... h •• _ _ _ .&._ _ ...... ""'Q~ii:J'VI VI UIQ IIUlllal, u:n,ul

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t

WUllltt UI JClW5.

"(10) Performs or engages in any of the clinical practices included in the curricula of recognized dental schools or colleges.'

NCBOARD160

1170

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nnUrlnr!ITIII

LUN~IUtN!!Hl

Ms. Shohreh Rafte October 1, 2007 Page Two

The North Caroiina State Board of Dental examiners is the state agency charged with regulating the practice of dentlstJy in North Carolina and is the proper agency to conduct this investigation. The Board may use any legal means at Its d!sposa! to conduct this investigation Including, bt..rt not limited to, !nt8r,,;e\..~ v,ith current and fOiiii9r nAtiAnh::r: eu InJAiII!2n,..a 00 ......

,..._ •• _ •• ~_, _ _ .... _ ........ _ , ...... " .....

hI"; ... ,. ....# • •_ ......... _ _ .. ~-. .. ____ .1._

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,UOItr..VVOI ClWtf11u:J.

The Board requests that you cooperate In the current investigation by submitting written assurance of your intent to comply with the Board's notice and order within fifteen (15) days of the receipt of this leHer.

Terry W. Friddle Deputy Operations Officer THE NORTH CAROLINA STATE

BOARD OF

cc:

DE~-.rrAL

EXAtv11NERS

Case Officer Ms. Carolln Bakewell, Board Attorney

NCBOARD161

1171

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n niL:

.;.

I

1.11 N1-111 ; hi 1 i 111 "",,,,n'IULUI.IlL

Fi'DIII:

Dr. Sian HardesIy [doctor..aanonc.rr.corr4 '

lint:

SItunIay, January 20, 2007 8'22 AM

Cc:

'CaroIn Bakewell'; 'Bobby \I\IhIte'

Go ah __ ti and send theceaae and ~ ~tter.

WSH ,.... Terry FrIddI!l [!!!AiIn,lF!id!!!eOna!en!'B!lO,,:d.crg] . . . Friday, Jan!!!!I'Y 19,200711:11"'_" To. Dr. Sbn Haodeoty Ca c.oIn W, .... f!o","Ily Whb s.1IjM:tI FW: Mv!Ut !J!!!Io...e!Sed pe:son blead:1ng ISh

COt""''

Hei,,'s the case I told you abooi this morning. Do you want us to go ahead and send a cease and desist letter? I you click OIl the web address the procedure is described as applying a teeth wbitaling gel directly to the teeth wbiie a whitening accelerator safely wbitals teeth. {PS - I gave it log #07-114)

Te.ny \c.I.

F~

~~~

NC State Board of DenIal examlrun 507 Airport Boutevanl, SIMte 105

Mon1svIIIe, NC 27560 (918) 878-8223 DIrect Clal: (919) 459-1791

Proml Scott l Weinstein [malftD:uncddsOall'l'lporUn.netJ Senb SUnday, January 07, 2007 7:21 PM TOI csmIthOnale..~.org Su~ ooncem about unlicensed person bleaching teeth

Dear Mrs. Smith, On8 of my dental assistants saw an ad jor an OOICe in Charlotte. They do eyelashes but on their website aiso detaii something that sounds like Zoom in-office whitening or something. Their website is www1a!lt'!!ady.c.om. ! t"ought that! would bring it to YOUi attention in c-ase t.,is person is practicing dentistr; w/a a license.

Sinceit:;ly i Ifl2l2007 NCBOARD223

1172

CX0281-001

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Doc: 63-4

.'

Filed: 07/06/2012

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.

Sent:

Friday, JanUIIJY 19, 2007 7:58 PH

To~ . __

"J~~I"'" rvI ~~=-~~~-;;~n.., ...........

Cc:

Casie Smiih (cII"'iiilQJlcdentalloard.OfV)

Subject: RE: concern about unlCenBad penII)n Ille _ching tMIh

Thank you for yOOf recent email regarding "Lashlady." The North Carolina State Board ofDema! Examiners wiil iooi: into 1his matter and notity you of oor findings.

Sincerely,

Tury W. Fr(dd.l.a, o.piay~~ NC Stat. Board of De!!!!!! Ex!!!!!!"!!!"!! 507 Airport Boulevan:l, Suite 105 Monlmlle, NC 27560 ~111)

878-3223

Direct DIIII: (919) 459-1791

PnMnI Scott l Weilistein [maillD:unc::ddsep.oo.npg,p!'!,!!!!I:] s.nb Sunday. January 07, 2007 7:21 PM TOI



c:smIthOncdentalboiwd.org

SUb.lect: toncem about uul;a1Sed per$OII bIe!!dIlng ~ nAAr ...... MNl --_, _.

_.........

!=:mith ,

One of my defilai assistants saw an ad for an OffICe in Chariotte. They do eyelashes but on their website also detail something that sounds like Zoom in-office 'whitening or .... ._ iR WWWIA .. hl ..tfv""mlth"""'htth ..t ,I ... ~ .. , ... k.l __ ;II.••,\01 - "-". someth 'lna _" The'lr _ ___ webs,· _____ .1.., "_Y ' n=_' ......... ". •. • w _ ...w. W.CiI" """WIY .,IIII'V yuu, attention in case t.,is person is piacticing dentistry w/a a iicense. n""

Il1o

Sificereiy, Scott L Weinstein DDS

li191200i NCBOAR0224

1173

CX0282-001

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LUNr! ut N!IAl

nnl.rlnrlJTIII



Dr. Siiin i;'"illliy icioc:tDr.-nGnc.rr.conf Tueaday. SoijAM.iber 12, 200e 4:00 PM

w-"_,. __

9'f'AftlU 1:.w....1

Cc: ~Whb' '.",al:l: RE: c..Aw9!i,!!!!!l!!e-1Q8

WSH ,.... Teny Friddle !IIIIIID.II\ •• ~na!e!!bI!!Ice:J.:::;J

.... 'TUesdar, ~iII!ii_ 12, 2006 2:37 PM 1'01 Dr. SIan t~ CalIIDbbr WhIle

""'I tl,.- c.e ,&1 '- i ..elt 06-19!!

Dr,~.

W1=: it r=i1.; it pouilln Du you W1IDi to hmdie thi, one tile _ e way u the Jut? rar-;:y

w. Frlddl'

~.>'c-~~ He sa. ao.a oiDerlilli

ex.......

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yii3/2006 NC80ARD230

1174

CX0283-001

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()

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make the blc:acbing trays. i wouid then put a drop or me oleacmng solution in each loom reservoir of the tray and then wear the trays fiir approximately an hour a day until I had achieved the color I wanted. If my teeth became sensitive, I should only use the solution every other day and use Scnsidyne Toothpaste. I then asked Marcia if she was a

cosmetologist. She stated th.st she was not When asked if she was a dental hygienis~ she stated that she was a make=up L~st and that her trn~g as a Inak~up artist allowed her to wake the c-ustom impressions. I told Marcia I wanted to proceed, so she began to mix the alginate impression material. Marcia did not wash her hands before beginning, nor did she wear gloves or any other type of protective wear while I was there. In fact, there was no running water in her u roOITL" MLrcia mi~ed the algLlLate powder with water from 8 partially empty bottJe ofbottJed water. The powder was in a c.ecistcr labeled "Hollywood Smiles!' Qn~

mixed,

~YfL"'~i

placed the impr-..ssion

ma~ial

urw pink, plib-tiC

impl~ion

tray'S which

she removed from a piastic bag. Before inserting into my mouth, i asked Marcia if the trays were ciean. She stated that the trays were new, and that she received them in bulk and then re-packaged them in sets in plastic bags. (I did not see any type of sterilization equipment in the room.) After she completed the impression procedure, she placed the impression trays on a paper towel and told me to come back in 2 holll'$ to pick up my custom trays. M..arcia gave me one of her business C!!..rds which read: '~J1~e-Up a ....l.a........ _ _ +e &JJ D'II 'P..A.-."':.. r....,.;.&;....:1 • T ~ ... _ft-..'l • ~"'_;...:.,-...I I .................. ~ft...:...1_ 1:A;_' .. ............ ""''''.u.... ......_a..aaJo""'" ••••• Salon panache." (I did not see any type of license or certifi'~ate dispJayed by Marcia wbile i was mere.) At that time, i paid for the pedicure and tooth whitening and ieft. ~-...u""'"_

J. ................ ~ • • • • • •

~

1o.1cw.u~

l~

I,U,oJILU.....

J...AoW...... 0;11

I returned to the Salon approximately two hours later. As soon as I walked in Marcia told me that my trays were ready and waiting for me at the cash register. I was bBruied Il bag which contained my Cl!!!tQm !m}'!! !!I!d Il box !!!beled "Hollywood Smiles."

Mat da showed me that the box contained 2 s}'Iinges of blpQ"''rlng solution. She reite1-cJed that aU I needed to do was to place a few d..-ops of solution in. the trays. If my teeth becilne SenSitive, I should use SalSidyne Toothpaste. I received no other instructions with regard to using the product. As I was ieaving, however, Marcia toid me, as she was scratching her head, that she thought she had Poison Ivy! All I could thlnIc of at that point was that I was going out of town in a couple of days and Marcia had touched my face with her glovelcss hands during the impression procedure.

NCBOARD246

1175

CX0284-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 163 of 366

i' n~i r .i n [ MTI ~ , ' "llllIl

TelT.l FrEddie Frem:

Dr. Stan Ha."lI&."'1"; [[email protected]]

Sant:

Saturday, january 20, 2007 8:25 AM

To:

'TallY Friddle'

Cc:

'Caroln Ba..kewelf; 'BO-hby White'

Subiitd; RE: saion bieaching Send a ceasa and desisi ietter to them as wag.

Prom: Teny Fliddle [maiIID:tfIidd1el!!lncrlentalboard.orgl SentI Friday, January 19, 2007 2:04 PM

--To:-Br. Stan tlardesty CCI caroIln Bakewell: Bobtrf White Subject: FW: salon bleaching

Dr. Hardesty, Here', another one. Shall we send a cease and desist letter to Enhanced Light Technologies or the salon, or both?

Terry W. FyCddW

Oep~ c:>p~O{fice.r NC" State BOard of Dental Examiners 501 Airport Boulevard, Sulte 105 Morrisviiie, NC 27560

(919) 6i6-0~ Dlract Dial: (919) 459-1791

Fro!!!! Tat Unit [mallto:[email protected] So!ontl Friday, ]i!!!!Wy 12, 2007 9:51 AM [email protected]~rd.org

Subject: salon bIeadllng

Halo, I wanted IQ bdng this to your attention. The salon whera I have my hair cut IIBYe me a brochure that was given to her aboui a bieaching program fur her saion. it ill a chairside system using ight acivaiion. Tne light unit iooks simiiar to a ZOOM 6"y"SteiiL It does not state the ciliiC6fitiatlon 01 iiliitenal used. From their wet;s.'e, t.'1e procedure Is verj slmlar Of Idont!ce! to the sye+..err-.s v,,'S use LIl our office. The sYStem Is caled "Natural WIlfte SD8" and Is marketed by Enhanced Llaht Technoloaies In ChBrioIta (704) 904-1873 and their' website Is www.enhaiicedwhiietec(Jiiologies.com· ThIs would appear to be In VlolBDon Qf the Dental Practlce Act

112212007

NCBOARD1646

1176

CX0293-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 164 of 366

rage

~

or

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\MRlam T. Wok DDS

u U It!

LI~

112212007

NCBOARD1647

1177

CX0293-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 165 of 366

AL

Line Dempsey From:

Ron Owens [drrkm,A/[email protected]]

Sent:

Monday, December 01, 2008 9:23 AM

To:

Terry Friddle

Cc:

Line Dempsey

Subject: RE: Case Assignment 08-256 ~I '"

T.o.r,-", ......

I

11

Glad you had a great Tnanksgiving. Christmas is a blink away. Please send a cease and desist letter. Please also add whitening update to the agenda under advise from legal counsel. Thanks, RKO

From: [email protected] To: [email protected]!L.COM CC: [email protected]!bcard.org Subject: FW: Case .f!.,ssigr,ment 08~256 Date: Mon, 1 Dec 2008 09:11:29 -0500

! hope you and your family had a \rvondarlul Thanksgiving?? i ate way too much ...... but our family had a very nice holiday.

I have a new teeth whitening case fer you {! can hear

YOUi

sigh of exasperation ali the way here in Morrisviiie

(LOL)!J) Shall we go ahead and send a cease and desist letter?

Thanks. Terry W. Friddle Deputy Operations Officer NC State Board of Dental Examiners 507 Airoort Boulevard, Suite 105 Morrisville. NC 27560 (919) 678-8223 Direct Dial: (919) 459-1791

From: Dr. Holland [mai!tc:[email protected]] Sent: Wednesday, November 26, 2008 3:25 Pt 1 y

T ....

._.

P'T"arl"'u i=ri ......U"'"

, ..... , ' ''',.''..11''';;-

Cc: 'Bobby VJhite'j 'Camlin Bakeweil' Subject: RE: case Assignment 08-256

NCBOARD1905

1178

CX0297-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 166 of 366

From: Terry Friddle [maiito:[email protected]] Sent: Tuesday, November 25, 2008 11:09 AM To: Dr. C. Wayne Holland Cc: Bobby White; Carolin Bakewell Sul~jeiCI:: Case As<,ionmPI,t 01~-2!)6

Terry W. Friddle Deputy Operations Officer NC State Board of Dental Examiners 507 Airport Boulevard, Suite 105 Morrisville, NC 27560

--------------- ------..--------------... ---

(919) 678-8223

Direct Dial: (919) 459-1791

No viru...q. found in this incoming message. Checked by AVG. Version: 7.5.5491 Virus Database: 270_9~lOIl813 - Release Date: 11/26/2008 8:53

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NCBOARD1907

1179

CX0297-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 167 of 366

:". r·,

Terry Friddie From:

Ron Owens ([email protected]!.comJ

Sent:

Monday, December 01, 2008 9:23 AM

To:

Terry Friddle

;,.. '

Cc: Subject: RE: Case Assignment 08-256 HI Terry,

Glad you had a great Thanksgiving. Christmas is a biink away. Please send a cease and desist jener. Please aiso add whitening update to the agenda under advise from legal counseL Thanks, RKO

From: [email protected] To: [email protected] CC: [email protected] Subject: FW: Case Assignment 08-256 Date: Mon, 1 Dec 2008 09:11:29 -0500

Good Moming Dr Owens. I hope you and your family had a wonderful Thanksgiving?? f ate way too much ..... but our famiiy had a very nice holiday I have a new teeth whitening case for you {I can hear your sigh of exasperation all the way heie in Momsviiie (LOL)J!) Shall we go ahead and send a cease and desist letter?

Thanks.

Terry W. FYiddJ.e, Deputy OperCLt:'1.OY1¥ (){fi.<:,er NC State Board of Dental Examiners 507 Airport Boulevard. Suite 105 Morrisville. NC 27560 (919) 678-8223 Direct Dial: (919) 459-1791

From: Dr. Holland [mailto:[email protected]] Sent: Wednesday, November 26,20083:25 PM To: Terry Friddle'

Cc: 'Bobby White'; 'care!!n Bake\"·'1e!!' Subject: RE: C-~ Assignment 08-256

J\1""QnAcn~nI"lO ,~

...............ro, U.' ,<>vu

1180

CX0297-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 168 of 366

• ! ~-:

I: '

~

From: Terry Friddle [mailto:[email protected]] Sent: Tuesday, November 25,200811:09 Ai-..j

To: Dr. C. Wa~sne Holland Cc: Sobb'-( VJhite; CamUn Bakeweii Subject: case Assignment 08-256

TetYy W. FFiddle,t Deputy Ope.-~<-Or14r O{fi.cer NC State Board of Dental Examiners 507 Airport Boulevard, Suite 105 Morrisvoiie. NC 27 560 (9; 9) 678-8223 Difeci DiaL (919) 459-i79i

~============~==~~==~ No virus found in this incoming message. Checked by A VG. Version: 7.5.5491 Virus Database: 270.9.1011813 - Release Date: 11;26/20088:53 AM

No virus found in this outgoing message. Checked by AVG. Version: 7.5.549/ Virus Database: 270.9.10/1813 - Release Date: 11/26/20088:53 AM

NCBOARD1909

1181

'I·

!-\ t

CX0297-004

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 169 of 366

Carolin Bakewell From:

Ron ONens [[email protected]]

Sent:

Tuesday, March 03, 20099:59 AM

To:

Carolin Bakewell

Subject: PyA./: Case Assignment 08-256

From: [email protected] To: DRRKO\'·[email protected]~iAIL.COM CC: [email protected] Subject: Pv·v! Case Assignment 08-256

Date: r·lon, 1 Dec; 2008 09:ii:29 -0500 Good Morning Dr. Owens,

I hope you and your famiiy had a wonderful Thanksgiving?? I ate way too much ...... but our family had a very niCe holiday. I have a new teet.~ whitening caSe for you (i can hear your sigh of exasperation all the way here in Morrisville (LOL}!!) Shaf! we go ahead and send a cease and desist ietter?

Thanks. Tp.rYV • --OJ

\AI}

r:~rrlrllD .

."..,.~

no", ~ #-1.. ~ !"'l'?\.-. t-r -......... ~.- .... .,.. ...... ....,....."....".J >Vi ....... _lAJ"'I4'''-''II~ _,y

NC State Board of Dania; Examiners 507 AiipOt"'t Boulevard, Suite 105 Morrisville. NC 27580 (01 Q\ A7a_Q"''''~ \'" ,..."..,. """,. ... ,.., Direct Dial: (919) 459-1791

From: Dr, Hoiland [maiito:[email protected]]

Sent: Wednesday, November 26, 2008 3:25 PM To: Terry Friddie' Cc;: 'Bobby White'; 'carolin Bakewell' Sut'jec:t: RE: case 08-256

From: Teny Friddle [maiito:[email protected]]

Sent: Tuesday, November 25, 2008 11:09 AM To: Dr. C. Wayne Holland Cc:: Bobby White; carolin Bakewell Subject: case Assignment 08-256

NCBOARD1910

1182

CX0297-005

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 170 of 366

T"D_"-'~ '~J

Lv-:'..J..1,_ , ....... , J' ,.V. I ' ~

Dey lAZ"y Open;t.t'1.OnIr' CJ{fi;c,e¥ NC Siaie Board of Dental Examiners 507 Airport Bouievard, Suite 105 MOfrisvilie, NC 27560 (919) 678--8223 Diiect Dial: (919) 459~i791

..

~~~----- ----~--... ..----~-------- -<~--= No virus found in this incominj! message. Checked by AVG. ..Ve .... ;on: 7.5.549 1 Virus Database: 270.9.10/1813 .. Release Da"': ! 1126/2008 8:53 AM

No virus found in this outgoing message, Checked by AVG.

Version: 7.5.549/ Virus Database: 270.9.10/1813 ~ ReleaSe Date: lli26i200B 8:53 AM

NCBO.-'\RD1 e11

1183

CX0297-006

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 171 of 366

..~~U

\

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it\

Line Dempsey From:

Terry Fridd!e [[email protected]]

Sent:

Monday, December 01, 2008 9: 11 AM

To:

Dr. Ron Owens Line Dempsey

FW: Case Assignment 08-256

Subject:

Attachments: Advertisement.pdf Good Morning Dr. Owens, i [jape you and your iamiiy had a wonderful Thanksgiving?? I ate way too much ...... but our family had a very fllea rloiiday. i have a iiew teeth whitening case ior you (i can hear your sigh of exasperation all the way here in Morrisville (LOL)!!) Shall we go ahead and send a cease and desist letter?

Terry W. Friddle Deputy Operations Officer NC State Board of Dental Examiners 507 A.irport Boulevard, Suite 105 Morrisville, NC 27560 (919) 678-8223 Direct Dial: (919) 459-1791

From: Dr. Holland [mailto:[email protected]] Sent: \"Ioonesday, NOVember 26, 2008 3:25 PM l To: Terry Fdddle Cc: 'Bobby Vv'hite1; 'caroiin BakeweW

Subject: RE Case

08-256

Terri FridcUe [mailto:[email protected],orgj NOvember 25, 2008 11:09 AM To: Di. C. V.Jayne Holland Fr,c~n:

Sent:

T'J~~ay,

Cc: Bobby Vv'hite; Caroiin Bakeweii Subject: Case Assignment 08-256

~ r l erry vv. rnuwe Deputy Operations 0 nicer NC State Soard of Dentai Examiners 507 Airport Boulevard, Suite 105 Morrisville, NC 27560 {Q1 Q\ ~7~31!"'''''l ~ ... 'v,"'" ...,-...,'4 .... Direct Dial: (919) 459-1791 'T'

0 0

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--



1 "

--------- ---- - -------1184

CX0297-007

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 172 of 366

.~, ;j

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No virus found in this Lllcoming message. Checked by A VG. Vt!r~ion: 7.5.5491 Virus Database: 270.9.10/18! 3 - Release Date: 11126/2008 8:53 AJvi

~~o virus found iii this outgoing message. Chc..:kcd by AVG. VCI:{ion: 7.5.549/ Vims Database: 270.9. iO/i8 i3 - Release Date: 11/26/2008 8:53 AM:

NCBO/\RD1913

1185

~

I

ilL

CX0297-008

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 173 of 366

r ' i, I, r,1"I'\1-' l ; , " ~'r I' A /' 1 ff: I r- d i l l

'-~f

.-"

Terry Friddle From;

~~J

tUL~~ffnL

Mark Hyman [[email protected]]

S.nt:

Tuesday, June 17, 2008 1:31 PM

To:

Taiij Fiiddle

Subject RE; Lightning 'NIlilenlng Bailey's On Elm .. ,

336-691-1210 320-A S .Eim St Graansbo.-n, NC 27401

Never saw an imp-.~~km taK&ii .. :was told that they do them there thought!

From: Terry Friddle [mallto:[email protected]!board.org]

Sent: Tuesday, June 17, 2008 11:58 AM To: Mart Hyman Subject: Lightning Whitening Dr, Hyman,

The North Caronna Sisie Board of Dental Examiners is in receipt of Ihe "lightning Whitening' brochure from your wife's

beaut'j salo.-,. Can you grv6 me the name and address of the salolr?? Did you wife observe anyone having an impression made at !:he salon?

Te.Yry W. FYiddl& Deputy ~Offi<;e.r NC Slate BOard of Dental Examiners 507 Airport Boulevard, SuRe 105 MorrisVille, NC 27560 (919) 878-0223 Direct Dial: (919) 459-1791 - - ,--

~ - , .. -- - - ~ .. - - . . . . - -

-.,-,=- -~ - - - - - - '-'..

--. - -

-

61!7/2oo8

NCBOARD2890

1186

CX0304-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 174 of 366

Page 1 of2

Terry Friddle From:

Ron Owens [[email protected]

Sl9nt;

Thursday, December 10,20094:16 PM

To:

TeflY Friddle

SUbJect: RE: Case Assignment 09-269

Please send Cease & Desist. Please let me see the letter before it goes out.

Thanks,

RKO

> From: [email protected] > To: [email protected] > Subject: FW: Case Assignment 09-269 > Date: Thu, 10 Dec 2009 10:26:51 -0500 > > Hey Dr. Owens, >

>- Th!s case has been assigned to you. How wouid you iike to proceed? > > Terry W. Friddle > Deputy Operations Officer > NC Stale Board of Dental Examiners :> 507 Airport Boulevard, Suite 105 > Morrisville, NC 27560 :> (919) 678-8223 > Direct Diai: (9i9) 459-1791

:>

> > -----Originat Message----> From: Brad Morgan [ma!!to:[email protected]".netj > Sent: Thursday; December 10,200910:14 AM :> To: Terry Friddle :> Subject: Re: Case Assignment 09-269 > :> yes, that is fine, thanks :>

> > brad > 011 Dec 10, 2009, at 9:34 AM, Terry Friddle wrote: > > >- Good Morn!ng Dr. Morgan,

» > > Here's a new tooth whitening business. Should "'""€ give this one to :> > Dr. Owens

> > as well?? >:>

> > Thanks.

12i1 On009 NCBOARD6077

1187

CX0311-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 175 of 366

;

!

I

i

i'!

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L

Page 2 0[2

» > > Terry W. Friddle > > Deputy Operations Officer > > NC State Board of Dental Examiners

> > 507 Airport Boulevard, Suite 105 > Mornsvliie, NC 27560

> ;;.. ;:... >-

>- (919) 678-8223 >- Direct Dial; (919) 459-1791 >

> > < 269opdf> >

17JIOOOOQ NCBOARD6078

1188

CX0311-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 176 of 366

NORTH CAROLINA SlATE BOARD OF DENTAL EXAMINERS CL.lt-.oiW O. RlNGOW, D.D.S. Co WAl7.E iiOi.LAffu9 D.U.s.

W. STAN HAADESTV, D.!L'!., ~ RONALD K. OWENS. D.D.8., Secr$ty-r-o..... JOSUH S. BVRNlIAM. D.D.S.. Put PmideI1t ZANNII: P.I:FIRD, Member

c-

BOBBY D. WBITI:, CbiefClpeAlioDl otr_

Nov. 2i, 2007 Boone Mall Management 1180 Blowing Rock Road Boone NC 28607 Re: Tooth \Vl-Iitsning Kiosks

Dear Sir or Madam:

The N.C. State Board of Dental Ex~--n.iners is t..'1e agency created by the North Carolip..2. 1egis!ature to enforce the dental laws in this state. The Dentai Board has learned that an out of state company has ieased kiosks in a number of shopping malls in North Caroiina for the purpose of offering tooth whitening services to the public. North Carolina law specifically provides that the removal of st..ains from human teeth consti~tes the practice of dentistry. See N.C. Gen. Stat. 90=29{b}(2), a copy of which is enclosed. The unaut.1tcrized practice of dentb-try is a misdemeanor. See N.C. Gen. Stat. 90 ..40, a copy of which is also enclosed. it is our information that the teeth whitening services offered at these kiosks are not supervised by a licensed North Carolina dentist. Consequently, this activity is illegal.

The De..nta! Board would be most gratefu] if your company wouid assist us in en.suring t..lo:lat prcpert'j OwTIed or managed by your company is not being used for improper activity that could create a risk to the public health and safety.

$iff AIRPORT BOULEVARD, surrr. 1M • MORRISVILLE, NORTH CAROLINA 27S6C).1lOl TELJ!PHONI ('1') 67!-!l13· FAX (!W}) 6'73-347: • EPoUlL; igi'ittWDG';i"..ibnerd pr! ~ lnfW,.Cdnt81tHW'd.01'l

NCBOARD899

1189

CX0323-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 177 of 366

Plcase feel free to contact me if you have questions,

Very truly yours,

II

. ()

(j,J4~~ Caroiin Bakewell Board Counsel Enclosures

NCBOARD900

1190

CX0323-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 178 of 366

NORl'H CAROLINA STATE BOA-lID OF DENTAL EXA.,'m~'ERS

RONALD K.. OWENS, O.DS,. ..L..y-T•....;w-a: IOSIl'H S. BURNHAM, D.ll.S., !'o!! ~

w. STAN HARDLtilTY. D.!l.S., Pr:t~1t s..

CLIFFORD O. FEINGOLD, DJ).5. C. WAYNlt BOLLAlID. D.D.S. BRAD C. MORGAN, DoD.s.

ZANNII: Po EFIRD, Consumor M......

NEPLUS 5.11ALL, R.D.B.

Nov. 21,2007 Normgate Mall Ofc 1058 W. Club Blvd. Ste.200 Durham NC

Re: Tooth Whitening Kiosks

Dear Sir or Madam: The N.C. State Board of Dental Examiners is the agency created by Lhe Nordl Carolina iegisiature to enforce the dental laws in this state. The Dental Board r.as icamed that an out of state company has leased ldosks in a nlL."l1ber of s..'iopping mails in North CaroJina for the purpose of offerhlg tooth whitening services to the public. North Carolina law specifically provides mat me removal of stains from human teeth constitutes the practice of dentistry. See N.C. Gen. Stat. 90-29(b)(2). a copy of which is enclosed. Tne unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Stat. 90-40, a copy of which is also enclosed. It is our information that the teeth whitening services offcced at these kiosks are not supervised by a licensed Nort.h Ca.'"Clina dentist. Consequentiy, this activity is illegal. The Dental Board wouid be most grateful if your company wOll!d a.• sist us in ensuring that property owned or managed by your company is not being used for improper activity that could create a risk to the public health and safety.

!t1 AI.RI'ORT BOl!l.f.VARD, SUITE 105 • MORRISVILLE, NORTH C..&_Q.OL!NA 11!6t-1ZOC TY....r.erSOl"":E (919) . ( ....Ul. FAX (919) 671-8472· EMAIL: ',[email protected](dea"lhq.nlpq.'I'rWW.acdeataiboard..4:q

NCBOARD911

1191

CX0324-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 179 of 366

Please f--l free to contact me if you have questions. , Very truly yours,

Carolin Bakewell Board Counsel Enclosures

NCBOARD912

1192

CX0324-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 180 of 366

NORm CAROl .INA STATE BOARD OF DENTAL EXAMINERS W. STA.1I!l HACL-n'. DJ).5., Pnside:nt RON...f..!.D !(. OWENs.. D.D.S.. Sccmwy..T:cuurer JOSIPH 8. !!P'_rp_1'II{II~t:!. D.~ P"-ut PR::,jdcni: ZANNIE P. IFIll..». c~ M:::nber

CIJ!7!lOP.D O. FV.JNCOLn. D.D.S. C. W4~ HOLL.Ia_lItfD, D.D.So BRAD C. MOIlG.A_N. D.nS NULVS s. HALL, IUUL

Nov_ 21, 2007 Randolph Mall Management Ofc

1437 E. Dixie Drive Asheboro NC 277203 Re: Tooth Whitening Kiosks

Dear Sir or Mada!n: The N.C. State Board of Dental Examiners is the agency created by tlte North

Carolina legislature to enforce the dental laws in this state. The Dental Board has iearned that an out of state company has leased }:josks in a nu...~ber of shopping malis in North Carolina for the purpose of offerL1]g tooth whitening services to the pubiic. North Carolina law specifically provides ihat the removal of stains from human te-eth constit.:tes t.'1e practice of dentistry. See N.C. Gen. Stat. 90-29(b)(2), a copy of v/hich is enclosed. The unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Slat. 90-40, a copy of which is also enclosed. It is OUT information that the teeth whitening services offbred at these kiosks are not supervised by a licensed Nortl) Carolina dentist. Consequentiy, this activity is illegal.

The Dental Board wouid be most grateful if your company would assist us in ensuring that property owned or managed by your compa_ny is not bei.'r1g used fOi improper activity that could create a risk to the public hea!t.'1 and safety.

507 AIRPORT BOULEVAJU>, SVITllG5 - MORRISVIllE. NORTH CAROLIl"""" l1sw.i1ii 1'EL'£FiiOi;'"E (9j9:) 678-1223 • FAX ('19) " .....71· EMAIL: [email protected]"Um.rd.gn • www..oedllllta)ba~rd.~~

NCBOAR0913

1193

CX0325-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 181 of 366

Please feel free to contact me if you have questions. Very truly yours.

r1

n

~&-~

Carol in BakeweU Board Counsei Enclosures

NCBOARD914

1194

CX0325-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 182 of 366

Caroiin Bakewell From: CarQlln Bakewell [[email protected]]

Sent: Wednesday, Na.;embei' 21, 2007 i:09 PM

To:

'[email protected]'

~_""+.o.....-

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't' ... 11_. "1",,11

l' CU.lIt',Y tV1Q.U

432501enwoodAve.

Raieigh NC 27612 Re: Tooth Whitening Kiosks

Dear Sir or Moilom: The N.C. State Board ofDentai Examiners is the agency created by the North Carolina legislature to enforce the dental laws in this state. The Dental Board has learned that an out of state company has leased kiosks in a number of shopping malls in North Carolina for the purpose of offering tooth whitening services to the public. North Carolina law specifically provides that the removal of stains from human tee"di constitutes of dentidTv -~~ N r r_...... C!.ta.t ~"'OI'l...V"'\ '1"'L_ lmA~uw~Lu-rized r---f'lfiiCiir-.. o·I~Q'enQ"siTv the --'-":ce PJ..t;U,.;ju ___ __ .,._. ... W'-. J.I.l1ll:l__ - J l'S a !!1jsdem~-nor. See N.C. Gen. Stat. 90-40. ~----J.

&&0.

"V-~.7\UI\~J

It is our infollllanon that me teeih whitening services oftCred at these kiosks are not supervised by a Iiec;used North Carolina dentist. Consequently, this activity is illegal.

The Dental Board would be most grateful if your company would assist lIS in e!'I-SUring that property owned or managed by your company is not being used for impmpe!' activity that could create a risk to the public health and safety.

11/2112007 NCBOARD919

1195

CX0326-001

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Please feel free to contact me if you hAve questions. Veri truly yours,

Carotin Bakewell Board C~un..e! Enclosures

1112112007 NCBOARD920

1196

CX0326-002

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nnurrnrllTIl1

UIIUIII t-N •• IIAI uu •• " i1111Jt#"'~"

, From:

PI:"

Dr. Stan Hardest,. [dOo"";[email protected]

\I"'_"' __ ..t_......1_a'NCII, ........ _.
To; ,._ .......

!ubJ=:

tLlrtG 08mp:~1 'Terry': 'Caste Smith'; 'Ca.rot!n'; 'Bobby White' RE: Amazing Grace Spa (07-021)

Based on Line's report. let's place this on the next closure list. W. Stan Hardesty. DDS 2321 Blue Ridge Rd. Suite 103 Raleigh, NC 27607 (919) 781-0018

[email protected] -~---Criginal Me~sage-----

From! Line Dempsey [mailto;[email protected]) Sent: Wednesday, January 16. 2008 11:42 AM To: Stan Hardesty Cc: Terry; Casie Smith; Caro1in; Bobby White Subject: Amazing Grace Spa (07-021) Dr. Hardesty icc Terry, Sobb"y, Casie, Cas:olin):

On January 4; 2007, our office received a telephone complaint about the Amazinq Grace Day spa for teeth whitening services. On March 21, 2007 a Cease and Desist Order was sent. Ms. Weaver responded to the Cease and Desist, stating that she had been informed from State Board of Cosmetology that the process was not permitted and that she had already stopped offering the service. On direction of the Investigative Panel, r made an

unap_~ounced

visit to the

~~azin9

Grace Spa in Wilkesboro; NC on January lOt 2008. I did not identify myself ~s a representative of the Board. I inquired about their teeth

whitening services. The owner informed me that they no longer offered the service, and that I would have to go to a dentist in order to have the teeth Whitening done. I thanked them and left. i will await your further direction in this matter.

a

••

Line!!!

Line Dempsey, MA Investigator

NC State Board of Dental Exa.T.iners

507 Airport Boulevard i Suite 105 Morrisville, NC 27560 919-678-8223 ext. 1785 www.ncdentalboard.org

1

NCBOARDi

1197

CX0347-001

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INVESTIGATIVE MEMO

To:

Dr. WayDe C.. R'ol!a!!d, Cue Of!k-!!" 1\".:. C:rolliI BaL."e!!. Beard Ccun:e!

From:

Line Dempsey, investigator

Dlte:

An..,. 7,2007

Initial COlDplaint

On October 10, 2006, our office received a copy of 1.11 advertilement for the Body, V..!!!d, liT Spi.rit Day Spa The adverticement mentioned 1J1-e!' teeth whitening.

On March 29, 2007, a Cease IIlI1 vealst Letter was sent to the spa. Tne Postmaster returned the Jetter and it was resent. Once again the letter came back

undelivered.

On July 26~ 2007, I attempted to locate the spa. A.,Ar£ii unsiiccessfh!!y fwding the facUityiofiice, i PI -zemed to iocai dentist~. office near the reported address. I ubci ii the office bad beard of the Spa or had a.ny information about a company doing teeth whitening in the area. They did not. I then tried calling the telephone number. The number was disconnected. Again, I drove past the pbysical address, but was unable to find any spa.

COiicliiilOii

It wouid appear that the Body, Mind, &. Spirit Day Spa is DO ionser in business.

NCBOARD82

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n f l l l r l r ' . I ' , AI

LUNrIUt rJ II ,L\ L

Lin. o.mpsey Frem: Sent:

Ron O"waii [dIT'"[email protected] Monday, November 26,2007 10:03 AM

Terry; Casie Smith; carolln; Bobby White 8ubJKt: RE: Case 07·208 Celebrity Sm!les (Soutt,polnt)

CG:

P. !(O

» From: 1d=nPS;;,iij)illl-oe.,talboard.org » To: [email protected]

:> cc: tfr'.ddlaOr,;:dentalboard.org; [email protected] [email protected]'board.org; bwhtteCncdentalboafd.org

> Subf,,:!Ct: case 07·206 Ceiebriiy Smiies (Southpoint) :> Date: ~.on, 26 Nov 2007 08:45:47 ..0500

> Ct. Cv;e11S (0: Teff)', Bobby, Caroiinj •.• did not send to casJe > Hel'l! Is the ;nema for tile CeleiIrity Smiles (SouthpoInt Mall) Teeth-whltenlng > cr- (07 w2(0). I w-a5 abie to serve the Cease and DesIst Order to Ms. > Hea~ 'fait.. :>

w

Une

UrPe Dem~, MA Iit.esttga-toi" :> NC Stat.. Board of Denim Examiners > 507 AJrpo."'t Boulevard, Suite i05 > Mo.~1ne, Ne 27560 :> 919=678..gm at 178S :> :>

:> .,.....;......v.~.e.Jtalbuiiti'org

NCBOARD177

1199

CX0350-001

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Doc: 63-4

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NORTH CAROLINA STA:I ".

Pg: 187 of 366

BO.A.~1ID

W. :TA.~ •gAJUlL~. ii.D.s.. Ptaideat RONALD I(.

OF DENTAL EXAI'YITh'ERS CLlFJ'ORD O. FEINGOLD, D.nS

owvm. D.D.s., Sacnwy-Trcuum

c. WAYNE ROLLAND, !lD3. BRAD C. MORGA!(, D.D.s. NlPLUS S. JIALL, R.D.H.

JOS!!'H !. !!!..'R.~~ D.n.s.. P"-.. iTciidcai: UNNIJ, Po. EF!!I.D. ~.:'J.'n..'"T M::+..ber

November 20. 2007

HAND·DELIVERED ~v1s.

Chiistiane Dotson Ms. Sherry Nelson Celebrity Smiles c/o The Streets at South Point 6910 Fayetteville Road Durham. North Carolina 27713

NOTICE AND ORDER TO CEASE A!'!D DESIST Dear Ms. Dotson and Ms. Ne!son: The North Carolina State Board of Dental Examiners is investigating a report that you are engaged in the uniicensed practice of dentistry. Practicing dentistry without a license in North Carolina is a crime. See (NC General Statutes § 90-40 and §9040.1). You are hereby ordered to CEASE AND DES!ST any and all activity constituting the practice of dentistry or dental hygiene as defined by North Caroiina General Statutes §90-29 and §90-233 and the Dental Board Ruies promulgated thereunder. Specifically. G.S. 90-29(b) states that .... ·A person shall be . deemed to be piacticing dentistry in this State who does, undertakes or attempts to do, or claims the abiiity to do anyone or more of the following acts or things which, for t",9 pUl~ses of this Article, constitute the practice of dentistry:·

"(7)

Takes or makes an impression of the human teeth, gums or jaws;"

1;(10) Performs or engages in any of the clinical practices included in the curricula of recognized dental schools or colleges."

!i01 AIRPORT 8OULEVAJtD, sum 1M· MOP_It!SVU"U:.. NO"'I II CAROLINA 17~0CI TELEtHON!: ('I') 6'Wlll· FAX (91f) 6' ...... 72· EMAIL: 'g(deakn"IM.nt.pIY. _,~~ot,,!!t!,!~e..""Il.=~

NCBOAR01,s9

1200

CX0351-001

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Ms. Christiane Dotson Ms. Sherry Nelson November 20, 2007 Page Two

The North Carolina State Board of Denta! Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is the proper agency to conduct this investigation. The Board may use any iegal means at Its disposal to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance, and the hiring of undercover agents .. The Board requests that you cooperate in tl1e current investigation by calling the Board's office and arranging to be interviewed by the Boaid's investigator and by submitting a written response to this notice and order within fifteen (15) days of the receipt of this letter.

Sirterelv, /\ \\

A II/)...·

.~._v c::-=-r 6 );;,!', 'AI C... I.¥ I ",II

J

"Y. I

"

1 •

d. ..dd..'Lt

Its

Deputy Operations Officer

THE NORTH CAROLINA STATE BOARD OF DENTAL EXAM!NERS

cc:

Case Officer Ms. Carolin Bakeweli, Board Attorney Mi. Frank Recker. Attorney at Law

NcaOARD190

1201

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(

ADDENDU-M TO {NVESTIGATrVE MEMO To;

D!"~ w~ St!!! Hardesty, Case Officer M=. CaroHn Bakewell, Bc:.--d Coun:e!

From:

Line Dempsey, investigator

Date;

August 7, 2007

Re;

SheShe Studio Spa - D!U!J!, (C!!Ie 07"()26)

Initial Complaiot On Februarv 15.2007. I received an anonvmous telenhone call from an individual who wmted at II d~tai offi~ lind hAll seen II flyer for teeth whit~ing. She questioned lite pro"-edure, so she called the ~wod office to ask abol..'t the re~J.!ation of 91.Jch o-yer.Jions. Aecu--rul.ni to the caller, the JI,ice for the system is $139.00 and includes illIprcssions. Company Information SheShe Stut!io SPII Margie Hughes 17336 US 421 Sou."th Dunn, NC 28334 910-890-2681

I did a quick Internet search and found an additional address for SheShe Skin. It had the exact same telephone number. The address was: 206 North Ellis Avenue, Dunn, NC 28334. CorrespondeiiCe

On February 23, 2007, a Cease and Desist letter was sent to Ms. Hughes. Ms. Hughes responded to the letter on March 3, 2007, stating that she had spent considerable time researching into the field and that she failed to see that she was violating any provi-Sion of the !>entJ.l !'rR"lic~ Act. Ms. CILro!in BAl
NCBOARD406

1202

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Une-Dempsey ~~ea'

Frc.'11:

Alisssa

Sent:

Wednesday. February 13. 2008 9:23 AM

[[email protected]

To:

[email protected]

Subject; ieeth whitening

Mr. Dempsey, Good Morning, I just left a message on your voice mail as well. i wanted to taik to you briefly about the teedl whitening businesses that ate !!,owing in maiis and salons in our area. I have spoken with The Stree+.s at South Point Mall and they informed me that the previous teeth whitening business was shut down very quicidy. i wanted to go to the source and find out why.

Your expertise would be greatly appreciated. I know there are other businesses 5UC"_'"S8r.illy wor-..ing in the other large malls in the area and am curious why Southpo1nt was the only one order"~ to leave. Thank you for your time in advance and rhope to hear from you soon.

Never miss a thing. Make Yahoo your homepll£!!,

NCBOARD1135

1203

CX0354-001

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Doc: 63-4

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Pg: 191 of 366

(

) .. '

rnf.,~ r '<.} \ ...i

To:

;; ~

Dr. Clifford O. Feingold. Case OfIicer Ms. Carolln BakeweU, Board Counsel

From:

Line Dempsey, Investigator

Date:

September 24, 2007

Re:

Carmel Day Spa and Salon - Charlotte, (Case 07-146)

initial Compiaint

On August 13, 2007, Kelly Reaves received an anonymous report of the use of Zoom Wbitenin2 at Cannel Salon & Soa. The 2entleman said that he spoke with a dental supplier in the irea who delLied supplying the -equipment to the saJonispa but said they could have gott.en it off the internet or a.Ylotber local dentist could be ortL-rlng for them. The adcL--ess of the Carmel Salon is 6219 C~-me] Road. Cl"'....arlotte, NC 28226. The telephone number is (704) 7.59.. 1440. A Google search shows their website as www.Cl!I1!!eidayspa.com

In vestlgatJon On i\.U6~t 20, 2007, I presented to the Cannel Day Spa and Salon and presented my credentials and asked to speak with the D.:iiiililger I owner. The women said that she was the owner and she gave me her business card. Her name was Shomeh Rafie. i inquired about the teeth-whitening program (that was advertised on their counter). She slated that a dentist would come to the office to perform the procedures. She assured me that no one in the office made impressions or did the whitening. I then asked her for the dentist's name. Ms. Rafie said that she could not remember the name and that she had it at home. I then gave her my business ca..rd and the Boa..rd office telephone numbers. Because I would be traveliii.g, I asked her to contact l'...fs. Casie Quade. Tne next morning, Ms. Goode stated that a gentleman called her and informed her that they did not think that there was anything wrong. He had his attorneys review the case, and he did not think that they were practicing dentistry. But. he did say that they would discontinue the practice. Ms. Goode asked him if they employed a dentist for the proce.dure. The caller said that they did not. FmaUy, Ms. CTQOde asked that the

NCBOARD164

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rnM~Hl:-

ifil1i

IJUIIIIUL lIillL.

Front:

Ron OWens [drrkowanaGlholm8ll.comJ

..,.Il* DIUI •__ ".'1.....,...,.-.- ..''It\""',._, ,...

T.~w

1tJ~

")ftft? ..

"""",r.-..

TO: Teny Friddie SUbject: RE: WhItening spa

From: iiUdd"'VtlCOl!lItaiboan:i.org

To: DRRiwWtiiSOHu II'iAlLUJM Subject: FW: WiIltening $pi Date: T~ 20 Not 2001 08:03:55 -0500

Dr. Owens,

Is it okay if we go ahead and draft a cease and desist orde£ to take with us when we 1(0 back: aver to check this outli Terry W. Frid.d.l.&

.....

fJ
507 Airport BouIaVllm, Suite 10S

MorTIsviIle, He 27560 (819) 878-8223 DIrect DIal: (819) 459-1791

Prom: Dr. Stan lIanlesty [malllD:doctoI stanOnc.rr.com! s.nt: Monday. NoYember 19. 2007 12:37 PM To: Terry Friddle' Subject: FW: WhItenIng spa

Im.,.,.u_: High

FYI

W. Stan Hardesty, DDS 2321 Blue RIdge Rd, Suite 103

Raleigh, He 27807 (919) 781-0018

doctQr-stanOnc.!T.com

Prom: Heymann, Harald [malto:Hara~HeymannODENTlSTRY.UNC.EDtJ] Sent: Monday, November 19, 2007 12:23 PM TOI docb:Jr-slanOnc.rr.ccm Cc: SwIit. Edward; Heymann, Gavin Subject: Whlt!!nlng spa

! !!1lJ!2007 NCBOARD191

1205

CX0365-001

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'"' n

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r

, ;-, r

, ,

"!" ~



I

I'UUIIIIULIIIIlII.. II ~I ~ i II Hu i i Ii 1

Stan, thank you b'taldng rnv can. As I noted, there ill a kk!sk perfooring Ight~!!d b!eech!ng on !hI!! e!'!d pe1fents located 1m the ground ftoor of South Pointe Mal In front of Macy". My aoo Gavin lin!!: _ made me aware of It, 80 I went to take a look for myself, The lady with whom I spoke Ie named Ha!!thl!!' York. She said thlltltwaa legal since Itwaa a cosmetic procedure, She said they U88 44% Clllbamde peroxide a:iminlatered a 'gel tray'll They charge $1001 The company she Is aeocIated with Is ih_owsmiie.com

It... ;

Thanks for IoGldi.y lnto am iUipfi$ed that you said ihia has been an ongoing problem I appreciate your :v.a.nd!rtg Soard Irr,;6iitlgr..oi today, and hope you ¢lin get an injunciion 88 you noted is posajbie. Thanks for e! you de for us,

=

H....kt H.rakt O. Heymann, DOS, MEd Profesaor and Graduate Program DIrector Department of Operative Dentistry School of 0enhIry . Univenlty of NOIIh CaroIna Chapa; Hii, He 27589-7450

\-.-1 FAX (919) 988-SGOO

... _1

1ft.. """"

I"'.

_ _ ...

.oo-~I tU

11120/2007 NCBOARD192

1206

CX0365-002

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Pg: 194 of 366

Bobby White From:

Dr Ron owens (drrlcowens®hotmaU.com]

Sent:

Monday, March 17, 2008 8:51 PM

To:

Cc: Subject:

[email protected]; Dr. Joseph S. Burnham; Dr. Stan Hardesty Caroiin Bakeweii; Terry Friddie Re: Team Whitening

Tha.nks, FKO

On 3/17/08 11:22 AM, "Bobby White" wrote: > We're getting lots of calls as a result of the N & 0 article on Saturday. > The reporter has called and i told her that the Board~s ~strategy= was to > continua to look at each kiosk en a case-by- case basis. I also agreed to > eend her a copy of the cease and desist letter we've eent and the > complaint$ in the two lawsuits we have filed~ > > We have also gotten a number of inquiries from people who own or are > contemplating owning one of these outfits. I suggest we draft a brief > statement for your approval so we can say the same thing to everyone. I > should have someehing to you this afternoone

:> > > >

bd~

1 NCBOAR01179

1207

CX0369-001

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Pg: 195 of 366

NORTH C};r. .•~.OLINA STATE BOARD OF DENTAL EXAl'vmrERS JO:i--Vii S. BURNifAM. D.D.B.. PreIidf:rIl W. S1'AN ILUtDii:S"ri. D'&.s., Scc:macy.Trcuu.rct' STANLEY L hLLEt.a, 0.0.8" Piiit~iidwt

CLIFFORD O. FEINGOLD. D.D.s. RONALD K. OWENS, D.D.S. e, WA,YNJ: HOLLAND.D.D.S. Ft"EPLliS S. B...U.L.. R..Jj,H.

ZANNn: P. EFIRD, COOll!-~ M
BOBBY D. WlUT!. (bief Opcnliotll OfItcel' T":'_L

rvu.

, ................. ,..,

1.),

~UUI

Enhanced Light Technologies 7515 Robin Crest Road, Ste. A Chariotte NC 28226 Dear Sir or Madam:

11 bas come to the attel1tion of the N.C. State Board ofDenta! EXaII'.iners that reptesentativeMs of your firm have sold andlor attempted. to sell teeth white-'.uiug systerns to

non-dental professionals in Ncrt..h Ca..rolina, such as spa and salon. owners.

Please be advised L'\at, under North Carolina law, any process that (~[r]emoves ::.taiiis. accretiOT15 or deposits from human teeth~~ constituies the practice of dentistry. S"" North Carolina General Statute Section 90-29(a)(2). Individuals who use your producis to provide teeth whitening services to tile public may be engaging in the unauthorized practice of dentistry, which is a misdemeanor. See North Carolina General Statute Section 90-40. The Board is providing this information to you, so that you may accurately inform current and potential customers of the lirilitatiOllS on the provision of teeth white-nil1g services in North Carolina. Feel free to contact Ine if you }1..ave questions.

Tha!1_k you for ym.Tf cooperation. Very truly yours,

r\

_

(I __ tin _ ~U~

Carolin Bakewell Counsel

EX£CU-nVi uii'FiCi. Sij'j AiRi>uRf' a.UUUVAKD, SUITE Its· MORnISVlLLI., NORTH CAROLINA l'5ti~12IO TIl.&PHONE t!ll9} 671-8123 • FAX (919) '71-8471 • RMAJl..: Inf.. lji.'etl .. nh.lh .....; "...... ~~.!!'lcl!!~t=!~~.;. .

NCBOARD1634

1208

CX0371-001

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IN RESPONSE TO FTC SUBPOENA SPECIFICATION 1:

I, Willis Stanton Hardesty, Jr., DDS, have practiced dentistry each calendar year from 2005 to date under the professional entity of: W. Stan Hardesty, DDS, P.A. 2321 Blue Ridge Road Suite 103 Raleigh, NC, 27607 (919) 781-0018 My corporation is registered with the North Carolina Secretary of State and the North Carolina State Board of Dental Examiners and is currently renewed as required by North Carolina law. From calendar year 2005 to date, I have employed one dentist: Dr. Elizabeth Pennington - employed from April 23, 2002 until March 2,2006 I have had no other partners or shareholders from calendar year 2005 to date. The dental hygienists I have employed in either a full or part time capacity (not contract temporary employees) from calendar year 2005 to date are as follows: Rachel Kennedy, RDH - currently employed (since May 4,2009) Tonia Hayes, RDH - currently employed (since April 2006) Terri Daniels, RDH - previously employed from January 1, 2002 until April 30, 2009 Peggy Murray, RDH - previously employed from May 1,2001 until March 17, 2006 I have used contract dentists and dental hygienists in short term assignments for fill in work when one of the above employees or I was not present at the above facility (for no more than two weeks) from calendar year 2005 to date through the below company: Dentemps, Inc. 1507 Laughridge Drive Cary, NC 27511-5217 (919) 461-9655 Employees utilized through this company were not regular employees of my corporation.

1209

WSH-FTC-000003 CX0378-003

63 59 78 57 41 36

Per Spec. 3b. TOTAL Spec. 3b. PRACTICE NUMBER OF PATIENTS/CUSTOMERS PATIENTSfCUSTOMERS

Specification 2(b) was eliminated by modification of I am unable to ascertain the the subpoena received on exact number of patients I had at September 7, 2010 via phone 7,2010 each year yea r end end as I do not keep conversation with W . Lanning those statistics. However, I statistics. However, and via mail. via electronic mail. currently curren tly have a total number of 2520 active patients. I represent that this number is likely the same from calendar year 2005 to date with only plus or minus 50 year. patients in any given year.

Per Spec. 2b. TOTAL Spec. 2b. PRACTICE REVENUES REVEN UES

1210

Signed: Willis S

;;;;;::
2010) ended September 8, 8,2010)

WSH-FTC-000012 CX0378-012

Filed: 07/06/2012

To the best of my knowledge and pursuant to 28 U.S.C. U.S.C. § 1746, I, Willis Stanton Hardesty. Hardesty, Jr., DDS, DDS, declare under penalty of perjury thaI e fa.regoing f going is a true and correct response to FTC Subpoena Specifications 2 and 3. 3. that Itbe

*• 2010 numbers are through 8-3 8-31-2010 1-2010

$3,846.00

$2,904 .00

$$13,945.00 13,945.00 $5,335.00 $10,462.00 $4,787.00

Per Spec 3a. 3a. TOTAL NUMBER OF TOOTH WHITENING WHITEN ING PRODUCT PRODU CT AND SERVICE PATIENTS/CUSTOMERS

Doc: 63-4

2007 2008 2009 ' 2010 *2010

2005 2006

YEAR

2a. TOT TOTAL Per Spec 2a. AL TOOTH W HITENING PRODUCT AND WHITENING SERVICES

Table of FTC Subpoena Responses Res ponses for Specifications 2 and 3 (Amended September 8, 2010)

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-cnnRTR A. DnT T'" ~ "..,.. • ..,...,. .. U .....,~ ... 'On 1' __ ............. r_~, ....... ...,.L1 .. n. ~J.ftJ..I!J D

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Dl<'''''IAL' .I.!IJ.,

CLIfFORD O. nJNC~LD. D.D.!. RONALD Ie. ~8. n.nA

JC:;Fii S. 8URiiiiAM. DJ).&,. Praideztt

w. !TAN !lAR.DLan'. D.n.s.. Secmary-Tnu:tn'W STAHLin' L.. ALL!.IIIf, n.D.!., ~ Prciidin

loANNlI

P.1tFIRJ)!

E-XAMlNERS

C. WAYNE HOLLAND, D.D.s. NJ;PLUS B.IIALL, R.D.H.

COf1mml!ll; MI!'l~ll!e!: BOBBY D. WIIlTa. ChiefOperadmu O~

january 31. 2007

CERTiFiED MAiLJRETURN RECEIPT Mr. Alan Elrod Details. Inc. 509 1SI Avenue. SW Hickory. North Carolina 28602

NOTICE AND ORDER TO CEASE AND DESIST Dear Mr. Elrod:

The North Caroiina State Board of Dental Examiners is investigating a report tlJat you are engaged in the unlicensed practice of dentistry. Practicing dentistry \'!ithout a license in North Carolina is a crime. See (NC General Statutes § 90-40 and §90-40.1). You are hereby ordered to CEASE AND DES!ST any and aU activity constituting the practice of dentistry or dental hygiene as defined by North Caiolin8 Generai Statutes §90-29 and §90-233 and !he Denta! Board Rules piOmulgated thereunder.

SpacificaHy, G.S. 90..29(b) states that ... ,"A person shaii be deemed to be practicing dentistrl in this State who does, undertakes or attempts to do, or claims the ability to do anyone or mOie of the foiiowing acts or things which, for the purposes of this Article, ccnstit"uta the practice of dentistry:~ "(2)

Removes stains. accretions or deposits from the human teeth;"

"(7)

Takes or makes an impression of the human teeth. gums or jaws;'

"(10) Performs or engages in any of t"e Clinical practices induded in the curricula of recognized dental schools or colleges."

IXiC"LiTWi; OfTIC"K .!f1 AIRPOR'I' IOUUtVARD. smn lOS· MORlUSVIl..LI. NOR1'lf CAROLINA 17560-l10I TXLEPHON:I: <'lot) 47t-m!· 'f'_l{ {'It) '~"n ~ 1.iftAil,: ·....,.. . .·Uwrd.qQ • tnrW.ACdtatallterenUr'l

NCBOARD228

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Mr. Alan Elrod January 31, 2007 Page Two

The North Caroiina State Board of Dental Examiners is the state agency charged with regu.I,aitng !bel Jlf
f\ _\.."

\ r..

' J....J,.)-W.~

~W.F~Je

Deputy Operations Officer THE NORTH CAROLINA STATE

BOARD OF DENTAL EXAMiNERS

cc:

Case Officer Ms. Carotin Bakewell, Board Attorney

NCBOARD229

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NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS CLIFFORD O. FEINGOLD, D.D.s. e. WAYNE HOLLAND, D.D.S. BRAD C. MORGAN, D.D.s. NEPLUS S. HALL, R.D.H.

W. STAN HARDISTY, D.D.8., Prcaident RONALD K. OWENS, D.D.B., Sem:tuy-TmIuret JOSEPH S. BURNHAM, D.D.s., Put Preaident ZANNIE P. EFIRD, Coosumtz Membor BOBBY D. WHITE, Chief Operations OffIcer

July 17, 2008

fa v

~! FJun i . C~ ;. Tf ~ l

"J

I

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Ii

Bailey's Ughtning Whitening 320-A Elm Street Greensboro, North Carolina 27401

NOTICE AND ORDER TO CEASE AND DESIST Dear Bailey's: The North Carolina State Board of Dental Examiners is investigating a report that you are engaged in the unlicensed practice of dentistry. Practicing dentistry without a license in North Carolina is a crime. See (NC General Statutes § 90-40 and §90-40.1). You are hereby ordered to CEASE AND DESIST any and all activity constituting the practice of dentistry or dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Dental Board Rules promulgated thereunder. Specifically, G.S. 90-29(b) states that .... "A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do, or claims the ability to do anyone or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:"(2)

Removes stains, accretions or deposits from the human teeth;"

"(7)

Takes or makes an impression of the human teeth, gums or jaws;N

"(10) Perfonns or engages in any of the clinical practices included in the curricula of recognized dental schools or colleges."

5#1 AIRPOIIT BOULEVA'RD, SUITE lOS' MORRISVILLE, NORTH CAROLINA 17560-8100 TKLBPHON& (919) 6711-8l23 • FAX (919) 678-U71 • EMAIL: [email protected];dCltalbglnl.grK • M\'WoIcdeJItalboard.or&

NCBOARD2887

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Bailey's Lightning Whitening July 17, 2008 Page Two

The North Carolina State Board of Dental Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is the proper agency to conduct this investigation. The Board may use any legal means at its disposal to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance, and the hiring of undercover agents. The Board requests that you cooperate in the current investigation by submitting a written response to this notice and order within fifteen (15) days of the receipt of this letter. Sincerely,

Gasie S. Goode Assistant Director of Investigations THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS

cc:

Case Officer Ms. Garolin Bakewell, Board Attorney

NCBOARD2888

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1215

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CX0388-001

Appeal: 12-1172

Doc: 63-4

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1216

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CX0388-002

Appeal: 12-1172

Doc: 63-4

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NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS RONALD K. OWL"'fS, D.noS.. ~t c. WAVNJi: IlOLf.ANJ)~ D,O,s,. Set.:ret!!.!'Y~'fre!!tJrer W, 'iTAN HARDESTY. D,D.s....., Pn:.idcnt

JOSEPH S, BURNHAM, D,D.s. BRAD c. MORGAN, D.D.s. MILLARD w. ""'ESTER. iiI, D.0.8,

7.ANNIE P. EFIRD, COllfilmer Member

QUVD'D.I '0.... r. .... II ........ -.,..n .......... ..'""'...... ""-&.'.["J.

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~

BOBBY D. WHITE, Chief 0p.""iOl18 Offi.,...

September 24, 2008 f'l0 I'

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110:

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CERTIFIED MAJURE TURN RECEIPT Triad Body Secrets 1403·8 Hwy 66 S K'g,rna:.r"Cnnllo. I\.fnr+h ~""""""""."''''''I ........ 1011



r"~rn.""_

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NOliCE AND ORDER TO CEASE AND DESIST To Whom It May Concern: The North Carolina State Beard af Dental Examinais is InvestIgating a report that you are engaged In the unlicensed piactlce of dentistry. Practicing dentistry without a license in North CaiOlina Is a crime. See (NC Generai Statutes § 90-40 and §90-40.1). You are hereby ordered to CEASE AND DESIST any and all activity constituting the practice of dentistry or dental hygiene as defined by North Caronna Genera! Statutes §90-29 and §90-233 and the Dental Board Rules promulgated thereunder. Specific.ally. G.B. 9Q...29(b) states that .... "A parson shaU be deemed to be practicing dentistry in ta,!s State ' 'v-no does, undertakes or attempts io do, or ciaims the ability to do anyone Oi mOie of the foiiowlng acts or things which, for the purposes of this Article, c-onstltute the practice of dentistry:" "(2)

Removes stains, accretions or deposits from the human teeth."

"(7\ ,. ,

T"'kA~

nl"

m~Ii.oQ!:In Im"'l".l~~U,!..... I ..... r'I.""~

• _. _ ................. , ........... ,. III ~1~.,;:J..-:JIVll VI

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"(10) PeifoimS Of engages in any of ihe clinicai practices included In the curricuia of recognized dental schools or colleges."

S!')' AUt.uoaT BCL'......RYAilD.:iu'1TE iU5" MORRiSViLLE, NORTli CAROLINA l1S6Q..8I()(] TiLEPl[ON£ (,}19) 678-8113 • FAX (919) 67S-847l • EMAIL: lJdotii'mcdf'lItalb..rd_ ...•... www.!!d~!!.!!!lb!!!!rd,~~i.

NCBOARD2900

1217

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(

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September 24, 2008 Page Two

The North Caroiina State Board of Dentai Examiners is the state agency charged with regulating the practice of dentistry In North Carolina and is the proper agency to conduct this Investigation. The Board may use any legal means at Its disposal to conduct this investigation including, but not limited to, Interviews with currant and former patients, surveillance, and the hiring of undercover agents.

The Board requests t"st you cooperate In the currant inv6stigatlon by calling the Board's offics and arranging to be Interviewed by the Board's jnvestigator and by submitting a written response to ihis notice and order within fifteen (15) days of the receipt of this ieiter.

Sincerely, r-00""1",,,

c

_,"",.07lv V.

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~V\,l\.ol1tJ

Assistant Director of investigations THE NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS

cc:

Case Officer Ms. Carolln Bakawell, 808id Attorney

NCBOARD2901

1218

CX0389-002

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NORTH CAROLINA STATE BOARD OF DENTAL EXA.MINERS JOSEPH S. Bt:R:-IHA~I, D.D.S. BRAD C. MORGAN, D.D.S. ~IlLLARD W. WESTER, !II, D.D.S. JE:-INIFER A. SHEPPARD, RD.H.

RONALD K. OWENS. D.D,S .• Presldent C. WAY;\fE HOLLAND, D.D,S., Secretary* lreasurer W. STAN HARDESTi, D.D.S•• Past President Z.-\Nl"·HIi: p, £FIRD, Consumer Member BOBBY D. WHITE, Chief Operations Offkef

November 12, 2008

f'rp [PH

:.)UI r lUC

CERTiFiED MAiURETURN RECEIPT Whitening on Wheels ~v1r. Nathaniel Vinke 1 7111 Kenton Drive Suite 100B Cornelius, North Carolina 28031

NOTiCE AND ORDER TO CEASE AND DESIST Dear Mr. Vinke: The North Carolina State 80aid of Dental Examiners is investigating a report that you aie engaged in Ihe uniicensed practice of dentistry. Practicing dentistry without a iicense in North Carolina is a crime. See (NC General Statutes § 90-40 and §90-40.1). You are hereby ordered to CEASE AND DESIST any and all activity constituting the practice of dentistrf or dental hygiene as defined by North Carolina Generai Statutes §90-29 and §90-233 and the Deniai Board Ruies promulgated thereunder. Specifically, G.S. 90-29(b) states that ... ."A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to dc, or claims the ability to do anyone or more of the follo~\o;ng acts Oi things which, for the purposes of this Article, constitute the practice of dentistry:'" "(2)

Removes stains, accretions or deposits from the human teeth;"

"(7)

Takes or makes an impression of the hUinan teeth, gurns or jaws;"

-(1 U) Performs or engages in any of the clinical practices included in the curricula of recognized dental schools or colleges."

501 AIRPORT BO(;lEYARD, SllITE HIS· "IORRJSVU.U:, "ORTH C-\ROU1\A 27560-821)1) TELEPHO"E (91<1) 618-8223· FAX (919) 678-8472· E~1.\lL: in(OI,incdgDtalboard Mg" www.Dcdentalboard.llrjt

NCBOARD2268

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NORTH

Filed: 07/06/2012

C,,~ROLIN~~

Pg: 207 of 366

STATE BOAPJ) OF DEl"-iTAL

EXA~IINERS

JOSEPH S. RI)R'ltJHA---,\1, D.DoS. BRAD C. MORGAN, D.D.s. MILLARD W. WESTER. m, D.D.S. JE'
RONALD K. OWENS, D.D.S., President C. WAYNE HOLLA'iD. O.D.S .. Secretary-Treasurer W. STA .... HARDESTY. D.D.S., Past President ZA.l\jNIE P. EFIRD, Consumer Member BOBBY D. WHITE, Chlef Operations Officer

\A/h:........... : ........ 1""'\_ \A/L.. __ I_ Y V IIfL'C'IIIII~ vt I 'tV 11t:::t::I;:'

November 12, 2008 Page Two

The North Caroiina State Board of Dental Examiners is the state agency charged with regulating the practice of dentistry in North Carolina and is the proper agency to

conduct this investigation.

The Board may use any legal means at its disposal to

limi................ :. . . . . - .:-...- ...:,. . - . . ,.. _-

rnnrh 1M tnic: in\lQ.e.ti"'=ltinn i ..... ,.." u·.fin" h ............... _.A. .--_..J ............ _ _ ................. I ........... ,~<"O; ........ 1 I 111 ..... 1 .......... I~I UUI. IIVI. 1111 IL'C"U LV, 1I1I.e'1 view;::, WiLli t,;UI r t;::lll i:UIU

lurme r'

L __ ._- -

patients, surveillance, and the hiring of undercover agents. The Board requests that you cooperate in the current investigation by submitting a written response to this notice and order within fifteen (15) days of the receipt of this

letter. Sincerely,

Casie S. Goode Assisiani Director of investigations

THE NORTH CAROLINA STATE BOARD OF DENTAL EXA.M!NERS

cc:

Case Officer

Ms. Carotin 8ake\A/e!!, Board .A,ttomey

5U7 AIRPORT BO;::LH~"RD, SLiTE i05· .viORRiSViLiE. "iORTfi CAROLINA 27560-8200 (919) 678-8223 .. FAX (919) 618-8-472 .. I':,\IAII.: InfcIFl1'nrrl .. nr"I" ... n..rl 0 ...... W'l\'W.ncd~llt~!bo:!rd.{lrg

TELEPHO~E

NCBOARD2269

1220

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NORTH CAROLiNA STATE BOARD OF DENTAL EXAMINERS RONALD K. OWENS. D,D,S., Pre~jdem C· W-\Y~E HOLLA:SO, D.D.S., Secrerartj-Treasurer W. STAN HARDFSTY, D,D~S~, Pilst P!I!'siden! l,\.NNIE P. F.:FlkD, Con~wner Memhf'f

JOSEPH S. BURNHAM. D.D.S. BRAD C. MORGA.~, D.D.S.

MILLARD w: WESTER, III, O.D$. .rENNiFER A. SHEPPARD, R.D,K BOBBY D. WHITE. Chief Operations Officer

December 31,2008

CERTiFiED MAiURETURN RECEIPT

n f r:T t: I U L i',~ i ilL

The Extra Smile, Inc. ~A~

r.vnthi~ ~h ICct

......... _JI.U ........ --' .......... 0 ... A"l LJ:_L..~._ .. .,jn~

ro_ ...... t-

o ."'t-L n'Yllway IU\J .;::IUUlIl

Boone, North Caroiina 28607

NOTICE AND ORDER TO CEASE AND DES lSi Dear Ms. Biusi: The North Carolina State Board of Denta! Examiners is investigating a report that you are engaged in the unlicensed practice of dentistry. Piacticing dentistry without a license in North CaiOlina is a crime. See (NC Generai Statutes § 90-40 and §90-40.1). You are hereby ordered to CEASE AND DESIST any and all activity constituting the practice of dentistry or dental hygiene as defined by North Carolina General Statutes §90-29 and §90-233 and the Dental Board Rules piomufgated thereunder. Specificaiiy, G.S. 90-29(b) states that ... ."A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do; or claims the ability to do anyone or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:" "(2)

Removes stains, accretions or deposits from the human teeth;"

"(7)

Takes or makes an impression of the human teeth, gums or j8\,4,/5;"

"(10) Performs OJ engages in any of the ciinicai practices inciuded in the curricula of recognized dental schools or colleges."

5{)i

AIRPORT BOULEVARD, SliiTE 105' MORRISVILLE, NORTH CAROlDIA 27560--8200

TELFrHONE (9i9) 67R-fi.223· t-'.X (91':1) 67K-1I·PZ· E;\1AIl; inforifncdentlllbuard.or'"

www.ncdentalboard,org

NCBOARD1902

1221

CX0391-001

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NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS JOSEPH S. auR."iHAi'\1, 0.0,5. aRAD c. MORGAN, D.D.S. MILLA..RD w. WESTER. iII, D.D.S. ,1E~NIFER A. SHEPPARD, RO.H.

RONALD K. OWENS, D.D.S., Pres idem C. WAY~n.: HOtL,4.---.!"l'O, D.D5., Secretary-Tre
ZA:'-INIE P. EFIRD. Consumer Member BOBBY D. WHITE, Chief Op¢ratiollS Officer

The Extra Smile, Inc, December 31, 2008

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I YYU

The North Carolina State Beard of Dental Examinsis is the state agency charged with regulating the practice of dentistry in Norih Caroiina and is the proper agency to conduct this investigation. The Board may use any legal means at its disposal to conduct this investigation including, but not limited to, interviews with current and former patients, surveillance, and the hiring of undercover agents.

The Soard requests that you cooperate in the current investigation by submitting a written response to this notice and order within fifteen (15) days of the receipt of this jetter.

Casie S. Goode Assistant Director of Investigations THE NORTH CAROLiNA STATE BOARD OF DENTAL EXAMINERS

cc:

Case Officer Ms. Carojin Bakewell, Board Attorney

5U7 AIRPORT BOULEVARD, SCTTE 105' .\-IORRISVILLE, "IIORTH CAROLI:'oiA 1.,560-8200 TELEPHONE (91(}) 6iS-822J· F,\X (9i9) 678-847t· £;\"IAIL: In:.fu.!:itncdeJItalhoard Dr'" www.ncdcntalboard.org

NCBOARD1903

1222

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ADA American Dental Association" America's leading advocate for oral health

Tooth WhiteninglBleaching: Treatment Considerations for Dentists and Their Patients ADA Council on Scientific Affairs September 2009

©2009 American Dental Association. All rights reserved.

003Z72 1223

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Tooth Whiteni ng/Bleachi ng: Treatment Considerations for Dentists and Their Patients ADA Council on ScientificAffairs Introduction Over the past two decades, tooth whitening or bleaching has become one of the most popular esthetic dental treatments. Since the 1800s, the initial focus of dentists in this area was on in-office bleaching of non-vital teeth that had discolored as a result of trauma to the tooth or from endodontic treatment. By the late 1980s, the field of tooth whitening dramatically changed with the development of dentist-prescribed, homeapplied bleaching (tray bleaching) and other products and techniques for vital tooth bleaching that could be applied both in the dental office and at home. The tooth whitening market has developed into four categories: professionally applied (in the dental office); dentist-prescribed/dispensed (patient home-use); consumerpurchased/over-the-counter (OTC) (applied by patients); and other non-dental options (e.g., mall kiosks, spa settings, cruise ships). Additionally, dentist-dispensed bleaching materials are sometimes used at home after dental office bleaching to maintain or improve whitening results. Consumer whitening products available today for home use include gels, rinses, chewing gums, toothpastes, paint- 'on films and strips. The latest tooth whitening trend is the availability of whitening treatments or kits in non-dental retail settings, such as mall kiosks, salons, spas and, more recently, aboard passenger cruise ships. Nondental whitening venues have come under scrutiny in several states and jurisdictions, resulting in actions to reserve the delivery of this service to dentists or appropriately supervised allied dental personnel. Current tooth bleaching materials are based primarily on either hydrogen peroxide (H2 02 ) or carbamide peroxide. Both may change the inherent color of the teeth, but have different considerations for safety and efficacy. In general, most in-office and dentist-prescribed, at-home bleaching techniques have been shown to be effective, although results may vary depending on such factors as type of stain, age of patient, concentration of the active agent, and treatment time and frequency. However, concerns have remained about the long-term safety of unsupervised bleaching procedures, due to abuse and possible undiagnosed oral health problems (from P&G comment #2). Although published studies tend to suggest that bleaching is a relatively safe procedure, investigators continue to report adverse effects on hard tissue, soft tissue, and restorative materials.i13 The rate of adverse events from use or abuse of home-use OTC products is also unclear because consumers rarely report problems through the FDA Medwatch system. Based on these factors, the ADA has advised patients to consult with their dentists to determine the most appropriate whitening treatment, ©2009 American Dental Association. All rights reserved.

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003273 CX0392-002

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particularly for those with tooth sensitivity, dental restorations, extremely dark stains, and single dark teeth .4 Additionally, a patient's tooth discoloration may be caused by a specific problem that either will not be affected by whitening agents and/or may be a sign of disease or pathology that requires dental therapy. The purpose of this report is to outline treatment considerations for dentists and their patients prior to tooth whitening/bleaching procedures so that the potential for adverse effects can be minimized. This report does not address agents used for non-vital intracoronal bleaching procedures. Safety Concerns with Tooth Bleaching Materials long Concerns regarding the safety of all bleaching treatments and products have 5 -8 bleaching. at-home existed, but were heightened since the introduction of Discussions in this section focus on peroxides and their use as active ingredients in tooth bleaching materials. Important concerns related to patient examination and diagnoses are addressed elsewhere in this report. A variety of peroxide compounds, including carbamide peroxide, H2 0 2 , sodium perborate and calcium peroxide, have been used as active ingredients for bleaching materials; however, essentially all extracoronal bleaching materials currently available for whitening of vital teeth in the United States contain carbamide peroxide and/or H2 0 2. Recently, products containing chlorine dioxide were introduced in the United Kingdom, but there is no evidence that tooth bleaching products using chlorine dioxide as the active ingredient are safer than peroxide-based materials. In fact, safety concerns have been documented with chlorine dioxide and its use for9 tooth bleaching treatment due to the low pH of the material and resultant tooth etching. Most OTC bleaching products are H20 2-based, although some contain carbamide peroxide. Carbamide peroxide decomposes to release H2 0 2 in an aqueous medium: ten percent carbamide peroxide yields roughly 3.5% H2 0 2. In-office bleaching materials

contain high

H2 0 2

concentrations (typically 15-38%), while the

H2 0 2

content in at-home

bleaching products usually ranges from 3%to 10%; however, there have been homeuse products containing up to 15% H2 0 2 . (from consultant #6 comment 12 and P&G comment #3)

Safety issues have been raised regarding the effects of bleaching on the tooth structure, pulp tissues, and the mucosal tissues of the mouth, as well as systemic ingestion. Regarding mucosal tissues, safety concerns relate to the potential toxicological effects of free radicals produced by the peroxides used in bleaching products. Free radicals are known to be capable of reacting with proteins, lipids and nucleic acids, causing cellular damage. Because of the potential of H2 0 2 to interact with DNA, concerns with carcinogenicity and co-carcinogenicity of H2 0 2 have been raised, although these '1 1 However, studies (added references from consultant #3 point 1) have shown that H2 0 2 is an irritant and also cytotoxic. It is known that at concentrations of 10% H 2 0 2 or higher, the chemical is 5 concerns so far have not been substantiated through research .

potentially corrosive to mucous membranes or skin, and may cause a burning sensation @ 2009 American Dental Association. All rights reserved.

1225

003274 2

CX0392-003

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SCOP, in January 2008, again recommended that up to 6% H 20 2 is a safe limit to use for at-home tooth bleaching; however, it did not recommend use of such products without dental consultation.2

In summary, available data indicate that extracoronal bleaching treatment in the dental office or at home may cause short-term tooth sensitivity and/or gingival irritation. More severe mucosal damage is possible with high H2 0 2 concentrations. While available evidence supports the safety of using bleaching materials of 10% carbamide peroxide (3.5% H2 0 2 ) by dental professionals, there are concerns with the use of at-home bleaching materials with high H2 0 2 concentrations. Studies designed specifically to assess the long-term safety of high H 2 0 2 concentration in at-home bleaching materials are needed, especially for repeated use of these products. There appears to be insufficient evidence to support unsupervised use of peroxide-based bleaching materials. Similar to other dental and medical interventions, questions have been raised about the safety of tooth whitening treatments during pregnancy. In the absence of such evidence, clinicians may consider recommending that tooth whitening be deferred during pregnancy. The safety of tooth bleaching for children and adolescents is also a consideration. More research is needed to establish appropriate use and limitations for these patients. However, bleaching is a conservative approach compared with restorative options when tooth discoloration causes significant concern. If possible, delaying treatment until after permanent teeth have erupted is recommended, as is use of a custom-fabricated 2 bleaching tray to limit the amount of bleaching gel. Close professional and parental/guardian supervision are needed to maximize benefits and minimize adverse effects and overuse. Bleaching Treatment Considerations General Considerations A typical dental examination begins with a health and dental history. Intra-oral and extra-oral examinations of the hard and soft tissues of the mouth and head are also conducted to exclude or diagnose cancer, abscesses, periodontal disease and other pathology. Seminal to decisions regarding tooth bleaching, the patient history would include the patient's opinions regarding the cause of tooth discoloration, a history of allergies (which may include ingredients in bleaching materials), and information regarding any past problems with tooth sensitivity. Some tooth discolorations may be the result of pathology or conditions that require endodontic therapy, restorations or dental surgery. Such diagnoses can only be made by a dentist or another licensed health care professional, depending on local licensing regulations. In light of these and additional factors noted below, a dental examination with appropriate radiographs or other screening or diagnostic tests is recommended prior to considering tooth bleaching.

@2009 American Dental Association. All rights reserved.

1226

00327S

4

CX0392-005

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supervised (consultant #3 point 5) nightly treatment. Diagnosis of the cause(s) of tooth discoloration followed by an explanation of the projected treatment time, benefits and risks are important considerations to address patient concerns and set reasonable expectations. (P&G comment #14). Bleaching products should ideally be formulated at neutral pH. Carbamide peroxide seems to be more effective overnight as a result of its urea content elevating the pH to desirable levels. Hydrogen peroxide formulations are short-acting and have a lower pH. Overall, there does not appear to be any clinical advantage to using equivalent 2 concentrations of hydrogen peroxide or carbamide peroxide in tooth bleaching. 2 consultant #6 point 15) The choice between the two types of products relate to the patient's lifestyle, caries history, tooth sensitivity, and discoloration type. The need for widely, from as soon as 1 to 3 years after initial treatment to re-treatment also varies 29,3 more than 10 years. With in-office bleaching, both proper isolation and protection of mucosal tissues are essential. Dentists may also wish to consider prescribing non-steroidal anti31 inflammatory medications prior to treatment' since post-treatment sensitivity is unpredictable. The treatment schedule may also be a useful method to help minimize tooth sensitivity. Multiple appointments are typically scheduled 1 week apart to allow sensitivity to abate. A "bleaching light" is sometimes used with in-office bleaching procedures as well. Some reports suggest that pulpal temperature can increase with some bleaching light use, depending on the light source and exposure time. Use of 32 . limits safety lights may result in exposure levels approaching or exceeding use of (consultant #6 point 16) Pulpal irritation and tooth sensitivity may be higher with 33 3 use. their with advised been has caution and application, heat bleaching lights or There is conflicting evidence on the effects of bleaching lights on tooth color change. Most studies comparing effectiveness of in-office bleaching with or without light application were conducted in vitro. 3 The effects on tooth color change were variable, and some differences detected electronically were not detectable3 visually. This observation was reported in a recent clinical study report as well. Of studies 3 3 Heat conducted in vivo, most found no added benefit for light-activated systems. and light application may initially increase whitening due to greater dehydration, which reverses with time. Actual color change will not be evident until 2 to 6 weeks after bleaching treatment. 3 The average number of in-office visits for maximum whitening is three, with a range of or for a 1 to 6 visits, so the patient should be prepared for additional in-office 3treatments 8

combination of office visits and tray delivery to complete the

process.

As noted previously, the unsupervised use of OTC whitening products raises concerns about possible masking of undiagnosed pathology (whether related to tooth discoloration or not), cosmetic or functional aspects of existing dental restorations, and unknown allergies or other untoward responses. In addition to these safety concerns, absent a dental examination and consultation, user expectations may not be realistic. @ 2009 American Dental Association. All rights reserved.

1227

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CX0392-008

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American Academy of Cosmetic Dentistry - 06_27 Introducing the White ...

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Find a Cosmetic Dentist Join AACD • Find a Laboratory Technician |

Press Releases FOR IMMEDIATE RELEASE Contact: Eric Nelson American Academy of Cosmetic Dentistry ® 5401 World Dairy Drive Madison, WI 53718 PH: 608.222.8583 Fax: 608.222.9540 E-mail: [email protected] Web: www.aacd.com First it was Atkins, then it was South Beach, now it’s the White Smile Diet June 22, 2006 - Madison, WI - The most unattractive thing about a smile are discolored teeth, according to a recent American Academy of Cosmetic Dentistry (AACD) consumer poll. And the numbers prove it! Whitening treatments are the number one requested cosmetic dental procedure and have increased more than 300% since 1996, according to the AACD. “While daily home care and regular professional cleanings are essential for maintaining healthy teeth and gums, certain foods can help remove stains from your teeth,” said AACD President Dr. Marty Zase. “Foods such as apples, pears, celery, carrots, cauliflower, and cucumbers produce saliva which combines with the foods’ natural fibers to naturally clean teeth and remove bacteria.”

White Smile Diet Foods and Tips include: Strawberries will naturally whiten your teeth. Avoid drinking coffee, dark syrup sodas, red wine and blueberries. All stain teeth quickly. Drink from a straw whenever possible…allows food dyes to bypass teeth altogether.

Baking soda will help remove stains and build up. Brush it on your teeth twice a month, just as you would toothpaste, and rinse.

Raw veggies are not only healthy to eat, but they will clean your teeth and remove surface stains.

The mechanical action of chewing sugarless gum can also stimulate saliva and clean teeth surfaces, though not recommended for patients with TMJ.

Locate an AACD Member Cosmetic Dentist The AACD is the world’s largest cosmetic dental organization dedicated to advancing excellence in the art and science of cosmetic dentistry. As with any dental procedure, the AACD recommends consumers consult with their dentist before undergoing any cosmetic dental treatment. The public can locate an AACD member cosmetic dentist via AACD’s free consumer referral system at www.aacd.com or by calling toll-free: ( 800) 543-9220.

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ing company lhal same month (Haywood, 1991a; Goldstein. 1989). For the first time, this technique offered the possibility of whiter viral teeth to a wider section of the general patient population at a much lower cost, with much less danger or side effects, than any of the previous options. Since that time, numerous other products and techniques making claims for bleaching teeth have been introduced (Haywood, 1991a: Albers, 1991). These options include variations on the dentist-prescribed/home-applied techniques. as well as "bleaching kits" sold directly to consumers in stores for unsupervised home use. The nightguard vital bleaching techniques and the OTC bleaching kits have kindled a resurgence of interest in [Ooth bleaching. and have reopened the questions asked 100 years ago: Does it work. is it safe, what are the indications, and how long does it last?

CURRENT SAFETY Nonvital Bleaching The walking bleach technique is probably the most popular option for bleaching nonvital teeth, and no major problems of safety were initially observed other than those associated with the handling of the material and the potential for bums from the high concentration of hydrogen peroxide. This technique involves sealing a mixture of 30% hydrogen peroxide and sodium perborate in the pulp chamber, and changing the solution every 2 to 7 days. The inoffice alternative for bleaching nonvital teeth involves usually a single appointment in which 30% hydrogen peroxide is activated by a heating instrument. which is more efficient. However, later in the I 970s. external resorption was noted in the cervical areas of nonvital bleached teeth (Harrington and Natkin. 1979; Lado et aI., 1983). Early reports linked this with over-zealous use of heating instruments. or with previous trauma to the tooth (Montgomery, 1984; Goon et aI., 1986). Onset was one to seven years post-treatment. and often the tooth was lost. Although the etiology is still unknown. later reports have questioned the heat and trauma theories, and proposed that the resorption may result from exit of the peroxide through the tooth where the enamel and cementum do not join (Lado, 1988). Approximately 10% ofteeth do not have an intact CEl. This theory, along with the observation that pressure in the chamber often causes transient pain, reaffinn that a base material should be placed, prior to inserting the peroxide, over the exposed endodontic filler and over areas which might communicate with the CEl. However, placement of this base often means that a pooion of the tooth that is discolored will have to be masked with the base material, and possibly will not lighten. A significant drop in pH has been observed in the cervical area of the tooth from passage of the peroxide through the tooth and its exit at the CEl (Lado, 1988). Later observations have indicated that the resorption was not actual! y at the CEJ, but more apical (Friedman et a!., 1988). This observation. along with experience gained using calcium hydroxide in the treatment of resorption and incomplete root formation, has led to the practice of filling the pulp chamber with calcium hydroxide powder after the completion of the bleaching to alter the pH and halt the potential osteoclastic activity (Lado. 1988). More recent reports have recognized the greater potential for cervical resorption from the combination of heat and 30% hydrogen peroxide over either treatment alone (Madison and Walton, 1990). For :hese reasons. the safer non vital bleaching technique appears to be the walking bleaching technique, rather than the in~office technique using a heating instrument.

Another approach to treatment involves using sodium perborate alone, rather than in conjunction with hydrogen peroxide, as the primary bleaching agent (Holmstrup et al.. 1988). Although this may be a slower process. it is potentially less destructive to the tooth and hence safer (Warren et aI., 1990). It is unclear why these resorption problems should appear so late in the history of nonvital bleaching. but their recent appearance raises the possibility that changes in materials for endodontic fillers, sealers, or bleaching. or a wide variation by practitioners in administration of the technique, may be the cause. At this time. the wa.lkirIg bleaching technique seems reasonably safe, with- only a slight chance of cervical resorption. The benefit of treatment is relatively great (considering the cost of a crown or veneer, the preservation of remaining tooth structure, the potential for an esthetic outcome, the avoidance of a subsequent weakening of the tooth and the finite life of the other restorative possibilities). and the risk is small. Precautions include sealing the root-filled portion pre-operatively with a material such as polycarboxylate cement, placing calcium hydroxide powder in the chamber post-operatively for 14 days, and following the patient for a number of years with frequent recall radiographs. If there is any evidence of resorption. it may be arrested with calcium hydroxide treatment. and the tooth can be crowned (with or without extrusion of the tooth to manage the defect) (Latcham, 1986).

Vital Bleaching For any vital bleaching~procedure, patients are classified by whether they have tetracycline-stained teeth. or teeth stained from other reasons. Tetracycline-stained teeth are the least responsive to bleaching. depending on the severity of the stain (Jordan and Boksman, (984). With external bleaching, the tetracycline-stained teeth generally get lighter, but not whiter. Some clinicians have recently advocated intentional endodontic therapy on those teeth, with the use of the walking bleach, to overcome this problem (AbouRuss. (982). While the esthetic result appears much better than external bLeaching. this approach raises questions about the success of the endodontic therapy over time. the longevity of the walking bleaching technique, and the potential of the treatment or'retrealment to cause cervical resorption. The most popular technique for the in-office bleaching of vital teeth involves 35% hydrogen peroxide, etching the teeth with phosphoric acid to facilitate bleaching, and either a heating element or a light source to enhance the action of the peroxide (Feinman et a1.. 1987; Goldstein, 1987). Because this technique must be accomplished without anesthesia to allow the patient'S pain threshold to determine the appropriate heat level, there have been numerous studies on the effects ofboch the heat and the concentrated hydrogen peroxide on the pulp (Zach and Cohen, 1965; Nyborg and Brannstrom. 1968). In spite of the fact that there is insult to the tissue, most of the research has shown thatthe pulp remains healthy, and the insult is reversible in approximately 2 months (Cohen, 1979; Seale et a1.. 1981). The observations of many clinicians who have performed this procedure over many years attest to the fact that there have been no pulpal deaths associated with vital bleaching (Feinman et aI., 1987). Research in this area has shown how easily the hydrogen peroxide, because of its low molecular weight. passes through the enamel and demin to the pulp (Bowles and Ugwuneri. 1987). More current clinical studies have eliminated the etching with

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, ' phosphoric acid (Hall. 1991). and the most recent products on the market advocate no use of heat or light for the reaction (Haywood. 1991 a). There have been a number of studies evaluating the effect of bleaching with this high concentration on dentin and enamel, with some hints of structural changes in tetracycline-stained teeth (Ledoux et al.. 1985). However, the most important obseryation has been the decrease in bond strengths of composite [0 bleached. etched enamel immediately afterthe bleaching process (Titley et al.. 1988). Later studies in this area have attributed the decrease to residual perox ide left immediate Iy in the tooth or on the surface (Torneck et aI.,1990). The main safety advantages of the in-office vital bleaching technique are that, although it uses caustic chemicals, it is totally under the dentist's control. the soft tissue is generally protected from the process, and it has the potential for bleaching quickly in situations in which it is effective. Disadvantages primarily are the cost, the unpredictable nature of the result, and the unknown duration of the . treatment. The unsafe features include the potential for soft tissue damage to patient and provider, the discomfort of rubber dam, the temperature on the pulp, and the resultant post-treatment sensitivity. Although early concerns of pulpal response were identified, subsequent research seems to have shown that although this high concentration of. hydrogen peroxide causes changes, they are reversible (Haywood and Heymann. 199]). If etching is perlonned. polishing is required after each visit. with some enamel loss. It is well accepted that this technique works. but the patient must be counseled that, although the result may be permanent. the process more likely will have a 1)03 year duration, at which time the treatment will need to be redone. Also, it cannot be determined prior to treatment whether the teeth will respond, and treatment may take as many as four to six treatments. The labor-intensive nature of the treatment, which in turn requires a higher fee. coupled with the discomfort and uncertainty to the patient, keep this method ofbleaching from being a treatment that is widely accepted. although it can be successfuL Recent innovations for in-office bleaching include chairsidemixed gels, some of which are activated by composite curing lights (Hi Lite Dual Activated Bleaching System, Shofu Dental Corp). According to the manufacturer, this light-activated material changes color when the bleaching pr9cess is complete, which should take only 3 112 minutes. Chemical composition and effects on tooth structure of this technique are unknown as of this date. Other gel fonns do not use heat or light (Starbrite, Healthco). Although they require approximately the same treatment time as the conventional Superoxo] bleaching te~nique. the gels are much easier to manage clinically.

Nightguard Vital Bleaching or Dentist-Prescribed Home Applied Bleaching The most recent vital bleaching technique introduced. originally called nightguard vital bleaching (NGYB) (Haywood and Heymann. 1989) but also referred to as home bleaching or dentist-monitored bleaching. has created a resurgence in the area of bleaching. primarily because of its relative ease of application. the safety of the materials used, the lower cost, its general availability to all socioeconomic classes of patients, and the high percentage of successful treatments. It may be more appropriately termed a "dentist-prescribedlhome-applied" technique. Since the I 0% carbamide solutio., is equivalent to a 3% hydrogen peroxide solution, this solution

is approximateiy one-tenth the concentration of the solutions used for "power" or in-office bleaching. Results are generally seen in 23 weeks, with the final outcome complete in 5-6 weeks (Haywood, 1990). However. treatment times vary extensively, and much depends on the amount of time per day the patient chooses or is able to apply the technique. Later products have offered solurions of hydrogen peroxide that range from 1'k to 10%. and carbamide peroxide solutions that are either IO'k or 150/c concentration (Haywood, 1991 b). The details of this technique have been reported in many articles (Haywood and Heymann, 1989; Haywood and Drake, 1990~ Haywood, 1989, 1990, 1991a: Albers, 1991; Darnell and Moore. 1990). Numerous articles have attested to the efficacy of the technique, which has been successful in clinical trials for approximately 91 % of persons with materially or genetically discolored teeth. and somewhat less successful in 91 % of persons with tetracycline discolored teeth. Tetracycline-stained teeth generally get lighter, but not whiter. Nightguard vital blea('!ling generally has the same indications and prognosis as the conventional in-office bleaching. but can be accomplished at a much lower cost and with fewer side effects, such as tissue burns and sensitive teeth. A recent survey with 7,617 dentists responding indicated greater than 90% success rate for the technique; 90% of the dentists use a 10% carbamide peroxide (Christensen. 1991). Specific questions as to safety ofNGYB were recently addressed in the article by Haywood and Heymann (1991). The controversial element that the nightguard vital bleaching technique adds to conventional bleaching options is the potential for contact of the soft tissue during treatment and from ingestion of the materiaL This contact sometimes results in one of the two common side effects, an irritation of the gingival tissue. More than half the time, this irritation is related to an ill-fitting prosthesis. Other times, it is the tissue's response to the peroxide. There are numerous reports of the effects of hydrogen peroxide on tissue (Wietzman et a1.. 1986; Donnan and Bishop, 1970; Martin et al., 1968). However, those effects are generated by conditions which exceed greatly the time and dosage of peroxide used in this bleaching technique (Haywood and Heymann. 1991). The previously mentioned survey confinned that one third of patients bleaching their teeth in the home manner did not have side effe~ts, while those that did experienced either transient tooth sensitivity or gingival irritation (Christensen. 1991). The fit of the guard was a major cause of gingival irritation. Reports from industries which make hydrogen peroxide state "it is improbable that humans will be exposed to high oral doses of H 20 2 due to the acute toxicity of concentrated solutions and the corrosivity of H,o., to mucous membranes. An individual would theoretically have to drink daily 23 mt of 35% hydrogen peroxide for a lifetime to develop the lesions seen in mice" (FMC Corp, 1988). Hydrogen peroxide is approved as generally recognized as safe for use as human food additive with no residues. More recent studies directly evaluating the effects of 10% carbamide peroxide on tissues and in animals systemically have indicated that the effects of 10% carbamide peroxide on tissue are less than or equal to many other accepted dental medicaments, such as eugenol (Woolverton et ai., 1986), or other dental procedures (Haywood and Heymann. 1991). The most conclusive evidence to date has been the work of Dr. Chris Woolverton (1991) establishing the non-mutagenic nature of 10% carbamide peroxide, the safe level

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.0n, and the minimal effects on cell lines. Even in tray that seek to avoid covering the attached gingiva, the .~rdental papillae is still exposed to the solution. Hence, the total avoidance of soft tissue contact is impossible as the technique cur· rently stands. Conclusions from evaluations of the other studies indicate that toxicity and mutagenicity of hydrogen peroxide is doserelated (Cantoni et aL. 1986), and the concemrarions used in the home bleaching technique are not of sufficient strength to warrant concern to the soft tissue (Haywood and Heymann, 1991). In fact, although a high, sudden dose of hydrogen peroxide is toxic to cells. a lower dose over a longer time allows cells to adjust and actually ultimately tolerate a higher dose that than which originally would have been toxic (Winguist et at, 1984). Also the long history of clinical usage of the solutions with soft tissue contact ranging from 7 days to three years, in patients ranging from new-born infants to geriatric patients, has demonstrated no problems (Haywood and Heymann, 1991). Vanous effects of the carbamide peroxide on teeth have been studied (Haywood et aI., 1990, 1991; Hunsaker et ai., 1990). Generally, these reports find the effects to be nonexistent or to be no worse than those already found with in-office bleaching. Although there have been varying reports concerning the effect on enamel, there does not seem to be a significant effect on the morphology of the enamel surface outside the normal variation of enamel (Haywood et a1., 1990, 1991 ~ Scherer et aI., 1991). No published reports have demonstrated any change in hardness of enamel, nor have studies at the University of North Caro11na shown any significant concerns (McCracken, 1992). Studies which evaluate change in the surface must take into account the remineralization potential in the mouth, which may negate any potential changes. There has been one observation that toothbrush abrasion was more significant in the presence of bleaching agents (Kalili et aI., 1991), while yet another slightly different study showed brushing with the solutions had no effect (Scherer et al., 1991). Another report has shown the at-home bleaching procedure to be a controlled oxidation process in which the organic phase of the enamel is mobilized wi thout producing gross} y unacceptable enamel surface topography (Covington et al., 1990). Clinically, there is no apparent loss, and the tooth retains it glossy appearance. There have been reports of internal matrix changes from bleaching with 35% hydrogen peroxide after laboratory-induced tetracycline staining (Ledoux, 1985), but there is no direct correlation between this study and the milder hydrogen peroxide, nor have these changes been demonstrated to have any clinical significance. Studies dir~tly on dentin and enamel with 10% carbamide peroxide materials have demonstrated no structural Joss (Covington et al., 1991). The effects on the pulp were extensively evaluated in the previous generation of bleaching with 35% hydrogen peroxide, and the lower concentration of peroxide would not be expected to be as derrimental to the pulp. The effects on pulp have not been directly evaluated with the weaker peroxide solutions, but the research on 35% hydrogen peroxide has shown effects which are reversible over time, with no clinical consequence other than immediate but transient sensitivity. Clinical trials on nightguard vital bleaching techniques in progress at the University of North Carolina have found no predictors of sensitivity relative to patient age, pulp size, presence of exposed dentin or cementum, caries, or leaking restorations. The ]imitation for how young the child is able to be treated is more related to the available numberof pennanent teeth to retain the .tS

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guard and the desire not to impede the eruption of permanent teeth as they attempt to rapidly enter the oral cavity than to pulpal sensitivity. The occasional mild tooth sensitivity associated with nightguard vital bleaching is attributed to the easy passage of the hydrogen peroxide and urea through the enamel and dentin to the puLp and the resulting mild irritation. This ceases upon termination of treatment (Haywood and Heymann. 1991). Because the concentration of hydrogen peroxide is lower. certain patients that could not tolerate the in-office bleaching due to discomfort have found the nightguard vital bleaching technique to be acceptable. Any effects on restorative materials have been limited primarily to composites, both with co [or change and surface integrity O-Iunsaker et aI., 1990). Basically. there is no appreciable change in the color of any restorative material clinically. Although there have been conflicting reports recently in this area as to composites (Friend et al., 1991; Monaghan et al., 1991; Kao et al.. 1991; Tenaglia et al., 1991). the ability of the colorimetl!rs to measure differences is limited. and this color difference has not yet been calibrated to clinically detectable changes. Clinicians must assume there will be no color change in any material (although the stains may be removed from the surface and margins of porous composites. etc.), and patients should be ad vised of the potential need for replacement of any esthetic restorations if the shade of the composite resin is not clinically acceptable postbleaching (Haywood, 1990). Reports of the dissolution of a portion of the matrix have also concluded that it may be clinically inconsequential (Christensen, 1989). Since the composite may have to be replaced afterwards, any loss may be of no significant concern. \Vhetheuhis bleaching technique wilf have a significant effect on the long-tenn wear of posterior composite resins (Bailey and Swift, 1991) is still unknown, because other reports have shown that composite resin hardens after exposure to bleaching solutions (Friend et a1., 1991). Porcelain, amalgam, and gold have not responded with either color change or alteration of structure, so they are considered unchanged by the bleaching process (Hunsaker et aI., 1990). Of current interest to the clinician is the effect of bleaching on bond strength of etched enamel to composite resin. Earlier reports had associated a decrease in bond strength of treated enamel to composite with bleaching using 35% hydrogen peroxide (fitley et a!., 1988). This occurrence has also been con finned with the 3% peroxide (McGuckin et at. 1991). but has been related to the residual oxygen in the tooth, and the bond has been shown to increase, approaching the original strength over time (McGuckin et aJ., 1991; Haywood and Heymann, 1991). More recent studies of the 35% inoffice bleaching techniques have also attributed this loss to residual peroxide temporarily remaining in the looth, or to surface changes (TomecketaL, 1990). Another study of home bleaching techniques demonstrated that roughening the surface slightly also eliminates this phenomenon (Cvitko et a1.. 1991) . Generally, etching and bonding should be delayed at least 14 days aftertermination ofbleach.ing until further studies can determine a more precise waiting time. Safety to the occlusion and the temporomandibular joint during the bleaching process must also be considered. Typically, occlusal problems during NGVB may be either mechanical or physiologic. Mechanicall y, the patien t may occlude only on posterior teeth. rather than on all the teeth simultaneously. Sequentially removing posterior teeth from the guard until all the teeth r.ontact will rectify the problem, and avoid the potential for joint disturbances. Ifthe patient is a bruxer, he or she usually will wear a hole in the appliance over

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me. and another will have to be made. There has been no success ) date in fabricating an occlusal devise for bruxism that can also ;!rve as a well~fitting guard for bleaching. Physiologically. if the ·::ltient has pain in the joint. the posterior teeth can be removed from ~t! guard until only anterior guidance is remaining, and the patient's .::ear time reduced or limited to the day only. Another area of concern with safety is how often the procedure <:ill have to be administered. Current research at the University of .\'orth Carolina on longevity of the result indicates that, although the :hange may be permanent, the patient will probably need re-treat:nent in I to 3 years. It has been noted that re-treatment involves ~ignificantly less time than the original treatment.

Over-the-Counter Bleaching Kits The newest systems that claim to bleach teeth are bleaching kits sold directly to consumers. These kits are generally described as a three-step process: a lS-second pre-treatment acetic rinse, a 1~ to 2minute apptication of a 6% hydrogen peroxide gel with a Q-tip on the facial surfaces of the teeth. and an application of a tooth whitening pigment (Stanton. 1990). Early concerns have been expressed as to whether the process actually works, especially as it is shown in television advertisements (Lyons, 1990). Although results shown in the advertisements seem dramatic. the manufacturers' literature reports bleaching may take 2 days to 2 weeks, and sometimes up to 60 applications, for successful lightening. No reports from dental studies have demonstrated any effectiveness (Albers, 1991). Tn a screening project for the Federal Trade Commissiqn at the University of North Carolina, administration of the OTC technique, on patients who had already successfully bleached one arch with the dentist-prescribedlhomeapplied technique in a clinical bleaching study, could not effect any change after one, two, 14 or 60 applications. One report has shown that there is no harm to composites from any of the bleaching agents, including this type system (Bailey and Swift, 1992). A more disturbing concern relates to the safety of the material and technique. A recent report cites the dissolution of enamel in a young person using the tt::chnique (Cubbon and Ore. 1991). Although the person was also a heavy cola drinker, this result raises the question of the safety of unsuperviSed use of a treatment as well as the lack of baseline data. If the material is not effective as a bleaching treatment. this Jack of success could further foster abusive use in an attempt to achieve results. In those patients who have other probiems resulting in dissolution of enamel, this could be an additional insult ... It may be this lack of proof of efficacy and safety with some techniques that has prompted both the American Dental Association to advise caution and the US Food and Drug Administration to issue warning letters to manufacturers requesting data supporting their claims (Berry, 1991). Further determination of both efficacy and safety of these OTC bleaching kits and other variations from the conventional NOVB technique are certainly indicated. However, the ruling by the US Food and Drug Administration is dirt:cted toward manufacturers. and does not restrict. limit, or affect bleaching treatments perfonned in a legitimate dentist-patient relationship (US Food and Drug' Administration: Personal communication).

RELATIVE SAFETY OF THE NlGHTGUARD VITAL BLEACHING TECHNIQUE Safety of nightguard vital bleaching must be assessed relative to

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that of other bleaching techniques. but"it also must be compared to the safety of other accepted dental practices. With teeth, as with any living tissue. there will always be a response to treatment. The question is the risk-benefit of the treatment. and what is known from observations and studies on other dental treatments (Banting and Robertson. 1991). The question of safety is al ways a dose over time relation (Meryon. 1987), as has been noted in the questions of fluoride toxicity (Banting, 1991; Mason. 1991) and the recent amalgam! mercury concerns (Mackert, 199 I). Other areas in dentistry are also currently being examined for their safety. These include concerns about the nickel-beryllium concerns of non-precious metals (Hildebrand c( al.. 1989), the carcinogenicity of nickel (Pierce and Goodkind, 1989; Garattini et a1., 1990). and the reponed toxicity of Sarg~nti techniques (Arenholt-Bindslev and Horsted-Bindslev, 1989). As to the concern of the effect of materials on the pulp and other tissues, it has been shown that one in five teeth which receive a crown will need endodontic therapy (Fe lton et aI., 1989),73% of the single pins placed in teeth cause a f~'acture in the dentin that commu~ nicates directly with the pulp (Webb et aI., 1989), and heat on pulp from restorations 'and direct provisional restorations has adverse effects (Tjan et aI., 1989). Dentists observe post-operative pain from the cementation of crowns or ceramic inlays with glass ionomer or zinc phosphate cements (Klausner et a1.. 1989; Grund and Raab, 1990a, 1990b; Hickel, 1990), hypersensiti vity reactions to polyether impressions (Hensten-Pett~rsen et aI., 1990), and allergic reactions to the polymechyl methacrylate acrylic resins (Kaaber, 1990). It has been shown that PMMA is cytotox.ic (Horowitz et a1.. 1991) and produces non-neoplastic lesions (Chan et al., 1988) and that glass ionomercements have cywtox.icsubstances exuded from some products even after a hardening period of 48 hours (Muller et aI., 1990). In the more esthetic materials, it has been shown that all composite is cytotoxic in its unset form and when incompletely cured (Caughman et aI., 1990), and some composite is even cytotoxic if cured less than 60 seconds (Ito et aL, 1989). The cytotoxicity of orthodontic adhesives has been demonstrated ~ven after two years (Tell et a1.. 1988), and the cytotoxicity of orthodontic solder joints Co tissue has been shown (Gjerdet ec at, 1987). Recently, Gluma 3 (Miles Inc) has been identified as a mutagenic agent (Li et al., 1990), the cytotoxicity of dentin bonding agents has been demonstrated (Furuya. 1989; Arenholt·Bindslev and Horst~d-Bindslev, 1987). and detrimental effects of dentin bonding agents the pulp have been cited (Yamaguchi et aI., 1989; Swift, 1989; Meryon and Brook, 1989). Although the relative thickness of remaining dentin determines the cytotox.ic effects of composite (Hanks e( a1., 1988) and glass ionomer (Hume and Mount, 1988) on the pulp tissues, it is impossible to know how much remaining dentin is present in [he mouth. There is also the danger of damage to the gingival tissues from indiscriminate use of the microabrasion technique (Croll et al.. 1990), as well as with the conventional in-office bleaching techniques (Goldstein et aI., 1989). As co effects of other dental treatments on the surface of teeth or restorations, 5 to 50 microns of enamel are removed during a prophylaxis (Tinanoff et aI., (974) and 5 to 50 microns of enamel removed with banding and debanding of orthodontic appliances (Radlanski, 1990). Hence, even a possible effect on the surface of c::namel from bleaching may be considered negligible in the face of a5-iO micron loss of enamel from every rubber cup prophy over the life of a patient (Pus and Way, 1980), including the loss of the

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fluoride rich layer. Merely etching the enamel dissolves at least 10 microns in addition to the 25-50 microns that is etched (Silverstone, (975). Treatment with microabrasion to remove stained enamel results in 12 microns of enamel loss with the first 5 second application, and an average of 26 microns loss for every successive 5 second application (Waggoner et aL. 1989). Acidulated phosphate fluoride. which contains hydrofluoric acid. is capable of etching porcelain in the mouth (S. Bayne, personal communication). It has also been shown that judicious use of the cavitron can remove resin bonded fixed partial dentures. or other cemented prostheses (Jordan. et aI., 1986). As to overall safety, it is reported that 8% of patients are allergic to latex gloves (Hensten-Pettersen and Jacobsen, 1991). Studies on the previous effects of eugenol in periodontal dressings on bone have resulted in achange in the formulation to non-eugenol containing periodontal dressings (Eber et al., 1989). However, no significant clinical problems from the use of the eugenol-containing periodontal dressings on soft tissue has been identified in the literature. Detrimental effects of hydrogen peroxide on the bone have been reported. but it is unlikel y that the nightguard vital bleaching techniques would ever be used in patients with exposed bone (Ramp et a1.. 1987). Recent reports have described the toxic effects of zinc oxide-eugenol to the pulp (Kanca, 1990: Fatos et aL. 1987), the dangers and toxicity of sodium hypochlorite (Becking, 1991; Kaufman and Keila, 1989), the toxicity of endodontic filling materials (Taoka, 1989; Briseno and Willershausen, 1990). and allergic reactions to implants (Mitchell et aI., 1990). This, in conjunction with the radiation from normal exposure of radiographs, the potential for an allergic reaction to local anesthetic. the hazards of eye damage from composite-curing lights, and the hearing loss from the high speed handpiece, make dental treatment full of risk-benefit judgments in the light of current knowledge. Even the choice between a direct pulp cap or endodontic therapy (Maryniuk and Haywood. 1990), placement of another foundation or a casting (Maryniuk et aI., 1988), or merely the removal of a questionable restoration which takes more tooth structure and weakens the tooth (Maryniuk. 1988), ultimately is subjective but significant in the long term safety and health of the tooth. One safety concern often expressed with the nightguard vital bleaching technique is the potential danger from making home bleaching materials available to patients, where abuse may occur. It is important to distinguish between nightguard vital bleaching (dentist-prescribedihome-appIied), and the OTC kits available directly to consumers. In the.Afprescribed" method, the materials are held in a custom fabricated guard, using approximately 1 to 2 ounces in a 4to 6-week period (Haywood, 1990). Jfthe patient is using more than 2 ounces during that time, the dentist should re-evaluate the application technique. The availability of the dentist for monitoring, the slowness of the treatment, and the contained environment reduce the options for abuse. Clinical trials have also indicated there is a level of lightness beyond which the teeth do not pass. Hence the treatment is somewhat self-limiting over time. Patients could continue for extended periods, but there is no clinical evidence that this is occurring. There is always the potential for abuse by some persons, but there is the same potential danger of abuse from ingestion of fluoride-containing toothpaste or rinses, alcohol-containing mouthwashes. and aspirin, even when these materials are correctly prescribed. On the other hand, OTC kits place the consumer in a position of

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diagnosing the reason for discoloration of their teeth, as well as pre~cribing a trearmen[ that has no professional evaluation of the baseline standard. the side effects. or the results. Unsupervised or excessive use of any material has potential for harm, especially in certain persons in whom the physiologic statUs of teeth and saliva or psychologic concerns exaggerJte otherwise reasonable responses. These effects are seen in the case of toothbrush abrasion, or the detrimental erosive effects of e.'(cess consumption of carbonated drinks and fresh citrus fruits on enamel and dentin. Most unknown about the OTCkils is the effect of the pre-rinse on enamel over time (Cubbon and Ore, 1991). Further research and unbias~d reports are needed to establish the appropriateness of clai ms for both safety and efficacy (Haywood, 1991 a). The safer option currently available is a system where there is some establishment of indications for treatment by a trained professional. baseline recording of data, fabrication and insertion of a custom-fitted mouthguard. monitoring .of treatment, availability for questions. evaluation of success or concerns, and instruction in application. Some concern also has been expressed aoout the safety of wearing the guard. However, the history of dentureS, mouthguards for sports, Hawley or Frankleappliances. orthodontic positioner.;, bite splints, andotherocclusal devises that have served dentistry so well over the years make this an unreasonable concern (Seals and Dorrough, 1984).

INDfCATIONS/APPLICATIONS fOR NIGHTGUARD VITAL BLEACHING The primary indication for the nightguard vital bleach~ng technique has been for persons dissatisfied with the original color of their otherwise sound teeth. Special concerns are for staining related to ingestion of tetracycl ine as an antibiotic during tooth formation or as an acne treatment during the teenage years. Other persons interested in bleaching originally had lighter teeth. but now the teeth have been darkened by age, coffee, tea, smoking. or other staining habits. Brown fluorosis stains are generaIly responsive, but white spots are unaffected. Other motivations for treatment may warrant consideration. These may include bleaching to avoid any of the developmental personality changes in young persons who are ostracized by their peers for having discolored teeth (Jenny et al., 1990); persons in public contact areas whose appearance greatly influences their success; or persons who are so dissatisfied with their present appearance that they are considering more invasive procedures, such as bonding. veneers. or crowns. In these instances, bleaching should be considered as an alternative procedure. not as an elective procedure. Bleaching can alsopro10ng the life of un esthetic but otherwise acceptable dentistry. Other indications include single teeth which have darkened from trauma, but are still vital or have-a poor endodontic prognosis due to the absence of a radiographically-visible canal. If all the other teeth are the appropriate color. the section of the guard covering the adjacenc teeth removed so that material is placed only on the darkened tooth (Haywood. 1990). If all the teeth are slightly darkened but one is still darker than the remaining teeth, then a conventionalstyle guard is constructed and all the teeth are bleached. Because it has been observed that teeth liEhten to a certain point, then maintain that color, the treatmt!nt is ~erely continued on the darker tooth until it approaches or matches the other lightened teeth. Other options presented in the literature for the single tjarkcned tooth have included intentional endodontics or creating an artificial pulp chamber, and bleaching the tooth with the walking bleach

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. technique (Albers, 1991, Abou-Rass, 1982). Because of the slight potemial for cervical resorption. the loss of tooth structure. and the less than 100% chance of success with endodontics, home bleaching should be considered the first choice in altering the color of these teeth. Often the walking bleaching technique is desirable to ensure the removal of debris and discolored restorative materials from the pu Ip chamber. However. occasionally a tooth which has previously been bleached by the walking bleach technique and sealed with a finished etched composite will discolor. In this instance, the first treatment considered should be bleaching the LOoth externally with the nightguard vital bleaching technique, especially if the lingual acce::>::; has since been covered by another restoration, such as an etchedmetal resin-bonded fixed partial denture. External bleaching avoids unnecessary removal of an acceptable dental restoration, and the loss of tooth structure during the process which weakens the tooth, and prevents additional insult to the cervical area from another 35% hydrogen peroxid~ treatment. Even after successful treatment with a walking bleach, often the bleached tooth is more yellow than the other teeth. Nightguard vital bleaching then can be used to harmonize the colors of the vital and non-vital teeth. Teeth that are endodontically treated, but have such a thin portion of remaining dentinal at the cervical that there is concern about potential cervical resorption from use of the 35% hydrogen peroxide. are also amenable to the nightguard vital bleaching technique as the first choice of treatment. The nightguard vital bleaching technique should be considered as the first choice for any discolored teeth, even those considered for the placement of porcelain or other esthetic veneers. Attempting nightguard vital bleaching first may avoid the need for veneers. However. even if the technique is unsuccessful in achieving the desired shade. or there are other indications for veneers other than the color, bleaching may lighten the underlying tooth base and make the subsequent veneer more esthetic, as well as a\]ow the patient to evaluate the results of the more conservative option first. Home bleaching can be used prior to single porcelain-fused-to-meta\ or ceramic crowns. fixed partial dentures, or removable partial dentures in order to offer a lighter. younger-looking shade. as well as eliminate some of the difficult crack lines or characterizations that are not easily duplicated in ceramic restorations. Nightguard vital bleaching can minimize the discoloration of the stained incisal edges of lower teeth, and minimize the effects of white spot lesions by lightening ·the tooth structure adjacent to the 'white spot lesion. Not only is nightguard vital bleaching effective as a pre-operative treatment, but it1's also effective post-treatment to lighten natural teeth to match existing ceramic crowns, fixed partial dentures, or Dicorrestorations. This lightening can be achieved to match crowns to adjacent teeth in one arch or to teeth in the opposing arch. Bleaching can also increase the life on three-quarters crown abutments, onlays. or resin bonded fixed partial denture abutments that have darkened more than their originally-matched porcelain pontic. Bleaching has even been successful in increasing the life on previous composite bonding by lightening the underlying tooth structure to compensate for the wear of the composite, or used to lighten the apparent color of veneers already cemented by lightening the underlying tooth slructure. This lightening effect is due to the ability of the carbamide peroxide to freely pass through enamel and dentin and to permeate to all parts of the tooth. even those protected by restorations (Haywood et aI., 1991).

Although the success and acceptance of the nightguard vital bleachi ng technique has been phenomenal, it has not eliminated the in-office bleach ing (Garber et al.. 1991). Some patients' lifestyles do not lend themselves to extended treatment times. or outside-theoffice appliances. Also. they may not be willing to wait the time for home bleaching to be effective. They may not be concerned about the greater financial investment of in-office bleaching. or may not be able to wear the guard and tolerate [he taste of the solutions used in nightguard vital bleaching. rn these situations, in-office bleaching is indicated. It is also indicated if the pa[ient does not respond well to the nightguard vital bleaching regime. In clinical trials at the University of North Carolina, a single in-office treatment delivered after a lack of response to nightguard vital bleaching, following by continuation of the nightguard vital bleaching treatment. has achieved results that neither technique showed independently. In those cases, the teeth were not etched, and neither heat nor light was employed. Other recommendations include beginning bleaching with the inoffice treatment, foHowed by the home II-eatment (Garber et aI., t99t). Other clinical pilot studies also at the University of North Carolina have shown reduction in the build-up of chlorhexidine stains when a 10% carbamide peroxide was used in an alternating fashion wi(h the mouthwash. Other preventive opportunities being explored ha\'e included using the nightguard vital bleaching system to at· tempt to reduce the incidence of root caries that is unresponsive to traditional fluoride and tray systems (Firestone et al.. 1982). This caries is often related to xerostomia and is a sequelae to radiation therapy, chemotherapy. medical problems, or aging (Seals and Dorrough, 1984). There is hope to evaluate the nightguard vital bleaching application in nursing homes or hospitals. where attendants may be able to add this application technique to the oral hygiene regime for patients with inability to perform adequate oral hygiene measures (Shapiro et a1., 1973).

CONCLUSIONS The profession should neither propose a sweeping condemnation nor offer a sweeping endorsement of bleaching any more than it should any other treatment option or medicament used in dentistry. Bleaching techniques that have been shown to be reasonably and relatively safe and effective, both in current usage and over time, should be accepted as a reasonable treatment option (Christensen, 1991; Golub-Evans, 1991). knowing the risks and benefits. Continued research should be undertaken on these and all other dental treatments. These accepted techniques includc nonvital bleaching with 35% hydrogen peroxide andior sodium perborate (but without heat), in-office vital bleaching with 35% hydrogen peroxide (but without etching), and nightguard vital bleaching (dentist-prescribedlhome-applied bleaching) with 10% carbamide peroxide materials or similar products. Conversely, claims that any use of hydrogen peroxide will bleach teeth and all techniques arc safc cannot be accepted blindly. Especially in question are the aTe bleaching kits, and toothpastes containing carbamide peroxide. Effectiveness and safety of the bleaching technique must evaluate not only the product but also the delivery method and treatment time. Unbiased research is still the best avenue for sifting through the claims and reports to a better understanding of what is correct and what is incorrect (Haywood. 1991a). Over time. the understanding of TMJ function has changed radically. the correlation between occlusion and pain has altered. the change from pins to slots in

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nkI [l nnIT! AI b U I~ [ I!J un I ML

(I

Care!!n Bakewell From:

Bobby -rtniie [email protected]

Sent:

Wednesday. February 20. 20084:21 PM

• v.

'Mark essErI

ee:

Carolin Bakewell (E-mail)

..._.

SubJ..::t; RE: OYes!ion

Thanks for you insight and for bringing Dr. King in the ioop. We've used at ieast one of the experts you racommandad In otr.ai ma~L6I-s and may be contactinQ him again depending on how far these iawsuits progreu. !'m for..-vardlng your rs:ponsa to Cardin Bak6"""aU, CUi legal coun~, you may be hearing from her as weli.

Thanks

l

Bobby --original Me=s3ge From: Malit Casey [mallto:[email protected] Sent: Wednesday, February 20, 2008 4:05 PM TO: [email protected] Subject: Re: Question

Bobby: Sec my response to your questions below. Thanks,

M!!...1'k Bobby \Vhite wTOte: Mark: You have discovered one of many such "bieaching kiosks" WIth which we are currenUy going

fOflh to do bliilie. ihis one and several oihers are on ihe proverbial radar screen. WeVe sent out numerous CEiii8e and desist orders throughoui the state and currentiy have iawsuits flied In M-o diffar,;;.. t counties Cepe.,cHng 0.. how u~y go about it, we consider this the un!!cerIsed prac+Jce of dentlst.-I_ The fact that v.~ have had to brtng two lawsuits however, l

indlc-ate! th.at we are dealing with welf-financed ~..:s!ness8S \,\'he \\'Ould raL"ar support litigation than give up on the bleaching business. AJe there other pubUc hea!t." concerns raised by these buslnesses?Yes. , would tl,!nk so. There are severa! unintended side effects that could occur when oatients underaa bleachlna treatmBnl!;~ I think that H is follow-up -Bte;;~hBright or their imperative that patients have somewnere to go competitors have any means to offer post·treatment care if the customer experiences. for example. cervical sensitivity due to the bleaching treatment? In my opinion. unlicensed activity may negatively impact the public welfare if the activity is performed by sameone who can not prOVide comprehensive oral health care services. I guess another point ta consider is ihat unlicensed activity af this nature is not regulated by any state agency with the power ta discipline folks who are negligent in their care of the custamer. What legai recourse wauld a customer of Bieach6fight have against a business entity that provides orai heaith care serY'ices bu1 ieaUy does not answer to any aumomy with knowiedge of orai heaith care? IT SOl do you kr.o-..v of anyone that would be willing to piovkfa a stateineFit to that effect? i guess

fa

Csre.- Daes

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U-lSt this issue IS probably not In my purvlew since it does not Involve Medicaid iGCipients. I asked Rebecca King to taka a look at the email discussion to SaG if she had any t."loughts from a dental pubHc health perspactry's. The othar tho-~ght that ! had, that you aU are probably '113, ahead of me on, is t.-'at perhaps 3: dental expert on est"et.ic treatment like Harald Heymann (UNC SOD) or Van Haywood (Med!ea! College of Georgia and used to be on the faculty at UNC SOD· he has published many journal art.Jc!es on bleaching) could weigh In witt, an opinion about whether this unllc.ensed activity is in the best interests of the CL!stomerJpatient Thanlt.s for letting us know about tl1!s and for an tlla! you do to help dentistry in this state. My pleasure and thanks for the compliment Not $yre that I have done much to deserve such high praise, but I hope to prove worthy in the future.

Bobby --Qriginai Message From: Mark Casey [mojito;Mark.i""[email protected]

s.nt: Monday, February 18, 2008 9:02 AM To: BoDby Vihite SUbjKt: Question Bobby: Hope you are doing well.

I was at lunch the other day at Crabtree Valley Mall and noticed that a kiosk

had been set Ltp by II bu.~ines.5 interest \mown as BleachSright http://www.bleachbrifd!,lcorn/. The folks at the two chAit" operation seemed to ~.:s+.omers \vith trays {probably disposable s""wck trays)t a hydrogen Ji'avxide bleaching agent and a bleaching light. I asked a few questions of a gentiem.a:n at the kiosk and it seemed to we that thge was no dentist on site for supervision. From a quick iook at ibeir website, it appears that they are claiming that since the customer inserts the tray themseives that this is acceptable under state dental practice laws.

be providing bleaching tr-,.,atments to

I recall an old Board newsletter that addressed the issue of bleaching treatment and I believe that it advised that bleaching treatments should always be ~t-1n'\1"'otered by a dentist. I know that due to potentia! effect...! on the gingiva leading to cer.ica1 ~ansitivity that app!i=tion by a lice".....Bee is critical. Not S'I.ll"e if you have been advised of this potential unlice-uSed &..-tivit";, but I thought that it bears repeating even if you are aware of the situation. The gentleman ad:vised me that the kiosk is open seven days a week. Tney are iocated near me first level entrance to the mall near Panera Bread on the back side of the mall facing Crabtree Creek.

Thanks, MMk

[J fv1iU....Jj{ W. Casey DDS, ~vfPH Dental Director Division ofMedicai Assistance

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c0r~ F! 0Un! Al

2501 tvfail S-iIvice Center Raieigh, NC 27699-250i Phone: (919)855-4280 Fax: (919)715-2738 . Mark.CasevCalncmail.net Whenever documents ac.c~pAny1ng ~n e-mR11 contain confidential health informatio~ such documents a..~ legally priv;Jeged. The authori&2ed recipient of such documents is vIo}-,dbited from disclosing this information to any other party uniess required to do SO by law or reguiation. Recipients are required to destroy such iniormation after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this information in errur, please notify the sender immediately and delet..e the e-w.ai1 and accompanying file a:t4"..achment.

LJ

Mad: W. Casey DDS, MPH Dental Director Division of Medical Assistance 2501 Moil Servi.c.e Center R.aleigh, NC 27699.,,2501

Phu"'""ne: (919)855-4280 Fax: (919)715...2738 [email protected]

Vrnenever documents accompanying an e-mail contain confidential health information, such documents are legally privileged. The authorized recipient of such documents is prolubited from disclosing this information to any other party Unless required to do so law or regulation. Recipients required to de~troy such info~ation after its st-Rted need hR... been pllfilled. If you !!..Te not the ;ntended recipient, you a..re hereby notified that any discloS".Jre, copying, distn.'bution., or action taken in reliance on the contents of these doc'wucllLs is strictly prohibited. If you have received this infonnatiofi in error, picase notifY me sender immediateiy and deiete me e-mail and accompanying fiie attachment.

bv

are

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Bobby D. Whits

Referencing \\fhitening/Bieaching

2004 - 2010 10 Feb 04 2 Dr. Chrisiopher Pheips 704-845-1107 [e-mail: My name is Christopher Phelps. DMD and I am cufrenuy practicing in Charlotte, North Carolina. I have recently discovered a business opportunity that is tied in with Dentistry but i wouid like to speak with an attorney who is familiar with the Laws of NC and the mles governed by the Siate Board of Dentistry. If you could em all me a number where! could reach you or someone who can answer fHy quesiions, i would be very appreciative, My office number is 704·845-1107 and my email address is [email protected] ..net. Thank you for your time,Dr. Phelps] - ? about company called "Bright

smile" all they do is teeth whitening. Wants to knc\"J if it is ok if he worr
applies whitening process. Any problem? Asked him to fax the info and i'd run it by the Board, get back 'vvith him on Monday.

Feb 5- 1007 4 Kenneth Lewis 9]04880518 in Fayetteville. Reports that one of his pts owns several taMing salons and has been approached by Brite Smiles to go into the whitening business. I told him we had several reports and were doing investigations around the sIaie. He'jj get what literature he can from his pt. and forward to me.

Mar 3 - 6 08 4 Dr. Harald Heymann 919-966-8422 - LM asked him to help Board with advise on Bleaching products.

Mar 11 -1508 9 Dr. Haro1d Haymann w UNC 919 966 8422 - will be glad to serve as consultant to Board for Bleaching treatment. U""IoP'l'" .. ,w, V I

-

A ..... f!! _P' iJ

no

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1 Dr. Capps 252 752 1111 - wanted to know status of cmplt be fiied against mall bleaching. Told him We had two court cases fiied and were waiting for a decision before moving forward. Also wanted to know about griUs. Told him about GSa case where we

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)11

r- ; ;n;

won half the battle. Also had questions about sedation rule. and courses. Told him we would be getting out documentation and apps sonletime in May. 3 JC Wilson JcwR64{)(@J~OXxl_et ~ wanted to know about NC "rulings" on chemical bleaching kiosks. Told him we had not made arlY r'...l!ings but would send him the Board's most recent statement.

t!

I I

I,

4 Dr. Robert \"/alker 7045270848 - ieporting a new bleaching center in Concord Mills mall right beside circuit city. Gave info to Terry. She said they had already been personally served.

Apr 2i ·2508 6 Christy with WRAL - cbennettvvwral.com Attached e-mail sent 23 Apr 08: FYi. Just got off the phone with a raporter from 'vVRAL. They are doing an investigative story of chemical bleaching kiosks i!1 the malls. ,Ll,pparently, a member of the public has been harmed and has made his harm known to WRAL. ! told her that! could not confirm t..'1nt the individual had filed a complaint with us, but if not we certainly would encourage him to do so. ! outlined the public material we had available (lawsuit in Mecklenburg and Catawba Cos .• statement on Unauthorized practice) and told her I would forward her a copy. I also described generally· not in particuiar reiation to chemical bleaching kiosks - what authority the Board had in approaching the problem of the unauthorized practice of dentistry. The lawsuit in Mecklenburg Co. being an exam pte of the Board saaking injunctive renef from ihe courts. She asked what other problems may arise from these kiosks. ! said generally there could be problems with infection controi and sterilization, but for specifics ill that area she would need to ta!k to a dentist. She said she had a call in to Dr. Parker at the NCSBDE. I got the sense from this reporter that WRAL's take on the story was going to be one of urging consumers to be very cautious in using chemical bleaching kiosks.

9 Dr. Samuel Bright - called to report bieaching kiosk in Crabtree. Toid him Board had lawsuits pending in rvfeck. And Cabarrus Co. Waiting to see the results of those.

May 27 - 30 08 2 Reporter in San Fran 415 908 3859 doing a story on tooth whitening kiosks. 3 Kim Holt [email protected] wsoc-tv.com w WSOC TV looking into whitening kiosks 704 3354703 - LM

Jun 2 -7 08 1 Rabia Nughal nnuE!hal(a)drbicu~hhlcorn - reporter for a website for dentists doing article on chemica] bleaching. Asked questions that gave me the impression t1at she was

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representing vendors of chemical bleaching products, She assured me that was not the case, I sent her the Board statement and copies of the two lawsuit pleadings.

Jun16-2008 7 Claude Walker 340 774 5666 Asst Aty Genera! in US Virgin Island. cwalkerrij)rioi. vi.gQv He has a tried a case in VI on bleaching. Now writing a brief anti wants our info. Sent him the crt docs and bOaid policy.

Sept 2 - 5 08 2 Shfu"li w Dr. Kinlaw 924 i 923- she tajked to person doing bieaching @ Cary Towne center. Person tolu customer that bleaching would iighten the color of her crowns.

Oct. 20 -24 08 6 Ron Owens has sent brochure on the WOW wagon teeth whitening mobile van,

Nov. 17 - 21 08 2 Dr. Rothennill 336 403 7170 from W -S, Saw a whitening kiosk Wants to !c'lOW if a dentist needs be present.

Dec1-508 Brian Begue ('"Bay-Gay") 5049448443 legal counsel with LA Board. Qut;:stiun:s about chemical bleaching

Feb 9 -13 09 Dr. St~vt: Smith 252 247 2 i 69 - tooth whitening @ tanning beds.

Mar 22 - 2610 CB 386 9097 refteeth whitening cases

Apr5-910 Kaya SaJwin - aty in MI represents teeth whitening grDup war!ts to !C110W NC policy. l<;salwin(aimarcos.com

Apr 19 -2310

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Mr. Perry - called wanted to know if teeth whitening was ok in NC. Told him to check with his legal counsel. We investigate complaints. We don't give legal advice. He's interested in doing this in his spa.

May24-2810 Learl.l"'l Planchet 704 277 548 I ad.l1inistrator w physician office wants info on teeth bleaching. Told her this was a matter ofiitigation and eQuid not comment at the moment.

Aug 23-21 10

Juiy6-9;0

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Page 1 of2

Re: anything new?

From:

uri [[email protected]

Sent:

Tuesday, March 02, 20iO iO:02 AM

To.

[email protected]

Subject: Re: anything new?

This message has been forwarded to you from the AADA Message Board. Click here to replv to fllis message. Tooth Whitening/Bleaching Ra: anything new? From

!J!!

To'

~

/\t!:artlment:;.

~4ojjv

.

I I JI

~3/02/10

09 02:05 A~ 2VNO.104SE I.

The Bo~rd in Ohio adopted a polfcy that IS in place until 'oVe see somot'1ing differsnt happening. \iVa are not done watching them, but for now. since they are unlicensed, there's not a whole lot we can do. Here's the policy:

.....

POLICY REGARDING BLEACHING SERVICES OFFERED IN MAlL KIOSKS AND SALONS BY ~

........ ,' ,........... ,....................... , ut:I\lI ..... L

I>iLII~-LI\".ot:I~uI::U

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Preamble: The purpose of this policy is to clarify the Ohio State Dental Board's (Board) position regarding the offering of bleaching services and materials to ClJstomers in malls and salons by nonlicensed dental personnel. The Ohio State Dental Board (Board) has considered numerous inquiries as to whether tooth whiteningibieac:hing services and materials couid be sold at a mall kiosk or salon, and applied by the consumer themselves wlt'1 the guidanCe of a kiosk/salon employee. it lIas been expiained that the consumer applies the whitening materia! to their own teeth, and t.~en they apply a light to th8 testh, W hich may occur several times over the course of an hour. The Board has concerns with the unregulated use of this material. It is the general position of the Board thai this activity is permissible so long as the consumer applies the whitening material to their o\.vn teeth, and no one els6 places their hands in trle consumer's mouth. Ohio Revised Code Section 4715.01 requires that anyone practicing dentistri must be properly licensed. Simply providing a consumer with the materials to make a tray and demonstrating to tl1em how to apply materials to their teeth for bleaching purposes is not the practice of dentistry, unless and untii someone other than the consumer places their hands in the consumer's mouth, and/or positions the activation light Oi similar device on behalf oi the consumer. Issues c-an arise witl: the materials being provided at the kiosk/salon. The unregulatsd and unsupervised use of these products could be harmful to the consumer. Furtl:er, tt,e safety and e4icacy of products not distributed by a licensed dentist cannot be assured, and should not be used, or should be used with extreme caution. Any person deerned to be practiCing dentistry without an appropriate license in this regard will be

8/1912010

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Page 2 of2

Re: anything new?

referred to the local prosecutor for potential criminal conduct. (Februal)' 27, 2008) Anything new in your states about teeth whitening? An}" good answer to the questiuns: How is it the practice of dentistry to piace a bieach tray in someone's mouth? How is the the pl'lJctictJ of dentistry' to adjust a heat or light source?

Thanks. --Marshall

T/~is

~1l9/201

message has been forwarded to you from the AADA Message Board, Ciick here to replv to this message,

0 NCBOARon04

1244

CX0419-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 232 of 366

NORTH CAROLINA ST/;A TE BOA.RD OF DENT.AL EXA.MINERS 1

BENJAMIN W. BROWN, D.D.S..,

BRAD Co MURUAN. V.U.S.

rre,
n ....F'on_an u.,~rn..,.

S'fANLEY L.ALLEN, 11.».5., Secretary-Treasurer C. WAYNl': HOLL......."!D. D.D.S .. p~ Presiden:

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D.D.S.

NEPLUS S. HALl.., R.D.H. BOBBY D. WroTE, Chief Operations Officer

July 8,2005

Dr. Ronald K. Owens i 55i Wesibrook Piaza Drive, Suiie 20i Winston-Saiem, North Caroiina 27103 Dear Dr. Owens: Congratulations! 'liVe would like to personally welcome you to the North Carolina State Board of Dental Examiners! Your task as a member of the 80ard is to help enSUie the dental heaith, safety and welfare of the citizens of North Carolina. The Board. as you are aware, licenses dentists and hygienists and is iesponsible for investigating any complaints conceming dentists or hygienists licensed in North Carolina. These are the major functions of the 8oaid, but you will find that a number of othei issues are addressed during 80aid meetings as Well. You must begin YOUi teim by taking an oath of Office, vvhidl we plan to have administered at a formal ceremony on August 19th , during the scheduled August Board meeting. You VIi!! be given a copy of the oath and a copy . .vill remain in the Board office meso

To ;;)ssist you ~s you step into this nevI role, ! have enclosed severa! items for your reviev-I. This information Includes the Board's meeting schedule for the remainder of this year, a !ist of current Board members and staff along viith their contact information. a map indicating the location of the Board office in Carl, a copy of the Denta! Practice Act, the Board's By!aws) Personnel Manual, s9vera! months of past Board meeting ~..1!nutes, information on the upcoming A.6.DE meeting in Philadelphia, a sample of the Board's expense form, the last ThvO Board newsletters and a copy of the irwestigations Manual. Once you receive this information and have an opportunity to review It, please fee! free to contact the Board office with any questions Please make note of the 8oard's website, which is WNW. ncdp.ntalho~rd,oro, The website is very he!pfl)! in providing information to the public, It is full of information regarding every aspect ofthe Board)s operation and is updated as often tlS needed by the Board staff

EXECUTIVE OFFICE ·15100 WESTON ».\RKWAY, SUITE 1&1 • CARY, NORTH CA.ROLINA 27:1;13 Ltl.UHON£ (919) 67s-.SllJ • FAX (!l19) 67~72 • EMAIL: WW'i,urdrpu'OOard,o[lj! • _.JU:dfJnUllbo.nI.(H'g

NCBOARD004630

1245

CX0449-001

Appeal: 12-1172

Doc: 63-4

NORTH

Filed: 07/06/2012

CAROLIl'"~A

Pg: 233 of 366

STATE BOARD OF

DE~.jTAL EXArl'IIt~ERS

W. STAN HARDESTY, D,D.S.. President RONALv K. OWENs., i),D,g" Secretary.Tre&Surer JOS£r'n $. 3UR:"'-mAM. D,D..$,. Past President ZANNU P. EFIRD, CO!'lsur!ler Member

CLIFFORD 0, FEINGOLD, D.D.s,

e. WAYNE HOLLAND, D,D.s, BRAD C. MORGAN. D.D.S. NEPLUS S.llALL, R.D.JI.

BOBBY D. WHITE. Chief Operations Officer

June 25, 2008

Dr. Ronald K owens 1551 Westbrook Plaza Drive, Su~e 201 Winston-Salem, North Carolina 27103

Dear Dr. Owens: Congraiuiationsi We wouid iike io weicome you personaiiy io ihe Norih Caroiina Siaie Board of Deniai Examiners! lOur iask as a member of ihe Board is io heip ensure ihai the denial profession merii and receive me connaence or me pUDIlC. The Board, as you are aware, issues the denial and deniai hygiene license and is responsibie for invesiigating any compiaints fiied

against them. Tnere are, however, other major issues addressed by the Board with whietl you wiii become very ramiiiar during your term oj service.

The North Caroiina Ethics Commlssion must provide an approval before you can be swom into offICe. In order to clear this hurdle you must submit a Statement of Economic Inteiest (SEI) IOiiii with the Commission. You may dO'wnload a tom. from Uie Ethics Commission website: ·,...rwvv.ethicscommiSSion, nC.gov undai the menu option labeled "Financial and Personal Inteiest Disclosure Felilis C1State of Economic Interest"). If you piefer, We win be happy to forvVard you another copy by mail. The Board's legal counsel and. liaison to the Ethics Commission, Ms. Carolin Bakewell, will be happy to assist you with the completion of this form or you may file it directly \-"·lith the Ethics Commission. H0"9'""ever, if you choose to fila directly, please let Ms. BSKs-Nell leno\-,", tt'.a data on v.'hich your SEI. was filed. It takas several weeks for the Ethics Commission to process the SEI a.,d we want to make aura you ara eligible to taka your seat by August 1st. !f ever,'t..,ing is approved, '.a,s hope to administer ta,e oata, of OfflCe to you on t"at date. If this day is incon\.~nient please !et us knOV'.f what time and date works best for you. A ceremonial oath 'I'~~!! also be administered at the ftJ. . gust Board meetir,g. You \'Ii!! be given a copy of the oath and a copy \-'.4!! remain in the Board office files. To assist you as you step into t.,is new rote, we have enclosed severa! items for your review. This information includes the Board's meeting sc.l--jedu!e for the remainder of this year, a list of current Board members and staff along with their contact information, a map indicating the !oc..ation of the Board office in Morrisvi!!e, a c.opy of the Denta! Practice .A.ct, the Board's By taws, Personnel Manual, severa! months of past Board meeting Minutes. information on the upcoming

507 AIRPORT BOULEVARO, SUITE 105· MORRlS'vlLU, NORTH CAROLINA 27560-8200 TItLIi.PHONJi: (919\ ";71t.i4n. , , ,.,lI:..R7.1.l - .•. - • PAY _._-,(Qlj)\ ... ,.,_ ... - II:M.l.IT _ ...... _.. ;.. f,./,i,..,...1"- ..... 'hn __ .. ___ • _ " __ ~ .. ~_ •• , .. ___ ..

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NC80ARDQ0472.5

1246

CX0450-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 234 of 366

Page 1 of 1 r

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Casie Goode From: Eric Steinbicker [[email protected]] Sent: Tuesday, September 01, 2009 9:27 AM To:

[email protected]!board.org

I a...q} a general dentist in }v1ebane, NC and noticed that a local beauty shop is offering something simiiar to zoom \vl'..itening in t'Icir office with no dental professionals on site. I was just wond{"TIng if tius was legal or not? Thar'Jcs,

Eric Steinbicker

9/2/2009 NCBOARD5789

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Filed: 07/06/2012

Call TodalY t() Sc:h·eclule Your A.ppointment!

Winston Salem, Ne 27104

• R.~duc'ld ral:es for multiple se:ssions • GIrOUP disce,unts for 2 or mon> peopl"

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at tlhe partyl EluE.na Vista Smiles uses thEl fastElst and most effective tee,th whitening system availalJie, One 15 minuk~ session for as Ilow as $99,

srnji,~

In just minutes. you Cian have the brinhtest

How Y4:>LI Cain Have a Elri:glhter, Whiter Smile for the Holidays.

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Buena Vista Smiles

Appeal: 12-1172 Pg: 235 of 366

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 236 of 366

/

NCBOARD60B 1

1249

CX0455-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 237 of 366

Page 1 of I

Bobby"'''Jhite From:

Ron O.... [email protected]

Sent:

Tuesday, Aprii 06,20105:07 PM

To:

Terry Friddle; Bobby White

Subject: RE: Case Assignment 10-061 Please see if you can find out how they are whitening.

Thanks, RKO

From: [email protected] To: [email protected] Subject: Case Assignment 10-061

Date: Tue, 6 ,lI.,pr 201012:47:52 -0400 Here's another tooth whitening case for you. Shall we send the "approved" cease & desist letter. or do you want us to send someone to check it out?

Terry' VI. Friddle Deputy Operations Officer NC State Board of Dental Examiners 507 Airport Boulevard, Suite 105 Morrisville, NC 27560

(919) 678-8223 Direct DiaL (919) 459-1791

From: [email protected] [maHto: [email protected]]

Sent: Wednesday, March 10, 2010 5:52 PM To: [email protected],org

Subject: From Ross W, Nash, DDS, Chartotte

Terry. J was in South Park Mall in Charlotte earlier this week. They have a kiosk where an individual is performing whitening procedures. it is cailed Pro White. Jennifer Shepard suggested that I infonn you so the Beard can give t1em a cease and desist oider. Thank you.

Ross Nash

8/20/2010

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Pursuant to 28 U.S.C. § 1746, I

CX0467-001

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O~/V~ Pt::<.S declare (or certify, verify, or state) (print name) correc!J-~.s onse to FTC Subpoena Specifications 2 and 3. under penalty of perjury that the foregoing is a true and corre~!J-~.sq{~~ubpoena

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Filed: 07/06/2012

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TOTAL NUMBER OF TOOTH WHITENING PRODUCT AND SERVICE PATIENTS/CUSTOMERS

TOTAL TOOTH WHITENING PRODUCT AND SERVICE REVENUES

YEAR

Per Spec. 2.b.

Doc: 63-4

/

Per Spec. 3.a.

Per Spec. 2.a.

TABLE OF RESPONSES FOR SPECIFICATIONS 2 AND 3

Appeal: 12-1172 Pg: 238 of 366

Appeal: 12-1172

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Doc: 63-4

Filed: 07/06/2012

Pg: 239 of 366

FAX 00.

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CX0476-001

Appeal: 12-1172

Doc: 63-4

'>I'M FEB-13=c;,uvo

Filed: 07/06/2012

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1253

CX0476-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 241 of 366

FAX

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NCBOARD355

1254

CX0476-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 242 of 366

Pale 1 oft

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Mlc:bael L. Hasson, DDS, PA 1221 Flora! Parkway. Suite 101

Wilmington. NC 28403-8403 i9i 0) 793-0440

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Initial Progress Note (from Pranogl8b a!!on): cPreregi8tratlon initial contact: 0211912008 at 8:35 am OSource of Call: OReff/trw Siip Received: None (not received) OR~G1ToI Sip Co-iTlmenm: OStatL'S of red!ogrsph (8.TigIng)

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TOOK PANOI Pi REFERRED BY FORMER PT. GUMS ARE VERY IRRITATED .....A.V!NG HER TEETH a~.C;;E'O EX: PT HAS HAS !NFECTED UPPER A.t.~D L.OV'.JR LEFT WiSDOM TEETH. LOWER TX:CHECKED AREN DR HASSON ex FOR THE SURG EXT #. 16 & 1; Wi GEN ANES. ~.FTER

DR. PICKLESIMER WIll NEED TO MAKE A NIGHT GUAIU). PT HAS ULCERSI
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Appeal: 12-1172

Doc: 63-4

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1221 FLORAL SUITE 101 WILMINGTON 910.793.134413 FAX 9113.193.13441

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!!YIVUH !AN I WARNING: THE INfORMATION THAT fOLLOWS IS liiTEIiDED FOR THE USE Of THE PERSOii AiiD OR E,lTiTY TO WHOM iT is ADDRESSED. THIS INfORMATiON jyiAY BE CDtifiDENTiAL AND PR!V!LEGED; THE DiSCLOSURE Of WHiCH is GOVERNED BY APPLICABLE fEDERAL AND STATE LAWS. iF YOUR NOT THE INTENDED RECIPIENT YOU A~E HE~EBY iiOTiFiED THAT ANY DISCLOSURE, DISSEMINATION. DISTRIBUTiOli OR COPYiiiG Of THIS INfORr~ATIOii IS STRICTLY PROHiBiTfD. If YOU HAVE REClfVeD TH!S MfSSAGE BY ERROR PLEASE NOTIfY US AT 9m. f93.0440 IMMEDIATELY AND DESTROY THE RELATED MATFI2IAI {\ . . r "".1..'-'.

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NCBOARDZQ4Q

1256

CX0477-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 244 of 366

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Dcar Beard Member . . Ms, ret..!!'!'!ed to-my offie.e with q'Jestion! n:ga.~bt; fb.t'Jre trcat.toUent Could }'Ou please update me on the nAt\lS of her' oue and ~ent reconu!len'daticms! can. pass on to her Genera! Denti!t.

Thank you. . Michael Hasson D.D.S. P.A.~

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1259

---

"'.

CX0477-004

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Filed: 07/06/2012

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1'HE NORtH CAliOLiNA. SLATE BOARD OF DENTAL l~ lMINEll,tt: 5'7 AIrpor! BOil''''''''''' SuN. !'5 2i561

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1260

CX0477-005

Appeal: 12-1172





Doc: 63-4

Filed: 07/06/2012

Pg: 248 of 366

accretions by application of chemical agents and actions and makes determinations on a case by case basis. TN: According to ADA DSGA, the BOD's General Rules provide that all teeth whitening formulations, except those sold over the counter, shall be prescribed by a dentist. UT: State licensing agency Division of Occupational and Professional Licensing (DOPL) ruled some years ago that non-dentists, regardless of the location can sell tooth-whitening materials and kits; can instruct regarding their application and use; cannot do anything inside the mouth, nor physically assist in making trays or molds.

Dental Board Opinions •

CA "The board which operates under the state Department of Consumer Affairs, found that businesses were not violating state law, because the bleaching agent is far less than prescription strength and the lights customers sit under are similar to a flashlight bulb. Also, operators do not touch the client's mouths, which by law would be dentistry. (Strindberg, A. "New teeth-whitening shops operate in gray area," the Press Enterprise (Riverside, Calif.) May 10,2008.)



FL: from September 14, 2007 BOD Minutes: "Board merrlbers responded by stating that "Anyone who performs bleaching services (salons, spas, etc.) is practicing dentistry pursuant to their interpretation of the definition of dentistry ... Motion, that board affirm that bleaching constitutes the practice of dentistry. Vote unanimous"



ME: Individuals providing this service may be practicing dentistry without a license in violation of32 MSRA § 1081."



NM: BOD is reviewing "as we speak."



NJ: FEBRUARY 7,2007: The Board reviewed a letter from a dentist requesting interpretation of the Board's regulation concerning delegable duties for hygienists in teeth whitening procedures. The Board determined that teeth whitening procedures must be performed by the dentist and such services can only be provided by a practice owned and operated by New Jersey licensed dentists along with closely allied licensed health care professionals. Dental hygienists may not provide these services independently. OCTOBER 3,2007: The committee reviewed correspondence from a dentist requesting the criteria to open a Zoom clinic or spa. The committee noted the Board has previously determined that a dentist must be on the premises and obtain a branch office license for that location. This location must meet all requirements of a regular dental office. NOVEMBER 7, 2007. The Board reviewed a request for clarification with regard to RDHs and RDAs being able to apply whitening gels for in-office bleaching. The Board determined that both registered dental hygienists and registered dental assistants may apply the gel and hold the light (not laser) at the direction of a licensed dentist. DECEMBER 5, 2007: The Board advised that teeth bleaching is the practice of dentistry and must be performed by a dentist. Such procedure should be done in a facility with appropriate dental equipment, including but not limited to equipment necessary for examination, sterilization, treatment, etc.

This document is intended as an informational resource on legal actions taken by states involving tooth whitening by non-dentists. The information is to promote understanding and should be used freely, but the document itself should not be reproduced or distributed without permission from the ~ADA Division of Legal Affairs.

002611

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CX0513-001

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CX0513-002

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CX0513-010

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CX0513-014

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CX0513-015

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CX0513-016

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CX0513-017

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CX0513-018

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CX0513-019

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CX0513-020

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CX0513-021

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CX0513-022

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CX0513-023

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CX0513-024

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CX0513-025

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CX0513-026

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CX0513-027

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CX0513-028

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CX0513-029

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CX0513-030

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1292

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CX0513-031

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1293

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CX0513-032

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CX0513-033

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CX0513-034

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CX0513-035

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1297

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CX0513-036

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CX0513-037

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CX0513-038

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CX0513-039

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1301

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CX0513-040

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CX0513-041

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CX0513-042

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CX0513-043

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1305

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CX0513-044

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CX0513-045

Appeal: 12-1172

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CX0513-046

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CX0513-047

Appeal: 12-1172

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1309

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CX0513-048

Appeal: 12-1172

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CX0513-049

Appeal: 12-1172

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CX0513-050

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CX0513-051

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CX0513-052

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CX0513-053

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CX0513-054

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CX0513-055

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CX0513-056

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CX0513-057

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CX0513-058

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CX0513-059

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CX0513-060

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CX0513-061

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CX0513-063

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CX0513-064

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CX0513-065

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CX0513-066

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CX0513-067

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CX0513-068

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CX0513-069

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CX0513-070

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CX0513-071

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CX0513-072

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CX0513-073

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CX0513-074

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CX0513-075

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CX0513-076

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CX0513-077

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CX0513-078

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CX0513-079

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CX0513-080

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CX0513-081

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CX0513-082

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CX0513-083

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CX0513-084

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CX0513-085

Appeal: 12-1172

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CX0513-086

Appeal: 12-1172

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CX0513-087

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NORul CAROLINA STATE BOARD OF DENT•.!.L E.."IU...'\1Th'ERS w. STAN IlARDlS'lYt DJ).S.., Ptaidc:aJ: RONALiJ K. OWENS, D~ Stac&lry~TrQ~ JOSEPH S. JL'RNHAM., D.IJ..S., Put PtcmdeGt ZA_NNIE P. £!I'!!tD, ,.-~ ~

CLiiijf()1U> O. FEINGOLD. D.D.S. C. \VA..."l'...'E HOu...;..ru;., D.b.s. Jl;R.....D C. MORGA."'!.D..D.8. NEPLUS S. BALI..,. R.D:a

January i3, 2008 Dr. tyficha.el A Catanese 135 Fe-uill Place Charlotte NC 28207

Re: Tooth W-lritening Kiosks Dear Dr. Catanese:

You will find enclosed a copy of a letter that the Dental Board has written to tb.e .manugement of Carolina Place Mall regarding the improper whitening of teeL~ by nou~ dentists. Staff wrote to the Chicago compiulY t.hat OW!IS Carolina Place M:all about the subject in Novenlber 2007.

'

Please let US know if the practice c.nntinues and if we may be of additionai service. Thank you for drawing this m::atter to our attention.

Very tr111 Y YOi.il1i,

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Carolin Bakeweil Board Counsel

507 AJRPORT BOULEVARD, SUITIi: 105 • M'ORJUSvrLLI,. NORTI! CA!'!:OL."N:" n~w n..LilrnVA'& i)l1,j

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FAX (9")47I-U71·I;MAIL.llnl't,,'ilardt,t.'ttpu4 prr· 1rn'll'.ftdt.lltalbo...d.ClI'J

NC80AR0888

1349

CX0524-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 337 of 366

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Gmeial Grow1h Properties nON. Wacker Drive Chicago n. 60606

Re: Tooth Whiteni.'i Kiosks

Dear Sir or Madam: The N.C. State Boa..rd of Dental EX3.'llincrs is the agency created by the North Carolina ]egisIAh.Lre to enforce the dental laws in ibis staie~ The Dentai Board has !e.arnea that an out of S'.ate company has ieased kiosks in a number of shopping malls in North Ca.-olina for the pwpose of offering tooth whitening services 10 the public. North Carolina law specifically provides that the removal of st.a!.'lS from human teeth constitutes the practice of dentistry. See N.C. C'e!'_ Stat. 9O-29{b)(2). a cu!'y of

which is enclosed. The unauthorized practice of dentistry is a misdemeanor. See N.C. Gen. Stat 90-40~ a copy of wtaJch is also enclosed.

It is our ir.fonnation that the teeth whitening services offered at these kiosks are not supervised by a iicensed North Carolina dentist Consequently. this activity is iiiegai. The Dental Board would be most gratefi",ll if your company wouid assist us in ensuring that property owned or managed by your company is noi being used for improper activity that could create a risk to the pubiic heaith and safety.

5t7 AUtPORT BOUUV••.D. Sl.f!T! 105 • MORru..DVt'U.~ N'o;:ra CAiiOi.iNA. 11~ nUPRONE (tIt) FAX ('It) '11-1471· DfAIL: IrM t tat .. .am. -.~m~~

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NCBOARD889

1350

CX0524-002

,

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 338 of 366

• Please feel free to contact me if you have questions. Very truly YOlLl'S,

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Caroiin Bakewell

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Board Counsel

Enciosures

NCBOAR0890

1351

CX0524-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 339 of 366

Caroll" Bakewall __ From:

CaroUn Bake\\.'8!1 [cbak&'[email protected]

Sent:

Monday, March 24, 2008 11:34 AM

To:

'Cathy Moslay'

Cc:

'[email protected]=

SubJect: RE: Tooth Whnening Kiosks Oear Ms. Mosley: Thank you for

your message.

The N.C. State Board of Dental Examiners has not issued any sort of blanket approvaf for tt-tG op&lQtion of teeth whitening kiosks by BleachBright

i do not know who you hava been contacted by, obviously, but you may wish to suggE!$! til!!! he c.ontact !he Dental Board c:iirectiy if ha beilaves some approval has been given to or respecting BleachBrfght, so that we can clear up any ooniusiOn !hat may exlsl

Sincerely yours, Carolln Bakewel! Board Counsel

From: cathy Mosley [maltto:[email protected]!!stc:'e""j.com]

Sent: Friday, March 21, 2008 2:17 PM To: c:[email protected] Subject: Tooth Whitening KJoslr.s Carollo.

I hope that you are doing wen. I am emaiUng [email protected]:2use I have had an operator corr..act me who wouid iike to iease a kiosk in several of our malls In NC for a tooth whiternng system. H!s company la Bleach8.1g.'it of Caroiina. We received a letter from you back in November which stated !hat !h!! po L'_~es was H!S"',.::! becauS& this ..iSS not being supervised by licensed North Carolina dentist. This genUeman has [email protected] !!1fO!'!Tled us that t!11! Dental Board of Examiner had observed this process and has approved this. I have asked tha! he provide !his !n wr!t!ng and he has not been abie to do so. Can you please iet me know If this Is tnJe? Tt-rank you In advance for you attention to this matter. Best WIshes,

Cathy Mos!ey Specialty Leasing Manager &. Leasing Representative Hull Storey Reta!! Group, LLC

1190 Interstate Perk'". . .ay Augusta, Geor9!~ 30909 (706) 855-4023 .. Direct (706) 832-0553 ~ MobHe (706) 868-7457 = fax

NCBOARD1117

1352

CX0525-001

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Doc: 63-4

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s.nt:

Monday, February 11,2008 5:35 PM

To:

[email protected]@nc-denta!bn-ard.org

Subject: Teem Wn~ening info I am currently trying to open up a kiosk at a mall wHh a new product on the market ca!!~ b!e!!c-h bright which uses II mouthpiece and an LEO light to whiten the teeth. The LEO and gel In the mouthpieces had been !!pproved for a!! t.'1e saiety checks. I do not have a license in dentlstry and am now stili attending school at wake tech. I was wond!!!ing If there ia anything that I would need from the board In order to open up my kiosk, such as approvals. I was talking to the ieaalng office at souih point mali and they mentioned something about the board and laws associated with the kiosk and lim iiRking cui some informaiion thai you might nave. Th .. _'-"_

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PS: tf you need more !nformatlon on the product Si".d LED I can MOO you the iink to the website that i am getting all my stuff from.

NCBOARD1150

1353

CX0542-001

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Doc: 63-4

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Pg: 341 of 366

Snedfic:Ation No. I

2005 -2010 (lw!!e~lTlenti~·t.. Catanese and Herron Dentistry Partncrshir

135 Pe.rrin Place Charlctt..e, NC 28207 704 332~1211 Michacf A. CataJltSC, DDS, P/'" (pCl.i'tner) 135 Perrin Place Charlotte, Nt' 28207 704 332-12J 1 James A. Herron, DDS, FA (partner) i3 5 Penin Piace Charlotte, NC 28207 7U4 332-121 J

2005 -1010 Del/tal Hvgienist EmpiQyees ()( Catanese & Herroll Dentistry Parillersflip

Karen Schwabenlender, Dental Hygienist 8823 Elkins Park Drive Matthews, NC 28105 Jennifer Nicholson. Dental Hvgienist J055 Richards Way Dr. Rock Hill, SC 29732

Kathy

Yonc.e~

Dent::.1 Hygienist

2229 Bever!y Dr. Charlotte, NC 28207 Cathleen Petersen. Dental Tlygieni,;)t 6214 Cas Ion Ct. CharJotte, NC 28270 Gayle Berger, Dentai Hygienist 850 i Peyton Randolph Dr, Charlotte, NC 28277 Catherine Schultz. Dental Hygicmst 11814 Roundtable Ct. Charlotte, NC 28277 Frank W, Sutterlin, Dental Hygienist Temp No address

CONFIDENTIAL - FTC Docket No. 9343

1354

CATANESE000001

CX0599-001

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Pg: 342 of 366

Barbara Uprigiu, Demai Hygienist Temp P.O. Box 3475 Saiisbury, NC 28145

Jane R. McGinn. Dental Hygienist Temp 9508 Whitethorn Dr. Charlotte. NC 28277 Peggy Taylor. Dental Hygienist Temp 9244 Raintree Lane Charlotte, NC 23277 Vicky W. Lawler, Dental Hygienist Temp 9204 Doe Ct. Charlotte. "Ie 28270 Pursuant to 28 USC Section 1746, I certifY under penalty of perjury that the foregoing is tn.le and GO'rrect~

Executed on September 14,2010 ....... A.

~

~

rv..-.

""_~

/.Jtalztd!£C~M_~ ~vfichael A. Catanese

Specification No . .2 ano 3 See attached "Tabic of Responses··

Specification No.4

I sent one letler to NC State Board sometime in the pa~t but I have no copy or record of that letter. NC State Board may have a copy of that letter. Pursuant to 28 USC Section 1746. I certiry under penalty of pcIjury that the foregoing is true and correct

Executed on September 14.2010

li~/{~~ ~Y1khae]

A. Catanese

Specification Nu. 5 Oroce iiterature attached.

CONFIDENTIAL - FTC Docket No. 9343

1355

CA TANESE000002

CX0599-002

(")

z

1356

c.>

c>

~~ c,

c>

m

(f)

rTl

» 2:

o="j

';: (,;,

<0

zo

9l.

-- ~------\

\

TOTAL PRACTICE RlIi:VENUES

i'"1., , 7-----

----!!'J..'.~,-0- - - ---

"

-,L_,

---_..Q::_-----

I ";'

I 6,~'

::, () l

61

, - - - - -- -

\

,--

~

-----\~==== ------

('/I T..,:A.l63~e

,

q (

,

Executed on __ ~ ~~_C'_____ I,'d ate)'

,-It

fl;l~( !J: ,--t~_'-tA~...i_:JA~...!:.'W"""'-$--'--:"" __ 6

(SIgn . ature )

'l/ 11

~U1d

3,

CX0599-003

-----,

,_____ declare (or certiJy. verify, or state)

wIder penalt.y of perjUly t.hat the foregoing is a tIue and COlT"':! response to FfC Subpoena Specifications 2

(print name)

Ptu-s'c1ant 1.0 :t8 U.s.c. § 1746, I _.l.i.!.o.lll
"-I----

___ 331d----

-7 :/: '

,___.!..7 5

----

0';-----

j ----,___ L._L'

--:0' -;.'

I

__....,,/_:.!:.?...l ~] :2. lj. I ,

__ -:;; S

__':;;:..::1.'1S"

PATJ[ENTS/(~9'f'ffl1ffiBl!,

TOTAL F'RACTlCE: NUMHEll{ OF

F'er Spec. 3.D.

'-----------"

IF' YOU IUSE THE ABOVE TABLE, YOU MUST COMPLETE THE FOLLOWING HECLARATION:

2010

I "7 ' <:< ,::;:;-----

____-+J..:~ c

2009

c';:-----

,~ _ _ ~......... t.,;;..·'.J

2008

...,

0 _ ....... ....:.i:> ,__ _k' :)1

2007 \ i,

__

k_~

F'ATmNTSfG!:lS'I'f'~!ffitS

TOTAL NUMBER OF TOOTH WUlTENn~G PRODUCT AND SI:RVICE

\ ~ , ... 8'0 ,___ -?D' ____ _ ,-----:-:£..------~----- - - J.J..~~ '11,-------------, - - "'7 \j ~ - : - - - - - '

2006

2005

TOTAL TOOTH PRODUCT AND SERVICE REVENUE:S WHlTI~NIN.G

Per Spec. :~.b"

Filed: 07/06/2012

A

()

oo

"Tl ---j (")

r

}>

o m z---j

:!J

I

Per Spec. :loll"

Doc: 63-4

o

YEAR

F'er S~oec, 2.8.

TABLE OF RESPONSES FOR SPECWICATIONS 2 ANn 3

Appeal: 12-1172 Pg: 343 of 366

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 344 of 366

CERTIFICATION

Pur"'ant to 18 U.S.C. § 1746, I hereby certify under penalty of perjury that this response to the Requests for Production of Documents has been prepared by me or uIlder my personal super/ision and is complete and correct to the best of my k'1ow!edge iliTld belief.

V{here copies rau~er ulwl original Documents have been submitted, the copies are true, correct, and compiete copies of the originai Documents. if the Commission uses such copies in any court or administrative proceeding. I wiii not object based upon the Commission not offering the original Document. ............ . / 1 .

r

~_/1

/!W~J!aLd-~Dt)

.

Signature of the Official

,11'Ch{A,. ;.,-f

!

Title! Business Telephone NU111ber

A ("", tCifl~5~

Printed Name of Official

Dated

I

4

FTC Docket No. 9343

1357

CATANESE000004

CX0599-004

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1358

Pg: 345 of 366

CX0600-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1359

Pg: 346 of 366

CX0600-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1360

Pg: 347 of 366

CX0600-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1361

Pg: 348 of 366

CX0600-004

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1362

Pg: 349 of 366

CX0601-007

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1363

Pg: 350 of 366

CX0601-008

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1364

Pg: 351 of 366

CX0601-009

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1365

Pg: 352 of 366

CX0601-010

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1366

Pg: 353 of 366

CX0601-011

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1367

Pg: 354 of 366

CX0601-012

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1368

Pg: 355 of 366

CX0601-013

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1369

Pg: 356 of 366

CX0601-014

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1370

Pg: 357 of 366

CX0602-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1371

Pg: 358 of 366

CX0602-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1372

Pg: 359 of 366

CX0602-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1373

Pg: 360 of 366

CX0603-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1374

Pg: 361 of 366

CX0603-002

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1375

Pg: 362 of 366

CX0603-003

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1376

Pg: 363 of 366

JLB-FTC-000001 CX0605-001

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

Pg: 364 of 366

UNITED STATES OF AMERICA

FEDERAL TRADE COMMISSION WASHI NGTON , DC 20580

Terri Martin

601 New Jersey Ave. , NW Washington , DC 2000 1 Direct Line: (202 ) 326-3488 E-mail: tm [email protected] gov

August 23, 2010

Via Overnight Delivery

Jessica L. Bishop, DDS 6015 Farrington Road, Suite 102 Chapel Hill, NC 27517 Re:

Docket No. 9343 - The North Carolina Board of Dental Examiners

Dear Dr. Bishop: Attacheg)s a subpoena to you for production of documents to staff of the Federal Trade Commission. The subpoena has been issued in litigation before a Federal Trade Commis~ion Administrative Law Judge In the Matter of the North Carolina Board of Dental Examiners. Please note thatth~ subpoena 'and its instructions reqtJire that your responsive documents be produced within fourteen calenaar days of your receipt of this letter. urge you or your attorney to contact me at 202.326.3488 to discuss production arrangements as soon as you have reviewed the subpoena and considered the amount and kind of responsive material you have. Absent prior written agreement, you should comply with the instructions, including Attach!ment A, in full; however, to facilitate your low-cost and expeditious production, weare~ Willing, if contacted promptly, to discuss possible alternative production arrangements. thank you for your cooperation . Very truly yours,

Terri Martin

1377

JLB-FTC-000002 CX0605-002

1378

2010

2009

-

-

I,,\,"a. __ (,~oJ9_ _____

lo,305"

dO

'i~

~l 3!"

1,,\ I~ tt

2007

2008

5"'

Ib{lb7

2006

'\

'1~

Irtd~,\

-

--

-

_ ...

-

-_.

-

--

TOTAL PRACTICE REVENUES

_ .........

Executed on

C) b (date)

l( ,

A dO I 0

Lew ~\

6

I, ks

..

_

.....

-

.

I

I

JLB-FTC-000003 CX0605-003

~e.rtJ t declare (or certify, verify, or state) (print name) under penalty of perjury that the foregoing is a true and correct response to ffC Sybpoena Specifications 2 and 3.

Pursuant to 28 U.S.C. § 1746, I

_

PATIENTS/CUSTOMERS

NUMBER OF

TOTAL PRACTICE

Per Spec. 3.b.

Filed: 07/06/2012

IF YOU USE THE ABOVE TABLE, YOU MUST COMPLETE THE FOLLOWING DECLARATION: ,

-

TOTAL NUMBER OF TOOTH WIDTENING PRODUCT AND SERVICE PATIENTS/CUSTOMERS

TOTAL TOOTH

WHITENING PRODUCT AND SERVICE REVENUES

Per Spec. 2.b.

Doc: 63-4

2005

YEAR

Per Spec. 3.a.

Per Spec. 2.a.

TABLE OF RESPONSES FOR SPECIFICATIONS 2 AND 3

Appeal: 12-1172 Pg: 365 of 366

Appeal: 12-1172

Doc: 63-4

Filed: 07/06/2012

1379

Pg: 366 of 366

JLB-FTC-000004 CX0605-004

Loading...

1062 - Applied Antitrust Law

Appeal: 12-1172 Doc: 63-4 Filed: 07/06/2012 Pg: 1 of 366 CASE NO. 12-1172 ________________________ IN THE UNITED STATES COURT OF APPEALS FOR THE F...

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