The sale, design, and manufacture of orthodontic devices

Texas House Bill 4070 (HB4070), effective September 1, 2025, regulates the sale, design, and manufacture of orthodontic devices. The bill defines 'orthodontic devices' as certain medical devices used to move teeth or correct jaw misalignments. It mandates that these devices can only be sold to consumers if prescribed by a licensed dentist or orthodontist after an in-person examination. This aims to ensure that patients receive appropriate orthodontic care and prevent potential harm from unsupervised use of such devices.

Supporters of HB4070, including dental professionals and patient safety advocates, have praised the bill for enhancing patient safety by ensuring that orthodontic devices are used under professional supervision. They argue that requiring an in-person examination before prescribing these devices helps prevent potential harm from unsupervised use and ensures that patients receive appropriate care tailored to their specific dental needs.

Critics of HB4070, particularly from direct-to-consumer orthodontic device companies, have expressed concerns that the bill could limit consumer access to affordable orthodontic treatments. They argue that the requirement for an in-person examination may increase costs and reduce convenience for consumers seeking orthodontic care, potentially restricting options for those who prefer or rely on direct-to-consumer models.