Enacts new GS 90-29.6 limiting who can sell an orthodontic device (as defined) or provide a service related to the design or manufacture of an orthodontic device to a patient, unless the person is licensed dentist meeting the statute’s criteria, or a person who receives confirmation from a licensed dentist who has provided the services. Prohibits selling an orthodontic deice or providing a service related to the design or manufacture of the device unless the patient has received: (1) an in-person intraoral dental exam and exam of their head and neck; (2) review of recently performed x-rays and other imaging sufficient to allow the dentist to detect the patient’s conditions that preclude or contraindicate the provision of safe orthodontic treatment, including the specified issues; (3) a prescription for an orthodontic device issued by a licensed dentist who will perform the specified activities; (4) advice and counsel by a licensed dentist on available treatment options and associated risks; and (5) review of the patient's medical and dental health histories.

Sets out requirements for patient consent. Requires licensed dentists to maintain records regarding the sale of an orthodontic device and provision of services for no less than seven years after the sale or services. Prohibits requiring a patient to agree to use a particular type of device as a condition of performing the exam or review. Requires the dentist to disclose and provide patient records.

Effective October 1, 2026.

Allows the NC State Board of Dental Examiners to adopt rules to implement this act.

Appropriates $50,000 for 2026-27 from the General Fund to the Department of Health and Human Services to educate the public on this act; requires consulting with the NC State Board of Dental Examiners. Effective July 1, 2026.