The world of dentistry has been under the spotlight in Singapore, with a recent focus on the alarming rise of illegal dental practices. In a thought-provoking address at the International Dental Exhibition and Meeting (IDEM) 2026, Adjunct Professor Raymond Chua, the chief executive of the Health Sciences Authority (HSA), shed light on this concerning trend.
The Rise of Unlawful Dental Services
Between 2021 and 2025, approximately 20 cases of illegal dental practice were investigated by the Ministry of Health (MOH) and HSA. These cases primarily involved cosmetic procedures such as veneers and braces, with some shocking outcomes. One individual, who sought the services of a self-taught 'dentist' operating from hotel rooms, experienced such discomfort post-procedure that even flossing became a challenge. Another case involved a client whose veneers fell off within days of the procedure, administered by a self-proclaimed 'dentist' operating from home and a beauty salon.
The Risks and Implications
These botched jobs serve as a stark reminder of the potential dangers associated with seeking treatment from unregistered practitioners. Professor Chua, who also holds the position of deputy director-general of health for health regulation at MOH, emphasized the importance of educating the public about these risks. He highlighted how improper preparation during cosmetic procedures, such as veneers, can leave teeth more susceptible to decay, a consequence that many may not fully comprehend.
Monitoring and Enforcement
Singapore's approach to tackling this issue involves a combination of regulations and strong on-the-ground enforcement. Detection mechanisms include reports from the public, surveillance of advertising and promotional activities, particularly on social media platforms, which are often used by unregistered practitioners to market their services. Professor Chua emphasized that while the number of cases may not be alarming, each case represents a potential harm to an individual and a risk to the trust in the healthcare system.
The Appeal and the Dangers
Those providing illegal dental services often prey on patients seeking cheap and quick solutions, luring them with promises of perfect results, usually through social media. This raises concerns about the potential for exploitation and the erosion of trust in the healthcare system. Professor Chua highlighted the need for a more informed public to help deal with such cases, emphasizing that success should not be measured by the number of cases handled or rules written, but by the reduction of harm before it occurs.
A Proposed Framework
To address these factors, Professor Chua proposed a 3C framework: checking the registration of practitioners and the validity of clinic licenses, choosing wisely, and calling out unsafe practices through early reporting. He stressed the importance of recognizing that healthcare is not retail, and that dental health is a long-term investment, not a fashion accessory.
A Global Perspective
Despite the cases of illegal practice, Professor Chua assured that the dental profession in Singapore and globally remains strong, well-regulated, and deeply committed to safe and good patient care. This was highlighted at IDEM 2026, which included a panel discussion on illegal dentistry on its opening day, bringing attention to this critical issue on a global scale.
Conclusion
The rise of illegal dental practices is a complex issue that requires a multi-faceted approach. By combining strong regulations, public education, and a commitment to safe patient care, Singapore and the global dental community can work towards eradicating these unlawful practices and ensuring the well-being of patients.
