A dental spa is a dental facility supervised by a licensed Oral Health Care Provider in which dental services are provided alongside spa treatments. "Spa dentistry" refers to dental practices that offer many services not normally associated with dental care: facials, paraffin wax hand treatment, reflexology, micro-dermabrasion, massage therapy, Botox and Restylane treatment, and many other pampering, therapeutic and rejuvenating offerings. The administration of Botox and Restylane is based on each respective state's dental board approval. Etymology The American Dental Association notes that the consumer media have coined the term "dental spa," but many practices offer services and amenities specifically designed to relax patients without considering themselves a "spa." The loose definition of "dental spas" makes it difficult if not impossible to know how many dental spas exist in the United States. In 2003, Lynn Watanabe, DDS of the Dental Spa in Pacific Palisades, California, and the Day Spa Association, defined a dental spa as "a facility whose dental program is run under the strict supervision of a licensed Oral Health Care Provider, which might be a Dentist or an Independent Dental Hygienist. Services are provided that integrate both traditional and non-traditional dental and spa treatments (such as massage therapy, skincare and body treatments)." History Ancient civilizations such as the Greeks and Chinese all used certain methods to relax a person suffering from ailments such as a toothache. The "barber surgeon" in the 18th and 19th century allowed barbers to perform some dental procedures as well as shaves and haircuts. The term "spa dentistry" (synonymous to dental spa) was used in the 18th century to describe dental practitioners in Bath, England. Ms. Curris, a female dentist in 18th century Bath likely created the first dental spa, offering patients dentistry with skin and bodycare. The terms "dental spa" and "spa dentistry" began to be more publicly used in the late 1990s. In 1998, Lorin Berland DDS, reserved the name DallasDentalSpa.com. Timeline 1990s 1994 London's The Guardian has identified the Atlanta Center for Cosmetic Dentistry as "one of the first of these new dental spas." The February 19, 2007 edition reported that Debra Gray King, DDS, began providing spa services at the Atlanta Center for Cosmetic Dentistry in 1994. 1996 Lorin Berland DDS began providing a massage therapist on staff. 1999 On July 11, 1999, The New York Times reported several Long Island dentists were offering "distraction techniques" by offering massage therapy