# Smiledirectclub, Inc. v. NBCUniversal Media, LLC

> Court of Appeals of Tennessee · September 19, 2024

URL: https://www.frixlaw.com/law-library/cases/10588540

## Case

- **Court:** Court of Appeals of Tennessee
- **Decided:** September 19, 2024
- **Precedential status:** Published
- **Opinion:** Opinion
- **Judges:** Presiding Judge Frank G. Clement, Jr.
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10588540

## How later opinions describe it (automated extraction)

- holding claims for product disparagement were “subject to the same first amendment requirements that govern actions for defamation.”

## Opinion text

09/19/2024
IN THE COURT OF APPEALS OF TENNESSEE
AT NASHVILLE
February 8, 2023 Session

SMILEDIRECTCLUB, INC., ET AL. v. NBCUNIVERSAL MEDIA, LLC, ET
AL.

Appeal from the Circuit Court for Davidson County
No. 20C1054 Thomas W. Brothers, Judge
___________________________________

No. M2021-01491-COA-R3-CV
___________________________________

This is an action for defamation and violation of the Tennessee Consumer Protection
Act (“the TCPA”). The plaintiffs operated a teledentistry platform dedicated to providing
remote treatment for mild-to-moderate malocclusion of the teeth. The defendants published
an online article and broadcast an “investigative report” that alleged, inter alia, that the
plaintiffs’ customers were experiencing “painful problems” such as nerve damage, joint
damage, and loss of teeth. In their complaint, the plaintiffs argued these and other
statements—as well as the implications derived from those statements—injured the
plaintiffs’ reputation and disparaged the plaintiffs’ products, services, and business. The
trial court dismissed the action under the Tennessee Public Participation Act (“the TPPA”),
holding that the TCPA did not apply and that the plaintiffs failed to make a prima facie
case for their defamation claims. This appeal followed. Considering the evidence in a light
most favorable to the plaintiffs and disregarding all countervailing evidence, we have
determined that the plaintiffs presented prima facie evidence of falsity to support some of
their claims but failed to produce clear and convincing evidence of actual malice.
Accordingly, we affirm the judgment of the trial court. Defendants ask for an award of
their appellate attorney’s fees under Tennessee Code Annotated § 20-17-107, which
requires an award of costs and fees “[i]f the court dismisses a legal action pursuant to a
petition filed under [the TPPA].” Because we have affirmed the dismissal of the plaintiffs’
claims under the TPPA, Defendants are entitled to an award to be determined by the trial
court on remand.

Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court
Affirmed and Remanded

FRANK G. CLEMENT JR., P.J., M.S., delivered the opinion of the Court, in which W. NEAL
MCBRAYER and KRISTI M. DAVIS, JJ., joined.
J. Erik Connolly and Nicole E. Wrigley, pro hac vice, Chicago, Illinois, and John R.
Jacobsen and Katharine R. Klein, Nashville, Tennessee, for the appellant, Cluster Holdco,
LLC.1

William J. Harbison, II; Ronald George Harris; and James F. Sanders, Nashville,
Tennessee, and Jonathan D. Hacker, pro hac vice, Washington, DC, and Daniel M.
Petrocelli, pro hac vice, Los Angeles, California, for the appellees, NBCUniversal Media,
LLC, and Vicky Nguyen.

Herbert H. Slatery, III, Attorney General and Reporter; Andrée S. Blumstein, Solicitor
General; and Janet M. Kleinfelter, Deputy Attorney General, for the appellee, State of
Tennessee.

OPINION

FACTS AND PROCEDURAL HISTORY

I. SMILEDIRECTCLUB

SmileDirectClub (“SDC”) operated a telehealth platform for remote treatment of
mild-to-moderate malocclusion of the teeth, i.e., misaligned teeth. When signing up,
prospective patients gave SDC their health history and executed a consent form in which
the patient warranted, inter alia, that he or she had seen a dentist within the last six months.
SDC matched each patient with one of its “affiliated” dentists for review.

If the dentist approved the patient for treatment, SDC used impressions or photos of
the patient’s teeth to create a 3-D model. SDC then drafted a proposed treatment plan to
gradually shift the patient’s teeth with a series of custom-made plastic aligners. If the
patient’s SDC-affiliated dentist approved the treatment plan, SDC would arrange for the
aligners to be manufactured by a dental lab and sent directly to the patient.

1
Oral argument for this case was heard on February 8, 2023. Thereafter, SmileDirectClub, Inc.,
SmileDirectClub, LLC, and other affiliated entities petitioned for bankruptcy protection in the U.S.
Bankruptcy Court for the Southern District of Texas. See In re SmileDirectClub, Inc., No. 23-90786 (CML)
(Bankr. S.D. Tex.). Thus, on December 1, 2023, we entered an order staying the proceedings. See Cathey
v. Johns-Manville Sales Corp., 711 F.2d 60, 61 (6th Cir. 1983) (a petition for bankruptcy relief
“automatically stays all proceedings against the debtor” (citing 11 U.S.C. § 362(a)(1))). In May 2024, the
bankruptcy court gave Cluster Holdco, LLC, sole and exclusive authority and standing to investigate, file,
prosecute, settle or release, arrange financing for, retain professionals (including counsel), and/or otherwise
administer all matters in relation to the SDC entities’ claims and causes of action. Accordingly, on August
6, 2024, this court lifted the stay of proceedings and substituted Cluster Holdco, LLC, in place of appellants
SmileDirectClub, Inc., SDC Financial, LLC, and SmileDirect, LLC.

-2-
At the beginning of treatment and periodically thereafter, each patient was
instructed to send photos of his or her teeth to SDC. The assigned dentist or a member of
SDC’s “Dental Team” would review the photos to ensure the aligners fit properly and that
the patient’s teeth were moving correctly. SDC’s Dental Team also handled all patient
questions and concerns except for those involving “clinical” issues, which were forwarded
to the patient’s SDC-affiliated dentist. Once the patient finished each phase of the
prescribed aligners, his or her SDC-affiliated dentist would review the patient’s most recent
photos to determine whether further treatment was necessary.

By using this novel approach to aligner treatment, SDC could provide its products
and services for much less than the cost of traditional braces.

II. NBC REPORTS

In November 2019, NBC producer Lauren Dunn and NBC “investigative and
consumer correspondent” Vicky Nguyen began looking into rumors that some patients
suffered serious complications from using SDC’s aligners. The “investigation” culminated
in two reports: an article published to the Health News section of NBCNews.com (“the
Article”) and a video segment broadcast on NBC Nightly News with Lester Holt (“the
Broadcast”) (collectively, “the Reports”). Each was published on February 13, 2020.

A. Article

The Article reported that “an NBC News investigation into a growing list of
complaints found this new trend in teeth straightening is leading to painful problems for
some people.” It moved forward by telling the story of two former patients, interspersed
with narrative from Ms. Nguyen and excerpts from interviews with a professor of
orthodontics and SDC’s chief legal counsel:

Anna Rosemond was drawn to the advertisements for SmileDirectClub,
which promises to straighten teeth for under $2,000—about a third the cost
or traditional braces—in as little as six months and all from the comfort of
home.

“It seemed like a really simple, easy way that they were offering people to
straighten their teeth,” said Rosemond of Richmond, Virginia.

Rosemond ordered one of the kits and took an impression of her teeth with
the putty and tray she received.

To get started, SmileDirectClub customers either can get a 3D image of their
teeth in one of its SmileShops or have an at-home kit sent to them. A few
weeks later, she received dental aligners and followed the instructions to send
in photos of her mouth every 90 days. SmileDirectClub told her the treatment

-3-
would be reviewed remotely by one of its 250 dentists and orthodontists. All
of her care was done online, she said.

After a year, Rosemond was in pain.

“I really noticed that things didn’t feel right with the bite,” Rosemond said.
“My head was hurting frequently.”

She’d been assured that she’d be able to get in touch with her assigned
dentist, but after multiple attempts, she said she was never connected, nor
given contact information. So she consulted an outside orthodontist, who
diagnosed her with a cross[ ]bite, or misalignment, possibly caused by the
aligners. What’s more, her orthodontist said the cross[ ]bite was causing
other symptoms: strain in her neck and jaw muscles, which led to migraines.

Rosemond, who says she tried SmileDirectClub because of the money she
thought she’d save, wound up spending thousands on traditional braces to fix
her teeth.

While SmileDirectClub, the largest at home dental alignment company, and
others promise to leave patients smiling, an NBC News investigation into a
growing list of complaints found that this new trend in straightening teeth is
leading to painful problems for some people.

The Better Business Bureau reports more than 1,800 complaints nationwide
involving SmileDirectClub. Most of the complaints involve customer service
issues-such as broken aligners, delivery issues and payment problems-but
dozens describe concerns about treatment results: complaints like broken
teeth and nerve damage.

Last month, nine members of Congress asked the Food and Drug
Administration and the Federal Trade Commission to investigate
SmileDirectClub “to ensure that it is not misleading consumers or causing
patient harm.”

And in January, in an effort to protect patients, a law went into effect in
California requiring all teledentistry patients to get an X-ray before
undergoing online aligner treatment. Virginia is considering similar rules.

Dr. Chung Kau, chairman and professor of orthodontics at the University of
Alabama in Birmingham, said moving teeth without in-person supervision
can lead to permanent harm.

-4-
Problems with a person’s bite aren’t just cosmetic. “If you can’t get a proper
bite, that affects the entire function of your jaw,” Kau said. “You could get
migraines, jaw joint problems, [and] disintegration of your joints.”

“This harm is irreparable. I want to state that,” he said. “It’s because things
like bone loss, disease, loss of a tooth—you can’t put it back in the mouth.”

That’s what happened to Tom Harwood, 40, of Winnemucca, Nevada.
Harwood told NBC News that his dentist said the SmileDirectClub aligners
moved his teeth so fast that it caused some of them to detach from the bone.

“Now I stand to lose two to three of my bottom teeth and two to three of my
front teeth,” Harwood said. “Every day I wake up—it feels like I’m being
punched. It’s just an all day type pain.”

Harwood said that he stopped his treatment after about 3 months, before the
90-day mark when customers are asked to send photos of their mouths to
SmileDirectClub to monitor progress. He also said that he tried to get in touch
with his assigned dentist, but that he was unable to do so.

It’s important for teeth straightening patients to see an orthodontist regularly
to make sure their bite is correct and their mouth is healthy overall, Kau said.

Regular visits with an orthodontist help ensure everything is on track, Kau
said, “Every visit that we spend with a patient, we’re constantly making
adjustments so we can get the best, optimal care for the patient,” he said.

SmileDirectClub said that they can’t comment on individual cases like
Rosemond’s and Harwood’s because of privacy concerns but the company’s
chief legal officer, Susan Greenspon-Rammelt, said the company has helped
more than 750,000 people with its network of licensed dental professionals.
“They’re subject to the same standards of care that a doctor in a traditional
setting is,” she said.

But NBC News found complaints related to poor patient outcomes, including
problems with bite and spacing.

Greenspon-Rammelt said that SmileDirectClub’s network of dentists, not the
company itself, is responsible for treatment plans, but said that undesirable
results could occur if patients aren’t adhering to the program correctly. “That
could be because they weren’t following the instructions for use, they didn’t
come in for a midcourse correction when they were advised to do that, they
didn’t follow up with the dental team,” she said.

-5-
SmileDirectClub Reviews all patient scans before sending the first treatment
kits, and only sends them to patients that they think are good candidates,
Greenspon-Rammelt said, adding that 95 percent of people reviewed for
treatment are accepted. All customers are required to see a dentist within six
months before starting, which Greenspon-Rammelt says offers proof that
their teeth are healthy enough for the treatment.

But NBC News hidden cameras recorded employees at SmileDirectClub
shops in Ohio, New Jersey and Alabama advising potential customers they
didn’t have to see a dentist before starting treatment.

One employee said “it’s not mandatory” to see a dentist first. Another said,
“that’s what the scans are for.” Kau, however, said the scans are just a map
of the teeth and don’t provide a full picture of someone’s oral health.

“That may be a Smile guide who didn’t actually have or remember the proper
training,” Greenspon-Rammelt said in response to the videos.

Another employee said that the home impression kits used by thousands of
customers who never set foot in a SmileDirectClub shop may not be reliable,
and that “anything could go wrong.” Greenspon-Rammelt characterized that
statement as a “personal opinion” of the employee, not the company.

If customers can show the treatment didn’t work and want a refund outside
the return window, SmileDirectClub requires they sign a confidentiality
agreement, raising the possibility that there may be more complaints than
have been made public.

Greenspon-Rammelt responded that in many instances, by the time such
customers are asked to sign the confidentiality agreement, “they’ve already
gone out there, they’ve put this on social media, they’ve filed complaints,”
Greenspon-Rammelt said.

Harwood refused to sign that confidentiality agreement and was unable to
get his money back.

“It was basically like, here’s your money back, but you can’t ever talk about
us,” he said. “It’s not right. There are so many people out there putting their
trust in a company that should be doing right by you, and they’re not.”

The Article also included a photo of Ms. Rosemond’s teeth in the margins with the
caption, “One of several photos of her mouth that Rosemond submitted to
SmileDirectClub, which were said to be used to monitor her treatment.” The Article also
featured a pop-out quote from Dr. Kau, stating in large, bold letters, “This harm is
irreparable. I want to state that.”
-6-
B. Broadcast

Defendants made similar claims and statements in the Broadcast, which featured
narration by Ms. Nguyen and began with a montage of SDC commercials2:

MR HOLT: Now to our NBC news investigation and a look at a new trend
in teeth straightening for much less than the cost of traditional braces. But
some patients complain these at-home treatments do not leave them smiling.
Here’s investigative and consumer correspondent, Vicky Nguyen.

[SDC COMMERCIAL]: “This is an aligner.”

[NARRATION]: The ads promise to straighten your teeth—

[SDC COMMERCIAL]: —“for up to 60% less than braces”—

[NARRATION]: —in six months on average, for under two grand.

[SDC COMMERCIAL]: “We didn’t have to make any appointments.”

[NARRATION]: Get a scan in the store, or a kit through the mail, do the rest
from home.

MS. ROSEMOND: It seemed like a really simple, easy way that they were
offering people to straighten their teeth.

[NARRATION]: Anna Rosemond ordered a kit and took an impression of
her teeth.

MS. ROSEMOND: They would have you take the two different putties and
mix them all together and then put it in your mouth.

[NARRATION]: A few weeks later, she received dental aligners and
followed the instructions to send in photos of her mouth every 90 days.
SmileDirectClub told her that treatment would be reviewed remotely by one
of its 250 dentists and orthodontists.

MS. NGUYEN: So this is all done online?

MS. ROSEMOND: Yes.

2
The parties refer to and rely solely on a transcript of the Broadcast. We will limit our analysis
accordingly.

-7-
[NARRATION]: After a year, Anna was in pain and she says she tried but
couldn’t speak to her assigned dentist. So, she found an orthodontist who
diagnosed her with a cross bite possibly caused by the aligners, straining her
neck and jaw muscles, sparking migraines.

MS. ROSEMOND: I really noticed that things like didn’t feel right with the
bite, my head was hurting frequently.

[NARRATION]: SmileDirectClub says it won’t discuss individual cases due
to privacy concerns. There have been more than 1,800 complaints filed with
the Better Business Bureau nationwide. Most are customer service issues, but
dozens also include concerns about treatment results. And now, nine
congressmen have asked the FDA and FTC to investigate SmileDirectClub
to ensure it is not misleading consumers or causing patient harm.

[NARRATION]: Dr. Chung Kau, Chair of Orthodontics at The University of
Alabama, says moving teeth without supervision in person, can lead to
permanent harm.

DR. KAU: Things like bone loss, disease, loss of a tooth.

[NARRATION]: SmileDirect’s Susan Greenspon-Rammelt, says the
company has helped more than 750,000 people and says it isn’t responsible
for treatment. It relies on its licensed dentist[s].

MS. RAMMELT: They’re subject to the same standards of care that a doctor
in a traditional setting is. We are an industry disruptor.

MS. NGUYEN: There have been a few complaints. I’m going to go back to
the BBB, where people say, “The end results caused my teeth not to bite
down. 10 months later, still in limbo. My bite is worse. My back teeth don’t
touch on the left side.” How do you answer to that?

MS. RAMMELT: That could be because they weren’t following the
instructions for use. They didn’t come in for a mid course correction when
they were advised to do that. They didn’t follow up with the dental team.

[NARRATION]: She says 95 percent of people reviewed for treatment are
accepted. They’re required to see a dentist within six months before starting.
But that’s not what we found with our hidden cameras.

MS. NGUYEN: I don’t have to go see a dentist first.

FEMALE 1: No.

-8-
MS. NGUYEN: If I don’t want to.

FEMALE 1: If you don’t want to, it’s not mandatory.

MS. NGUYEN: So do I ever have to see a dentist before I start or anything
like that?

FEMALE 2: I’m—so that’s what—that’s what our photos and stuff are for.

[NARRATION]: We showed [Ms. Rammelt-Greenspon] the video.

MS. RAMMELT: That maybe a smile guide who didn’t actually have or
didn’t remember the proper training. I’m glad you brought this to my
attention.

[NARRATION]: This employee told us the at-home impression kits may not
be reliable.

FEMALE 3: I mean, even as a dental assistant, there’s always prone for
human error. Taking them and especially relying on somebody who’s never
done them before to do it, anything could go wrong.

MS. RAMMELT: That’s her personal opinion. That is not a company opinion.

[NARRATION]: If customers can show the treatment didn’t work and want
a refund outside the return window, they’re required to sign a confidentiality
agreement.

[MS. NGUYEN:] Is it possible there are many more complaints about
SmileDirectClub that the public doesn’t know about because you require
unhappy customers to sign these nondisclosure agreements?

MS. RAMMELT: I think that’s a loaded question. Is it possible? Of course
it’s possible, but I would tell you that in many instances, by the time these
people are asked to sign, they’ve already gone out there. They’ve put this on
social media. They’ve filed complaints.

[NARRATION]: Anna says she never got a refund and wound up spending
thousands more to fix her teeth.

MR. HOLT: So Vicky, orthodontists are clearly worried about their patients
and also maybe their business. But where do regulators come down on all
this?

-9-
MS. NGUYEN: Well Lester, California just enacted the first law that would
require a dentist to look at an x-ray before anyone can start this kind of
treatment. That law in California also bans those confidentiality agreements.

MR. HOLT: Alright Vicky, thanks very much.

The day after the Reports were published, SDC’s market value dropped by over
$950 million.

III. COMPLAINT

In May 2020, SDC commenced this action against NBCUniversal Media, LLC, and
Ms. Nguyen (collectively, “Defendants”). SDC asserted four claims for “defamation by
implication” claims; nine claims for “defamation”; and one claim for disparagement of its
products, services, and business under the Tennessee Consumer Protection Act of 1977
(“the TCPA”), Tenn. Code Ann. §§ 47-18-103 to -135.

Defendants responded to the complaint by filing a petition to dismiss under the
Tennessee Public Participation Act (“the TPPA”), Tenn. Code Ann. §§ 20-17-101 to -110.
But before Defendants’ TPPA petition was heard, SDC raised a constitutional challenge to
the Act, asserting that it violated the separation-of-powers doctrine and the right to a jury
trial. Thus, the State of Tennessee’s Attorney General’s Office intervened to defend the
Act.

After allowing for limited discovery, the trial court docketed two hearings: one for
SDC’s constitutional challenge and one for Defendants’ TPPA petition, if necessary.

After the first hearing, the court held that the TPPA does not violate the right to a
jury trial because, inter alia, the Act requires courts to make “the familiar determination of
whether the facts asserted by the [p]laintiff, standing alone and unrebutted, are sufficient
to support a finding for each element of the plaintiff[’]s action.” The court also held that
the TPPA does not violate the separation-of-powers doctrine because the Act’s
requirements “are both reasonable and workable within the framework already adopted by
the judiciary.”

After the second hearing, the trial court held that SDC had made a prima facie case
that six statements in the Reports were false and defamatory, and the court held that SDC
“established a prima facie showing that it suffered actual damages.” However, the court
also determined that SDC was a public figure as a matter of law and thus was required to
produce clear and convincing evidence that Defendants acted with actual malice. The court
concluded that SDC had not met this standard:

[R]espectfully, the Court finds that SDC has failed to establish a prima facie
showing of any of the counts that it would be reasonably able to submit
admissible evidence to prove malice by clear and convincing proof at the

- 10 -
summary judgment stage or at trial. At best, you’ve raised some questions
possibly touching on being able to present proof to a degree of preponderance
of the evidence. But respectfully, I just don’t see that going into that high
clear and convincing standard, which is required when you’ve got a public
figure.

. . .

. . . That unfortunately applies to all of the 13 counts that effectively relate
to defamation, even the two I didn’t find were supported by the statements. I
just don’t see the actual malice showing that you have a reasonable
probability of proving that by clear and convincing evidence at trial.
Accordingly, the petition should be granted as to Counts I through XIII.

The trial court also dismissed SDC’s TCPA claim on the ground that the Act did not
apply to news reports:

The Court finds that SDC, respectfully, has not established a prima facie case
supporting all of the essential elements of a TCPA claim, and therefore, may
not avail itself of the TCPA under these circumstances. I’m guided by the
plain language of Tennessee Code Annotated 47-18-102, which provides,
“ . . . this part shall be liberally construed to promote the following
policies: . . . To protect consumers and legitimate business enterprises from
those who engage in unfair or deceptive acts or practices in the conduct of
any trade or commerce in part or wholly within this state.”

The issue here is whether the reports which were news stories published on
NBC’s media platform were made in the conduct of any trade or commerce.
T.C.A. 47-18-103(19) defines trade or commerce as the advertising, offering
for sale, lease or rental, or distribution of any goods, services, or property,
tangible or intangible, real, personal, or mixed, and other articles,
commodities, or things of value wherever situated. Frankly, it cannot be said
that the publishing of news reports satisfies any of the criteria identified
above. Accordingly, the Court can reasonably find that NBC did not engage
in a trade or commerce, and therefore, SDC does not have a TCPA claim.

For these reasons, the court granted Defendant’s TPPA petition and dismissed
SDC’s action with prejudice. This appeal followed.

ISSUES

SDC raises four issues on appeal, which we state as follows:

1. Whether the trial court erred in dismissing SDC’s defamation by
implication claims when SDC presented evidence that: (1) readers and

- 11 -
viewers understood that Defendants’ reports conveyed defamatory
implications; (2) the defamatory implications were false; and (3)
Defendants possessed information contradicting the defamatory
implications.

2. Whether the trial court erred in dismissing SDC’s defamation claims
when SDC presented evidence that: (1) Defendants published false
statements about SDC; (2) Defendants had reasons to doubt the
credibility of its sources; and (3) Defendants had information that
contradicted its statements.

3. Whether the trial court erred in dismissing SDC’s claim under the TCPA,
when SDC presented evidence that: (1) Defendants published false and
defamatory representations about SDC; and (2) SDC suffered an
ascertainable loss because of Defendants’ conduct.

4. Whether the trial court erred in finding the TPPA constitutional.

Defendants do not raise any additional issues but ask for an award of reasonable
appellate costs and fees under Tennessee Code Annotated § 20-17-107.

STANDARD OF REVIEW

Whether a party established a prima facie case for purposes of a TPPA petition is a
legal issue we review de novo. See Charles v. McQueen, 693 S.W.3d 262, 272–73 (Tenn.
2024). Likewise, “[i]ssues of constitutional interpretation are questions of law, which we
review de novo without any presumption of correctness given to the legal conclusions of
the courts below.” J.A.C. by & through Carter v. Methodist Healthcare Memphis Hosps.,
542 S.W.3d 502, 510 (Tenn. Ct. App. 2016) (quoting Waters v. Farr, 291 S.W.3d 873, 882
(Tenn. 2009)).

ANALYSIS

SDC contends that the trial court erred in two ways: (1) by denying SDC’s
constitutional challenge to the TPPA and (2) by holding that SDC did not make a prima
facie case for each element of its claims. We will address SDC’s constitutional challenge
first.

I. CONSTITUTIONAL CHALLENGE

SDC contends that the TPPA violates the separation-of-powers doctrine because the
Act “creates procedural rules that conflict with the Tennessee Supreme Court’s notice-
pleading regime” and violates the right to a jury trial because the Act “requires courts to
make merit-based determinations that should be decided by a jury.”

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We start by observing that “our Legislature may enact any law which our
Constitution does not prohibit, and the Courts of this State cannot strike down one of its
statutes unless it clearly appears that such statute does contravene some provision of the
Constitution.” Willeford v. Klepper, 597 S.W.3d 454, 465 (Tenn. 2020) (citations omitted).
Accordingly, when considering whether a statute contravenes the Constitution, “we begin
with the presumption that an act of the General Assembly is constitutional” and “indulge
every presumption and resolve every doubt in favor of the statute’s constitutionality.”
Fisher v. Hargett, 604 S.W.3d 381, 395 (Tenn. 2020) (quoting Willeford, 597 S.W.3d at
465).

A. Separation-of-Powers Doctrine

Article II of the Tennessee Constitution divides the state government into “three
distinct departments: the legislative, executive, and judicial,” and it states that “[n]o person
or persons belonging to one of these departments shall exercise any of the powers properly
belonging to either of the others.” Tenn. Const. art. II, §§ 1, 2.

The judiciary has exclusive authority over court practice and procedure. Willeford,
597 S.W.3d at 465–66 (quoting State v. McCoy, 459 S.W.3d 1, 9 (Tenn. 2014)). However,
“[a] legislative enactment which does not frustrate or interfere with the adjudicative
function of the courts does not constitute an impermissible encroachment upon the judicial
branch of government.” Lynch v. City of Jellico, 205 S.W.3d 384, 393 (Tenn. 2006)
(quoting Underwood v. State, 529 S.W.2d 45, 47 (Tenn. 1975)).

The judiciary may consent “to the application of procedural or evidentiary rules
promulgated by the legislature” so long as those procedures “(1) are reasonable and
workable within the framework already adopted by the judiciary, and (2) work to
supplement the rules already promulgated by the Supreme Court.” State v. Lowe, 552
S.W.3d 842, 856–57 (Tenn. 2018) (quoting State v. Mallard, 40 S.W.3d 473, 481 (Tenn
2001)); cf. Norma Faye Pyles Lynch Fam. Purpose LLC v. Putnam Cnty., 301 S.W.3d 196,
202 (Tenn. 2009) (“Tennessee’s courts have, since the earliest days of statehood,
recognized and followed self-imposed rules to promote judicial restraint and to provide
criteria for determining whether the courts should hear and decide a particular case.”). In
other words, when the Supreme Court “has promulgated rules that relate to practice and
procedure, and a statute provides a contrary practice or procedure, the statute is
unconstitutional to the extent of the conflict.” Willeford, 597 S.W.3d at 466 (quoting
Massey v. David, 979 So. 2d 931, 937 (Fla. 2008)).

SDC contends that the TPPA conflicts with Rules 8 and 12.02 of the Tennessee
Rules of Civil Procedure because the Act (a) “requires plaintiffs to affirmatively prove at
the outset of litigation that they can prevail on their claims at trial”; (b) permits defendants
“to prove up a ‘valid defense’ at the outset of a case”; and (c) “abrogates [courts] discretion
to grant plaintiffs leave to replead.” But we have determined that SDC waived these issues
by not making a complete legal argument in its appellate brief.

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Rule 27 of the Tennessee Rules of Appellate Procedure requires an appellant’s brief
to contain an argument section that sets forth “the contentions of the appellant with respect
to the issues presented, and the reasons therefor, including the reasons why the contentions
require appellate relief, with citations to the authorities and appropriate references to the
record.” Tenn. R. App. P. 27(a). In the argument section of its brief, SDC explains the
principles and purpose of the separation-of-powers doctrine, with citation to relevant legal
authority, but SDC fails to develop an argument to support its contention that the TPPA
conflicts with Rules 8 and 12.02. The entirety of SDC’s argument on this issue reads:

The Tennessee Supreme Court implemented its notice-pleading regime “to
insure [sic] that cases and controversies be determined upon their merits and
not upon legal technicalities or procedural niceties.” Without the notice-
pleading regime, one can have “no confidence” that a dismissed claim “was
frivolous or nonmeritorious.” The legislature nevertheless thwarted the
Court’s rules and policy goals to create and serve its own. Accordingly, the
TPPA is unconstitutional.

(Citations omitted).

As our courts have said many times before, “It is not the role of the courts, trial or
appellate, to research or construct a litigant’s case or arguments for him or her, and where
a party fails to develop an argument in support of his or her contention or merely constructs
a skeletal argument, the issue is waived.” Sneed v. Bd. of Pro. Resp. of Supreme Ct., 301
S.W.3d 603, 615 (Tenn. 2010).

For this reason, we affirm the trial court’s dismissal of SDC’s constitutional
challenge based on the separation-of-powers doctrine.

B. Right to Jury Trial

“The right to a jury trial in Tennessee is expressly guaranteed by Article 1, Section
6, of the Tennessee Constitution, which mandates that ‘the right of trial by jury shall remain
inviolate.’” McClay v. Airport Mgmt. Servs., LLC, 596 S.W.3d 686, 690 (Tenn. 2020). Our
courts have interpreted this mandate as giving parties a “right to have a jury determine the
underlying facts of the case.” Id. at 692.

SDC argues that the TPPA violates a respondent’s right to have a jury determine the
facts of the case because—according to SDC—section 47-18-105(d) lets courts consider
countervailing evidence and § 20-17-105(f) allows courts to determine whether a plaintiff
has a “likelihood of prevailing”:

The TPPA . . . requires courts to determine before discovery if a plaintiff’s
claim is supported by evidence and has a threshold level of “merit.” Courts
can even consider countervailing evidence. In short, courts consider the

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factual heft of a complaint, weigh evidence, and conduct a trial-like scrutiny
of the merits, to determine whether a plaintiff has a “likelihood of
prevailing.” That is a “merits-based determination.” In fact, the trial court
weighed SDC’s evidence and determined it could conceivably show actual
malice by a preponderance of the evidence but not by clear and convincing
evidence.

(Citations omitted).

We disagree with SDC’s interpretation of the statute. Subsection 105(d) states, “The
court may base its decision on supporting and opposing sworn affidavits stating admissible
evidence upon which the liability or defense is based and on other admissible evidence
presented by the parties.” Tenn. Code Ann. § 20-17-105(d). This language simply defines
the scope of evidence that a court may consider when adjudicating a TPPA petition; it does
not change the underlying standard of review, which is whether the petitioner or respondent
established a “prima facie case.”

As the Tennessee Supreme Court explained in Charles v. McQueen, 693 S.W.3d
262 (Tenn. 2024), the TPPA’s prima facie case requirement is analogous to the evidentiary
requirements in Rules 50.01 and 56 of the Tennessee Rules of Civil Procedure because the
Act requires the “production of enough evidence to allow the fact-trier to infer the fact at
issue and rule in the party’s favor.” Id. at 280 (quoting Prima Facie Case, Black’s Law
Dictionary 1441 (11th ed. 2019)). Accordingly, when determining whether a party has
satisfied its burden, courts must “view the evidence in the light most favorable to the party
seeking to establish the prima facie case and disregard countervailing evidence.” Id. at 281.

Similarly, we reject SDC’s contention that the TPPA violates the right to a jury trial
by letting courts determine whether a respondent has a “likelihood of prevailing” on the
merits. SDC’s argument is based on subsection 105(f), which provides:

(f) If the court determines the responding party established a likelihood of
prevailing on a claim:

(1) The fact that the court made that determination and the substance
of the determination may not be admitted into evidence later in the
case; and

(2) The determination does not affect the burden or standard of proof
in the proceeding.

Tenn. Code Ann. § 20-17-105(f).

Again, the TPPA requires courts to determine “whether the respondent has made a
prima facie case for each essential element of his claim.” Charles, 693 S.W.3d at 267
(quoting Tenn. Code Ann. § 20-17-105(b)) (emphasis added). “If the respondent meets this

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burden, the court must deny the petition unless ‘the petitioning party establishes a valid
defense to the claims in the legal action.’” Id. at 267–68 (quoting Tenn. Code Ann. § 20-
17-105(b)–(c) (emphasis added)). Subsection 105(f) simply states that if the court
determines that the responding party showed a likelihood of prevailing, “that determination
and the substance of the determination may not be admitted into evidence later in the case”
and “does not affect the burden or standard of proof in the proceeding.” Tenn. Code Ann.
§ 20-17-105(f).

For these reasons, we affirm the trial court’s dismissal of SDC’s constitutional
challenge based on the right to a jury trial.

II. PRIMA FACIE CASE: DEFAMATION CLAIMS

To make a prima facie case for each of its defamation claims, SDC had to produce
evidence from which a rational jury could conclude that Defendants damaged SDC’s
reputation by knowingly or recklessly publishing a statement that conveyed a false,
defamatory fact about SDC. See Press, Inc. v. Verran, 569 S.W.2d 435, 442 (Tenn. 1978).

On appeal, it is uncontested that Defendants published the Reports and that SDC
produced prima facie evidence of actual damages. Further, Defendants do not seriously
challenge whether the statements at issue could be understood in a defamatory way.
Consequently, we will focus our analysis on whether SDC produced evidence from which
a rational jury could conclude that the Reports conveyed false facts and, if so, evidence
from which a rational jury could clearly and convincingly conclude that Defendants
conveyed those facts with knowledge of their falsity or with reckless disregard, i.e., with
“actual malice.” 3 See Charles, 693 S.W.3d 262, at 268.

SDC’s defamation claims fall into two categories. First, SDC alleges that the
Reports contained false statements of fact. Second, SDC alleges that the Reports contained
true statements of fact that nonetheless imply other false facts. SDC refers to the latter as
its claims for “defamation by implication.” We will discuss each in turn.

A. Claims Based on Allegedly False Statements of Fact

“Common law has long provided that a person who repeats defamatory statements
made by another is also liable for defamation.” Funk v. Scripps Media, Inc., 570 S.W.3d
205, 211 (Tenn. 2019); see also Burke v. Sparta Newspapers, Inc., 592 S.W.3d 116, 117,
121–22 (Tenn. 2019) (action for defamation based on republication of statements made by

3
SDC has not appealed the trial court’s determination that SDC is subject to the “actual malice”
standard.

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a third party to a newspaper reporter). SDC asserts claims based on statements made by
Ms. Rosemond, Mr. Harwood, and Ms. Nguyen.4

1. Statements by Ms. Rosemond and Mr. Harwood

SDC contends that it made a prima facie case of defamation based on the statement
that Ms. Rosemond’s outside orthodontist “diagnosed her with a cross bite possibly caused
by the aligners” and the statement that SDC’s aligners caused Mr. Harwood’s teeth “to
detach from the bone.” SDC also contends that it established a prima facie case of
defamation based on the statement that Ms. Rosemond “tried but couldn’t speak to her
assigned dentist” and the statement that Mr. Harwood “tried to get in touch with his
assigned dentist, but . . . was unable to do so.”

But SDC produced no evidence that Ms. Rosemond’s dentist did not diagnose her
with a cross bite, and it produced no evidence that the aligners did not “possibly” cause
Ms. Rosemond’s injuries. That said, SDC did produce evidence that its aligners could not
have caused Mr. Harwood’s injuries. In a declaration, Mr. Harwood’s dentist, Dr. Taylor
Rice, stated his professional opinion that “the treatment [he] provided to Mr. Harwood via
SDC’s platform could not have caused the problems of which Mr. Harwood complained.”
(Emphasis added). We agree this is prima facie evidence of falsity regarding the statement
about Mr. Harwood’s teeth detaching from his jawbone.

To prove falsity regarding the statements about Ms. Rosemond and Mr. Harwood’s
attempts to contact their SDC-affiliated dentists, SDC produced copies of Ms. Rosemond
and Mr. Harwood’s account logs and declarations from their respective SDC-affiliated
dentists. Ms. Rosemond’s dentist, Dr. David Dowling, said that Ms. Rosemond never tried
to contact him, and Ms. Rosemond’s account log corroborates this. Likewise, Mr.
Harwood’s dentist, Dr. Rice, said that Mr. Harwood never tried to contact him, and Mr.
Harwood’s account log corroborates that fact. We conclude this is prima facie evidence of
falsity regarding these statements.

Even so, we have also determined that SDC did not produce prima facie evidence
of actual malice regarding the statements by and about Ms. Rosemond and Mr. Harwood.
Unlike the other elements of a public-figure defamation claim, “actual malice” must be
proved by clear and convincing evidence. See Charles, 693 S.W.3d at 280. “Evidence is
clear and convincing when ‘there is no serious or substantial doubt about the correctness
of the conclusions drawn from the evidence.’” Id. at 281–82 (quoting Furlough v. Spherion
Atl. Workforce, LLC, 397 S.W.3d 114, 128 (Tenn. 2013)). Thus, at this stage in the

4
SDC also contends that the Reports contained false statements made by Dr. Kau. However, SDC’s
brief fails to identify any statement by Dr. Kau that was literally false. See West v. Media Gen. Convergence,
Inc., 53 S.W.3d 640, 645 (Tenn. 2001) (“In defamation law, only statements that are false are actionable.”
(quoting Crump v. Beckley Newspapers, Inc., 320 S.E.2d 70, 83 (W. Va. 1984)).

- 17 -
proceedings, SDC had to produce evidence from which a rational jury could conclude that
SDC established actual malice “by clear and convincing evidence.” See id. at 281.

To show actual malice, SDC relies only on the declaration of its Vice President of
Communications, Kim Atkinson. According to Ms. Atkinson, Defendants did not tell SDC
that the Reports would include Ms. Rosemond and Mr. Harwood. SDC asserts this
evidence supports “[a] reasonable inference” that Defendants “avoided asking SDC about
Ms. Rosemond [and Mr. Harwood]” because Defendants “did not want to learn something
that would contradict” their stories. We disagree this inference is reasonable. Regardless,
Ms. Atkinson’s declaration falls far short of the clear and convincing standard for showing
actual malice. See Lewis v. NewsChannel 5 Network, L.P., 238 S.W.3d 270, 301 (Tenn. Ct.
App. 2007) (“Failing to investigate information provided by others before publishing it,
even when a reasonably prudent person would have done so, is not sufficient by itself to
establish reckless disregard.” (citations omitted)).

For this reason, we conclude that SDC failed to establish a prima facie case of
defamation based on the statements about Ms. Rosemond and Mr. Harwood.

2. Statements: State Laws

SDC contends it made a prima facie case of defamation based on Ms. Nguyen’s
statement in the Broadcast that “California just enacted the first law that would require a
dentist to look at an x-ray before anyone can start this kind of treatment” and her statement
that the California law “bans [SDC]’s confidentiality agreements.” The Article similarly
stated that “a law went into effect in California requiring all teledentistry patients to get an
X-ray before undergoing online aligner treatment” and that “Virginia is considering similar
rules.”

SDC contends these statements are false because the California law requires treating
dentists to review a patient’s “most recent diagnostic digital or conventional radiographs
or other equivalent bone imaging suitable for orthodontia.” Cal. Bus. & Prof. Code §
1680(ah). Likewise, the proposed Virginia legislation would have required dentists to
review “bone images or X-rays of the patient” before providing “an appliance for a patient
through teledentistry.” S.B. 210, 2020 Sess. § 54.1-2708.5(A) (Va. 2020).

In other words, the Reports said that the California and Virginia laws required “x-
rays” when the laws also allowed “bone imaging.” We find the distinction immaterial
because a statement of the truth would not have a different effect on the reader or viewer.
See Stones River Motors, Inc. v. Mid-S. Pub. Co., 651 S.W.2d 713, 719–20 (Tenn. Ct. App.
1983) (statement is non-actionable unless “the libel as published would have a different
effect on the mind of the reader from that which the pleaded truth would have produced”
(quoting Memphis Pub. Co. v. Nichols, 569 S.W.2d 412, 420 (Tenn. 1978)). Thus, the
Reports’ summary of the California and Virginia laws was not materially false.

- 18 -
SDC also failed to produce evidence to show that the California law did not ban
SDC’s confidentiality agreements. The California law states, “A provider of dental services
shall not require a patient to sign an agreement that limits the patient’s ability to file a
complaint with the board,” i.e., the Dental Board of California. Cal. Bus. & Prof. Code §
1680(ah). SDC contends that, contrary to the Broadcast’s statement, the California law
does not apply to the agreements that SDC used. But SDC did not produce a copy of its
confidentiality agreement. Thus, we cannot say whether the agreement limited “the
patient’s ability to file a complaint with the [Dental Board of California].”

For these reasons, we conclude that SDC did not make a prima facie case of
defamation based on the Reports’ statements regarding state laws.

3. Statements: Hidden-Camera Footage

SDC contends that it made a prima facie case for its defamation claim based on the
Article’s statement that “employees at SmileDirectClub shops in Ohio, New Jersey, and
Alabama advis[ed] potential customers they didn’t have to see a dentist before starting
treatment.”5

SDC contends it presented prima facie evidence of falsity by producing transcripts
of the unedited hidden-camera footage. First, SDC points to the following passage from
the Alabama transcript:

Speaker 1: Do you—do I need to go to a dentist before I do this?

Smile Shop Guide: Yes, I would always recommend. You can do it while
you’re waiting your three to four weeks or whatnot. But, as long as you have
recent radiographs taken within the past two years, I believe is when it’s
recommended to do that . . . .

Speaker 1: Like an X-ray, a radiograph?

Smile Shop Guide: Yeah, that’s an X-ray. Yeah.

Speaker 1: So I should go to a dentist and get an X-ray?

Smile Shop Guide: Yes, right. Yes, absolutely. . . .

. . .

5
SDC also quotes the Broadcast. However, SDC’s analysis concerns only the statement that
“employees at SmileDirectClub shops in Ohio, New Jersey, and Alabama advis[ed] potential customers
they didn’t have to see a dentist before starting treatment.” The Broadcast did not include this statement.

- 19 -
Speaker 1: So you recommend going to the dentist. Is it required?

Smile Shop Guide: I mean, we do have that in our terms and conditions. So,
I mean, I can say it is required . . . .

(Emphasis added). Viewing this evidence in a light most favorable to SDC, we agree that
it is prima facie evidence of falsity regarding the statement that an employee in Alabama
“advis[ed] potential customers they didn’t have to see a dentist before starting treatment.”

Second, SDC relies on the following excerpt from the Ohio transcript:

Speaker 1: . . . So do I ever—do I have to see a dentist just before I start or
anything like that?

Smile Direct Rep: So that’s what our photos and stuff are for. So our doctors
are going to make a determination based on like the health of your teeth and
photos, make sure that everything looks okay, we don’t treat things like like
[sic] periodontal disease, like–

Speaker 1: Right.

Smile Direct Rep : –gum recession, any kind of like something we could,
you know, damage and if we don’t know for sure. They’ll ask you to get a
clearance from your doctor. So they’ll ask you to go through the process of
going to your dentist, having your doctor sign off on it and make sure that
you’re in—you’re good.

Speaker 1: So that’s if the scan shows I have any sort of issues?

Smile Direct Rep: Scan and photos. So if that is the case, if there is a situation
like that, we won’t do treatment for you, we won’t create a plan, there’ll be
no charging of anything. We won’t do anything until there’s like a dental
clearance . . . .

(Emphasis added). Viewing this evidence in a light most favorable to SDC, we conclude
that it is prima facie evidence of falsity with regard to the statement that an employee in
Ohio “advis[ed] potential customers they didn’t have to see a dentist before starting
treatment.”6

6
Although the Reports accurately quoted the Ohio employee as saying, “[T]hat’s what our photos
and stuff are for,” the Reports omitted the fact that the employee was discussing dental visits in the context
of SDC’s onboarding process, i.e., whether seeing a dentist is necessary to get started. This omission is

- 20 -
And third, SDC relies on the following exchange in the New Jersey transcript:

VICKY NGUYEN: . . . And do I need to go see a dentist before I do it?

Speaker 1: We recommend you do but either [sic] it’s not mandatory. Like
if you’re updated with your dental cleanings and your fillings you should be
fine. . . .

(Emphasis added). This evidence supports rather than rebuts the assertion that SDC’s New
Jersey employee “advis[ed] potential customers they didn’t have to see a dentist before
starting treatment.”

Although SDC’s evidence is capable of proving falsity with regard to the statements
attributed to two SDC employees, we conclude this evidence is incapable of proving
material falsity. The “gist” or “sting” of this part of the Article is that SDC employees were
contradicting Ms. Greenspon-Rammelt. A correct statement of the truth would not have
changed the message conveyed. See Stones River Motors, Inc., 651 S.W.2d at 719–20. For
example, if the Article accurately stated that one SDC employee said dentist visits are “not
mandatory,” the reader would still be left with the impression that Ms. Rammelt-Greenspon
was, at the very least, being insincere.

For these reasons, we conclude that SDC did not make a prima facie case of
defamation based on the Article’s statement that “employees at SmileDirectClub shops in
Ohio, New Jersey, and Alabama advis[ed] potential customers they didn’t have to see a
dentist before starting treatment.”

B. Claims Based on Allegedly Defamatory Implications

Along with the allegedly false statements considered above, SDC contends that the
reports used true statements to imply false, defamatory facts.

Under the doctrine of defamation by implication, a true statement of fact may
support a defamation claim if the statement reasonably conveys a defamatory meaning. See
Memphis Pub. Co., 569 S.W.2d at 420; see also Loftis v. Rayburn, No. M2017-01502-
COA-R3-CV, 2018 WL 1895842, at *5 (Tenn. Ct. App. Apr. 20, 2018) (discussing law of
defamation by implication). In a claim for defamation by implication, “it is the implication
that must be false, the implication that must be defamatory and unprivileged and the
implication that must be published with the requisite degree of fault.” Dobbs et. al, The
Law of Torts § 566 (2d ed.). The test is whether the statements made are “capable of

material because Defendants used the employee’s statement in a way that made it appear that the employee
was contradicting Ms. Rammelt-Greenspon’s assertion that prospective patients are required to have seen
a dentist within 6 months before starting treatment.

- 21 -
implicitly bearing a defamatory meaning when read by a reasonable person.” Grant v. Com.
Appeal, No. W2015-00208-COA-R3-CV, 2015 WL 5772524, at *13 (Tenn. Ct. App. Sept.
18, 2015).

SDC contends that various statements in the Reports implied that SDC’s dentists
are not actually involved during treatment; that treatment through SDC’s platform can
cause permanent and irreparable harm; that treatment through SDC’s platform does not
deliver expected results; and that SDC is a “dishonest company.”

1. Implication: Dentist Involvement

First, SDC contends that statements in the Article7 implied that SDC’s dentists were
not actually involved in the supervision of treatment through SDC’s platform. In support
of this argument, SDC relies on the following passages:

To get started, SmileDirectClub customers either can get a 3D image of their
teeth in one of its SmileShops or have an at-home kit sent to them. A few
weeks later, [Ms. Rosemond] received dental aligners and followed the
instructions to send in photos of her mouth every 90 days. SmileDirectClub
told her the treatment would be reviewed remotely by one of its 250 dentists
and orthodontists. All of her care was done online, she said.

. . .

She’d been assured that she’d be able to get in touch with her assigned
dentist, but after multiple attempts, she said she was never connected, nor
given contact information. . . .

. . .

While SmileDirectClub, the largest at home dental alignment company, and
others promise to leave patients smiling, an NBC News investigation into a
growing list of complaints found that this new trend in straightening teeth is
leading to painful problems for some people.

. . .

. . . [Mr. Harwood] also said that he tried to get in touch with his assigned
dentist, but that he was unable to do so.

7
SDC did not cite any portion of the Broadcast in support of this argument.

- 22 -
It’s important for teeth straightening patients to see an orthodontist regularly
to make sure their bite is correct and their mouth is healthy overall, Kau said.

Regular visits with an orthodontist help ensure everything is on track, Kau
said, “Every visit that we spend with a patient, we’re constantly making
adjustments so we can get the best, optimal care for the patient,” he said.

. . .

SmileDirectClub reviews all patient scans before sending the first treatment
kits, and only sends them to patients that they think are good candidates . . . .

We agree these and other statements in the Article “are capable of implicitly bearing
a defamatory meaning when read by a reasonable person.” See Grant, 2015 WL 5772524,
at *13. Specifically, a reasonable person could conclude that SDC—as opposed to its
dentists—provided patient care during treatment. However, we have also determined that
SDC failed to present prima facie evidence that this implication is false.

To establish falsity, SDC points to a declaration from its Chief Medical Officer, Dr.
Jeffrey Sulitzer, and a declaration from an SDC-affiliated dentist, Dr. Gary Moore. Dr.
Sulitzer stated that SDC-affiliated dentists “assess, diagnose, and treat patients.” And Dr.
Moore described the steps he took before, during, and after treatment. Based on this
evidence, SDC argues that “patients do not receive aligners until: they provide their doctors
with medical and dental histories, and detailed images of their teeth and gums; share with
the doctors a primary objective of treatment; have their doctors review and approve a
treatment plan; and [have] their doctors prescribe aligners.”

However, Dr. Sulitzer and Dr. Moore’s declarations, as well as other evidence
submitted by SDC, show that SDC-affiliated dentists play a minimal albeit important role
during treatment. It is undisputed that SDC developed the treatment plan; SDC assigned
the dentist; SDC facilitated the prescription and manufacturing process; SDC maintained
patient records; and SDC fielded all patient inquiries. In fact, the record shows that SDC-
affiliated dentists had no contact with their patients unless there was a “clinical” question
or concern.8 This limited role was at the heart of SDC’s business model: The company

8
SDC has not explained what it considers to be “clinical.” The customer service logs for Ms.
Rosemond and Mr. Harwood show that each patient contacted SDC on multiple occasions with concerns
about pain and improper tooth movement. All those concerns were handled by customer service
representatives and Dental Team members, not the assigned dentist.

- 23 -
offered faster, cheaper treatment for mild-to-moderate malocclusion of the teeth by, inter
alia, reducing the patient’s need to make regular visits with their dentist.9

Thus, the implication that SDC-affiliated dentists are essentially MIA during
treatment is substantially true because a statement of the truth would not “have a different
effect on the mind of the reader from that which the pleaded truth would have produced.”
Stones River Motors, Inc., 651 S.W.2d at 712 (quoting Memphis Pub. Co., 569 S.W.2d at
420).

For these reasons, we conclude that SDC did not make a prima facie case of
defamation based on the implication that doctors are “not actually” involved.

2. Implication: Permanent Harm

SDC contends that it made a prima facie case of defamation based on the implication
that treatment through SDC’s platform can cause permanent and irreparable harm.

SDC relies on the following statements from the Article:

The Better Business Bureau reports more than 1,800 complaints nationwide
involving SmileDirectClub. Most of the complaints involve customer service
issues-such as broken aligners, delivery issues and payment problems-but
dozens describe concerns about treatment results: complaints like broken
teeth and nerve damage.

. . .

Dr. Chung Kau, chairman and professor of orthodontics at the University of
Alabama in Birmingham, said moving teeth without in-person supervision
can lead to permanent harm.

9
In the transcript Defendants’ hidden-camera footage in Ohio, an SDC employee explains as
follows:

The dentist that we assign to your case, it’s going to be an orthodontist or a general dentist.
Each of our states have their own different set, so it has to be a doctor that’s licensed in
your area, of course. But basically he or she would just stay in their own private office
because essentially they’re kind of like contracted through us. So they get a certain
percentage based upon the creation of a treatment plan. And then our dental team is the
one who helps you throughout your treatment through what we call your patient portal.

And the Alabama SmileShop employee said that customer inquiries were handled by SDC’s “team,” not
“the dentist or orthodontist.” She explained, “That’s how we keep it less expensive.”

- 24 -
Problems with a person’s bite aren’t just cosmetic. “If you can’t get a proper
bite, that affects the entire function of your jaw,” Kau said. “You could get
migraines, jaw joint problems, [and] disintegration of your joints.”

“This harm is irreparable. I want to state that,” he said. “It’s because things
like bone loss, disease, loss of a tooth—you can’t put it back in the mouth.”

That’s what happened to Tom Harwood, 40, of Winnemucca, Nevada.
Harwood told NBC News that his dentist said the SmileDirectClub aligners
moved his teeth so fast that it caused some of them to detach from the bone.

. . .

. . . the company’s chief legal officer, Susan Greenspon-Rammelt, said the
company has helped more than 750,000 people with its network of licensed
dental professionals. “They’re subject to the same standards of care that a
doctor in a traditional setting is,” she said.

But NBC News found complaints related to poor patient outcomes, including
problems with bite and spacing.

(Emphasis added). And SDC relies on the following statements from the Broadcast:

[NARRATION]: After a year, Anna was in pain and she says she tried but
couldn’t speak to her assigned dentist. So, she found an orthodontist who
diagnosed her with a cross bite possibly caused by the aligners, straining her
neck and jaw muscles, sparking migraines.

MS. ROSEMOND: I really noticed that things like didn’t feel right with the
bite, my head was hurting frequently.

. . .

[NARRATION]: Dr. Chung Kau, Chair of Orthodontics at The University of
Alabama, says moving teeth without supervision in person, can lead to
permanent harm.

DR. KAU: Things like bone loss, disease, loss of a tooth.

We agree that the Reports imply that treatment through SDC’s platform can and has
caused “[t]hings like bone loss, disease, [and] loss of a tooth.” But SDC cites no evidence
to show that this message was false, i.e., that treatment through its platform cannot and has
not caused permanent injuries. Instead, SDC argues that it produced prima facie evidence
that “treatment using SDC’s Platform is as safe or safer than treatment for teeth
straightening in a brick-and-mortar office.” This, whether true or not, is immaterial to

- 25 -
whether treatment through SDC’s platform can cause “permanent and irreparable harm”
such as “bone loss, disease, [and] loss of a tooth.”

For this reason, we conclude that SDC failed to make a prima facie case of
defamation based on the implication that treatment through SDC’s platform can cause
serious complications.

3. Implication: Efficacy of Treatment

SDC contends that it established a prima facie case of defamation based on the
implication that “treatment using SDC’s Platform is not effective.” We disagree.

Any implication that treatment through SDC’s platform was “not effective” depends
on the alleged implication that remote aligner treatment through SDC’s platform could
cause complications. In other words, the only basis for a rational reader or viewer to
conclude that SDC’s service and product are ineffective would be based on the implication
that treatment is unsafe. The Reports did not question whether SDC’s aligners were
effective at moving teeth—they questioned whether SDC’s business model was causing
patient harm.

For this reason, we affirm the trial court’s dismissal of SDC’s defamation claim
based on the alleged implication that treatment through SDC’s platform is ineffective.

4. Implication: Dishonesty

SDC contends that it established a prima facie case of defamation based on the
implication “that SDC is a dishonest company.” But whether SDC is a dishonest company
is a matter of opinion. Statements of opinion are non-actionable unless they imply “the
allegation of undisclosed defamatory facts as the basis for the opinion.” Stones River
Motors, Inc., 651 S.W.2d at 720 (quoting Restatement (Second) of Torts § 566 (1977)).
Here, any implication that SDC is a dishonest company arises from the facts disclosed in
the Reports.

For this reason, we affirm the trial court’s dismissal of SDC’s defamation claim
based on the alleged implication that SDC is a “dishonest company.”

III. TENNESSEE CONSUMER PROTECTION ACT CLAIM

SDC contends that it established a prima facie case for its TCPA claim by producing
“evidence establishing that the Reports disparaged SDC’s Platform and the treatment
provided by SDC-affiliated doctors through false and misleading statements.” On the other
hand, Defendants maintain that the TCPA does not apply because the Act is limited to
“transactions between consumers, competitors, and commercial entities that do business
with the defendant,” which was the basis of the trial court’s decision. And even if the TCPA

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applies, Defendants argue that First Amendment principles required SDC to prove actual
malice, which it did not. We agree with Defendants’ second argument.

Resolving these issues requires us to interpret and construe the TCPA. In doing so,
we apply the familiar rules of statutory construction:

A court’s primary aim “is to carry out legislative intent without broadening
or restricting the statute beyond its intended scope.” Courts presume that
every word in a statute has meaning and purpose and that these words
“should be given full effect if the obvious intention of the General Assembly
is not violated by so doing.” Words “must be given their natural and ordinary
meaning in the context in which they appear and in light of the statute’s
general purpose.” When the meaning of a statute is clear, “[courts] apply the
plain meaning without complicating the task” and enforce the statute as
written.

Milan Supply Chain Sols., Inc. v. Navistar, Inc., 627 S.W.3d 125, 159 (Tenn. 2021)
(quoting Johnson v. Hopkins, 432 S.W.3d 840, 848 (Tenn. 2013)).

The TCPA creates a private right of action for “[a]ny person who suffers an
ascertainable loss of money or property . . . , or thing of value wherever situated, as a result
of the use or employment by another person of an unfair or deceptive act or practice
described in § 47-18-104(b) and declared to be unlawful by this part.” Tenn. Code Ann. §
47-18-109(a)(1). Thus, to establish a prima facie case, SDC had to present prima facie
evidence that (1) “another person,” i.e., the defendant, engaged in “an unfair or deceptive
act or practice described in § 47-18-104(b)” and (2) that the defendant’s conduct caused an
“ascertainable loss of money or property.” Id. § 47-18-901(a)(1); see Tucker v. Sierra
Builders, 180 S.W.3d 109, 115 (Tenn. Ct. App. 2005).

Tennessee Code Annotated 47-18-104(b) describes 67 “unfair or deceptive acts or
practices affecting the conduct of any trade or commerce,” including “[d]isparaging the
goods, services, or business of another by false or misleading representations of fact.” Id.
§ 47-18-104(b), (b)(8).

We have already determined that SDC presented prima facie evidence that the
Reports contained false representations of fact, and it is uncontested that SDC satisfied its
burden of showing an ascertainable loss. Thus, looking only at the Act’s plain language, it
appears that SDC has satisfied its burden to make a prima facie case under the TCPA.

That being said, we conclude that when a claim of disparagement is made by a
public figure based on “false or misleading representations of fact” under § 47-18-
104(b)(8), constitutional policy requires that the public figure plaintiff also prove that the
defendant made the allegedly disparaging representations with actual malice. Generally,
“the defendant’s conduct need not be willful or even knowing” to state a claim under the

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TCPA. Tucker, 180 S.W.3d at 115. But the U.S. Supreme Court has stated that no cause of
action “can claim talismanic immunity from constitutional limitations” and actions that
repress expression “must be measured by standards that satisfy the First Amendment.” New
York Times Co. v. Sullivan, 376 U.S. 254, 269 (1964); see also Hustler Mag., Inc. v.
Falwell, 485 U.S. 46, 56 (1988) (holding that “actual malice” standard applied to claim for
intentional infliction of emotional distress based on published statements about public
figures and public officials). Accordingly, plaintiffs cannot avoid “the First Amendment
limitations on defamation claims by seeking publication damages under non-reputational
tort claims, while holding to the normal state law proof standards for these torts.” Food
Lion, Inc. v. Cap. Cities/ABC, Inc., 194 F.3d 505, 522 (4th Cir. 1999); see Unelko Corp. v.
Rooney, 912 F.2d 1049, 1057–58 (9th Cir. 1990) (holding claims for product
disparagement were “subject to the same first amendment requirements that govern actions
for defamation.”).10

Because we have concluded that SDC failed to present prima facie evidence of
actual malice for its defamation claims, we conclude that SDC failed to make a prima facie
case of disparagement based on the same statements under Tennessee Code Annotated
§ 47-18-104(b)(8).11

10
Significantly, in Moore Construction Company, Inc. v. Story Engineering Co., Inc., this court
noted that “disparagement” is “among the classes of torts recognized in the Restatement (Second) of Torts
§ 623A (1977).” No. 01A01-9606-CV-00267, 1998 WL 382198, at *4 (Tenn. Ct. App. July 10, 1998). That
Restatement section specifies the elements necessary to prove a claim for “Publication of Injurious
Falsehood” as follows:

One who publishes a false statement harmful to the interests of another is subject to liability
for pecuniary loss resulting to the other if

(a) he intends for publication of the statement to result in harm to interests of the other
having a pecuniary value, or either recognizes or should recognize that it is likely to do
so, and

(b) he knows that the statement is false or acts in reckless disregard of its truth or falsity.

Restatement (Second) of Torts § 623(A) (1977)) (emphasis added); see also Wagner v. Fleming, 139
S.W.3d 295, 301–302 (Tenn. Ct. App. 2004) (applying § 623(A)).
11
The trial court based its decision on the TCPA’s preamble in § 47-18-102(4), which states that
the Act must “be liberally construed to,” inter alia, “declare and to provide for civil legal means for
maintaining ethical standards of dealing between persons engaged in business and the consuming public to
the end that good faith dealings between buyers and sellers at all levels of commerce be had in this state.”
The court was persuaded by this court’s reasoning in Hall v. Tabb, No. W2020-00740-COA-R3-CV, 2021
WL 1148539 (Tenn. Ct. App. Mar. 25, 2021) and White v. Eastland, No. 01-A-019009-CV-00329, 1991

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Accordingly, we affirm the trial court’s dismissal of the TCPA claims, albeit on
different grounds.12

IV. APPELLATE ATTORNEY FEES

Defendants ask for an award of their appellate attorney fees under Tennessee Code
Annotated § 20-17-107, which requires an award of costs and fees “[i]f the court dismisses
a legal action pursuant to a petition filed under [the TPPA].” Because we have affirmed the
trial court’s dismissal, we conclude that Defendants are entitled to an award in an amount
to be determined on remand.

CONCLUSION

Based on the above, we affirm the trial court’s dismissal of SDC’s defamation
claims and its dismissal of SDC’s claim under the TCPA and remand the matter for further
proceedings consistent with this opinion. Costs of appeal are assessed against the appellant,
Cluster Holdco, LLC.

________________________________
FRANK G. CLEMENT JR., P.J., M.S.

WL 149735 (Tenn. Ct. App. Aug. 9, 1991). But those cases dealt with claims by a natural person against
another individual related to a sale of real estate. Moreover, § 47-18-102(4) provides only one of five
policies that the TCPA promotes; section 47-18-102(2) says that the TCPA must “be liberally construed . .
. [t]o protect consumers and legitimate business enterprises from those who engage in unfair or deceptive
acts or practices in the conduct of any trade or commerce in part or wholly within this state.” Tenn. Code
Ann. § 47-18-102(2).

Moreover, “[i]t is well-settled that we may turn to a statute’s preamble and policy statements for
guidance when seeking to resolve an ambiguity.” Moorcroft v. Stuart, No. M2013-02295-COA-R3-CV,
2015 WL 413094, at *9 (Tenn. Ct. App. Jan. 30, 2015) (citing Hyatt v. Taylor, 788 S.W.2d 554, 556 (Tenn.
1990); Harrell v. Hamblen Cnty. Q. Ct., 526 S.W.2d 505, 508 (Tenn. Ct. App. 1975)). Here, the trial court
did not include an analysis of the statutory language in §§ 47-18-104 and -109, which are the controlling
statutes in this case. Thus, it made no ruling on whether the language in those sections was ambiguous.
12
“The Court of Appeals may affirm a judgment on different grounds than those relied on by the
trial court when the trial court reached the correct result.” City of Brentwood v. Metro. Bd. of Zoning
Appeals, 149 S.W.3d 49, 60 n.18 (Tenn. Ct. App. 2004) (citations omitted).

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10588540. Public record. Not legal advice.