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Artificial nails should not be worn by health-care professionals, because they harbor pathogens. Health-care professionals should have short, clean, well-kept fingernails.
Acrylics and Gels are fake nails placed over your natural ones. Both can be made to match the shape of the nail, or to extend it. So, when you want longer nails, you are asking for either Acrylic or Gel extensions. People also get Acrylics and Gels in order to have stronger nails (however, in the long term they actually weaken your natural nail).