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Straighter Teeth by Mail

well.blogs.nytimes.com

31–40 of 60 posts

Re: Straighter Teeth by Mail

#31

The thing that bothers me is things like this: "the American Association of Orthodontists, a trade group, warned consumers against moving teeth without an initial exam and continuing supervision by an orthodontist. “Our concern is that patients who don’t see an orthodontist for regular checkups and/or for a complete diagnosis are more likely to be harmed,” said Dr. Rolf Behrents, a spokesman for the association" Ever…

The other reason people don't see these professionals is time, and under the Australian medicare system at least, there's a problematic time/cost tradeoff system. My last visit to a doctor went like something like this (it's been a while, excuse any slight irregularities): 1. Take a day off at your own expense to see the doctor 2. Submit a claim to medicare 3. Get called into medicare office because my medicare card…

I went significantly out of my way to find a dentist in my city who accepted my insurance and worked on Saturdays. I finally found one and have gotten a lot of important dental work done since then without having to take any time off work.

The sad thing is that if I hadn't found this dentist I'm sure I wouldn't have gotten the work done. My teeth were in bad shape and needed two crowns (two visits each), two fillings, and I ended up getting four veneers as well (totaling three visits).

All that said, I'm extremely skeptical of the approach outlined in the article. It's going to work safely for the majority of patients and probably cause serious harm in a minority where the lack of one-on-one consultation causes significant dental issues to be overlooked (such as periodontal disease). We need more dentists and orthodontists in general to keep costs down, and in particular we need more who practice when patients are most readily available to see them (i.e., not when their patients are themselves at work), but we don't need DIY kits.

Re: Straighter Teeth by Mail

#32
post #20

I would try this product for one simple reason: I care about my health more than anyone else possibly could. Frankly, I don't trust that a dentist would do a better job at casting the mold than me.

This is absurd. I think you really underestimate the intensity of training that dentists must undergo, at least in the US. Dental school is just as rigorous and all-consuming as medical school.

There are reasons to advocate for the sort of DIY kit discussed in the article -- cost and time being the main ones. But thinking that you are somehow going to be more proficient at this sort of thing than a very extensively trained orthodontist is not one of them.

Re: Straighter Teeth by Mail

#33

Would rather that society stop obsessing over having perfectly straight teeth. If they are otherwise healthy, why spend that money and go through the painful experience of straightening your teeth. It's entirely cultural (learned) to expect them to be perfect. Some cultures don't care (though in this globalized world, every culture is gradually expecting it).

Symmetry is not cultural but part of our genetics, some cultures care less because they have more important issues when looking at attractiveness like food and shelter security.

Should burns victim who are healthy be able to get plastic surgery. Most people would think so.

Genetic issues is no different to anything else that cause unusual looks.

Where does it go from acceptable i.e. burns to the face, to it really shouldn't matter i.e. perhaps breast enlargement from average to larger than average, is hard to say.

But I have no problem with a society where no one has looks that make them stand out in a negative way that they don't wish to have.

Re: Straighter Teeth by Mail

#34
My dad's an orthodontist. He's seen good results with Invisalign (and bad) but says that it has a relatively small sweet spot. He's skeptical of the braces-by-mail approach for anything other than the simplest cases and the most conscientious patients.

> Dr. Son Tran, the creator of CrystalBraces and a Dallas dentist who is the sole reviewer

Many people don't know that in the US general dentists (GPs) can practice most specialties without advanced training, while specialists (orthodontists, oral surgeons, prosthodontists, etc.) must complete an accredited program/residency after dental school and limit their practice to their chosen specialty.

Invisalign/Align Tech is in San Jose, btw.

Re: Straighter Teeth by Mail

#36

I would NOT recommend these or invisalign to anyone. I had invisalign and while it's great at pushing teeth closer or further apart, the aligners cannot twist or pull teeth into position, and it's unnecessarily painful. You can get traditional braces for the same cost and get your "perfect smile" results with less pain. Why are they painful? Because every time you "conveniently" take them off to "eat or brush your te…

I had metal braces as a teenager, and now about 20 weeks into Invisalign as a 40 year old to close a gap from a lost tooth, and my god, the Invisalign is wonderful compared to the metal braces.

Almost no pain, super convenient, and eating is normal. I remember all the times I used to have to eat by smashing food against the roof of my mouth with my tongue, because my teeth hurt so much from newly-tightened metal.

Re: Straighter Teeth by Mail

#37
I had a friend in high school who was kind of gung-ho and claimed to have fixed a misaligned tooth by applying pressure with his finger in the desired direction for an hour every night before going to bed. According to him, this worked. I wonder if that is possible or if the teeth would undo the progress in the other 23 hours.

Re: Straighter Teeth by Mail

#38

I would NOT recommend these or invisalign to anyone. I had invisalign and while it's great at pushing teeth closer or further apart, the aligners cannot twist or pull teeth into position, and it's unnecessarily painful. You can get traditional braces for the same cost and get your "perfect smile" results with less pain. Why are they painful? Because every time you "conveniently" take them off to "eat or brush your te…

I think the risk of dental decay is another factor. If I am not wrong, you have to keep the traditional dental braces in place without ever taking them off for the entire duration of the n months / year? Not being able to take them out and brush / otherwise clean the tooth under them is apparently a cause for dental decay when using traditional braces.

Re: Straighter Teeth by Mail

#39
Something I've chatted to about with fellow UK folk occasionally (insert joke about "English teeth" here) is how, from our perspective some USA folk's teeth seem to cross the uncanny valley in the wrong direction.

They're so white and so even they look false to our eyes.

Re: Straighter Teeth by Mail

#40

Would rather that society stop obsessing over having perfectly straight teeth. If they are otherwise healthy, why spend that money and go through the painful experience of straightening your teeth. It's entirely cultural (learned) to expect them to be perfect. Some cultures don't care (though in this globalized world, every culture is gradually expecting it).

Symmetry is not cultural but part of our genetics, some cultures care less because they have more important issues when looking at attractiveness like food and shelter security. Should burns victim who are healthy be able to get plastic surgery. Most people would think so. Genetic issues is no different to anything else that cause unusual looks. Where does it go from acceptable i.e. burns to the face, to it really sh…

> because they have more important issues when looking at attractiveness like food and shelter security

Most of the rest of the developed world doesn't care about perfect teeth as much as the US does, despite often having more lifestyle security than the US.

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