“if you lose the bony support around the teeth, which you can’t see, that’s something you cannot replace,” says phee.
orthodontists will typically have scans or x-rays done to determine how far the teeth can be moved and how quickly. this allows them to see the underlying structure of the mouth and any risk areas like hidden cavities or other concerns. orthodontists and dental professionals will also check in every few weeks, to make sure that the teeth are moving safely within the jaw.
jeremy explains that moving the teeth too quickly can actually cause them to fall out in extreme circumstances, which is why many straightening protocols — as with braces — can take years. too much force on the tooth can cause it to detach from the periodontal ligament that works to suspend many of the teeth in place, not only impacting physical health, says phee, but also mental health.
and while dental implants are good, they’re not a perfect replacement for natural teeth and can affect the types of food a patient can eat. the procedure for getting an implant or crown can also be costly, require downtime and, in some cases, be pretty painful. diyers also tend to target the very visible front-top row of teeth, where damage will be the most visible.
position is also important
alignment is also important, more so than having teeth that are perfectly straight. pulling teeth into an awkward alignment just so they stay straight can be uncomfortable and lead to more problems down the road.
“a lot of times we don’t just straighten teeth so that they look nice, that’s kind of a side-effect,” says jeremy. “ … a lot of the times we straighten teeth because maybe your teeth overlap too much, you have an overbite where you don’t bite down correctly, maybe your lower teeth are over top of your upper teeth so that when you bite down, your teeth aren’t touching correctly in the front.”