I feel like I’m wading into a huge mess with this topic, but not really finding a lot of pertinent information.
I apologize for this horrendously-long post, but don’t know how to get into it without just laying the whole thing out!
Please weigh in with any
In point: I’m questioning the need for orthodontic work. If need is determined to be “yes”, I’m still left questioning the success and side effects of appliances and braces.
Please do not refer me to some dentist’s website advertising “problems” with braces such as the need to wear wax initially! While dentists certainly have some expertise in this area, I do think they are quite like obstetricians (When you’re holding a hammer, everything looks like a nail).
This is becoming a topic of increasing interest to me because we are starting to hear recommendations for our kids to have extractions of permanent teeth, appliances, and later braces.
My personal orthodontics experience:
Current Situation with Daughters
Yes, I’ve read about all the health ilks of crooked teeth, but I’m not sure that it’s a legitimate concern. My dad’s extended family has rampantly crooked teeth. Strictly from a health perspective (eg. more cavities, gingivitis), this doesn’t seem to have caused anyone any problems. I’ve been peeking carefully lately and there are a surprising number of people with crooked teeth. Especially if they are the lower teeth, it’s often not particularly noticeable.
I also wonder about a “partial” approach. Orthodontia always seems to be a whole-hog quest for the most perfect result possible. What about modest extractions to relieve some crowding, but then just let the teeth come in without palate re-shaping or straightening of teeth and re-alignment of bites?
Whew! You have waded through MDC’s longest-ever post. Please, please, weigh in with your comments, perspectives, and experience. I’m stranded!
I apologize for this horrendously-long post, but don’t know how to get into it without just laying the whole thing out!Please weigh in with any
- natural-health perspectives you may have
- comments on later-life problems that were caused by orthodontia (or problems that the braces did not sufficiently ever correct).
In point: I’m questioning the need for orthodontic work. If need is determined to be “yes”, I’m still left questioning the success and side effects of appliances and braces.
Please do not refer me to some dentist’s website advertising “problems” with braces such as the need to wear wax initially! While dentists certainly have some expertise in this area, I do think they are quite like obstetricians (When you’re holding a hammer, everything looks like a nail).

This is becoming a topic of increasing interest to me because we are starting to hear recommendations for our kids to have extractions of permanent teeth, appliances, and later braces.
My personal orthodontics experience:
- Lots of very crooked teeth on Dad’s side of the family.
- Had four permanent teeth extracted in elementary school.
- Had two different sets of appliances (top & bottom each time) in elementary school. Each were for two years or so. Both times, we were told that if we did that round of appliances, I likely wouldn’t need braces.
- Got braces in junior high. Supposedly they were supposed to be for a year due to all the work already done. Had them for almost two years.
- Had straight teeth at the end. Had a wire bonded into the bottom and a removable retainer for the top. Dentist’s plan of gradually weaning off the upper retainer as the teeth stabilized never happened. I could never reduce wear without noticeable and quick shifting, so had a wire bonded into the top as well.
- Having had almost no cavities ever, got a rash of cavities in the year after braces were removed. Dentist then said that this was a common “side effect” of braces that they had noticed but did not understand as the cavities are usually in the grinding surfaces (not around the braces) and appear shortly after the braces are removed.
- Had some episodes of TMJ (Temporomandibular Joint Disfunction - a problem with the jaw joint) in the few years after having braces. This later resolved. I always wondered if it was related to braces, but have little to go on there.
- Maintained the wires and went in for cement touch-ups whenever a piece chipped loose and was not securing the tooth. This might have been every 4-5 years on average.
- About 2 years ago (so almost 15 years since braces were off) teeth shifted before I could get broken cement re-bonded. I was pretty PO’d after all the pain and expense I’d put up with other the years, so I did a 3-course treatment of Invisalign retainers over several months (at a cost of $800) to correct the shift.
- During the Invisalign treatments, I was alarmed to suddenly find my dentist sanding off the enamel between my teeth to “make more room”. Despite my detailed questions before agreeing to Invisalign, this had not been discussed as a possibility and given how dental professionals hound about the importance of maintaining tooth enamel, his reply that the portion removed was “insignificant” seemed disingenuous.
- Claims of early orthodontia making the process shorter and less-involved later are probably bunk.
- Most orthodontic treatments are quite painful and have periods of “extremely painful”.
- The dentist’s proclamations at the time about how permanent straightened teeth are appears to be nonsense. Several dental folks have told me since then that teeth are always trying to return to their original alignment and that maintaining straight teeth is a permanent struggle.
- There are a number of serious and long-lasting side effects of braces that are not discussed before treatments are started.

Current Situation with Daughters
- DD #1 has a complete crossbite. The enamel on the bottom edge of the two front teeth is wearing away as it rubs on the backside of her front lower teeth. Dentist recommends braces.
- DD#2 has a partial crossbite. Dentist recommends extracting one or two teeth and using appliances to straighten teeth and stretch the palate wider. DD#2 is 7. Dentist says this is optimal time as palate responds well, but teeth are not all shifty as happens in puberty. Says appliances now will likely prevent braces later.
- Is stressing the body to try to re-shape a palate a good idea?
- Why is it suitable to do palate re-shaping in childhood if things get all messed-around by puberty? (Is there sense to doing it as a late teen when things are more established - even if it takes longer - or is that just stressing the body even harder?)
- What other negative side effects of orthodontia are possibilities that I have not personally encountered?
- Society’s premium on a perfect smile. Very crooked teeth may reduce self-confidence, diminish attractiveness in dating, influence other first impression such a job hirings, and cause others to stereo-type the individual with crooked teeth as less cultured or less intelligent.
- Conversely, the childhood social struggles of slurping through appliances, losing them to the garbage can in a wad of tissue forgotten on the table (lost case again!) and being teased about braces aren’t exactly confidence boosters, either. Younger children are probably less equipped to deal with social slights than an older teen or young adult.
- Orthodontia is altering the child’s body and the child has limited maturity to properly understand what she is committing to.
Yes, I’ve read about all the health ilks of crooked teeth, but I’m not sure that it’s a legitimate concern. My dad’s extended family has rampantly crooked teeth. Strictly from a health perspective (eg. more cavities, gingivitis), this doesn’t seem to have caused anyone any problems. I’ve been peeking carefully lately and there are a surprising number of people with crooked teeth. Especially if they are the lower teeth, it’s often not particularly noticeable.
I also wonder about a “partial” approach. Orthodontia always seems to be a whole-hog quest for the most perfect result possible. What about modest extractions to relieve some crowding, but then just let the teeth come in without palate re-shaping or straightening of teeth and re-alignment of bites?
Whew! You have waded through MDC’s longest-ever post. Please, please, weigh in with your comments, perspectives, and experience. I’m stranded!









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