Mail-order orthodontics company Smile Direct Club says it's trying to make a good smile accessible at all income levels. Dentists tell whyynews it's playing fast and loose with good medical practices, and wrecking people's mouths in the process.
Dental assistant Jessica Buendia looks at a scanned image of patient's teeth in SmileDirectClub's SmileShop.
So to get dentists to talk to one another, or really anyone outside their offices, Goodman started a Facebook group. There are about 18,000 members, and Smile Direct Club comes up a lot. Orthodontics is more complicated than most realize, he said, and some people just aren’t good candidates for aligners in the first place. He doesn’t think Smile Direct cares.
All orthodontic treatments come with risks. If your gums or jaw have underlying disease, teeth can get moved right out of your mouth. Hidden impacted teeth and cavities can blow up under aligners — and if teeth don’t move in just the right way, your bite goes way off. “They liked the market the way it is. You have to go to them. They’re the ones earning the big dollars,” he said of traditional practices. “They don’t want nobody messing with lower fees.”
As the wand moved, a 3D rendering of my teeth — plaque, fillings and all — filled a screen with uncomfortably high resolution.A supervisor came up and double-checked my scan. I wondered: Is she a dentist? “They want to make it like the old model, ‘Yeah, get a signature, go to a dental office,” he said. “Does that make any sense? What you’re trying to do is you’re responding to naysayers that are dentists in the communities that are trying to come up with reasons of why we should fail.”
“In our world, we don’t see bad outcomes,” Sulitzer said. “We have over 750,000 cases treated. When you look at the social media, the results are amazing.”It’s pretty easy to find loads of real people posting online about their beautiful Smile Direct smiles. There’s a lot on Instagram, a bunch of unofficial Smile Direct Facebook groups. The majority of the posts are toothy selfies, grateful for Smile Direct’s transformation.
At his practice, Davis has a room with the same iTero machine Smile Direct has, but it’s not all he has. “I do think Smile Direct Club could offer a low-cost, retreatment option for that really slim segment of the population,” he said. “They must be desperate,” Davis said about those tele-dentists. “The business environment for them might be that they’re struggling. People do desperate things in desperate times.”
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