I had an adult patient yesterday who recently completed a course of treatment and a refinement with smile direct club.He had no exam with a doctor or x- rays prior to his orthodontic treatment.He has periodontally compromised teeth that were moved with no regard for the longevity of the teeth.He now has a traumatic occlusion on these periodontally compromised teeth that if untreated will result in their early loss.Additionally, he has a posterior open bite, has difficulty chewing and shifts his jaw to try to find a comfortable biting position, which may lead to temporo-mandibular discomfort.This is not the first time i saw a patient unhappy with smile direct.This is a prime example of malpractice by smile direct.Smile direct, candid and other companies like this are threats to public health.They currently do not meet the standard of care for treating patients orthodontically and thus should not be allowed to practice dentistry.
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