‘DIY orthodontics’ – ‘don't do it yourself’!

Do-it-yourself orthodontics, otherwise known as ‘DIY ortho’, is a loosely used term to describe the process in which individuals can attempt to straighten their teeth using unmonitored appliances and home techniques.1 It has become progressively popular over the past decade with the ever-increasing demand for straight, aesthetic teeth.

The first of the two most popular ‘DIY ortho’ techniques is direct-to-consumer orthodontics (DTCO). A series of clear aligners is sent straight to a patient after the patient has taken an impression of their own teeth with an at-home impression kit. There is no pre-assessment or professional discussion before commencement of treatment; however, it is a relatively cheaper option than professional treatment.1^,2^,3 The second method being employed to straighten teeth at home is to use self-made orthodontic appliances. Elastic bands, paperclips and other materials are used to create makeshift orthodontic tools, which are then wrapped around teeth to close gaps. The concept for this type of ‘DIY ortho’ was publicized in 2016, when the Washington Post reported on a New Jersey teenager. The teenager had used a 3D printer to create a series of clear aligners to ultimately straighten his teeth and to save on the cost of professional orthodontic treatment.4