The Difference Between Treatment by a Licensed Orthodontist and Mail Order Aligners

If you are looking for orthodontic treatment in Vancouver to correct the existing crookedness of your teeth, you have many options available to you. It’s important to carefully evaluate your choices because your future dental health is at stake. Saving a few dollars today could mean a very costly and painful lesson tomorrow. Today, several direct-to-consumer companies provide aligners that can be ordered online and shipped directly to your home in Vancouver. 

Before deciding between getting treatment from a licensed orthodontist in Surrey or getting mail-order aligners, let’s take a close-up look at the two.

Table of Contents

Why Should I Go to an Orthodontist Instead of Ordering from a Mail Home Aligner Service?

In a nutshell: An orthodontist is a dentist who has graduated from university, then completed 4 years of dental school, and then an additional 3 years of post-graduate, specialized training in teeth alignment and facial harmony; thus ensuring that your teeth are correctly aligned healthily. Your teeth will not only “look good” but also work well.

Teeth alignment is not simply about cosmetics. An orthodontic specialist seeks to eliminate bite problems to prevent any pain associated with chewing as well as future wear and tear on your teeth. With correctly aligned teeth and a proper bite, you will have complete functionality of your mouth without any further pain or discomfort. Even a slight misalignment may result in pain and discomfort and additional wear and tear on your teeth.

Critical Differences Between Orthodontic Treatment and Mail Home Aligner Services

Though most people who choose mail home aligners do so because of what appears to be cost savings for the same service, there are several key differences between the two service providers.

Orthodontic Treatments Are Tailored Specifically For The Patient’s Dental Issues

Orthodontists spend the time to understand the patient’s concerns and perform proper diagnosis of the patient’s dental health to determine the best treatment plan. A tailored treatment plan would then properly address the patient’s bite and aesthetic issues. 

Mail-order aligners offer no customization to meet the patient’s unique needs. The treatment plan is a 6-month cookie-cutter solution offering help for very general tooth alignment problems but is not designed to correct issues specific to each individual. 

Though mail-order aligners can correct some dental issues, they may also create new problems or make related ones worse, requiring more extensive orthodontic treatment. 

Full Support For Your Overall Oral Health

Orthodontists work in tandem with each patient’s family dentist to first treat any existing issues such as cavities or disease before beginning Invisalign treatment. This comprehensive approach ensures the patient’s outcome meets their goals. The family dentist and orthodontist work together to provide ongoing oral hygiene instructions and also monitor all progress, making any needed adjustments when necessary to keep the treatment on track. 

Mail-order aligners offer no personal support or oral hygiene monitoring and advice, leaving the patient to deal with any issues on their own.  

Continuous Monitoring During And After Treatment

Orthodontists work with the patients throughout the treatment to ensure that they reach the result that both the orthodontist and the patient are satisfied with. When treatment is completed, the orthodontist will make a set of retainers for patients to wear to maintain the alignment of the teeth and will continue to monitor the results for the patients.

Many mail-order aligners do not include or even offer retainers. Patient needs to go to another dental professional to get retainers made, and are on their own to monitor and maintain the alignment of their teeth.

Patented Materials & Technology vs. Everyone Else

Invisalign clear plastic aligners are crafted using the SmartTrack plastic material, a patented material that is highly recognized for its strength, flexibility, and longevity. These braces are also compatible with proprietary Invisalign tools such as SmartForce attachments and iTero scanning

Mail-order aligners do not offer the same quality or the ability to add attachments, which allows for more precise teeth movement. Mail-order aligners have been known to break more easily and cause issues and confusion during the treatment process.

Dental Attachments – a Critical Medical Device Not Available Elsewhere

A Vancouver orthodontist makes use of the correct attachments & buttons to enable them to make very precise adjustments to your aligners.

  • Attachments are small “bumps” bonded to your teeth with composite material. Attachments must be done at the clinic by a dental professional.
  • Attachments act as a handle to offer the grip required for the Invisalign aligner for more precise movement. 
  • Attachments can shift your teeth in various directions, such as up and down, not just moving them sideways. Attachments are often mandatory for more complex or severe cases of malocclusion.

Online mail-order aligners do not have staff to come to you and put attachments over a patient’s teeth, and thus these services cannot make the same maneuvers Invisalign can, often resulting in bite issues.

  • Without attachments, aligners cannot move teeth in all directions required for proper tooth positioning.

All-Inclusive Pricing vs. Pay as You Go

An orthodontist review will assess a patient in the beginning to provide a proper treatment plan and timeline, resulting in fewer nasty surprises down the road. 

  • The clinic’s treatment price is all-inclusive.
  • X-rays are essential to proper teeth alignment procedures using braces or Invisalign. The cost of X-rays is included in the fees to the clinic, as this is considered vital.
  • When getting treatment at an orthodontic clinic with licensed specialists, you will receive all the aligners and retainers you will need during your treatment. 

In comparison, mail-home aligners include only one part of what you will require to treat misaligned teeth. 

  • Typically, you will receive enough aligners and retainers to last you six months. Anything beyond that will come out of your pocket. 
  • If an aligner breaks too early, you will have to make the difficult decision of paying extra for additional aligners or using the next one, which may result in less effective treatment and more pain.
  • Auxiliary services such as X-rays may not be included in the advertised treatment price and require extra payment.

Professional Medical Support vs. Phone / Online Customer Support

Professional support is necessary throughout the treatment to ensure your teeth are coming together correctly. Without this level of support, patients are left helpless if something goes wrong or does not feel right during treatment.

Treatment at a licensed orthodontist ensures your Invisalign treatment is on track, and your teeth will be in the correct position at all times.

  • Experts recommend a visit to a licensed orthodontist one month after your aligners have been applied to ensure the teeth are moving correctly or if adjustments need to be made to correct this. 
  • Virtual care is now available where patients can send in photos of their teeth and communicate with their orthodontist through a safe and secured online channel. This allows the orthodontist to keep monitoring the patient’s progress without the patient being physically in the office.
  • Some Invisalign treatment plans will need some adjustment to the treatment plan mid-way through treatment. 

Without an orthodontist monitoring your teeth movement, patients are left with a strategy of hope while looking at the mirror, wondering if everything is happening correctly.

  • If a problem comes up, there is no dental professional who will diagnose and fix the issue. Instead, you are left with a toll-free number and an online chat with a customer service team lead.
  • Even minor misalignment can result in bite problems (open bite, misaligned bite) or bruising of the gums when chewing, causing long-term and unnecessary pain.

Research and Look For Reviews and Stories From Customers

Sadly, a quick Google search yields a wide array of horror stories about well-meaning people who opted to try to have their teeth corrected through the use of mail-order aligners. There is no shortage of customer complaints or regrets posted online about mail-order aligner horror stories.

Once the damage from these one-size-fits-all dental appliances is done, it is exceptionally costly to have repaired. But worse than the additional money required for a second treatment is the time and inconvenience you will likely have to endure during the further correction. When it comes to the future health of your teeth, it’s not worth taking a risk that could cost you considerably later. 

Get the Professional Treatment Your Deserve

Do not be the victim of another mail aligner horror story. Let PacificWest help you achieve your perfect smile today. Contact us now at Vancouver: 604-558-0993 Surrey: 604-501-0993 or info@pacificwestdental.com to get started.

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Dr. Yashodhan Milind Bichu

  • Certified Specialist-Orthodontics, British Columbia College of Oral Health Professionals, 2024
  • Dental Speciality Assessment and Training Program Orthodontics, University of British Columbia, 2024
  • M.D.S, Master of Dental Surgery, Goa Dental College & Hospital, Goa University, Goa, India,2010
  • B.D.S, Bachelor of Dental Surgery, MGV’s KBH Dental College & Hospital, Nashik, Maharashtra University of Health Sciences, India 2006,

Dr. Yash is a Certified Specialist Orthodontist with an experience of over 14 years gained through specialist orthodontic practices in Mumbai, India and Dubai and Abu Dhabi, United Arab Emirates. He is multilingual and fluent in several languages, including Hindi, Punjabi, Marathi, and Arabic.

He completed his dental program from India in 2006 with Honors, as a distinguished recipient of the Vice-Chancellor’s Certificate of Merit for Academic Excellence and subsequently earned his master’s degree in Orthodontics from Government Dental College as a Gold Medalist of the Goa University in 2010. Being an ardent advocate of ‘Learner for Life’ philosophy, Dr. Yash went on to pursue advanced training in Lingual Orthodontics, Micro Implant Anchorage and Surgical Orthodontics at the Yonsei University, Seoul, South Korea in 2014. He then completed a mini-residency stint at the UConn Dental School, University of Connecticut, USA (2017) to further hone his skills for accelerated orthodontics and clear aligner therapy.

Dr. Yash moved to Canada with his family in 2022 and completed his orthodontic specialty recertification program at the University of British Columbia in 2024, by securing the single coveted seat offered to internationally trained Orthodontists in 2023. He is also a fellow of the prestigious Royal College of Dentists of Canada- an honor bestowed to the top dental specialists in their field.

Dr. Yash believes in “Practice Passion in Orthodontics” and specializes in treating children with preventive and interceptive orthodontics, and adults with contemporary and esthetic treatment modalities.

In his spare time, Dr. Yash enjoys talking; actually, mostly listening, to his wife, Aditi, an orthodontist herself; and their chatty 6-year-old daughter, Anahita. The trio live in Vancouver and love exploring all the wonderful places, sampling the plethora of cuisines and just soaking in the resplendent beauty that Beautiful British Columbia and Canada offer!

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Yan Liu

  • University of British Columbia 2021, Vancouver, Certified Orthodontics and Dentofacial Orthopedics
  • Arthur Dugoni School of Dentistry, 2004, San Francisco, Postdoctoral Fellowship
  • Pecking University, 2001, Beijing, PH.D.
  • Beijing Medical University 1997 Beijing, DDM,

Dr. Yan Liu is a Certified Specialist of Orthodontics and Dentofacial Orthopedics with over 20 years of experience as both a practitioner and an educator. She has been practicing at Pacificwest Dental Group in Vancouver BC, since 2021.

She received her Doctor of Dental Medicine from Beijing Medical University in 1997 and later acquired her Ph.D. from Peking University in 2001. In 2004 Dr. Liu finished her postdoctoral fellowship at the Arthur Dugoni School of Dentistry in San Francisco. She is now a part-time faculty at UBC Dentistry School, where she spends considerable time advancing research and mentoring students. Her clinical researches are about Assessment of Treatment Results of Invisalign and Comparison of Root Resorption Between Cases Treated with Invisalign and Fixed Edgewise Appliance.

When asked what gets her up in the morning, Dr. Liu says it’s seeing her patients thrive in life with their new smiles. She strives to explore efficient treatment modalities that serve patients well and keep her knowledge and skills updated. She also cares about the ongoing research and development in Orthodontics and how to improve the long-term impact on patients’ beautiful smiles. Her enthusiasm for her work is further evident in her active involvement in the Canadian Association of Orthodontics as well as the BC Society of Orthodontists.

In her spare time, Dr. Liu enjoys spending time with her family. She loves to golf, bike and practice yoga, too.

Professional Memberships

  • The Canadian Association of Orthodontists
  • The British Columbia Society of Orthodontists
  • The Chinese Association of Orthodontists
  • Invisalign Annual Summit Speaker

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Kevin Lee

Dr. Kevin Lee

  • University of British Columbia 2015 Combined MSc and Diploma in Orthodontics, Vancouver, BC
  • University of British Columbia 2011 DMD, Vancouver, BC
  • University of British Columbia 2006 Bachelor of Science: Biochemistry, Vancouver, BC

Born and raised in Taiwan, Dr. Kevin Lee moved to Richmond, BC with my family in 1999 when he was 15 years old. Dr. Lee received his Bachelor of Science (Biochemistry) Degree and Doctor of Dental Medicine degree from the University of British Columbia in 2011. After spending a year working as a full-time hospital dental resident at the Montefiore Medical Center in the exciting city of Bronx, New York (Yankees!), Dr. Lee came home to British Columbia, where he spent three years at UBC to complete graduate training in orthodontics. He also earned a Master of Science degree in Craniofacial Biology for his study of Dentofacial Morphology in Children with Obstructive Sleep Apnea.

Dr. Lee is a certified specialist in Orthodontics, a fellow of the Royal College of Dentists of Canada, and diplomat of the American Board of Orthodontics. Dr. Lee is also a director of the Taiwanese Chamber of Commerce in BC.

Dr. Lee lives in Richmond with his wife Dr. Sherry Liu, a local family dentist, and their two kids. In his spare time, Dr. Lee enjoys photography, cooking, movies, and spending time with families and friends. He also volunteers at Willingdon Church as photographer and First Aid Responder.

“The unique combination of art, mechanics, and science required to treat every patient is what made orthodontics fascinating to me. Because every smile and patient is unique and different, a customized treatment plan is formed for each person to provide a balance between function, aesthetic, and health. As a board-certified orthodontist, I am passionate in updating myself with the most advanced knowledge and skill to provide quicker, easier, and most predictable treatment options for my patients. I am excited for the opportunities to meet with every one of my patients to share my knowledge, skill, and passion in orthodontics, and to form a long lasting partnership with them.”

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Cheng Lun Wang

  • DDS. Doctor of Dental surgery, University of Western Onterio, 1989
  • MSc. University of Manitoba 1994
  • Cert. of Orthodontics, University of Manitoba 1994

Orthodontic specialist, Dr. Wang, is the founder and sole-proprietor of PacificWest Orthodontics and Dental Group in Surrey and Vancouver. Dr. Cheng Lun Wang graduated with a degree in Dental Surgery from the University of Western Ontario in 1989.

After graduation, he completed an internship with the Hospital for Sick Children in Toronto, transitioning later into a full-time position with the I.W.K. Hospital for Children in Halifax and specializing as a pediatric orthodontist. During this time, Dr. Wang continued to teach undergraduate dental students from Dalhousie University, while also building a part-time private practice in Dartmouth, Nova Scotia.

Dr. Wang entered the orthodontic program at the University of Manitoba in 1991. After three years of intensive Clinical Orthodontic training, he earned a Masters of Science degree in Craniofacial Biology in 1994.

An enthusiasm for continuing education has led Dr. Wang to share his years of professional experience on Orthodontic and Pediatric dentistry at various lectures and professional presentations throughout Canada. In addition to actively practicing lingual and labial Orthodontics in his private clinics, he also serves as a clinical instructor at the University of British Columbia (UBC) School of Dentistry. His clinical research has been published in the Journal of Oral Surgery, Oral Medicine, and Oral Pathology.

Dr. Wang’s primary focus is working directly with you to meet your specific orthodontic needs. Working with his orthodontic associates and support team, Dr. Wang practices out of two PacificWest Dental Group clinics – one in Vancouver BC and the other in Surrey BC. 

Professional Memberships

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

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