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Originally Posted by V.Narayan ...mission critical professionals.
...laziness that causes a person to select a doctor of all professionals  via a damn anonymous internet site and to trust it enough to pay in advance before you are even examined. |
This is a fallout of the Covid-19 period, when everyone and everything went online, including doctor (and even cardiology) consults without the doctor ever examining the patient clinically.
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Thus said a famous orthodontist!!! Well said SS-Traveller |
Just to clarify, I'm not an orthodontist. I specialize in the subject of oral pathology, have taught the subject for nearly 20 years (and quit teaching in 2016), and I've been a general dental practitioner for over 31 years, including in my own clinic where my wife and I have practised for over 25 years till the present time. We do deal with orthodontic cases on a regular basis, with a consultant orthodontist taking care of our patients, but I believe the ultimate responsibility for the outcome of the treatment lies not only with the orthodontist, but with me as the point of first contact for the patient.
One more clarification. Toothsi is not an aggregator. They are in the business of bringing clear aligner technology in the field of orthodontics to the customer/patient, bypassing the orthodontist as an intermediate specialist who determines whether such technology is appropriate treatment for a patient, or not.
The original companies that started the technology of clear aligners are Invisalign and ClearPath. Invisalign have a huge presence worldwide, with a gigantic advertising budget to make customers ask for Invisalign treatment from the dentist. See their ad on a bus in Australia.
Invisalign is hugely expensive, partly because you are paying for those ads, and partly because they only provide you their services through Invisalign-certified orthodontists, who pay a substantial sum to undergo that certification - and obviously mark up treatment costs to recover that amount.
Based on this tech (which is basically a computer-generated system for moving teeth using CAD-CAM-based 3D-printed aligners which selectively and progressively place a light force on the teeth to make them move, changing the aligners every 1-2 weeks to the next in the series), there are now dozens of companies in India which provide this service. Most operate through dentists, some prefer orthodontists to select their cases for them, and some like Toothsi bypass the dentist/orthodontist altogether, depending on their own panel of dentists (who never examine the patient clinically) to determine how to treat. The results achieved by most of them are iffy, and often further refinements are required to achieve reasonably good results. Clear aligners are good for simple cases, but useless for even slightly more difficult ones - but who is to determine whether a case can be corrected with aligners or needs conventional?
Given the lax laws protecting patient interest in India, more and more of these clear aligner companies are setting up centres here, giving poor result outcomes and getting away with it. Some defraud people outright (such as the case with the OP). In this confusion and advertising onslaught, the orthodontist and his conventional braces have taken a back seat in the minds of the people who need their opinion and expertise the most - the patient with crooked teeth.