Somewhere in between. Are they as good as a decent orthodontist? No -- and they're nowhere near as good as a great orthodontist. Are they acceptable for fairly

Somewhere in between. Are they as good as a decent orthodontist? No -- and they're nowhere near as good as a great orthodontist. Are they acceptable for fairly simple cases, which mostly means patients who had braces growing up, didn't wear retainers, and don't need much correction? Maybe, even probably. If you're considering D2C, it's worth visiting a few local orthodontists for in-person consultations (which are generally free) and openly discussing the pros and cons with them. You'll probably find at least one orthodonist who will either say "Your case is so simple that, while I'd do a better job, the odds of D2C going terribly are pretty low" or, well, anything other than that. You can't lose from having the conversations, and one of them may earn your trust and present something that works for you. D2C vendors' biggest weakness has been accepting too-complex cases and/or accepting patients without having an unbiased orthodontist review the case first. Try to fill that gap yourself and then see what you think. IOW: It's not a scam, but it is a higher-risk, lower-quality service. It isn't a cheaper version of an orthodonist. If your case is simple, money is tight, and you know what you're buying, those may not dealbreakers. (You're probably already beyond it, but for anyone else: https://www.youtube.com/watch?v=Ogbo9Ny_y-g https://www.youtube.com/watch?v=Ogbo9Ny_y-g and https://investors.smiledirectclub.com/news-releases/news-release-details/smiledirectclub-files-28-billion-lawsuit-against-nbc-over https://investors.smiledirectclub.com/news-releases/news-rel... are decent starting points.)