Dental professionals are issuing strong warnings against the growing trend of “fashion braces” — decorative, non-medical braces applied at home — citing the serious risks of tooth damage, misalignment, and infections.
Dr. Samuel Lee, a Southern California-based orthodontist, emphasized the irreversible damage that can occur when improper appliances are used. “Tooth enamel does not regenerate,” Dr. Lee explained during a Monday interview with Today. “Once it’s broken or fractured, it’s gone for good.”
The trend of “fashion braces,” which involves individuals applying metal accessories for purely aesthetic purposes, has recently gained traction thanks to social media influencers like British TikTok star Kyle Thomas, who showcases how to self-install braces on his own teeth. However, this risky practice is not new. A 2018 medical journal article highlighted the growing popularity of these non-medical devices, particularly in Southeast Asia, where teenagers often wear them in pursuit of a certain “luxury” look. In fact, Thailand responded to the danger by banning fake braces after two teenagers died from infections linked to the devices.
In addition to the trend of DIY braces, another alarming practice known as “basement braces” has emerged, where individuals in need of dental correction seek out unlicensed, unqualified practitioners to avoid the high cost of proper treatment. These individuals often turn to non-professional sources for cheaper alternatives, putting their oral health at risk.
Despite the clear dangers of poorly made and potentially toxic braces, the “fashion braces” movement continues to spread. The materials used in these devices — including adhesives and metals — often fail to meet medical standards. According to Dr. Paul DiFranco, an Illinois-based orthodontist, these braces may contain harmful substances like lead or cadmium, and their substandard adhesives can cause the wires and brackets to detach, leading to cuts in the gums and jaw. Worse, these devices could pose choking hazards if they break loose entirely, possibly requiring an emergency room visit.
The American Association of Orthodontists (AAO) also raised concerns in May, stating that fashion braces may lead to significant oral health issues, including infection due to heavy metals seeping from the hardware. The AAO further warned against “basement braces,” which involve untrained providers using unregulated methods.
With metal braces typically costing between $3,000 and $7,000, the AAO suggests that patients explore professional options rather than resorting to risky alternatives. Dr. Lee urges those seeking cosmetic dental improvements to consult with a licensed dental professional to ensure safe, effective treatment.
As the trend grows, the need for education and professional oversight in orthodontics has never been more critical.
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