Some people have severe crowding, or bone or other structural issues, or certain dental diseases, which make having aligners or even other braces difficult. Some people with severe or complex cases may benefit from traditional metal braces and/or other dental work (including possibly surgery) instead of, or before, being eligible for clear aligners. This is why we have you send your photos and impressions to our dental team. They will evaluate your case, and get further information from you, including your dental health history, as necessary. We care about your health, safety and happiness. We will only treat cases where we feel confident in that treatment is right for you.