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The downside of clear aligners by mail (subscription service)

The downside of clear aligners by mail (subscription service)

dr kershman delivery
Subscription services now exist for everything from digital media, to clothing, to wine. The newest right-to-your-door trend has arrived in Canada – orthodontic treatment by mail. By subscribing to this service, a series of clear aligners is delivered to your door by mail, and you periodically touch base with a representative at the company. At first glance, this might seem like the perfect solution for busy professionals and families, but remote orthodontic treatment has its disadvantages. With a subscription service, your contact with a dental professional is limited. Patients of these services have reported as little as one in-person visit in an entire year of treatment, and only in the very beginning, for a digital scan of the teeth, and not with a dentist or orthodontist. Sometimes this initial intake interview isn’t even in person – it’s done through a video call. Patients submit selfies to the company, who then ‘craft’ a treatment plan, based on limited information. Treatment through these types of services is mostly left to you – self-serving your own orthodontic needs. This type of care turns you into a customer, not a patient. With orthodontics by mail, your diagnosis and treatment plan are superficial. A proper diagnosis needs a personal dental professional touch. An accurate and comprehensive diagnosis of a patient’s needs takes more than a few selfies – it takes an in-depth review of medical history, an up-close and detailed review of x-rays and scans of the mouth, and a thorough understanding of a patient’s personal habits, concerns, and goals. There is more to a diagnosis and treatment plan than simply straightening teeth that can be seen in a selfie. An in-person analysis allows the orthodontist to analyze the entire mouth and create a custom treatment plan that takes everything into consideration, fixes the ENTIRE smile, not just the front six teeth, and has a greater chance of long term sustainability and success. Your aligners-by-mail won’t even begin to address the after-care and retention needed after initial treatment. So be wary of the allure of this kind of service. While it may seem like it’s catering to you by arriving on your doorstep, there is much more to be taken into consideration if you’re looking for the long-lasting, healthy smile of your dreams.
Dr Kershman named to the top 1% of Invisalign providers in North America

Dr Kershman named to the top 1% of Invisalign providers in North America

Dr Kershman is a Diamond level Invisalign provider, the only orthodontist with this status in the Ottawa region! He has been named as part of the top 1% of Invisalign providers in North America, meaning he is at the top of his field and an expert on treating patients with Invisalign clear aligner technology. Schedule your consultation today and start receiving treatment from Dr Kershman, a recognized leader in the Invisalign community. Call 613-738-1108 today, or email


1) Cleaner teeth

With Invisalign, your teeth are much easier to clean! With braces, there are brackets and wires to clean around. This can mean decalcification or white spots on your teeth at the end of treatment in the areas surrounding the brackets. With Invisalign, your teeth can be better cleaned, with no trace left behind when your treatment is done!

2) Comfort

Braces have wires that can cut into your gums and cause pain and discomfort. Not with Invisalign! Their design is streamlined and molded for your teeth, so there’s nothing to jab at you.

3) No need to panic

No emergency appointments are needed with Invisalign. When the brackets on traditional braces come loose, patients often have a perception that this is an emergency that requires immediate attention. They call the office in a panic to make an appointment as quickly as possible to replace the bracket that is broken, and sometimes causing pain. With aligners like Invisalign, you can relax if you lose a set. Just move on to the next set in the sequence.

4) Your check-ups are a breeze

Visits to the orthodontist are significantly more comfortable with Invisalign. With brackets and wires of regular braces, appointments can be quite uncomfortable, especially when wires are being changed to a thicker dimension. With Invisalign appointments, 95% of the time the patient experiences discomfort for only the first couple of days after the change of aligners. That’s it!

5) You’re in and out of the office in a flash

With Invisalign, your visits to the orthodontist are a LOT shorter. In fact, it takes longer to say ‘Hello’ than it does to check your teeth. Dr Kershman has spent a great deal of time crafting your treatment so you don’t have to spend a lot of time in the chair. When patients are wearing their aligners faithfully, teeth move over time into the plastic shells. Most of what’s happening at your scheduled appointments, approximately 2 to 4 months apart, is monitoring the fit of the aligners. That’s why appointments for Invisalign are so much shorter and pleasant. There is no fussing with wires and brackets or tightening of the braces in your mouth. Ouch!

6) Less elastics

The majority of Invisalign patients only need to wear their elastics at night! With traditional braces, patients need to wear the elastics at least 22 hours a day to be effective. With aligners like Invisalign, the tooth movement is programmed right into the plastic so wearing the elastics is only used to assist with the tooth movement instead of powering it entirely.

7) Your perfect smile in less time

Orthodontic treatment time with aligners can be reliably shortened with use of an accelerator device like the VPro, available with all of Dr Kershman’s treatment plans. Instead of changing aligners every 10 days or so, you can change your liners every 5 to 7 days, and sometimes even less depending on the stage of treatment. That means your treatment times can be reduced by up to half!

8) Save money

At Dr Kershman’s office, Invisalign treatment is less expensive than traditional braces. Why are braces more expensive you ask? The answer is simple! No emergencies, no broken brackets, no poking wires, it’s an easier experience for the patient overall, with less maintenance! There’s never a need to re-glue brackets at the end of the day and no appointments required to clip a poking wire.

9) With Invisalign, you’re not tied down

These days, people are more mobile than ever. With Invisalign, you can take a long holiday and your treatment will still be on track. We treat a number of patients who take extended vacations or long working trips. Doing so is no problem with Invisalign. We can even connect digitally using FaceTime or Skype and monitor treatment from anywhere in the world if needed!

10) Your progress can be monitored remotely!

With a new service called Dental Monitoring, we can assess the progress you’re making with your aligners by doing a scan with your cell phone! That means you don’t need to be given specific appointment times and you can be advised by text or email when you should proceed to the next set of aligners.


SPECIAL OFFER Invisalign + VPro5, an unbeatable combination!

Put your best smile forward with Dr. John Kershman! Book your consultation today with Ottawa’s first and only Diamond Invisalign Provider. SPECIAL OFFER UNTIL THE END OF MAY -> Sign up for Invisalign on your first visit and get a FREE VPro5 accelerator from Propel Orthodontics. That’s a savings of $400! Using the VPro5 for only 10 minutes a day can reduce your treatment time by 1/3 to 1/2! Invisalign plus Propel, an unbeatable combination! Book now online or call 613-738-1108.

Before and After

Before and After

Treatment from your Orthodontist can truly transform smiles and people’s lives. Dr Kershman and our staff treat mild to severe case on a daily basis.

These are some examples of orthodontic problems we can correct:

In this patient’s case, the “eye” teeth are up higher than normal and the upper jaw has crowding.

This patient’s upper jaw has spacing and front teeth overlap severely.

This patient’s front teeth do not touch normally, forming an openbite.

In this case, there is a spacing problem in the upper jaw.

The patient’s upper front teeth extend out over the lower front teeth, forming an overbite.

In this case, the upper teeth are inside the lower teeth, which is also known as an underbite.

Foods to Avoid with Braces

Foods to Avoid with Braces

For most situations, common sense will tell you what to avoid while you have braces. Hard foods, sticky foods and foods high in sugar must be avoided. Hard foods can break or damage wires and brackets. Sticky foods can get caught between brackets and wires. Minimize sugary foods; they cause tooth decay and related problems. Nail biting, pencil and pen chewing and chewing on foreign objects should be avoided.

Examples of Sticky Foods to Avoid:

  • Gum (sugar-free or regular)
  • Licorice
  • Sugar Daddies
  • Toffee
  • Tootsie Rolls
  • Caramels
  • Starburst

Examples of Hard Foods to Avoid:

  • Ice
  • Nuts
  • Hard taco shells
  • French bread crust/rolls
  • Corn on the cob
  • Apples and carrots (unless cut into small pieces)
  • Bagels
  • Chips
  • Jolly Ranchers
  • Pizza crust
  • Uncooked carrots (unless cut)

Minimize Sugary Foods like:

  • Cake
  • Ice Cream
  • Cookies
  • Pie
  • Candy

Only Once a Day:

  • Soda
  • Sweetened tea
  • Gatorade
  • Kool-Aid
  • Drinks with sugar

It’s important to regularly check your braces for bent or loose wires and brackets. In the event of a loose/broken wire or bracket, call our office immediately to arrange an appointment for repair.

Miss L (Orleans)

My teeth are great! Thanks for all the work you did for me! I keep smiling all the time…