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Ebony
This is an iHeart podcast.
Josh
Pedigree believes dogs bring out the good in people. Pedigree brings out the good in them with high quality nutrition at an affordable price. They offer a variety of tasty dry food, wet food, and treats that your dog will love. They're made with high quality ingredients and they have great taste in every bowl. Plus, they support total Health. Visit your local retailer to try Pedigree products for the nutrition your dog needs and a taste your dog will love local. Learn more@pedigree.com Feed Good Feed the good.
Chuck
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Josh
Welcome to Stuff youf Should Know, a production of iHeartRadio. Hey, and welcome to the podcast. I'm Josh, and there's Chuck. Jerry's here, too. And we're just sitting around cutting the insides of our mouths up here on Stuff you should know.
Chuck
Yeah. The history of orthodonture, which, if I had been using my brain, I would have paired this with the history of dentistry because that's, you know, kind of makes sense.
Josh
Sure. I feel like we would have had seen a real decline in listenership that week. But, you know. You think so? No, I'm just kidding. Just being a punk. I remember our dentistry one was amazing.
Chuck
Well, and I think. I don't know, I think people are interested in their bodies.
Josh
Especially when you say it like that.
Chuck
Yeah. And then teeth and stuff because we all have teeth. And it's interesting that bad, you know, teeth. I say bad teeth. I have bad teeth. But what I mean by bad teeth is teeth that grow in funky ways. But I'd like to kind of break that cycle as well of kind of talking about it like that because even though I have gotten my teeth fixed, it's just because they were falling out of my head. It's not because I wanted perfect white Chiclets in my mouth. And I think There's a big trend that we've seen over the past, you know, 20 years. And really, I feel like even the last 10 years, where Hollywood, especially people in the media, all have perfect, perfect, perfect teeth. And you don't have to have perfect teeth. I like teeth with a little personality. I like summer teeth.
Josh
Yeah. I can't remember what they're. What kind of teeth? Summer.
Chuck
Summer teeth.
Josh
I've not heard that.
Chuck
You never heard that phrase?
Josh
No. What does it mean, summer teeth?
Chuck
Some are here, some are there.
Josh
Oh, that's awesome, man. I love that. That's like a. What kind of dog is that? Sooner. Sooner. One kind is another.
Chuck
Yeah, exactly.
Josh
Yeah. In Japan, they have a name for, like, a wonky tooth. Usually it's one of your canines, and it'll be, like, kind of pressed out or crooked or something like that. Yumi has one, but there's a term for it, and it's like, basically a term of endearment. They just find that very cute here in the US It'd be like you would be put in some sort of, like, home or asylum for that.
Chuck
Yeah. I mean, you get. As an actor, you get news articles written about you when you don't get your thing fixed. That's how commonplace it is to just, you know, the expectation to look perfect.
Josh
Right. And that's a big criticism of the entire field of orthodontics is, you know, they might not be the ones out there, like, you know, pumping the media up, like, yeah, keep. Keep talking about how great teeth are supposed to be, but they're the ones who are there, like, hey, come on over. We're going to fix you up. Tough to blame them for that. But the criticism goes even further because the field of orthodontics is like, forget about all that. We're actually helping cure health issues.
Chuck
Right.
Josh
And critics of the field are like, it's not even established that there are health issues from having wonky teeth. So you guys should probably stop saying all that. And the field of orthodontics said no.
Chuck
Yeah. I mean, for sure there can be health issues. We're not saying that's not possible, but I feel like it's almost a given now, especially now that I have a human child that, like, yeah, you absolutely get braces. That's just what happens. You go to the dentist, really, around six or seven years old, they say, all right, you need to go see your orthodontist now.
Josh
I did not know that that. That was not the way it was when we were young.
Chuck
No. I mean, I Had braces twice.
Josh
Did you?
Chuck
Yeah, but, you know, I never did. I've got bad bite. I have a host of problems. But yeah, let's dive into it because this is not a new thing. People have always had wonky teeth. And the reason why is because we had the same amount of teeth in our head that we did when we were still walking on all fours and we began to walk upright. And the size of our brain changed. And that meant the size of our jaw got smaller to make room for our bigger brain. But it's not like they were like, all right, they. Whoever decides this, the panel, it's not like the God panel said, all right, let's take out five or six teeth because we don't have room for them now. There were the same amount of teeth with less space to put them, and that's why they started coming in in all crazy ways.
Josh
Yeah, just give it another hundred thousand years, Chuck. It'll work itself out.
Chuck
Exactly.
Josh
Even more recent than that, the teeth orthodontics is probably not an issue for hunter gatherers because the diet they had was more. Much more challenging to their teeth and jaw. The bone, the. That held their teeth in place cause of the chewing, they had to do. Well, since we picked up agriculture and especially since the industrial revolution where we started mass processing food, everything's gotten much softer. So we're challenging the bone in our jaw less. Therefore, our teeth are more prone to go wonky rather than coming in straight.
Chuck
Yeah. And less bone is happening there. So, I mean, that's the history of my teeth is bone loss and lack of bone.
Josh
Hey, man, I just got two root canals. I was in the chair for two, and the dentist was like, you could go either way on the one. It just got a lot of cold sensitivity. And I was like, oh, I'll just get one. Spent the next couple days, like, realizing how bad the cold sensitivity on the other one was. The following week, I got the other one done. So two Fridays in a row, I went to the endodontist and got root canals. How about that?
Chuck
Yeah, I've never had a root canal. Weirdly, that's the one thing I haven't had.
Josh
They're not fun, but they're. Well, they're not fun.
Chuck
Yeah. So early on in ancient times, people started to kind of look at this issue. In fact, Hippocrates even wrote of crowded teeth potentially producing headaches and problems with the palate and stuff like that discharge from the ear, which is super gross. And there have been mummies, like Egyptian mummies, that look like they may have had some kind of braces. Like they had these gold bands around some of their teeth and they were connected with cat gut. And it appeared as if they were being kind of used, like braces to pull the teeth in one direction or the other.
Josh
Yeah. Which is, I mean, pretty interesting. Again, this is post agriculture, so don't email us.
Chuck
Yeah.
Josh
And also there's good band and album name in there. Hippocrates and the Egyptian Mummies. The album is discharged from the ear. Oh, God. Okay. Just waiting for us. Yeah, good one. There was another couple people from the ancient world. Celsus, who is a Roman writer, he talked about how if you were worried about adult teeth coming in, you pluck the baby tooth out and then press it with your finger every day.
Chuck
Yeah.
Josh
And it turned out that was a pretty good idea because that was adopted later on in Orthodontra when it really became a thing. And even Pliny got in on it. Remember how much he used to visit us in our podcast?
Chuck
Yeah. I mean, I feel like Pliny used to be a firm entrant into the stuff you should know drinking game.
Josh
Yeah. Well, he moved on to the Doughboys.
Chuck
Oh, okay.
Josh
But he said that if you don't like the alignment of your teeth, just file them. Yeah.
Chuck
Which is still a thing.
Josh
It is. That's another, I think, thing that I'm like, wait, really? You guys are still doing this? And it's true, like a lot of the inventions and techniques and ideas that came along from the very beginning of orthodonture, I guess they got them right, right out of the gate because they're still doing them today.
Chuck
Yeah, for sure. I've had my teeth ground down in a lot of ways to keep the bite from pressing on other teeth, to make them, you know, keep them from becoming weakened. You know, it's still a thing.
Josh
How. How is that?
Chuck
What? To get them filed.
Josh
Does it hurt? Is it.
Chuck
Oh, no, no, no. It doesn't hurt at all. It's just that. And then you smell the smoke and, you know, that part's all horrific. But there's no pain involved. Cause they're not hitting nerves or anything.
Josh
Okay.
Chuck
Yeah.
Josh
Now imagine doing that through the middle interior of the tooth to scrape out the root to the nerve. That's a root canal.
Chuck
Oh, man. So sorry.
Josh
Sorry. So I guess really the first person. I mean, Pliny the Elder makes a pretty good case, but not really. It wasn't until the very beginning of the 18th century that a Frenchman, the French, would actually really have a lot to do with establishing orthodonture. His name was Pierre Fauchard, and he basically said, check this out, everybody. I'm going to work on wonky teeth. I'm going to make my name that for that.
Chuck
Yeah, for sure. And as it is today, children and young adults were kind of the likeliest candidates for that. And he designed the very first appliances for moving teeth around. The first thing he would do is measure the length of the teeth and file them down if they were. You know, if he had one that was exceptionally longer than its little buddy next to it, he would file it down, then do so on the other side to kind of balance things out. That's called bite adjustment. Like I said, they still do those, including on me. That's an occlusal. Occlusal, sorry. Equilibration. Equilibration, yeah.
Josh
That's not an easy one.
Chuck
And again, that's to. I mean, sometimes I guess it's to help out the aesthetic, but in my case, and in most cases, it's to keep teeth from grinding against another tooth in a way that causes harm.
Josh
Yeah. I've realized as an adult, my bite is way over to the. I guess the bottom is. Yeah, the bottom's to the right and the cross bite is to the left. Is that what it's called?
Chuck
I think so.
Josh
Oh, my. Man, I got a terrible cross bite. But, I mean, I'm making my way in the world today. Takes everything I've got.
Chuck
That's true.
Josh
But I'm still able to chew pretty well.
Chuck
Yeah. Yeah. That's what matters.
Josh
Sure. So let's talk a little bit more about Fauchard, because he hasn't left yet. He really kind of got into this and laid the groundwork. He did the same thing that Pliny suggested, that, like you said, you went to the same procedure. He called it interproximal stripping, which is essentially just filing down teeth to make more space between them.
Chuck
Yeah. Like, if it's crooked, give it a little more space and maybe it'll be able to straighten itself out.
Josh
Yeah. Or like, you can file it down for the space and then you apply some sort of appliance to it to straighten that tooth, too. But you gotta bake the space first. He came up with that.
Chuck
Yeah. Or what he did was push on the teeth just like Celsus suggested, like every day, you know, and this. You know, this makes sense. It's essentially what rubber bands and braces do. Just you're applying pressure to your teeth at a regular interval, like so many times a Day. And the idea is that they will move.
Josh
Right. And it's true. Like, that's one of the amazing things to me is, like, if you apply even, like, a gentle bit of pressure over a long enough time span, your teeth will go where you want them to.
Chuck
Yeah.
Josh
So one of the other reasons why Fauchard is remembered is because he essentially came up with the idea for braces. He basically used a waxed piece of silk or a wire or something, and he would wrap a tooth, let's say, crooked, to the neighbor next to it, and that would apply pressure to straighten out the crooked tooth. I'm sure in the worst case scenario, it would make the other tooth crooked in the bargain. So you really had to keep an eye on it.
Chuck
Yeah.
Josh
And sometimes he would use a plate, too, to connect a crooked tooth to one that you wanted to use as pressure, maybe a couple of them to use as pressure to straighten it out. This eventually was like. This is the basis of. Of what braces do for your teeth. This guy was inventing it in the, like, early 1700s.
Chuck
Yeah. He also used a specific torture device called a pelican. It had been around before, I think, since the. At least the 14th century. It was used for pulling teeth. But he kind of rejiggered it and redesigned it to where it was basically a forcep that could pull a tooth. Pull a tooth, like, not out of your body, but in a certain direction. And if it sounds like awful and could lead to bad things, it very much could, because at least once on record, he fractured a tooth of a young woman that he was working on. And I imagine that was extremely unpleasant.
Josh
I can't believe there's just the one that people mention, you know, I mean.
Chuck
That'S the one on record. I'm sure it happened more than that, you know.
Josh
Yeah. The girl was quoted as saying.
Chuck
Yeah, yeah, exactly.
Josh
He also was smart enough to know that you could get infections from some of these techniques and procedures he was performing. So he recommended a mouthwash of wine and a specific kind of honey with some rose essence to it. Yeah, I mean, this guy just. He just laid it down. And what's interesting is he was doing this in the early 1700s, and it wasn't really until the mid 19th century that it really started to become picked up again. And one reason why is because we viewed teeth much differently, at least in the west, than we do today. Like you were saying, thanks to Hollywood and magazines and all that, you want to show off your teeth and you're going to be perfect back Then you did not show off your teeth. It was grossly impolite to let anyone see your teeth. Go back and look at any portrait from the 18th century. I will pay you $1.50. If you find one single portrait of a gentry or aristocrat, man or woman, who's showing their teeth in a painting, you can't find it because that was really rude and declasse.
Chuck
Yeah. I mean, almost any painting you think about, like, it didn't occur to me until I, you know, did this research, and you go to any museum, and if you see teeth, it's probably to depict someone who is unhinged or like a prisoner escaping from prison or someone. Yeah, a pirate or an asylum or something like that. And the teeth are all, you know, jacked up looking. Other than that, you don't see teeth in paintings.
Josh
You don't. $1.50, everybody but just the one of you. Not all of you.
Chuck
Oh, man, we're gonna get some. It's gonna start rolling in, buddy. JPEGs coming at you with toothy paintings. Should we take a break?
Josh
Yeah, we should take a break.
Chuck
All right, we'll take a break, and we're gonna jump Forward into the 1800s after this. Stuff, stuff, stuff, stuff, stuff, stuff, stuff.
Ebony
Welcome to Pretty Private with ebony, the podcast where silence is broken and stories are set free. I'm ebony, and every Tuesday, I'll be sharing all new anonymous stories that would challenge your perceptions and give you new insight on the people around you. On Pretty Private, we'll explore the untold experiences of women of color who faced it all. Childhood trauma, addiction, abuse, incarceration, grief, mental health struggles, and more. And found the strength to make it to the other side. My dad was shot and killed in his house. Yes, he was a drug dealer. Yes, he was a confidential informant. But he wasn't shot on street corner. He wasn't shot in the middle of a drug deal. He was shot in his house, unarmed. Pretty Private isn't just a podcast. It's your personal guide for turning storylines into lifelines. Every Tuesday, make sure you listen to Pretty Private from the Black Effect Podcast Network. Tune in on the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows.
Chuck
Our iHeartradio Music Festival, presented by Capital One, is coming back to Las Vegas. Vegas, September 19th and 20th on your 5th, streaming live only on Hulu. Ladies and gentlemen, Bryan Adams, Ed Sheeran, Fade Glorilla, Jelly Roll, John Fogerty, Lil Wayne, LL Cool J, Mariah Carey, Maroon 5, Sammy Hagar, Tate McRae the Offspring Tim McGraw. Tickets are on sale now at AXS.com get your tickets today AXS.com.
Josh
Everyone thinks.
Lola Blanc / Megan Elizabeth
They'D never join a cult, but it happens all the time to people just like you and people just like us. I'm Lola Blanc and I' Megan Elizabeth. We're the hosts of Trust Me, a podcast about cults, manipulation and the psychology of belief.
Josh
Each week we talk to fellow survivors.
Lola Blanc / Megan Elizabeth
Former believers and experts to understand why people get pulled in and how they get out. Trust Me. New episodes every Wednesday on.
Josh
Exactly right.
Lola Blanc / Megan Elizabeth
Listen, wherever you get your podcasts.
Josh
So, like I said, Fauchard was working in the early 1700s. By the mid 19th century, I guess, people's thoughts on teeth were changing, and they were like, okay, we can show our teeth, but they look good. So let's get back into orthodonture. Another Frenchman, Pierre Joaquin Le Foulan, he's the one who came up with the word orthodontics. Actually, he called it orthodonticy. You have to say it like that. And in Greek, ortho means straight. Dant is teeth. So straight teeth is what the word orthodontics means.
Chuck
You know, I love that when that happens.
Josh
Pretty on the tooth.
Chuck
Yeah. When you. I can't even follow that. So they didn't call themselves that yet. In most cases at the time, that kind of caught on more and more as things went on. But dentists started to do this stuff. There weren't, like, specialists that only did orthodontics, yet it was just part of dentistry, and tooth straightening was part of dentistry, and you were an apprentice who learned that kind of thing. Dental colleges started being organized in the mid 19th century. But, I mean, when was the first orthodontist school? That was in the 20th century, right?
Josh
Yeah. Either the very beginning of the 20th or the very early. Or no. Yeah, very late 19th century, I think it was.
Chuck
Yeah. 1900s. The Angle School of orthodontia was the first sort of standalone thing where it wasn't just part of a dental school.
Josh
Precisely. All right, so some of the other advancements that the 19th century contributed can all be kind of lumped together under the umbrella term of headgear. Or if you're a teenager.
Chuck
Yeah.
Josh
Which is you're using your skull and the substance of your skull as a. Oh, man, I wish I knew classical physics terms a little better, but essentially, sure. Yes. An anchor, a counter. Counterbalance. How about that?
Chuck
Okay.
Josh
To provide the pressure needed to pull, say, like, your jaw back.
Chuck
Yeah.
Josh
There's something called a chin cup that you can use. I've actually seen modern pictures of it still in use in some cases to where there's a. Well, the cup for your chin. There's straps that go back to the back of your head and around it. And it's meant to just slowly, over time, pull your lower jaw back toward your. Well, your. The rest of your head.
Chuck
Yeah.
Josh
And it can correct an underbite. And that's as far back as, I think, 1802.
Chuck
Yeah. I love that idea, though. They were like, oh, we need some kind of. Like, we need some leverage to pull this jaw back. And we can't just have a kid stand by a wall and attach them to a wall. And somebody's like, well, what about their skull? Yeah, it's right there.
Josh
Somebody went, bam.
Chuck
They don't use headgear as much anymore. Like you said, it still can be used, but not like it was used in the 80s. Luckily, I never had to go through the headgear trauma. But it was quite dramatic when you showed up to school, having to wear one of those.
Josh
Yeah. Remember Farmer Ted from Sixteen Candles? He had to wear one.
Chuck
Farmer Ted and I think, oh, no. Joan Cusack had the neck brace.
Josh
Yes.
Chuck
Yeah. Okay.
Josh
I thought that, too. But no, it was neck brace. There's a couple other people we need to mention. Another French dentist, Christophe Francois Delabarre, he created the wire crib, which was. I think we said Fouchard was the one who really kind of started the idea of braces. There's a distinct progression, a linear progression from Fouchard onward. And Delabarre came up with the wire crib, which is essentially exactly what it sounds like. Like, you take a piece of chicken wire, fold it over like the teeth in question, tighten it up the way you want it, and there's your wire crib. It's not exactly like the braces of today, but the. The outline, the contours are there in it, for sure.
Chuck
Yeah. It started to become, in the 19th, I guess, the second half of the 19th century, a little more scientific, and they started to kind of put a little more rigor into, like, you know, figuring out how to do this the right way. A guy named Norman Kingsley from New York City was a very early, very popular orthodontist. He had a treatment for cleft palates that was very popular and wrote a very influential guide called A Treatise on oral deformities in 1880. But. And this is something that you mentioned early on that we'll kind of keep talking about a little bit here. And there is that. He was an artist, and he was very interested in facial symmetry and aesthetic. So he was, if not the first, one of the sort of early leading guys that was like, we want you to look good, and it may not just be about, like, your bite health.
Josh
Right, exactly, exactly. He was also supposed to be really nice. He had a compliment for everyone he met.
Chuck
Oh, that's nice.
Josh
So I just made that up. But I want to believe it about him. So there's some other stuff that kind of came along little by little. They were like, oh, okay, well, let's tackle this. One thing that you can be born with is a narrow maxillary arch. That is the jawline on the top of your mouth. Your row of top teeth are connected to your maxillary arch. How about that?
Chuck
The roof of your mouth.
Josh
Yeah. The lower set of teeth is connected to the mandibular arch. Either way, you can be born with one or both of them narrowed. So they figured out you can put essentially an appliance, a stick in between them and adjust it slowly but surely over time. And press your jaw apart.
Chuck
Yeah. I mean, that is still a thing. My daughter has that. It's called an expander. I guess it was called that back then, too, but. And, like, her two friends that have braces both had it, too. So I think that may be way more regular now. I don't know anyone from our days in high school that had something like that.
Josh
So I think the original one was they would put the screw bar in between, say, your back molars, because they're pretty substantial, and just over time, slowly adjust it, I guess, probably every visit. And that would press the whole arch apart. Is that essentially what they're doing still today?
Chuck
Yeah. It's like a wire cage that lives on the roof of your mouth. It's attached to those rear molars. And you go in there, and they crank it out and make more room, like the. And it really works. Cause the space between her front two teeth got comically large. Like, you could fit a whole extra tooth in between.
Josh
Oh, wow.
Chuck
When this thing was at its most. But they're basically just creating room for the future.
Josh
Was the dentist like. Or the orthodontist like, I've done too much. No, he's coming back now.
Chuck
He's like, I've got a new record. Everyone get in here. Look at this girl.
Josh
Right? So I think you said. We talked about how the first orthodontist school was established by Edward Engel in 1900. Even before that, most of the people practicing orthodonture were now not only MDs, but also doctors of dental surgery, DDs. So they were really well trained in medicine. And the reason why, not coincidentally, is this is because of a shift of direction that orthodonture went in to basically say, like, let's get even more scientific about this. And well, they did.
Chuck
Yeah. There was a guy named John Nutting Farrar who some people called the father of American orthodontics or modern orthodontics.
Josh
Not in the house I was raised in.
Chuck
He was the guy that was like, hey, let me do some actual experiments on animals and things. And let me see, like that thing that we crank apart your teeth. Let me see how much the human body can, like how much pain they can endure to move those teeth. Like. And I'm kind of kidding, but basically like, let's find a happy medium between how far we can expand and how much like a child can take.
Josh
Yeah. What's worse though is he wasn't experimenting on children, he was experimenting on animals, which I take to mean dogs.
Chuck
Yeah, I guess.
Josh
Yeah. So, yeah, that's Farrar. What about Edward Angle who we talked about? This guy is probably the one. I mean, my dad at least always called him the father of American orthodontics.
Chuck
Yeah, I mean, he's the guy that definitely made it such a bona fide business. And I think he found out like a lot of different ways to make a lot of money. And you know, one way was like developing devices and patenting devices. Another way was creating like ready made appliances. He created the angle system in 1887. So it's like, instead of like building these things from scratch for every patient, like, I can just sell you this system that has all these prefab parts that can be combined in different ways to suit your needs.
Josh
Yeah. Because I mean, there's only so many ways that your teeth can be wonky, right?
Chuck
Totally.
Josh
Yeah. That was revolutionary. I'm sure that just immediately pushed the field forward. And if that wasn't enough, he also came up with a measurement system called the occlusal classification system that's still in use today 130something years later that they use as the basis. Like that is the norm and that that's what they use to measure anything in a patient's mouth that's deviated from the norm. He also, in addition to founding that first school of orthodontia, he founded the Society of Orthodontists, which is now the American association of Orthodontists. He founded the first orthodontic Journal, which is known today as Tooth Fancy.
Chuck
Oh, man, what a nightmare. Magazine for me.
Josh
It would be awesome.
Chuck
Somebody just. You can punk me and give me a subscription to Tooth Fancy.
Josh
All right.
Chuck
This guy had so many income streams. He was, you know, clearly a great orthodontist and dentist, but also a seemingly pretty savvy business guy.
Josh
Yeah, for sure. But, yeah, he was revered. I'm sure he's still revered in the halls of orthodonture.
Chuck
Certain halls.
Josh
Oh, there's another. This, apparently is a debate that still rages today. At some point, somebody said, hey, you know, we usually try to. To step in earlier in development. Like to work on younger kids, I think, is the way they put it. But sometimes adults need help, too. So a lot of us are just pulling teeth, maybe to make space or whatever. Should we be doing that? And some people said yes, some people said no. And a rift was formed that, again, still exists today in the orthodontic field.
Chuck
Yeah, a rift so wide, it was like the gap between my daughter's teeth at maximum expansion.
Josh
It's a record.
Chuck
Should we take another break?
Josh
Yeah.
Chuck
All right. We'll come back and finish up on Braces right after this. Stuff, stuff, stuff, stuff, stuff, stuff, stuff.
Ebony
Welcome to Pretty Private with ebony, the podcast where silence is broken and stories are set free. I'm ebony, and every Tuesday, I'll be sharing all new anonymous stories that would challenge your perceptions and give you new insight on the people around you. On Pretty Private, we'll explore the untold experiences of women of color. Color who faced it all. Childhood trauma, addiction, abuse, incarceration, grief, mental health struggles, and more. And found the strength to make it to the other side. My dad was shot and killed in his house. Yes, he was a drug dealer. Yes, he was a confidential informant. But he wasn't shot on a street corner. He wasn't shot in the middle of a drug deal. He was shot in his house, unarmed. Pretty Private isn't just a podcast. It's your personal guide for turning storylines into lifelines. Every Tuesday, make sure you listen to Pretty Private from the Black Effect podcast network. Tune in on the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows.
Lola Blanc / Megan Elizabeth
Hey, sis. What if I could promise you you never had to listen to a condescending finance bro tell you how to manage your money again? Welcome to Brown Ambition. This is the hard part. When you pay down those credit cards, if you haven't gotten to the bottom of why you were racking up credit or turning to credit cards, you may Just recreate the same problem. A year from now when you do feel like you are bleeding from these high interest rates, I would start shopping for a debt consolidation loan, starting with your local credit union. Shopping around online, looking for some online lenders because they tend to have fewer fees and be more affordable. Listen, I am not here to judge. It is so expensive in these streets. I 100% can see how in just a few months you can have this much credit card debt. And it weighs on you.
Ebony
It's really easy to just like, stick.
Lola Blanc / Megan Elizabeth
Your head in the sand. It's nice and dark in the sand. Even if it's scary, it's not going to go away just because you're avoiding it. And in fact, it may get even worse. For more judgment free money advice, listen to Brown ambition on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. The Super Secret Bestie Club podcast season.
Chuck
Four is here and we're locked in.
Josh
That means more Juicy Cheeseman, terrible love advice, evil spells to cast on your ex. No, no, we're not doing that this season.
Lola Blanc / Megan Elizabeth
Oh, well, this season we're leveling up.
Josh
Each episode will feature a special bestie, and you're not going to want to miss it.
Chuck
Get in here.
Josh
Today we have a very special guest with us. Our new super secret bestie is the diva of the people.
Ebony
The diva of the people.
Josh
I'm just like texturex. My theory is that if you need to figure out that the stove is hot, go and touch it.
Chuck
Go and figure it out for yourself.
Josh
Okay, that's us.
Lola Blanc / Megan Elizabeth
What the heck?
Josh
That's us. My name is Curly and I'm Maya.
Chuck
In each episode, we'll talk about love.
Josh
Friendship, heartbreaks, men, and of course, our favorite secrets.
Lola Blanc / Megan Elizabeth
Listen to the Super Secret Bestie Club as a part of the Microtura Podcast network, available on the iHeartRadio app, Apple Podcasts, or wherever you get your podcast.
Chuck
All right, if we're talking modern tooth straightening, we're talking about braces generally. I mean, I guess they still have retainers and stuff, but I feel like I see less and less of that and it's more just sort of straight into braces. I feel like when we were kids, it was like, yeah, we can probably fix this with a retainer.
Josh
I thought the retainer was, like, post braces. That was my experience.
Chuck
I think that can be true, too.
Josh
Okay.
Chuck
But I'm pretty. Like, my brother got a retainer and not braces.
Josh
Of course. Yeah, I'm sure his retainer somehow, like, made him money too. Accidentally.
Chuck
Oh, man. God bless him. So a lot of people had kind of chipped in to come up with things were basically like braces. One guy that was pretty key was named Dr. Raymond Begg. His nickname was Tick. Do you know why?
Josh
I didn't find out why I could not find. Other than that he was Australian. That's the best I can come up with.
Chuck
All right. But he was a student of angle, I guess, at that school of orthodontia. Orthodontia, yeah, orthodontia. And he moved to Australia or I guess went back to Australia, where he practiced in Adelaide. Lovely area. And this is in the 1930s. And he developed, like, using stainless steel wire instead of precious metals. And I think. Didn't they use precious metals because they were malleable, but that caused problems.
Josh
Yeah, well, they're very expensive. And gold, like, you can't make a crown out of gold because eventually it'll mash. But they were prized because they don't react with other stuff. Like you can eat all the cheetos you want, and your gold's not going to rust. It's not poisonous like mercury, which apparently they still use in fillings in some places.
Chuck
Oh, okay.
Josh
Yeah. So it. But they're. They're expensive. So people came up with alloys now today, although sometimes you still will see like gold or platinum or silver alloy, sometimes fused with ceramic for implants and stuff.
Chuck
Yeah, well, the stainless steel, I mean, that's still. That came about in what, 1956 here in the states. And braces became, you know, really more popular over that time, kind of starting in the 50s, but really in the 70s and 80s, I think an estimate from the AAO found the number of Americans who wear braces doubled between 82 and 2008.
Josh
Yeah.
Chuck
And, you know, they've evolved over the years. They had. I was one. Not one of the first, but it was pretty early on. My second set of braces were ceramic, like the clear braces, which is a little bit better. But it was not, you know, you still had brace face just a little less obvious. It's not like, you know, you couldn't tell or anything like that. Whereas my first braces were. It was early enough where they were the wraparound, like an entire silver band around each tooth. It wasn't like, glued on.
Josh
Yeah, right. One thing, though, about that huge increase, the doubling of people with braces between 82 and 2008, I was like, that doesn't track with my experience. For me, it was the 80s where everybody's wearing braces. And then I realized that that's because I knew the most people wearing braces in the 80s, because that's when I was in elementary and middle school.
Chuck
Oh, well, yeah, sure.
Josh
Yeah. It was just the kind of bias I thought was great.
Chuck
Proximity bias.
Josh
I looked and I could not figure out which one it was. Maybe the frequency illusion is the best.
Chuck
I could with that. Makes sense. I didn't. Is proximity bias even a thing? Did I make that up?
Josh
If it's not, it should be, because it's got a great, great name. It really has legs.
Chuck
They also have braces that go in the back of your teeth. One of my good friends had those. And those, you know, can't be used in all cases, but that's the ones where you really score as a teenager, for sure.
Josh
And then I guess those aren't invisible aligners. Those are just rear braces, right?
Chuck
Yeah, part of the rear.
Josh
Well, before we get on to invisible aligners, which also created quite a rift in orthodontics, there's something that I. I guess it's the new standard, maybe today, called self ligating braces. So with traditional braces, you have that wire that's been around since Fouchard. You have the brackets that actually attach to your teeth, and then you have little tiny rubber bands that attach the brackets to the wire. Right. With self ligating braces, there's just the wire and the brackets. And apparently it makes it way easier to clean. It makes it way easier to adjust when you switch out the wire for a thicker wire over time, because there's a little snap in the bracket that holds that wire in place. And they just look like the future to me.
Chuck
Yeah. You can also get colored braces now, too, which is a big thing if you get them young, like my daughter, she has purple braces.
Josh
Oh, that's cool. Loud and proud. I guess. Now onto invisible aligners, because this was kind of a big deal. 2 Caltech, they might have been students at the time. Zia Chishti and Kelsey Worth invented them all the way back in 1997. And within just three years, we had Invisalign on the market.
Chuck
Yeah, my brother used these for a while too. And this is something that you. It's to avoid going to the orthodontist, I guess, and paying, like a lot of money for permanent or not permanent, but, you know, temporarily glued on braces. This is something that you can, you know, fits over your teeth and you can take them on and off.
Josh
Sure. Any involvement in this industry, it's been pushed so far outside of traditional orthodontics that any orthodontist who is a critic of orthodonture and it's like, questionable scientific basis, the orthodontic community will use their involvement with this industry to discredit them. That's how reviled it is among mainstream orthodontics now.
Chuck
Is that because they genuinely think it's no good or it's genuinely no good for their practice?
Josh
No good for their practice because it's not so much the invisible liners, it's the fact that you can order them yourself online. They'll like. They're just totally cut out of the loop. So it's specifically the online ordering version that they have such an aversion to.
Chuck
I'm surprised they didn't think of a way to get a piece of that business.
Josh
It happened while they were sleeping.
Chuck
Yeah. And I need to ask my brother how well they worked for him, because I know he wore them for a little while.
Josh
I think they work if you have just slight adjustments you need to make. But if you have like a really, like a big deal in the wonky department, then you should go with braces. One other big check in the favor of braces over invisible liners. You can adjust the braces throughout the treatment to. I need a little more pressure here, a little less here. You can't do that with invisible aligners. Once you send them the mold of your mouth, they send you the braces back, and that's that. I think you get multiple ones, but it's much less precise over time as braces.
Chuck
All right. Livia found this, and I didn't know this was a thing, but apparently she found that there is some anecdotal evidence, at least of young people wanting braces as a fashion statement. Like a decorative fashion brace that you can get online.
Josh
Yeah, I saw some article written by some square that said non prescription glasses and fashion braces are the big things right now. Wow.
Chuck
Man, oh, man. I mean, I wore, you know, very famously wore fake glasses to seem smarter when I was younger, but you couldn't have caught me dead with fake braces.
Josh
No, it doesn't make any sense. And I also kind of suspect it might be an urban legend.
Chuck
I do, too.
Josh
One thing that doesn't seem to be an urban legend that I saw, though, was Gap bands. Apparently people have learned this kind of, but with an S on the end of band where you use like a kind of like a really strong rubber band. You put it on the tooth you want to straighten out, and then Connect the other one to a straight tooth to use it as leverage. And apparently it works really fast. Again, the orthodontic community is like, don't do those. There supposedly was some 8 year old boy in Greece who had done this himself, but the rubber band went up into his gums and according to these people, he didn't notice and it just ate away at the tissue up there. And he ended up losing the very teeth, I think his front teeth that he was trying to straighten in the first place. That too sounds a bit like an urban legend, but I saw it in enough places that I wonder if it might be based on some sort of legitimate story somewhere.
Chuck
I could see that. I mean, you probably use rubber bands along with your braces, right?
Josh
I never had braces.
Chuck
Oh, you never had them at all?
Josh
I did not need them as a kid. It wasn't until I was an adult that I started to kind of need them for my lower teeth.
Chuck
You got pretty good teeth, though. I've never noticed your teeth being crooked or whatever.
Josh
That's because I don't smile and show my lower teeth. Number one, because I'm not insane. But number two, because those are the ones that are crooked. Luckily it's my top row that's pretty straight. So when I smile it looks like my teeth are great. But if I. Hey, can you see? They're like. Yeah, I thought on there just kind of. That was pretty good play acting too, by the way.
Chuck
Yeah, it was good. All right, so let's talk about some stats. A few Years ago in 2022, 3.15 million kids between 8 and 17 were getting orthodontic treatment. This sounds way low to me. 7.4% of that age group is all that was. There were other estimates that say about half of kids receive some kind of orthodontic treatment at some point. That seems low to me too, just based on anecdotal what I'm seeing around me. But maybe that's right.
Josh
So kids, like you were saying, it's just basically part of being a kid today you get braces at some point.
Chuck
It seems like it. I feel like Ruby and most of her friends have braces.
Josh
I mean, that tracks. I found a statistic that in the US Alone, out of pocket spending amounts to almost five and a half billion dollars a year on orthodonture. And then insurance and Medicaid covers an additional 4.2 billion. So it's like a $10 billion industry just in the United States alone.
Chuck
Yeah, I mean. And you know, kind of going Back as we'll finish up here to the beginning of like, is this a medical issue or is it just to create like, you know, kids without self esteem problems because they maybe have crooked teeth? And certainly the rise of Hollywood and it used to say something sort of about class. I think it still, still can, unfortunately. And you know, with, with movies and advertisements and TV and stuff like that. YouTube, social media, straight teeth is the thing. And you know, starting in the post war era, like, especially with young girls, they were saying, hey, you got low self esteem, it's probably because of your teeth.
Josh
I wonder though. So that, that class thing, the socioeconomic part of it, that actually makes it hard to study orthodontics, because if you want to study people with say, braces or something like that, you're automatically working from another kind of bias, a selection bias, because they are probably from a higher socioeconomic class than the average person who doesn't have braces, because so much of it is paid for out of pocket. But it occurred to me just now, Chuck, while you're saying that, that I wonder if that whole thing about them fixing health issues or whatever is essentially made up to get insurance companies to cover what otherwise would be considered cosmetic. So they're actually doing it strictly for aesthetic purposes, but they're trying to make it so you, the parent, don't have to pay for all of it out of pocket. Maybe that's what's going on here.
Chuck
Maybe. I mean, this is the kind of thing that's really hard to study as far as whether or not there is a medical benefit or need. Because, and Livia points this out, you gotta conduct randomized trials. So you have to find a large group of people who have pretty similar dental profiles. And you gotta have one group that you give braces to and then a control group that you don't, and then follow them over a long period of time to see what kind of problems develop, like headaches or something. And that's just, that's just really, that's a tough study to pull off.
Josh
Yeah. And again, I mean, the, the study population you're drawing from, like, nobody's going to do that. So if you're studying people who already have braces, you're automatically working with that selection bias because they're more likely to be from a higher socioeconomic group.
Chuck
Yeah, totally.
Josh
You got anything else about braces?
Chuck
The only thing I'll add, I had the two kinds of braces. Oh, for many years after the braces, I had this bar put on the back of my lower Teeth that span like the front five. And that was supposedly to keep them in place neat. And that eventually broke off and I just went for years with those metal stumps there because I've spent quite a few years without going to the dentist at one point.
Josh
Yeah, I'm guessing college years. And maybe immediately after.
Chuck
Bing, bing, bing.
Josh
That's how it goes, man. Let's see. Well, you don't have anything else about braces. I don't either. Thanks to all the orthodontists out there for listening and everyone. If I turn up assassinated in the next couple weeks is because I did figure out the big secret to orthodontics and insurance.
Chuck
Yeah.
Josh
And Chuck said. Yeah. So that means it's time for listener mail.
Chuck
You're gonna wake up and Steve Martin's gonna be over you with a dental drill.
Josh
Oh, God.
Chuck
By the way, highly, highly, highly recommend the two part documentary on Steve Martin.
Josh
Okay.
Chuck
It is great.
Josh
I didn't even know it was out.
Chuck
Yeah, it's been out for a little bit. It's really, really good. And it kind of makes me realize what a. I mean, I've always been a Steve Martin fan, but it really knocks home what a treasure he is as a human.
Josh
I bet.
Chuck
Yeah, it's fun. And I just recently rewatched Three Amigos, showed Ruby for the first time, which she thought was very fun.
Josh
I've never seen that one. Oh, really? Yeah.
Chuck
That seems like it would have been one on your list.
Josh
I don't. Well, actually, I do know why?
Chuck
Why?
Josh
Cause Chevy Chase.
Chuck
Oh, you don't like Chevy Chase? Of course. He's the least funny part of the movie. You need to watch it for Martin short. Steve Martin.
Josh
I'll do my best. I'd rather watch Only Murders in the Building.
Chuck
No, I'm with you. I'm with you. All right. Hey, guys, this is. What is this about? Well, this is kind of about medical school, so it fits. I've been listening for nearly a decade. Was very excited to have an occasion to write in. During the episode on cigarettes, you mentioned an early physician who observed nasal swellings and excreciences. Immoderate users of snuff. And Josh interprets this as puffy pussy lumps in their noses. I recently graduated from medical school and it's a rite of passage for medical students to describe a wound with pus as pussy, only to realize this word appears rather crass when written out. Instead, we use the word P U R U L E ENT purulent to avoid any potential misunderstanding. If A patient reads the notes. Obviously it's a little different in a podcast setting, which I doubt listeners are often reading in episode transcript.
Josh
Oh yeah, we'll have to go look that up.
Chuck
I figured this little nugget of knowledge might be helpful. I'm sure you hear this every day, but I want to say thanks for all the great work you do. Stuff you should know has been a constant source of joy for me as I've navigated college, med school, marriage, fatherhood, and now residency training and pathology. You broaden my perspective on a vast array of issues and always look forward to listening to new and old episodes alike on my commute. And that is from Gabe, who says, hey, come to Ann Arbor, Michigan for a live show. And we're maybe trying to work that out.
Josh
Gabe. Yeah, we're batting it around, Gabe. Good idea.
Chuck
Yeah. And I tell you what, Gabe, if we come to Ann Arbor, write us back from that very same thread and you and your friends and family or whatever, you know, not like 20 people, but you can get on the guest list.
Josh
Yeah, good idea, Chuck. That's a foolproof plan. There's no possible way for identity theft.
Chuck
That's right.
Josh
And congratulations, Gabe, on all of your your academic and medical success. And thanks for listening to us that entire time. If you want to be like Gabe and send us a cool email, you can do that too. Send it off to stuff podcastheartradio.com Stuff you should know is a production of iHeartRadio. For more podcasts, My Heart Radio, visit the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows. I was diagnosed with cancer on Friday and cancer free the next Friday. No chemo, no radiation, none of that. On a recent episode of Culture Raises.
Chuck
Us podcast, I sat down with Warren.
Josh
Campbell, Grammy winning producer, pastor and music.
Chuck
Executive, to talk about the beats, the.
Josh
Business and the legacy behind some of the biggest names in gospel, R and B and hip hop. Professionally, I started as Death Row Records. From Mary Mary to Jennifer Hudson, we get into the soul of the music.
Chuck
And the purpose that drives it.
Josh
Listen to Culture Raises us on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. Hey, I'm Kurt Browner. And I am Scotty Landis. And we host Bananas the podcast where we share the weirdest, funniest real news stories from all around the world. And sometimes from our guests, personal lives too. Like when Whitney Cummings recently revealed her origin story on the show. There's no way I don't already have rape.
Lola Blanc / Megan Elizabeth
This is probably just why my personality is like this.
Josh
I've been surviving rabies for the past 20 years. New episodes of Bananas Drop Every Tuesday. The Exactly Right Network. Listen to bananas on the iHeartRadio app.
Chuck
Apple Podcasts, or wherever you get your podcasts.
Ebony
Welcome to Pretty Private with ebony, the podcast where silence is broken and stories are set free. I'm Ebony, and every Tuesday days I'll be sharing all new anonymous stories that would challenge your perceptions and give you new insight on the people around you. Every Tuesday, make sure you listen to Pretty Private from the Black Effect Podcast Network. Tune in on the iHeartRadio app, Apple Podcast, or wherever you listen to your favorite shows. This is an iHeart podcast.
Hosts: Josh and Chuck
Episode Date: August 26, 2025
Main Theme:
A humorous and in-depth exploration of the history, science, and evolving social perceptions surrounding orthodontics and braces – from ancient times to modern-day trends.
Josh and Chuck dissect the story of orthodontics, tracing the path from ancient tooth adjustments to today’s $10-billion orthodontics industry. Along the way, they challenge popular narratives about the necessity and health benefits of orthodontic work, all while sprinkling personal anecdotes and classic SYSK humor.
Summer teeth:
On Ancient Orthodontics:
Regarding Angle’s Business Acumen:
Modern Prevalence:
Josh and Chuck guide listeners through the intertwining history of orthodontics, health, and beauty standards, prompting skepticism about the industry’s medical claims and spotlighting the societal pressures that keep orthodontics booming. Their humor, insights, and memorable anecdotes make for both an informative and entertaining dive into the surprisingly complex world of braces.