When I was in high school, first job bought the first car, then it bought my braces. I chose, perhaps wrongly, not to have my jaw broken and realigned (as had my sister), but lucked out with a wonderful orthodontist right out of school. My teeth were so challenging, the orthodontist asked to use my case for presentation/study. I had 8 teeth pulled total, gum surgery, and the palate spreading device (omg, I can still wake up feeling that itchy thing).
The orthodontist is now nationally known, in a swanky office. I took my eldest son to him for an estimate, just for kicks (really tooooo far away for those weekly visits). He laughed, felt old, and dug out all my old molds and file photos...YIKES.
Almost thirty years from getting those things, and I never really regretted it. I should go back to get my jaw clicking looked at, but I feel too old and crochety to put up with my imagined procedures.
So, given all that, I insisted my kids have it all looked at and appropriate steps taken.
DH maintains nobody in Europe gets braces - well, hardly ever - because they all chew that tough hearty bread all day, every day. Argues that our soft breads make for bad teeth, no stress/exercise to keep them doing their jobs.