well,.......both reasons i guess. i have a terrible problem with my teeth, due to a car crash, they have all cracked and broke. i have 11 absess's, i've had 7 pulled thru out the years (i have panic attacks at the dentist and dr's, and i have no insurance, and no $) so fixing them right now would cost....$6,000.00!!! and i sure as heck don't have that. my mouth is in constant moderate pain, i have lost 50ibs., and can hardly eat or drink, and i cannot leave the house, and haven't smiled in years. so i'm sad and in pain. i take them to feel good everywhere, my head and my heart. i know i have a problem, but i can't imagine ending it while in pain. i go thru a mon. supply in days.