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Wonky teeth

I was listening to the news on the local public radio the other day and the announcer said that Texas spent more on orthodontic treatment last year than the other 49 states combined.

That's one of those pieces of information that's so random it keeps bouncing around in your brain.  Not only more than any other state, but more than all the other states put together.  Is that even possible?

Are Texans born with hereditary wonky teeth?
Are Texans vainer about their (children's) smiles than other Americans?
Or do they all get their teeth kicked out by bucking broncos?

As ever, the real reason is far less interesting.
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