An occasionally irregular blog about orthodontics

Recent posts

What can we do about missing lateral incisors?

What can we do about missing lateral incisors?

By on September 26, 2016 in Clinical Research, Recent posts with 9 Comments

What can we do about missing lateral incisors? One of my most popular posts was on the dilemma of whether we should open or close space to replace missing lateral incisors. This generated a lot of debate. Do we have more evidence on this important question?  A systematic review that the AJO-DDO has just published may […]

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30 years of orthodontics….what has changed?

30 years of orthodontics….what has changed?

By on September 20, 2016 in Personal opinion, Recent posts with 18 Comments

30 years of orthodontics….what has changed? I have just returned from holiday and while I was taking a break I realised that it is 30 years since I completed my orthodontic specialist training.   I thought that I should write a post on the changes that have occurred in 30 years of orthodontics and I hope […]

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Are bonded retainers better than vacuum formed orthodontic retainers? A new trial lets us know.

Are bonded retainers better than vacuum formed orthodontic retainers? A new trial lets us know.

By on September 12, 2016 in Clinical Research, Recent posts with 23 Comments

Are bonded retainers better than vacuum formed orthodontic retainers? A new trial lets us know. I’m sure that we all feel that retention is one of the most difficult problems in orthodontics. There are several different types of orthodontic retainers but we are not really sure on which is the most effective. This new trial provides […]

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Class III protraction headgear avoids orthognathic surgery: A discussion

Class III protraction headgear avoids orthognathic surgery: A discussion

By on September 8, 2016 in Clinical Research, Recent posts with 2 Comments

Class III protraction headgear avoids orthognathic surgery: A discussion My last post on Class III protraction headgear reducing the need for orthognathic surgery was read very widely.  Several people have made comments directly and via social media. I feel that these comments were interesting and relevant. I have done an additional post so that I […]

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Early Class III protraction treatment works and reduces the need for orthognathic surgery:  A  trial that shows us something useful!

Early Class III protraction treatment works and reduces the need for orthognathic surgery: A trial that shows us something useful!

By on September 5, 2016 in Clinical Research, Recent posts with 16 Comments

Early Class III protraction treatment works and reduces the need for orthognathic surgery:  A randomised trial that shows us something useful! Once in a while a study team carries out a trial that provides us with very useful clinical information.  This post is about a paper that shows us that early Class III protraction facemask treatment reduces […]

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Do it yourself orthodontics revisited: Invisalign and SmileDirectClub and others…

Do it yourself orthodontics revisited: Invisalign and SmileDirectClub and others…

By on August 30, 2016 in Personal opinion, Recent posts with 11 Comments

Do it yourself orthodontics: You do not even need to see a dentist! This post is a follow-up edit to a previous post on do it yourself orthodontics.  I have revisited this subject, as I think that it has become more relevant since Invisalign announced that they had agreed to supply aligners to SmileDirectClub.  This is […]

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Most read posts

I have decided to become an orthodontic quack and snake oil salesman!

I have decided to become an orthodontic quack and snake oil salesman!

I have decided to become an orthodontic quack and snake oil salesman! I have always been interested in orthodontic developments that may not be considered to be mainstream. These are often promoted by practitioners who consider themselves to be “mavericks” or “great thinkers”. I have debated their techniques many times with them with limited success. […]

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Should General Dentists provide orthodontic treatment?

Should General Dentists provide orthodontic treatment?

Should general dentists provide orthodontic treatment? In this post I’m going to discuss the rather controversial area of whether general dentists should provide orthodontic treatment. I will also risk discussing Short-Term Orthodontics (STO), Six Month Smiles, Anterior Alignment Orthodontics and Fast Braces. (Visited 10,024 times, 1 visits today)

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Is it better to use a fixed or removable appliance to correct a crossbite?: The final answer!

Is it better to use a fixed or removable appliance to correct a crossbite?: The final answer!

What is the best method of crossbite correction: The answer! A few months ago I posted on the results of a trial of methods to correct anterior crossbites. Since then I have found several other papers from this trial and I have rewritten my original post to combine the findings into a single definitive post […]

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AcceleDent again. Cyclic vibration accelerates tooth movement; A clinical trial!

AcceleDent again. Cyclic vibration accelerates tooth movement; A clinical trial!

AcceleDent again. Cyclic vibration accelerates tooth movement; A clinical trial! Earlier this year I posted about AcceleDent. This was a popular posting and was read 4,000 times. Since then several people suggested to me that I had not been critical enough of this new technology. I took this approach because they had developed a cautious […]

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Early Class II treatment. Part 2: Are we clinician scientists or barber surgeons?

Early Class II treatment. Part 2: Are we clinician scientists or barber surgeons?

Early Class II treatment. Part 2; Are we clinician scientists or barber surgeons? This is the second part of my post from last week. This is concerned with  our presentation at the early treatment point/counterpoint discussion at the AAO conference 2015. Jonathan Sandler started our session by discussing further data from the systematic review. He also […]

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Early Class II treatment: Part 1: The wheel keeps turning.   Uncertainty and the Pyramid of Denial

Early Class II treatment: Part 1: The wheel keeps turning. Uncertainty and the Pyramid of Denial

Early Class II treatment. The wheel keeps turning:  Uncertainty and the Pyramid of Denial This post is about early Class II treatment.  I have decided to revisit this following a joint presentation that Jonathan Sandler and I did at the recent AAO congress in San Francisco. We were asked to participate in a point/counterpoint debate on early Class […]

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Personal opinions

Breathe, breathe in the air: Part 3 Does orthodontic treatment cure childhood breathing  problems?

Breathe, breathe in the air: Part 3 Does orthodontic treatment cure childhood breathing problems?

Breathe, breathe in the air: Does orthodontic treatment cure childhood breathing problems? This is the third and final part of my series on childhood sleep disordered breathing and orthodontics and is about the effects of orthodontic treatment. In the first post of this series we concluded that the first line treatment for children with sleep disordered […]

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I have decided not to be a Snake Oil salesman!

I have decided not to be a Snake Oil salesman!

By on August 4, 2016 in Personal opinion, Recent posts with 17 Comments

I have decided not to be a Snake oil salesman! My recent post on taking up a career as a Snake oil salesman attracted a lot of attention. I received a mixture of comments. Some were good and some pretty bad!  But this is the world of social media. I have thought again and I […]

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Does mode of breathing influence  facial growth?

Does mode of breathing influence facial growth?

Does breathing influence facial growth? This is my second post in the series on breathing and orthodontics and is concerned with the influence of breathing on facial growth. Many claims are made about this subject, but how closely have we looked at the evidence? I have had a good look at this and this is my summary. […]

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Let’s talk about Six Month Smiles

Let’s talk about Six Month Smiles

Let’s talk about six month smiles This post is one of the “let’s talk about series”.  This has previously included discussions on myofunctional  therapy, Acceledent and Fastbraces. So “let’s talk about Six Month Smiles”. (Visited 3,272 times, 2 visits today)

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The top ten orthodontic papers that have influenced me.

The top ten orthodontic papers that have influenced me.

The top 10 papers that have influenced my career? I have been away lecturing in Italy and taking a short vacation this week, so I have not had time to write a new blog post.  But I have decided to re-publish one of my earlier blogs that readers may have missed. This was a simple list and […]

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Let’s talk about…..Fastbraces

Let’s talk about…..Fastbraces

By on April 25, 2016 in Personal opinion, Recent posts with 34 Comments

Let’s talk about Fastbraces Wouldn’t it be great if someone developed an orthodontic appliance that could be used by General Dental Practitioners with 1-2 days training. Better still, this appliance would allow them to complete treatment quicker than other braces, without taking teeth out. Welcome to  Fastbraces!  (Visited 6,783 times, 1 visits today)

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Clinical research

Do orthodontic patients wear their removable appliances?

Do orthodontic patients wear their removable appliances?

By on August 26, 2016 in Clinical Research, Recent posts with 7 Comments

How long do patients wear their removable appliances? One of the greatest problems with removable orthodontic appliances is that they require considerable amounts of patient co-operation. Recently, timing devices that can be fitted into removable appliances have been developed, so that we can measure patient co-operation. I came across this interesting paper that reported on a […]

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Does chewing gum reduce orthodontic pain?

Does chewing gum reduce orthodontic pain?

By on August 22, 2016 in Clinical Research, Recent posts with 5 Comments

Does chewing gum reduce orthodontic pain? One of the most common side-effect of orthodontic treatment is pain immediately following the placement or adjustment of appliances. This  affects 70- 95% of children at frequent time periods during their orthodontic treatment. If there was a method of reducing this pain without taking analgesics, I am sure that this […]

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Early Class II treatment is effective! A retrospective study…

Early Class II treatment is effective! A retrospective study…

Early Class II treatment is effective! A retrospective study… The effectiveness of early Class II treatment is one of the areas of orthodontic treatment that has being extensively researched  with randomised trials that have then been included in systematic reviews. This large body of research has concluded that there are limited advantages in undertaking early treatment when […]

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Breathe, breathe in the air: Don’t be afraid to care. A blog series on Sleep disordered breathing and orthodontic treatment: Part 1.

Breathe, breathe in the air: Don’t be afraid to care. A blog series on Sleep disordered breathing and orthodontic treatment: Part 1.

Breathe, breathe in the air: Don’t be afraid to care. Sleep disordered breathing and orthodontic treatment: Part 1. This post is the first of a series in which I will address the role of breathing in the aetiology of malocclusion and whether there is a role for orthodontic treatment to help reduce childhood sleep disordered […]

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What are the adverse effects of lingual orthodontic appliances? A new systematic review

What are the adverse effects of lingual orthodontic appliances? A new systematic review

A systematic review on the adverse effects of lingual orthodontic appliances. One of the most important developments in orthodontics has been the introduction of lingual orthodontic appliances. There is no doubt that these have significant aesthetic advantages over labial appliances.  But are their adverse effects such as pain and discomfort the same?  This question was investigated by a team […]

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Orthodontic space opening or closing for missing upper later incisors: What does the public think?

Orthodontic space opening or closing for missing upper later incisors: What does the public think?

Orthodontic space opening or closing for missing upper later incisors: What does the public think? We have all been faced with the dilemma of whether to open or close missing lateral incisor space.  This post is is based on a recent paper that investigated lay people’s perception of the aesthetic outcome of this clinical problem. […]

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