An occasionally irregular blog about orthodontics

Recent posts

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 6 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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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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A new trial shows that we can accelerate orthodontic tooth movement!

A new trial shows that we can accelerate orthodontic tooth movement!

By on August 9, 2016 in Recent posts with 7 Comments

A new trial shows that we can accelerate orthodontic tooth movement! I have posted before about the various new methods of attempting to accelerate orthodontic tooth movement. Most of these studies were inconclusive, poorly done or revealed that the new developments were not effective. But, we now have a trial that shows that orthodontic tooth movement […]

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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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Most read posts

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 9,792 times, 2 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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A brief guide to removable functional appliance treatment

A brief guide to removable functional appliance treatment

A brief guide to removable functional appliance treatment. Last weeks posting on removable functional appliances and the results of a recent systematic review attracted a lot of interest and was hit almost 1000 times a day. I also received more comments than any other post. These are worth reading. As a result, I have decided […]

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Personal opinions

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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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 3,187 times, 6 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 6,474 times, 8 visits today)

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Welcome to do it yourself orthodontics…you do not even need to see a dentist!

Welcome to do it yourself orthodontics…you do not even need to see a dentist!

By on April 11, 2016 in Personal opinion, Recent posts with 9 Comments

Do it yourself orthodontics: You do not even need to see a dentist! Over the past few years there has been the development and promotion of several types of orthodontic treatment to general dental practitioners, for example, Short Term Orthodontics and aligner systems. I have now come across the next stage. These are companies that provide […]

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Evidence based orthodontics is not as straightforward as it seems…

Evidence based orthodontics is not as straightforward as it seems…

By on March 7, 2016 in Personal opinion, Recent posts with 8 Comments

Evidence based orthodontics is not as straightforward as it seems… My last blog post was a quick list of “what I knew about orthodontics”.  Surprisingly, this was one of those posts that was very popular and was read over 4,000 times over the weekend. I also got many comments, some were critical, and these made […]

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Clinical research

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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Oh no, we have  white spot lesions on debond: What should we do?

Oh no, we have white spot lesions on debond: What should we do?

Oh no, we have white spot lesions on debond: What should we do? Unfortunately, we are all familiar with the problem of white spot lesions when we debond patients. Over the years I have tried many techniques and treatments to attempt to treat them, with mixed success.  This new clinical trial provides us with useful information about […]

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Breathe..breathe in the air:  a classic paper on breathing and facial growth.

Breathe..breathe in the air: a classic paper on breathing and facial growth.

Breathe..breathe in the air:  a classic paper on breathing and facial growth. Since I started this blog  I have become aware of orthodontists and dentists who work in the area of breathing and orthodontic treatment.  So I thought that I would post on one of the classic research  papers in this area. This is a […]

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