An occasionally irregular blog about orthodontics

Recent posts

AcceleDent increases tooth movement by up to 50%…

AcceleDent increases tooth movement by up to 50%…

By on March 20, 2017 in Recent posts with 13 Comments

Does AcceleDent increase tooth movement by up to 50%? The other day I was looking at an online edition of the AJO-DDO.  There was a pop-up from Acceledent that drew attention to their new clinical evidence.  I thought that I should have a look at this again….         This is the link […]

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Do orthodontic extractions lead to posterior positioning of the condyle?

Do orthodontic extractions lead to posterior positioning of the condyle?

By on March 13, 2017 in Recent posts with 12 Comments

Do orthodontic extractions lead to posterior positioning of the condyle? Over the past year I have written several times about the recent research on orthodontic extractions. This new study attempts to find if extractions influence the 3D position of the condyle. (Visited 2,771 times, 7 visits today)

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Twitter, bullying, dentofacial features and orthodontic treatment.

Twitter, bullying, dentofacial features and orthodontic treatment.

By on March 6, 2017 in Recent posts with 1 Comment

Twitter, bullying, dentofacial features and orthodontic treatment. This post is not about “the usual” orthodontic paper. I came across this interesting study on one aspect of social media, bullying and orthodontics and I felt that it was relevant to our patients. (Visited 2,105 times, 3 visits today)

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Another nail in the coffin of the non-extraction obsession: a new study

Another nail in the coffin of the non-extraction obsession: a new study

By on February 27, 2017 in Recent posts with 23 Comments

Do extractions influence facial aesthetics? A long-term study. In some of my previous posts I have discussed the effect of extraction/non-extraction on facial profile. However, I managed to miss this paper that was published last year. I feel that it certainly provides us with useful information. (Visited 5,746 times, 6 visits today)

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A non-random selection of blog posts on evidence based orthodontics

A non-random selection of blog posts on evidence based orthodontics

By on February 23, 2017 in Recent posts with 0 Comments

A non-random selection of blog posts on evidence based orthodontics I have decided to post an additional blog post this week because there has been a lot of internet chat about evidence based orthodontics.  I have followed this closely.  There seems to be some confusion in people’s mind about the relative merits of treatment being […]

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Does childhood obesity increase the rate of tooth movement?

Does childhood obesity increase the rate of tooth movement?

By on February 20, 2017 in Recent posts with 6 Comments

Does childhood obesity increase the rate of tooth movement? Over the past few years there’s been a lot of interest in factors that may influence the speed of tooth movement. Until now,  I have not considered whether obesity has an influence. However, this new paper suggests that childhood obesity increases the rate of tooth movement. […]

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Popular 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 11,078 times, 3 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

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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Removable functional appliances do not change skeletal pattern to a clinically meaningful amount

Removable functional appliances do not change skeletal pattern to a clinically meaningful amount

Functional appliances do not influence skeletal pattern… This post is on functional appliances, which is an area that I have covered several times. A few postings ago I mentioned that the journals are publishing more and more systematic reviews. I also made the point in a previous post, that we need to critically read these […]

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New evidence on the treatment of palatally displaced canines!

New evidence on the treatment of palatally displaced canines!

Should we extract primary canines to prevent palatal canine impactions? This post is on the most recent evidence on the effectiveness of removing primary canines in the hope that this encourages the eruption of palatally displaced permanent canines (PDC). As we all know, this is an established procedure that is practiced widely. (Visited 2,112 times, 3 visits […]

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Do I still believe in evidence based orthodontics?

Do I still believe in evidence based orthodontics?

Do I still believe in evidence based orthodontics? Every now and then a paper comes along that makes me stop and think about how I practice and what I have taught over the past thirty years.  Professor Trisha Greenhalgh and colleagues published one of these papers in the British Medical Journal several weeks ago. (Visited […]

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Should we stop using cephalometrics in orthodontic research?

Should we stop using cephalometrics in orthodontic research?

Should we stop using cephalometrics in orthodontic research? This blog is concerned with my personal opinion on the use of cephalometrics in orthodontic research. Some people may not share this view, and I hope that this is not too controversial. (Visited 932 times, 1 visits today)

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Self Ligation: Another nail in the coffin?

Self Ligation: Another nail in the coffin?

Self Ligation: Another nail in the coffin? In this blog I am going to review a paper from the most recent edition of the AJO-DDO. This is another trial of self-ligating brackets that reveals there are no advantages to using these brackets. This is contrary to the claims made by the manufacturers and on many […]

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Clinical research

The need for speedy orthodontic treatment: Low level laser light therapy makes teeth move faster:  Or does it?

The need for speedy orthodontic treatment: Low level laser light therapy makes teeth move faster: Or does it?

By on November 28, 2016 in Clinical Research, Recent posts with 4 Comments

The need for speed: Low level light therapy makes teeth move faster:  Or does it? It’s great to see that several studies are now being published on the new methods of making teeth move faster. The Angle Orthodontist recently published this new study.  It is about the effects of low level laser light therapy on the […]

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Can we ethically provide orthodontic treatment for children with obstructive sleep apnoea?

Can we ethically provide orthodontic treatment for children with obstructive sleep apnoea?

By on October 24, 2016 in Clinical Research, Recent posts with 22 Comments

Can we ethically provide orthodontic treatment for children with obstructive sleep apnoea? Earlier this year I published several posts on breathing and orthodontics. This new post is a follow-up that has been prompted by an updated Cochrane review on the treatment of obstructive sleep apnoea in children. I will discuss the review and then the ethics […]

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Oh no! More white spot lesions..what can we do? A new trial….

Oh no! More white spot lesions..what can we do? A new trial….

By on October 17, 2016 in Clinical Research, Recent posts with 9 Comments

Oh no more white spot lesions..what can we do: A new trial! We all know that white spot lesions (WSL) are one of the disappointing  adverse effects of orthodontic treatment. Unfortunately, we do not know much about methods of reducing the size of these lesions.  This post is about a trial that provides us with […]

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What is best for space closure?  NiTi or stainless steel springs…

What is best for space closure? NiTi or stainless steel springs…

By on October 10, 2016 in Clinical Research, Recent posts with 28 Comments

What is best for space closure?  NiTi or stainless steel springs… This week’s post is about orthodontic space closure and I’m going to discuss a recent paper about a  trial of two types of space closing spring. I felt that this was an interesting clinical question (Visited 4,543 times, 4 visits today)

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Do “orthodontic” pacifiers work?  Someone has done a trial!

Do “orthodontic” pacifiers work? Someone has done a trial!

By on October 3, 2016 in Clinical Research, Recent posts with 1 Comment

Do “orthodontic” pacifiers work:  Someone has done a trial! When my children were babies we gave them pacifiers (or dummies) when we were trying to get them to sleep at night!  We weaned them off them after about a year and so we did no harm. Since then many concerned mothers have asked me  whether I […]

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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 12 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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