An occasionally irregular blog about orthodontics

Recent posts

AcceleDent again….  The Key Opinion Leaders comment on recent research!

AcceleDent again…. The Key Opinion Leaders comment on recent research!

By on April 24, 2017 in Recent posts with 4 Comments

AcceleDent again….  The Key Opinion Leaders comment on recent research! Regular readers of this blog will know that there is no high quality evidence that vibratory force has an effect on tooth movement.  The last edition of the AJO published a letter from some Key Opinion Leaders for AcceleDent. This post is about their response. (Visited […]

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Are there too many orthodontic systematic reviews?

Are there too many orthodontic systematic reviews?

By on April 18, 2017 in Recent posts with 4 Comments

Are there too many orthodontic systematic reviews? Over the past 10 years there have been many orthodontic systematic reviews.  I am now wondering if there are too many…..just a thought in a short blog post…. (Visited 1,493 times, 4 visits today)

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Orthodontic treatment improves quality of life!

Orthodontic treatment improves quality of life!

By on April 10, 2017 in Recent posts with 6 Comments

Orthodontic treatment improves oral health related quality of life! We all assume that straightening teeth improves a person’s oral health related quality of life. While this concept is logical, it has lacked strong evidence. Until now….. (Visited 2,327 times, 1 visits today)

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Can we intercept AOB development from thumb sucking?

Can we intercept AOB development from thumb sucking?

By on April 3, 2017 in Recent posts with 5 Comments

Can we intercept AOB development from thumb sucking? We are all familiar with the young patient who has an anterior open bite caused by thumb sucking.  This new systematic review provides us with some evidence on the treatment for this common problem. I have just got back from a four day trip to New Zealand […]

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CBCT vs conventional views in localising impacted canines. Careful with that radiation Eugene: (Revisited).

CBCT vs conventional views in localising impacted canines. Careful with that radiation Eugene: (Revisited).

By on March 27, 2017 in Recent posts with 17 Comments

CBCT vs conventional views in localising impacted canines. Careful with that radiation Eugene: (Revisited). One of the first posts that I did was on the use of CBCT in localising unerupted teeth.  The AJO-DDO has recently  published an investigation that looks at this subject in greater depth.  As a result, I am updating this post […]

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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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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 11,292 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

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 2,368 times, 1 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 1,000 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 5 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 23 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 4,653 times, 1 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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