An occasionally irregular blog about orthodontics

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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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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.

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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.

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