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. So I have decided to join them and develop my own treatment and surround it by the “smoke and mirrors” used by the orthodontic quacks and snake oil salesmen.
I have developed a new treatment called orthohydrotonics. It is a removable appliance that is connected to a tank of water that is attached to the patients back. Water flows through the appliance. This massages the muscles and encourages them to develop, the flow of water also influences the electro magnetic waves that pass through the muscles and teeth making the teeth move faster. Finally, the tank of water pulls back the shoulders and improves neck posture leading to improved breathing and preventing long term spinal degeneration. So these are steps that will I take to promote this treatment:
Develop a new disease.
This will be called craniofacial-osteodental dysplasticum. or COD. I will redefine some of definitions, for example, increased overjet can become Class IX COD.
I will need a new cephalometric analysis and CBCT analysis to identify the unique features of the disease. Ideally, COD can only be diagnosed by CBCT.
Think of a new name for my special orthodontic treatment.
I will call this Cranial Release Aquatherapy Provision.
I will start a short diploma course at the North England School of Cranial Release Aquatherapy Provision. I will advertise it to interested general practitioners and specialists. They will become Diplomates, Masters and Grand Masters in Cranial Release Aquatherapy Provision.
I will prepare information and course material that simply underpins my new treatment. If I use references, I will dig out some old ones that support my treatment. Importantly, they will be so old that they do not stand up to contemporary scrutiny. I will quote them as the “truth” to course delegates.
Set up a Website
I will set up a series of websites to promote Cranial Release Aquatherapy Provision, along with a Facebook page. I will get some poorly documented case records and only provide limited details on my therapy and results.
Criticise other orthodontists.
I need to state that orthodontic treatment provided by other specialists is “traditional”. This will make Cranial Release Aquatherapy Provision more attractive. Then I will expand on this by claiming that Universities and training programmes teach that most orthodontic treatment is based around extraction therapy. I will then follow this up and claim that those who run the training programems are in a conspiracy to deny orthodontic knowledge.
I will be challenged to provide evidence for my treatment and philosophy. Firstly, I will not respond. Then when I am challenged further, I will misquote my collection of carefully selected old papers. Finally, I will argue that it is not possible to measure the effects of my treatment and philosophy.
Become a maverick
I will call myself a maverick and free thinker.
Completely dismiss research evidence
I will not believe, or totally ignore, any trials or systematic reviews that do not support my treatment. If this is pushing it a bit, I will just state that my treatment cannot be trialed.
When pushed I will raise multiple side issues that are not concerned with my treatment and build as much confusion as possible around my treatment, courses and philosophy.
If this is successful we will gain sufficient moment around the new treatment and philosophy. Most importantly, I will have built a critical mass of followers who believe everything I say and do without question.
What do you think? Will this work? Could I sleep at night?