An occasionally irregular blog about orthodontics

Recent posts

Another trial suggests that AcceleDent may not be effective…

Another trial suggests that AcceleDent may not be effective…

By on December 5, 2016 in Clinical Research, Recent posts with 16 Comments

Another trial suggests that AcceleDent may not be effective… Regular readers of this blog will know that I have posted about AcceleDent before. In these posts I discussed that the claims made by the manufacturer and the Key Opinion Leaders may not supported by research. This new study adds to the evidence about this intervention. […]

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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 3 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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Evidence based orthodontic treatment-no good deed goes unpunished. Part 2: Let them eat cake

Evidence based orthodontic treatment-no good deed goes unpunished. Part 2: Let them eat cake

By on November 24, 2016 in Recent posts with 5 Comments

Let Them Eat Cake This is the second part of our joint lecture at the recent British Orthodontic Conference. Lysle Johnston has based this post on his presentation. This was about the value of alternatives to the orthodontic randomised controlled trial.  It is the first guest post on my blog. In Boston Society, it is said that […]

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Evidence based orthodontic treatment-no good deed goes unpunished.

Evidence based orthodontic treatment-no good deed goes unpunished.

By on November 21, 2016 in Recent posts with 16 Comments

In September Prof Lylse Johnston and I did a joint presentation at the British Orthodontic Conference with a focus on evidence based orthodontic treatment. We have decided to write this up as two blog posts. The first is concerned with my presentation.

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Another trial on surgical methods of speeding up tooth movement….I’m not convinced..

Another trial on surgical methods of speeding up tooth movement….I’m not convinced..

By on November 14, 2016 in Recent posts with 6 Comments

Another trial on speeding up tooth movement Over the past couple of years several investigators have done randomised trials into methods of speeding up tooth movement. Earlier this year I managed to miss this study into the effects of corticotomy and piezocision. I am going to discuss this now. (Visited 2,123 times, 2 visits today)

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Another trial on maxillary protraction shows it works: but does it?

Another trial on maxillary protraction shows it works: but does it?

By on November 7, 2016 in Recent posts with 7 Comments

Another trial on maxillary protraction shows it works: but does it? A few weeks ago I discussed a trial that showed early intervention with protraction headgear could correct class III malocclusion. This new trial on investigates the effectiveness of skeletal anchored maxillary protraction. The authors concluded that this was effective. But is it? (Visited 3,291 […]

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Most read 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 10,452 times, 4 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

Orthodontic Key Opinion Leaders; Who are they and what do they do?

Orthodontic Key Opinion Leaders; Who are they and what do they do?

By on October 31, 2016 in Personal opinion, Recent posts with 14 Comments

Orthodontic Key Opinion Leaders; Who are they and what do they do? I have just re-read the excellent book “Bad Pharma” by the British Doctor Ben Goldacre. This is about the practices of the pharmaceutical industry in developing and promoting its products. He wrote about Key Opinion Leaders and I wondered if there were any in […]

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30 years of orthodontics….what has changed?

30 years of orthodontics….what has changed?

By on September 20, 2016 in Personal opinion, Recent posts with 20 Comments

30 years of orthodontics….what has changed? I have just returned from holiday and while I was taking a break I realised that it is 30 years since I completed my orthodontic specialist training.   I thought that I should write a post on the changes that have occurred in 30 years of orthodontics and I hope […]

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Do it yourself orthodontics revisited: Invisalign and SmileDirectClub and others…

Do it yourself orthodontics revisited: Invisalign and SmileDirectClub and others…

By on August 30, 2016 in Personal opinion, Recent posts with 12 Comments

Do it yourself orthodontics: You do not even need to see a dentist! This post is a follow-up edit to a previous post on do it yourself orthodontics.  I have revisited this subject, as I think that it has become more relevant since Invisalign announced that they had agreed to supply aligners to SmileDirectClub.  This is […]

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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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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 19 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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Clinical research

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 27 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 4,178 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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Are bonded retainers better than vacuum formed orthodontic retainers? A new trial lets us know.

Are bonded retainers better than vacuum formed orthodontic retainers? A new trial lets us know.

By on September 12, 2016 in Clinical Research, Recent posts with 24 Comments

Are bonded retainers better than vacuum formed orthodontic retainers? A new trial lets us know. I’m sure that we all feel that retention is one of the most difficult problems in orthodontics. There are several different types of orthodontic retainers but we are not really sure on which is the most effective. This new trial provides […]

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