An occasionally irregular blog about orthodontics

Recent posts

Do orthodontic retainers and extractions reduce marginal bone levels?

Do orthodontic retainers and extractions reduce marginal bone levels?

By on February 13, 2017 in Recent posts with 4 Comments

Do orthodontic retainers and extractions reduce marginal bone levels? This post is about a new study that investigates the effect of retainers and extractions on marginal bone levels. I thought it was very interesting as it included an evaluation of the effect of extractions. (Visited 2,265 times, 30 visits today)

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Is overjet reduction influenced by the duration of functional appliance wear?

Is overjet reduction influenced by the duration of functional appliance wear?

By on February 6, 2017 in Recent posts with 13 Comments

Is overjet reduction influenced by the duration of functional appliance wear? We all think that the effectiveness of removable functional appliances is influenced by the amount of time that our patients wear their appliances. This post is about a new study that answers this question. (Visited 2,730 times, 14 visits today)

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No evidence that orthodontic extractions damage facial profiles.

No evidence that orthodontic extractions damage facial profiles.

By on January 30, 2017 in Recent posts with 8 Comments

No evidence that Orthodontic extractions damage facial profiles. Early last year I wrote several posts on the effect of orthodontic extractions on facial profile. Since then, this interesting systematic review has provided us with more useful information. (Visited 4,643 times, 18 visits today)

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Is absence of evidence; evidence of absence? “Negative” findings in trials and systematic reviews

Is absence of evidence; evidence of absence? “Negative” findings in trials and systematic reviews

By on January 25, 2017 in Recent posts with 6 Comments

Is absence of evidence; evidence of absence? “Negative” findings in trials and systematic reviews I sometimes feel frustrated when I read a trial and the authors report that there is no difference between the treatments and further research is needed. But the interpretation of these negative findings is far from straightforward. I hope to address […]

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Is early orthodontic treatment based on evidence? Looking for “needles in a haystack”.

Is early orthodontic treatment based on evidence? Looking for “needles in a haystack”.

By on January 23, 2017 in Recent posts with 9 Comments

Is early orthodontic treatment based on evidence? Looking for “needles in a haystack”? A systematic review One of the most controversial areas in orthodontics is about the timing of orthodontic treatment.  There are many orthodontists who are starting to introduce “early or interceptive” treatment into their clinical practices.  But is this evidence based?  This systematic […]

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Oh no, orthodontic piezocision may cause root resorption! Do we need to be careful?

Oh no, orthodontic piezocision may cause root resorption! Do we need to be careful?

By on January 16, 2017 in Recent posts with 3 Comments

Oh no, orthodontic piezocision may cause root resorption! Time to think again? An increasing amount of  research is being done into methods of making teeth move faster. One method is called orthodontic piezocision and this new trial shows that it may cause root resorption. But does it? (Visited 2,465 times, 4 visits today)

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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 10,815 times, 2 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 New Year’s orthodontic blog of hopes and dreams…

A New Year’s orthodontic blog of hopes and dreams…

By on January 2, 2017 in Personal opinion, Recent posts with 13 Comments

A New Year’s orthodontic blog of hopes and dreams… Just over three years ago, I got bored and decided to write this orthodontic blog. It has now turned into an important part of my work and I am having to devote a reasonable amount of time to it.  This new post is about what I […]

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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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Clinical research

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 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 4,431 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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