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Myths and realities in orthodontics
P S Fleming1, S D Springate2, R A C Chate3
1Barts and The London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, E1 2AD.
British Dental Journal
|February 17, 2015
Summary
This review questions traditional orthodontic treatment truths, exploring shorter treatment alternatives and their impact on dental aesthetics and function. It examines key decisions in orthodontic care, including extractions and appliance systems.
Area of Science:
- Dentistry
- Orthodontics
Background:
- Comprehensive orthodontic treatment involves multiple phases, including alignment, corrections, and finishing, aiming to improve dental and facial aesthetics and function.
- Treatment decisions encompass objectives, appliance design, and mechanics, with a growing interest in shorter treatment approaches.
Purpose of the Study:
- To critically evaluate established principles in orthodontics.
- To discuss the validity of commonly accepted truths in orthodontic treatment planning and execution.
Main Methods:
- Literature review and critical analysis of current orthodontic practices.
- Examination of key treatment components: initial molar relationship, final incisor position, extractions, treatment duration, appliance systems, torque expression, retainers, and inter-proximal reduction.
Main Results:
- The review discusses the importance of initial molar relationships and final incisor positions.
- It evaluates the necessity of orthodontic extractions and the efficiency of modern fixed appliance systems.
- The merits of bonded retainers and inter-proximal reduction are also considered in relation to treatment outcomes.
Conclusions:
- The study challenges the "accepted truths" in orthodontics, suggesting a re-evaluation of traditional treatment phases and objectives.
- It highlights the need for evidence-based decision-making regarding treatment duration, appliance choice, and finishing techniques for optimal aesthetic and functional results.
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