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Where do we come from? Where are we going?

Birte Melsen1

  • 1Adjunct Professor, Department of Orthodontics, University of Western Australia, Perth, Australia; Visiting Professor, College of Dentistry, New York University, New York, New York.

Journal of the World Federation of Orthodontists
|October 7, 2020
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Summary
This summary is machine-generated.

This paper critically examines the scientific foundations of orthodontics, highlighting controversies in terminology, treatment goals, and the understanding of stability over the last century.

Keywords:
CephalometricsOrthodonticsPrescription bracketsStabilityTissue reactionTreatment duration

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Area of Science:

  • Orthodontics
  • Dental Science
  • Biomedical Engineering

Background:

  • The orthodontic profession has evolved significantly over the past century.
  • Several long-standing controversies and challenges persist within the field.
  • A critical re-evaluation of its scientific underpinnings is warranted.

Purpose of the Study:

  • To re-analyze the scientific nature of the orthodontic profession.
  • To draw attention to key problems and controversies in orthodontic development.
  • To critically evaluate specific areas of contention within the field.

Main Methods:

  • Critical analysis of existing literature and professional discourse.
  • Examination of terminology discrepancies between bone biology and orthodontics.
  • Review of the evolution of treatment goals and patient-centered approaches.

Main Results:

  • Identified controversies include inconsistent terminology, subjective beauty-based treatment goals, and a focus on marketing over individual patient needs.
  • The isolation of orthodontic appliance effects from growth and function, and a lack of clear understanding of 'stability', were highlighted.
  • A critical standpoint was taken to analyze these issues.

Conclusions:

  • The scientific rigor of orthodontics faces challenges due to semantic ambiguity and shifting priorities.
  • A deeper, more integrated understanding of biological processes, function, and stability is crucial for advancing the profession.
  • Re-emphasizing individualized patient treatment and a robust scientific foundation is essential.