Ten thoughts for the New Year

I was recently introduced to the term ‘inflection point’, by my friend and colleague, Nik Pandis, which refers to ‘significant advancements or paradigm shifts in techniques, technology, or approaches to treatment’. I thought it would be interesting to ask Chat GPT to list notable inflection points in orthodontics, and I have listed 10 of the many points highlighted, with my thoughts about each.

Why, in the 21st Century, anybody would teach students of orthodontics to use removable appliances for tooth movement (with the notable exception of twin blocks, clear aligners and Essix retainers) completely mystifies me…but I hear they still do!

This led to an understanding of facial growth and more rational and justifiable approaches to treatment planning.

This approach was aimed at influencing jaw growth. It was shown to be particularly effective in growing children. When studied in detail, using randomzed controlled trial (RCT) methodology in the late 20th century, the effects were shown to be largely dento-alveloar (75%), although there was a small, but worthwhile, skeletal improvement (25%).