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Closing the Gaps in Orthodontic Practice: A 10-Year Review and Future Plans

This comprehensive review examines the last 10 years of orthodontic practices, identifying gaps in current approaches. Key topics include everyday technical queries, bracket type selection, arch wire sequencing, NiTi variations, treatment outcomes for patients and clinicians, impact of extraction patterns, and the need for orthodontic intervention. The review also explores future strategies such as space closure techniques, clinical trials, patient-centered outcomes, and counseling for borderline cases. Directions for filling these gaps are discussed, focusing on research networks, provider responsibilities, funding sources, and resolving controversies surrounding orthodontic treatment efficacy and patient satisfaction.

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Closing the Gaps in Orthodontic Practice: A 10-Year Review and Future Plans

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  1. Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group30th-31st May 2006, ManchesterThe Gaps Bill Shaw Jayne Harrison Own logo Review of 10 years

  2. Where are the gaps? • Everyday technical questions • Bracket type • Arch wire sequence • NiTi – original/SE/heat activated • Alignment / pt and clinician outcomes • OB reduction • Bands or bonds for molars • Extraction / non-extraction • Extraction pattern – 6s vs. PMs • Anchorage • HG/palatal implant/mini-implants • Inter-visit span • Generalist vs Specialist treatment • Is ortho Rx necessary Own logo Review of 10 years

  3. Future plans for filling these gaps • Space closure - SR • Clinical trials • Patient centred outcomes • Alternatives to ortho • Borderline patients • Counselling/psychological coping stratagies

  4. Who is responsible for filling the gaps? • Research / clinician networks • Everyday providers

  5. Who will fund this work? • Pump-priming, a survey of current practice • Companies • Conflict of interest • Orthodontic Societies’ stamp of approval • Ortho societies • NHS R&D / NIH / Government

  6. What controversies need resolving? • Is ortho Rx necessary ? • If so at what level of severity? • Is ortho Rx beneficial? • Pt centred outcomes • Ultimate outcomes • Quality of life

  7. Thank you Own logo Review of 10 years Review of 10 years

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