Orthodontics

Correctional branch of dentistry

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Orthodontics

Connecting the arch-wire on brackets with wire

Occupation
Names| Orthodontist

Occupation type

| Specialty

Activity sectors

| Dentistry
Description

Education required

| Dental degree, specialty training

Fields of
employment

| Private practices, hospitals

Orthodontics[a][b] is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, as well as misaligned bite patterns.[2] It may also address the modification of facial growth, known as dentofacial orthopedics.

Abnormal alignment of the teeth and jaws is very common. Nearly 50% of the developed world's population, according to the American Association of Orthodontics, has malocclusions severe enough to benefit from orthodontic treatment,[citation needed] although this figure decreases to less than 10% according to the same AAO statement when referring to medically necessary orthodontics. However, conclusive scientific evidence for the health benefits of orthodontic treatment is lacking, although patients with completed treatment have reported a higher quality of life than that of untreated patients undergoing orthodontic treatment.[3][4] The main reason for the prevalence of these malocclusions are diets with less fresh fruit and vegetables and overall softer foods in childhood, causing smaller jaws, with less room for the teeth to erupt.[5] Treatment may require several months to a few years and entails using dental braces and other appliances to gradually adjust tooth position and jaw alignment. In cases where the malocclusion is severe, jaw surgery may be incorporated into the treatment plan. Treatment usually begins before a person reaches adulthood, insofar as pre-adult bones may be adjusted more easily before adulthood.

## History[edit]

Since the dawn of humankind, individuals have been grappling with the issue of overcrowded, irregular, and protruding teeth. Evidence from Greek and Etruscan materials suggests that attempts to treat this disorder go back to 1000 BC - showcasing primitive yet impressively well-crafted orthodontic appliances. In the 18th and 19th centuries, a range of devices for the "regulation" of teeth were described by various dentistry authors who occasionally put them into practice.[6] As a modern science, orthodontics dates to the mid 1800s.[7] The field's influential contributors include Norman William Kingsley[7] (1829–1913) and Edward Angle[8] (1855–1930). Angle created the first basic system for classifying malocclusions, a system which remains in use today.[7]

Beginning in the mid-1800s, Norman Kingsley published Oral Deformities, which is now credited as one of the first works to begin systematically documenting orthodontics. Being a major presence in American dentistry during the latter half of the 19th century, not only was Kingsley one of the early users of extraoral force to correct protruding teeth, he was also one of the pioneers for treating cleft palates and associated issues. During the era of orthodontics under Kingsley and his colleagues, the treatment was focused on straightening teeth and creating facial harmony. Ignoring occlusal relationships, it was typical to remove teeth for a variety of dental issues such as malalignment or overcrowding. The concept of an intact dentition was not widely appreciated in those days, making bite correlations seem irrelevant.[6]

In the late 1800s, a concept of occlusion was essential for creating reliable prosthetic replacement teeth. This idea was further refined and ultimately applied in various ways when dealing with healthy dental structures as well. As these concepts of prosthetic occlusion progressed, it became an invaluable tool for dentistry.[6]

It was in 1890 that the work and impact of Dr. Edwards H. Angle began to be felt, with his contribution to modern orthodontics particularly noteworthy. Initially focused on prosthodontics, he taught in Pennsylvania and Minnesota before directing his attention towards dental occlusion and the treatments needed to maintain it as a normal condition - thus becoming known as the “father of modern othrodontics”.[6]

By the beginning of the 20th century, orthodontics had become more than just the straightening of crooked teeth. The concept of ideal occlusion, as postulated by Angle and incorporated into a classification system, enabled a shift towards treating malocclusion, which is any deviation from normal occlusion.[6] Having a full set of teeth on both arches was highly sought after in orthodontic treatment due to the need for exact relationships between them. Extraction as an orthodontic procedure was heavily opposed by Angle and those who followed him. As occlusion became the key priority, facial proportions and esthetics were neglected. To achieve ideal occlusals without using external forces, Angle postulated that having perfect occlusion was the best way to gain optimum facial aesthetics.[6]

With the passing of time, it became quite evident that even an exceptional occlusion was not suitable when considered from an aesthetic point of view. Not only were there issues related to esthetics, it usually proved impossible to keep a precise occlusal relationship achieved by forcing teeth together over extended durations with the use of robust elastics, something Angle and his students had previously suggested. Charles Tweed[9] in America and Raymond Begg [10] in Australia (who both studied under Angle) re-introduced dentistry extraction into orthodontics during the 1940s and 1950s so they could improve facial esthetics while also ensuring better stability concerning occlusal relationships.[11]

In the postwar period, cephalometric radiography[12] started to be utilised by orthodontists for measuring changes in tooth and jaw position caused by growth and treatment.[13] The x-rays showed that many Class II and III malocclusions were due to improper jaw relations as opposed to misaligned teeth. It became evident that orthodontic therapy could adjust mandibular development, leading to the formation of functional jaw orthopedics in Europe and extraoral force measures in the US. These days, both functional appliances and extraoral devices are applied around the globe with an aim of amending growth patterns and forms. Consequently, pursuing true or at least improved jaw relationships had become a main objective of treatment by mid-20th century.[6]

At the beginning of the twentieth century, orthodontics was in need of an upgrade. The American Journal of Orthodontics was created for this purpose in 1915; before it, there were no scientific objectives to follow, nor any precise classification system and brackets that lacked features.[14]

Until the mid-1970s, braces were made by wrapping metal around each tooth.[7] With advancements in adhesives it became possible to instead bond metal brackets to the teeth.[7]

In the year 1972, Lawrence F. Andrews gave an insightful definition of the ideal occlusion in permanent teeth. This has had meaningful effects on orthodontic treatments that are administered regularly,[14] and these are 1. Correct interarch relationships 2. Correct crown angulation (tip) 3. Correct crown inclination (torque) 4. No rotations 5. Tight contact points 6. Flat curve of Spee (0.0 - 2.5 mm),[15] and based on these principles, he discovered a treatment system called Straight-wire appliance system or the Pre-adjusted Edgewise system. Introduced in 1976, Larry Andrews' pre-adjusted edgewise appliance, more commonly known as the Straight wire appliance, has since revolutionised fixed orthodontic treatment. The advantage of the design lies in its bracket and archwire combination which requires only minimal wire bending from the orthodontist or clinicisn. It's aptly named after this feature - the angle of the slot and thickness of the bracket base ultimately determine where each tooth is situated with little need for extra manipulation.[16][17][18]

Prior to invention of a straight wire appliance, orthodontists were utilizing a non-programmed standard edgewise fixed appliance system or begg's pin and tube system. Both these systems employed identical brackets for each tooth and necessitated bending of an archwire in three planes for locating teeth in their desired positions - with these bends dictating ultimate placements.[16]

## Evolution of the current orthodontic appliances[edit]

When it comes to orthodontic appliances, they are divided into two types - Removable and Fixed. Take the removable type for instance, these can be taken on and off by the patient as required. On the other hand, fixed appliances cannot be taken off as they remain bonded to the teeth during treatment.

### Fixed appliances[edit]

Fixed orthodontic appliances are predominantly derived from the edgewise appliance approach, which typically begins with round wires before transitioning to rectangular archwires for improving tooth alignment. These rectangluar wires promote precision in the positioning of teeth following initial treatment.In contrast to the Begg appliance, which was based solely around round wires and auxiliary springs, the Tip-Edge system emerged in the early 21st century. This innovative technology allowed for the utilization of rectangular archwires to precisely control tooth movement during finishing stages after initial treatment with round wires. Thus, almost all modern fixed appliances can be considered variations on this edgewise appliance system.

Early 20th century orthodontist Edward Angle made a major contribution to the world of dentistry. He created four distinct appliance systems that have been used as the basis for many orthodontic treatments today, barring a few exceptions. They are E-arch, Pin and tube, Ribbon arch and Edgewise systems.

#### E-arch[edit]

Edward H. Angle made a significant contribution to the dental field when he released the 7th edition of his book back 1907, which outlined his theories and detailed his technique. This approach was founded upon the iconic "E- Arch" or 'the-arch' shape as well as inter-maxillary elastics.[19] This device was different from any other appliance of its period as it featured a rigid framework to which teeth could be tied effectively in order to recreate an arch form that followed pre-defined dimensions.[20] Molars were fitted with braces and a powerful labial archwire was positioned around the arch. The wire ended in a thread and to move it forward an adjustable nut was used, which allowed for an increase in circumference. By ligation, each individual tooth was attached to this expansive archwire.[6]

#### Pin and Tube appliance[edit]

Due to its limited range of motion, Angle was unable to achieve precise tooth positioning with an E-arch. In order to bypass this issue, he started using bands on other teeth combined with a vertical tube for each individual tooth. These tubes held a soldered pin which could be repositioned at each appointment in order to move them in place.[6] Dubbed the "bone growing appliance", this contraption was theorized to encourage healthier bone growth, due to its potential for transferring force directly to the roots.[21] However, implementing it proved troublesome in reality.

#### Ribbon Arch[edit]

Realizing that the Pin and Tube appliance was not easy to control, Angle developed a better option, the Ribbon Arch, which was much simpler to use. Most of its components were already prepared by the manufacturer, so it was significantly easier to manage than before. In order to attach the ribbon arch, the occlusal area of the bracket was opened. Brackets were only added to eight incisors and mandibular canines, as it would be impossible to insert the arch into both horizontal molar tubes and the vertical brackets of adjacent premolars. This lack of understanding posed a considerable challenge to dental professionals; they were unable to make corrections to an excessive Spee curve in bicuspid teeth.[22] Despite the complexity of the situation, it was necessary for practitioners to find a resolution. Unparalleled to its counterparts, what made the ribbon arch instantly popular was that its archwire had remarkable spring qualities and could be utilized to accurately align teeth that were misaligned. However, a major drawback of this device was its inability to effectively control root position since it did not have enough resilience to generate the torque movements required for setting roots in their new place.[6]

#### Edgewise Appliance[edit]

In an effort rectify the issues with the ribbon arch, Angle shifted the orientation of its slot from vertical, instead making it horizontal. In addition, he swapped out the wire and replaced it with a precious metal wire that was rotated by 90 degrees in relation - henceforth known as Edgewise.[23] Following extensive trials, it was concluded that dimensions of 22 × 28 mils were optimal for obtaining excellent control over crown and root positioning across all three planes of space.[24] After debuting in 1928, this appliance quickly become one of the mainstays for multibanded fixed therapy; although ribbon arches continued being utilized for another decade or so beyond this point too.[6]

#### Labiolingual[edit]

Prior to Angle, the idea of fitting attachments on individual teeth had not been thought of; and in his lifetime, his concern for precisely positioning each tooth was not highly appraised. In addition to using fingersprings for repositioning teeth with a range of removable devices, two main appliance systems were very popular in the initial part of the 20th century. Labiolingual appliances used bands on first molars joined with heavy lingual and labial archwires affixed with soldered fingersprings to shift single teeth.

#### Twin wire[edit]

Utilizing bands around both incisors and molars, a twin-wire appliance was designed to provide alignment of these teeth. Constructed with two 10-mil steel archwires, its delicate features were safeguarded by lengthy tubes stretching from molars towards canines. Despite its efforts, it had limited capacity for movement without further modifications - rendering it obsolete in modern orthodontic practice.

### Begg's Appliance[edit]

Returning to Australia in the 1920s, the renowned orthodontist, Raymond Begg, applied his knowledge of ribbon arch appliances, which he had learnt from the Angle school. On top of this, Begg recognised that extracting teeth was sometimes vital for successful outcomes and sought to modify the ribbon arch appliance to provide more control when dealing with root positioning. In the late 1930s, Begg developed his adaptation of the appliance which took three forms. Firstly, a high-strength 16-mil round stainless steel wire replaced the original precious metal ribbon arch. Secondly, he kept the same ribbon arch bracket but inverted it so that it pointed toward the gums instead of away from them. Lastly, auxiliary springs were added to control root movement. This resulted in what would come to be known as the Begg Appliance (Fig 10.19).5 With this design friction was decreased since contact between wire and bracket was minimal, and binding minimized due to tipping and uprighting being used for anchorage control (see Fig 8.26), which lessened contact angles between wires and corners of bracket

### Tip Edge System[edit]

Dr. Begg's influence is still seen in modern appliances, such as Tip-Edge brackets. This type of bracket incorporates a rectangular slot cutaway on one side to allow for crown tipping with no incisal deflection of an archwire; allowing teeth to be tipped during space closure and then uprighted through auxiliary springs or even a rectangular wire for torque purposes in finishing. At initial stages of treatment, small-diameter steel archwires should be used when working with Tip-Edge brackets.

## Contemporary Edgewise systems[edit]

Throughout time, there has been a shift in which appliance is favored by dentists. In particular, during 1960s, when it was introduced, Begg appliance gained wide popularity due to its efficiency compared to edgewise appliance of that era; it could produce same results with less investment from dentist's part. Nevertheless, since then there have been advances in technology and sophistication of edgewise appliances which led to an opposite conclusion: nowadays, edgewise is more efficient than Begg appliance thus explaining why it is commonly used.

### Automatic rotational control[edit]

At the beginning, Angle attached eyelets to the edges of archwires so that they could be held with ligatures and help manage rotations. Now, however, no extra ligature is needed due to either twin brackets or single brackets that have added wings touching underneath the wire (Lewis or Lang brackets). Both types of brackets simplify obtaining moments that control movements along a particular plane of space.

### Alteration in bracket slot dimensions[edit]

In modern dentistry, two types of edgewise appliance exist: the 18- and 22-slot varieties. While these appliances are used differently, the introduction of a 20-slot device with more precise features has been considered but not pursued yet.[25]

### Straight-wire bracket prescriptions[edit]

Rather than rely on the same bracket for all teeth, L.F. Andrews found a way to make different brackets for each tooth in the 1980s, thanks to the increased convenience of bonding.[26] This adjustment enabled him to avoid having multiple bends in archwires that would have been needed to make up for variations in tooth anatomy. Ultimately, this led to what was termed as "straight-wire appliance" system - an edgewise appliance which greatly enhanced its efficiency.[27] The modern edgewise appliance has slightly different construction than the original one. Instead of relying on faciolingual bends to accommodate variations among teeth, each bracket has a correspondingly varying base thickness depending on the tooth it is intended for. However, due to individual differences between teeth, this does not completely eliminate the need for compensating bends.[28] Accurately placing the roots of many teeth requires angling brackets in relation to the long axis of the tooth. Traditionally, this mesiodistal root positioning necessitated using second-order, or tip, bends along the archwire. However, angling the bracket or bracket slot eliminates this need for bends.

Given the discrepancies in inclination of facial surfaces across individual teeth, placing a twist, otherwise known as third-order or torque bends, into segments of each rectangular archwire was initially required with the edgewise appliance. These bends were necessary for all patients and wires, not just to avoid any unintentional movement of suitably placed teeth or when moving roots facially or lingually. Angulation of either brackets or slots can minimize the need for second-order or tip bends on archwires. Contemporary edgewise appliances come with brackets designed to adjust for any facial inclinations, thereby eliminating or reducing any third-order bends. These brackets already have angulation and torque values built in so that each rectangluar archwire can be contorted to form a custom fit without inadvertently shifting any correctly positioned teeth. Without bracket angulation and torque, second-order or tip bends would still be required on each patient's archwire.

## Methods[edit]

Upper and lower jaw functional expanders

A typical treatment for incorrectly positioned teeth (malocclusion) takes from one to two years, with braces being adjusted every four to 10 weeks by orthodontists,[29] while university-trained dental specialists versed in the prevention, diagnosis and treatment of dental and facial irregularities. Orthodontists offer a wide range of treatment options to straighten crooked teeth, fix irregular bites, and align the jaws correctly.[30] There are many ways to adjust malocclusion. In growing patients there are more options to treat skeletal discrepancies, either by promoting or restricting growth using functional appliances, orthodontic headgear or a reverse pull facemask. Most orthodontic work begins in the early permanent dentition stage before skeletal growth is completed. If skeletal growth has completed, jaw surgery is an option. Sometimes teeth are extracted to aid the orthodontic treatment (teeth are extracted in about half of all the cases, most commonly the premolars).[31]

Orthodontic therapy may include using fixed or removable appliances. Most orthodontic therapy is delivered using appliances that are fixed in place,[32] for example, with braces that are adhesively bonded to the teeth. Fixed appliances may provide greater mechanical control of the teeth; optimal treatment outcome is improved by using fixed appliances.

Fixed appliances may be used, for example, to rotate teeth if that do not fit the arch shape of the other teeth in the mouth, to adjust multiple teeth to different places, to change tooth angle of teeth, or to change the position of a tooth's root. This treatment course is not preferred where a patient has poor oral hygiene, (as decalcification, tooth decay or other complications may result. If a patient is unmotivated (insofar as treatment takes several months and requires commitment to oral hygiene), or if malocclusions are mild.

Biology of tooth movement and how advances in gene therapy and molecular biology technology may shape the future of orthodontic treatment.[33]

### Braces[edit]

Dental braces

Braces are usually placed on the front side of the teeth, but they may also be placed on the side facing the tongue (called lingual braces). Brackets made out of stainless steel or porcelain are bonded to the center of the teeth using an adhesive. Wires are placed in a slot in the brackets which allows for controlled movement in all three dimensions.

Apart from wires, forces can be applied using elastic bands,[34] and springs may be used to push teeth apart or to close a gap. Several teeth may be tied together with ligatures and different kinds of hooks can be placed to allow for connecting an elastic band.[35][34]

Clear aligners are an alternative to braces, but insufficient evidence exists to determine their effectiveness.[36]

#### Treatment duration[edit]

The time required for braces varies from person to person as it depends on the severity of the problem, the amount of room available, the distance the teeth must travel, the health of the teeth, gums, and supporting bone, and how closely the patient follows instructions. On average, however, once the braces are put on, they usually remain in place for one to three years. After braces are removed, most patients will need to wear a retainer all the time for the first six months, then only during sleep for many years.[37]

### Headgear[edit]

Orthodontic headgear—sometimes referred to as an "extra-oral appliance"—is a treatment approach that requires the patient to have a device strapped onto their head to help correct malocclusion—typically used when the teeth do not align properly. Headgear is most often used along with braces or other orthodontic appliances. While braces correct the position of teeth, orthodontic headgear—which as the name suggests is worn on or is strapped onto the patient's head—is most often added to orthodontic treatment to help alter the alignment of the jaw, although there are some situations in which such an appliance can help move teeth, particularly molars.

Full orthodontic headgear with headcap, fitting straps, facebow, and elastics

Whatever the purpose, orthodontic headgear works by exerting tension on the braces via hooks, a facebow, coils, elastic bands, metal orthodontic bands, and other attachable appliances directly into the patient's mouth. It is most effective for children and teenagers because their jaws are still developing and can be easily manipulated. (If an adult is fitted with headgear, it is usually to help correct the position of teeth that have shifted after other teeth have been extracted.) Thus, headgear is typically used to treat a number of jaw alignment or bite problems such as overbite and underbite.[38]

### Palatal expansion[edit]

Palatal expansion can be best achieved using a fixed tissue born appliance. Removable appliances can push teeth outwards but is less effective at maxillary sutural expansion. The effects of a removable expander may look the same as they push teeth outwards but should not be confused with actually expanding the palate. Proper palate expansion can create more space for teeth as well as improve both oral and nasal airflow.[citation needed]

### Jaw surgery[edit]

Jaw surgery may be required to fix severe malocclusions. The bone is broken during surgery and is stabilized with titanium (or bioresorbable) plates and screws to allow for healing to take place.[39] After surgery, regular orthodontic treatment is used to move the teeth into their final position.[40]

### During treatment[edit]

To reduce pain during the orthodontic treatment, low-level laser therapy (LLLT), vibratory devices, chewing adjuncts, brainwave music, or cognitive behavioral therapy can be used. However, the supporting evidence is of low quality, and the results are inconclusive.[41]

### Post treatment[edit]

After orthodontic treatment has completed, there is a tendency for teeth to return, or relapse, back to their pre-treatment positions. Over 50% of patients have some reversion to pre-treatment positions within 10 years following treatment.[42] To prevent relapse, the majority of patients will be offered a retainer once treatment has completed and will benefit from wearing their retainers. Retainers can be either fixed or removable.

#### Removable retainers[edit]

Removable retainers are made from a clear plastic, and they are custom-fitted for the patient's mouth. It has a tight fit and holds all of the teeth in position. There are many types of brands for clear retainers including Zendura Retainer, Essix Retainer, and Vivera Retainer.[43] Hawley retainer is also a removable orthodontic appliance made from a combination of plastic and metal that is molded custom to fit the patient's mouth. Removable retainers will be worn for different periods of time depending on patient need to stabilise the dentition.[44]

#### Fixed retainers[edit]

Fixed retainers are a simple wire fixed to the tongue-facing part of the incisors using dental adhesive and can be specifically useful to prevent rotation in incisors. Other types of fixed retainers can include labial or lingual braces, with brackets fixed to the teeth.[44]

* Palatal expander

* Orthodontic headgear

* An X-ray taken for skull analysis

* Top (left) and bottom retainers

### Clear Aligners[edit]

Clear aligners are another form of orthodontics commonly used today, involving removable plastic trays. There has been controversy about the effectiveness of aligners such as Invisalign or Byte, some consider them to be faster and more freeing than the alternative.[45]

## Training[edit]

There are several specialty areas in dentistry, but the specialty of orthodontics was the first to be recognized within dentistry.[46] Specifically, the American Dental Association recognized orthodontics as a specialty in the 1950s.[46] Each country has their own system for training and registering orthodontic specialists.

### Australia[edit]

In Australia, to obtain an accredited three-year full-time university degree in orthodontics, one will need to be a qualified dentist (complete an AHPRA registered general dental degree) with a minimum of two years of clinical experience. There are several universities in Australia that offer orthodontic programs: University of Adelaide, University of Melbourne, University of Sydney, University of Queensland, University of Western Australia, University of Otago.[47] Orthodontic Courses are accredited by the Australian Dental Council and reviewed by the Australian Society of Orthodontists (ASO). Prospective applicants should obtain information from the relevant institution before applying for admission.[48] After completing a degree in orthodontics, specialists are required to be registered with the Australian Health Practitioner Regulation Agency (AHPRA) in order to practice.[49][50]

### Bangladesh[edit]

Dhaka Dental College in Bangladesh is one of the many schools recognized by the Bangladesh Medical and Dental Council (BM&DC) that offer post-graduation orthodontic courses.[51][52] Before applying to any post-graduation training courses, an applicant must have completed the Bachelor of Dental Surgery (BDS) examination from any dental college.[51] After application, the applicant must take an admissions test held by the specific college.[51] When successful, selected candidates undergo training for six months.[53]

### Canada[edit]

In Canada, obtaining a dental degree, such as a Doctor of Dental Surgery (DDS) or Doctor of Medical Dentistry (DMD), would be required before being accepted by a school for orthodontic training.[54] Currently, there are 10 schools in the country offering the orthodontic specialty.[54] Candidates should contact the individual school directly to obtain the most recent pre-requisites before entry.[54] The Canadian Dental Association expects orthodontists to complete at least two years of post-doctoral, specialty training in orthodontics in an accredited program, after graduating from their dental degree.

### United States[edit]

Similar to Canada, there are several colleges and universities in the United States that offer orthodontic programs. Every school has a different enrollment process, but every applicant is required to have graduated with a DDS or DMD from an accredited dental school.[55][56] Entrance into an accredited orthodontics program is extremely competitive, and begins by passing a national or state licensing exam.[57]

The program generally lasts for two to three years, and by the final year, graduates are to complete the written American Board of Orthodontics (ABO) exam.[57] This exam is also broken down into two components: a written exam and a clinical exam.[57] The written exam is a comprehensive exam that tests for the applicant's knowledge of basic sciences and clinical concepts.[57] The clinical exam, however, consists of a Board Case Oral Examination (BCOE), a Case Report Examination (CRE), and a Case Report Oral Examination (CROE).[57] Once certified, certification must then be renewed every ten years.[57] Orthodontic programs can award the Master of Science degree, Doctor of Science degree, or Doctor of Philosophy degree depending on the school and individual research requirements.[58]

### United Kingdom[edit]

This section relies largely or entirely on a single source. Relevant discussion may be found on the talk page. Please help improve this article by introducing citations to additional sources.
Find sources: "Orthodontics" – news · newspapers · books · scholar · JSTOR (May 2023)

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Throughout the United Kingdom, there are several Orthodontic Specialty Training Registrar posts available.[59] The program is full-time for three years, and upon completion, trainees graduate with a degree at the Masters or Doctorate level.[59] Training may take place within hospital departments that are linked to recognized dental schools.[59] Obtaining a Certificate of Completion of Specialty Training (CCST) allows an orthodontic specialist to be registered under the General Dental Council (GDC).[59] An orthodontic specialist can provide care within a primary care setting, but to work at a hospital as an orthodontic consultant, higher-level training is further required as a post-CCST trainee.[59] To work within a university setting, as an academic consultant, completing research toward obtaining a Ph.D. is also required.[59]

## See also[edit]

* Orthodontic technology
* Orthodontic indices
* List of orthodontic functional appliances
* Molar distalization
* Mouth breathing
* Obligate nasal breathing
* Orthodontic Tooth Movement: Gene Therapy and Molecular Biology Aspect

## Notes[edit]

1. ^ Also referred to as orthodontia
2. ^ "Orthodontics" is come from the Greek orthos ("correct", "straight") and -odont ("tooth").[1]

## References[edit]

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3. ^ Whitcomb I (2020-07-20). "Evidence and Orthodontics: Does Your Child Really Need Braces?". Undark Magazine. Retrieved 2020-07-27.
4. ^ "Controversial report finds no proof that dental braces work". British Dental Journal. 226 (2): 91. 2019-01-01. doi:10.1038/sj.bdj.2019.65. ISSN 1476-5373. S2CID 59222957.
5. ^ von Cramon-Taubadel N (December 2011). "Global human mandibular variation reflects differences in agricultural and hunter-gatherer subsistence strategies". Proceedings of the National Academy of Sciences of the United States of America. 108 (49): 19546–19551. Bibcode:2011PNAS..10819546V. doi:10.1073/pnas.1113050108. PMC 3241821. PMID 22106280.
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11. ^ Safirstein D (August 2015). "P. Raymond Begg". American Journal of Orthodontics and Dentofacial Orthopedics. 148 (2): 206. doi:10.1016/j.ajodo.2015.06.005. PMID 26232825.
12. ^ Higley LB (August 1940). "Lateral head roentgenograms and their relation to the orthodontic problem". American Journal of Orthodontics and Oral Surgery. 26 (8): 768–778. doi:10.1016/S0096-6347(40)90331-3. ISSN 0096-6347.
13. ^ Themes UF (2015-01-12). "14: Cephalometric radiography". Pocket Dentistry. Retrieved 2023-02-07.
14. ^ a b Andrews LF (December 2015). "The 6-elements orthodontic philosophy: Treatment goals, classification, and rules for treating". American Journal of Orthodontics and Dentofacial Orthopedics. 148 (6): 883–887. doi:10.1016/j.ajodo.2015.09.011. PMID 26672688.
15. ^ Andrews LF (September 1972). "The six keys to normal occlusion". American Journal of Orthodontics. 62 (3): 296–309. doi:10.1016/s0002-9416(72)90268-0. PMID 4505873. S2CID 8039883.
16. ^ a b Themes UF (2015-01-01). "31 The straight wire appliance". Pocket Dentistry. Retrieved 2023-02-07.
17. ^ Andrews LF (July 1979). "The straight-wire appliance". British Journal of Orthodontics. 6 (3): 125–143. doi:10.1179/bjo.6.3.125. PMID 297458. S2CID 33259729.
18. ^ Phulari B (2013), "Andrews' Straight Wire Appliance", History of Orthodontics, Jaypee Brothers Medical Publishers (P) Ltd., p. 98, doi:10.5005/jp/books/12065_11, ISBN 9789350904718, retrieved 2023-02-07
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20. ^ Philippe J (March 2008). "How, why, and when was the edgewise appliance born?". Journal of Dentofacial Anomalies and Orthodontics. 11 (1): 68–74. doi:10.1051/odfen/20084210113. ISSN 2110-5715.
21. ^ Angle EH (1912). "Evolution of orthodontia. Recent developments". Dental Cosmos. 54: 853–867.
22. ^ Brodie AG (1931). "A discussion on the Newest Angle Mechanism". The Angle Orthodontist. 1: 32–38.
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30. ^ "What is an Orthodontist?". Orthodontics Australia. 5 December 2019.
31. ^ Dardengo C, Fernandes LQ, Capelli Júnior J (February 2016). "Frequency of orthodontic extraction". Dental Press Journal of Orthodontics. 21 (1): 54–59. doi:10.1590/2177-6709.21.1.054-059.oar. PMC 4816586. PMID 27007762.
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Orthodontics

Diagnosis|

* Bolton analysis
* Cephalometric analysis
* Cephalometry
* Dentition analysis
* Failure of eruption of teeth
* Little's Irregularity Index
* Malocclusion
* Scissor bite
* Standard anatomical position
* Tooth ankylosis
* Tongue thrust

Conditions|

* Overbite
* Overjet
* Open bite
* Crossbite
* Dental crowding
* Dental spacing
* Bimaxillary Protrusion
* Prognathism
* Retrognathism
* Maxillary hypoplasia
* Condylar hyperplasia
* Overeruption
* Mouth breathing
* Temperomandibular dysfunction

Appliances|

* ACCO appliance
* Archwire
* Activator appliance
* Braces
* Damon system
* Elastics
* Frankel appliance
* Invisalign
* Lingual arch
* Lip bumper
* Herbst Appliance
* List of orthodontic functional appliances
* List of palatal expanders
* Lingual braces
* Headgear
* Orthodontic technology
* Orthodontic spacer
* Palatal lift prosthesis
* Palatal expander
* Quad helix
* Retainer
* SureSmile
* Self-ligating braces
* Splint activator
* Twin Block Appliance

Procedures|

* Anchorage (orthodontics)
* Cantilever mechanics
* Fiberotomy
* Interproximal reduction
* Intrusion (orthodontics)
* Molar distalization
* SARPE
* Serial extraction

Materials|

* Beta-titanium
* Nickel titanium
* Stainless steel
* TiMolium
* Elgiloy
* Ceramic
* Composite
* Dental elastics

Notable contributors|

* Edward Angle
* Spencer Atkinson
* Clifford Ballard
* Raymond Begg
* Hans Peter Bimler
* Samir Bishara
* Arne Björk
* Charles B. Bolton
* Holly Broadbent Sr.
* Allan G. Brodie
* Charles J. Burstone
* Peter Buschang
* Calvin Case
* Harold Chapman (Orthodontist)
* David Di Biase
* Jean Delaire
* Terry Dischinger
* William B. Downs
* John Nutting Farrar
* Rolf Frankel
* Sheldon Friel
* Thomas M. Graber
* Charles A. Hawley
* Reed Holdaway
* John Hooper (Orthodontist)
* Joseph Jarabak
* Harold Kesling
* Albert Ketcham
* Juri Kurol
* Craven Kurz
* Benno Lischer
* James A. McNamara
* Birte Melsen
* Robert Moyers
* Hayes Nance
* Ravindra Nanda
* George Northcroft
* Dean Harold Noyes
* Frederick Bogue Noyes
* Albin Oppenheim
* Herbert A. Pullen
* Earl W. Renfroe
* Robert M. Ricketts
* Alfred Paul Rogers
* Ronald Roth
* Everett Shapiro
* L. F. Andrews
* Frederick Lester Stanton
* Earl Emanuel Shepard
* Cecil C. Steiner
* David L. Turpin
* Charles H. Tweed
* Katherine Vig
* Edmund H. Wuerpel
* Won-Sik Yang
* Robert M. Ricketts
* Kevin O'Brien
* Häns Pancherz
* C. Philip Adams

Organizations|

* American Association of Orthodontists
* American Board of Orthodontics
* British Orthodontic Society
* Canadian Association of Orthodontists
* Indian Orthodontic Society
* Italian Academy of Orthodontic Technology
* Society for Orthodontic Dental Technology (Germany)

Journals|

* American Journal of Orthodontics and Dentofacial Orthopedics
* The Angle Orthodontist
* Journal of Orthodontics

Institution|

* Angle School of Orthodontia

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* e

Dentistry

Specialties|

* Endodontics
* Oral and maxillofacial pathology
* Oral and maxillofacial radiology
* Oral and maxillofacial surgery
* Orthodontics and dentofacial orthopedics
* Pediatric dentistry
* Periodontics
* Prosthodontics
* Dental public health
* Cosmetic dentistry
* Dental implantology
* Geriatric dentistry
* Restorative dentistry
* Forensic odontology
* Dental traumatology
* Holistic dentistry

Dental surgery|

* Dental extraction
* Tooth filling
* Root canal therapy
* Root end surgery
* Scaling and root planing
* Teeth cleaning
* Dental bonding
* Tooth polishing
* Tooth bleaching
* Socket preservation
* Dental implant

Organisations|

* American Association of Orthodontists
* British Dental Association
* British Dental Health Foundation
* British Orthodontic Society
* Canadian Association of Orthodontists
* Dental Technologists Association
* General Dental Council
* Indian Dental Association
* National Health Service

By country|

* Canada
* Philippines
* Israel
* United Kingdom
* United States

See also|

* Index of oral health and dental articles
* Outline of dentistry and oral health
* Dental fear
* Dental instruments
* Dental material
* History of dental treatments
* Ancient Rome
* Infant oral mutilation
* Mouth assessment
* Oral hygiene

* v
* t
* e

Cleft lip and cleft palate

Related specialities|

* Advance practice nursing
* Audiology
* Dentistry
* Dietetics
* Genetics
* Oral and maxillofacial surgery
* Orthodontics
* Orthodontic technology
* Otolaryngology
* Pediatrics
* Pediatric dentistry
* Physician
* Plastic surgery
* Psychiatry
* Psychology
* Respiratory therapy
* Social work
* Speech and language therapy

Related syndromes|

* Hearing loss with craniofacial syndromes
* Pierre Robin syndrome
* Popliteal pterygium syndrome
* Van der Woude syndrome

National and international
organisations|

* Cleft Lip and Palate Association
* Craniofacial Society of Great Britain and Ireland
* Interplast
* North Thames Regional Cleft Lip and Palate Service
* Operation Smile
* Overseas Plastic Surgery Appeal
* Shriners Hospitals for Children
* Smile Train
* Transforming Faces Worldwide
* Smile Angel Foundation (China)

Authority control databases: National |

* Germany
* Israel
* United States
* Japan
* Czech Republic

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Portal:

* Medicine

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