“The biggest variable with any clear aligner treatment is the patient themselves — not the plastic.”

“We must remain the conductors of the orchestra, not the technicians of an algorithm.”

“Aligners are not inferior to fixed appliances — but neither are they magic. The truth lies somewhere in between.”

“Research often lags years behind reality, so we’re not judging today’s aligners with today’s evidence.”

In this episode of Orthodontics in Summary,I’m joined by Guy Deeming, orthodontist, business leader, and Director of Professional Development at the British Orthodontic Society We dive into the reality of clear aligner therapy, discussing the recently published Delphi Consensus Statements and if theyagree with his clinical practice. Guy discusses  compliance and where the orthodontist role has changed in the era of algorithms. Guy shares candid insights into alignerlimitations, clinical pearls for complex cases, and his vision for orthodontic education.

·      01:12– Are aligners now the go-to appliance for mild to moderate crowding?

·      03:22– Delphi consensus statement:What are aligners’ limitations?

·      05:16– Why do clinical results differ so much from research findings?

·      11:08– “no-go” cases for aligners?

·      15:28– Extreme cases on social media: genuine progress or misleading?

·      17:56– Are orthodontists just technicians of aligner companies’ algorithms?

·      24:57– Profitability, corporate influence, and the in-house aligner movement.

·      28:30– Extraction cases with aligners: realistic or flawed?

·      32:52– Distalisation: predictable movement or just tipping?

·      36:31– Should orthodontic training programmes include formal aligner training?

·      44:50– Direct-to-print aligners: fad or the next revolution?

·      48:08– Guy’s one piece of advice to orthodontists on approaching aligner therapy.

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Farooq Ahmed