Evidence in Orthodontics

Evidence in Orthodontics

By Dr. Baxmann MSc PhDMedicineHealth & FitnessEducation
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Evidence in Orthodontics episodes

  • 52- Why Your Brain Trusts Anecdotes More Than Facts

    Explore how our brains favor stories over statistics, even when facts differ. This episode covers:

    • Wiring of human brains for storytelling.
    • Impact of emotionally charged anecdotes.
    • Availability heuristic and false consensus effect.
    • Methods to counter biases, like improving statistical literacy.
    • Importance of evidence-based practice in fields like orthodontics.

      • Remember, as Richard Feynman said, "you must not fool yourself and you are the easiest person to fool."

      …………………….

      Take Your Practice to the Next Level!

      Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

      If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

      And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

      Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

      🎯 Book your free consultation call now.

      Let’s make it happen!

      – Dr. Dr. Martin Baxmann

      4 min
    • 51- How “SPIN” Misleads Readers in Clinical Research

      Study Focus:

      • Over 100 randomized controlled trials examined
        • Key Finding:
      • Nearly 80% of abstracts contain SPIN

        • SPIN Definition: Presenting study results more positively than they are.

        Common Issue: Frequent in studies on insomnia.
        Key Factor: Involvement of statisticians reduces SPIN.

        Implications: Misleading abstracts can distort evidence interpretation, affecting patient treatment.

        Solutions:

        • Mandatory trial registration
        • Structured abstract formats
        • Reviewer training to detect SPIN

          • …………………….

          Take Your Practice to the Next Level!

          Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

          If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

          And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

          Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

          🎯 Book your free consultation call now.

          Let’s make it happen!

          – Dr. Dr. Martin Baxmann

          4 min
        • 50- How to Transition from Functional to Fixed Appliances

          Transition from Functional Appliances to Fixed Braces: Key Points

          • Importance: Smooth transition prevents stalled progress.

          • Risks: Most relapse occurs during transition.

          • Strategies:

          • Plan for overcorrection.

          • Timely transition to fixed appliances.

          • Consider anchorage options like headgear.

          • Customize each transition based on individual needs.

            • …………………….

            Take Your Practice to the Next Level!

            Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

            If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

            And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

            Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

            🎯 Book your free consultation call now.

            Let’s make it happen!

            – Dr. Dr. Martin Baxmann

            4 min
          • 49- Is the Cervical Vertebral Maturation Method Accurate

            Explore the Cervicovertebral Maturation (CVM) method, an approach to assess skeletal maturity by evaluating:

            • Effectiveness in predicting the pubertal growth spurt.
            • Correlation with traditional hand-wrist radiographs.
            • Strong observer agreement (78-98%).
            • Identification of the growth peak between stages three and four.
            • Practicality using existing x-rays, avoiding additional radiation.

              • Note: Accuracy depends on research quality and clinical application.

              …………………….

              Take Your Practice to the Next Level!

              Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

              If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

              And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

              Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

              🎯 Book your free consultation call now.

              Let’s make it happen!

              – Dr. Dr. Martin Baxmann

              4 min
            • 48- How General Dentists Can Intercept Palatal Canines

              Early Diagnosis of Palatally Displaced Maxillary Canines

              • Importance: Early detection prevents complex surgical interventions.
              • Timing: By age 10, the canine should be palpable; if not, get a radiograph.
              • Extraction: Increases eruption odds by threefold, especially in children aged 10-13 with space.
              • Intervention: If no eruption in 12 months post-extraction, refer to a specialist.
              • Key Takeaway: Act early with palpation and timely radiographs for effective management.

                • By age 10, if the canine is not palpable or there's asymmetry, it's time for a radiograph.

                …………………….

                Take Your Practice to the Next Level!

                Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

                If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

                And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

                Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

                🎯 Book your free consultation call now.

                Let’s make it happen!

                – Dr. Dr. Martin Baxmann

                4 min
              • 47- Do Laceback Ligatures Really Work

                Key Findings on Laceback Ligatures:

                • Lacebacks are not effective in controlling incisor position.
                • Resulted in more anchorage loss; 0.8 mm mesial movement of lower first molars.
                  • -No significant difference in incisor proclination between groups with and without lacebacks.

                  In summary, using laceback ligatures in extraction cases may lead to unwanted side effects, especially anchorage loss.

                  …………………….

                  Take Your Practice to the Next Level!

                  Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

                  If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

                  And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

                  Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

                  🎯 Book your free consultation call now.

                  Let’s make it happen!

                  – Dr. Dr. Martin Baxmann

                  3 min
                • 46- New Clinical Guidelines for Molar Extraction in Children

                  This episode discusses the important decision of when to extract a first permanent molar in children. Key points include:

                  • The British Orthodontic Society guidelines provide a structured approach.
                  • Consider factors like enamel hypomineralization, caries, and post-eruptive breakdown.
                  • Evaluate the entire oral condition radiographically and clinically.
                  • Understand timing for extraction
                  • Coordination with orthodontic care is crucial in cases of malocclusion.
                  • Clinical judgment and family support are essential for decision-making.

                    • The goal is a functional, symmetrical, and stable dentition with minimal future burden.

                    …………………….

                    Take Your Practice to the Next Level!

                    Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

                    If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

                    And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

                    Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

                    🎯 Book your free consultation call now.

                    Let’s make it happen!

                    – Dr. Dr. Martin Baxmann

                    4 min
                  • 45- Do Self-Ligating Brackets Really Change Treatment

                    Claims: Self-ligating brackets are advertised as reducing friction, shortening chair time, and increasing comfort.

                    • Research Findings: A 2010 review by Fleming and Johal examined 17 clinical trials. Results showed: No significant difference in alignment efficiency and pain perception compared to conventional brackets. Bone failures, plaque levels, arch width, and root resorption were clinically equivalent. Slightly lower early bacterial counts were transient and trivial.
                    • Conclusion: No robust evidence supports the superiority of self-ligating brackets over conventional ones.
                    • Recommendation: Choose appliance systems based on handling, reliability, and familiarity, rather than unsupported claims.

                      • The patient's biology, cooperation, and clinician's skill are more decisive than the bracket design.

                      …………………….

                      Take Your Practice to the Next Level!

                      Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

                      If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

                      And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

                      Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

                      🎯 Book your free consultation call now.

                      Let’s make it happen!

                      – Dr. Dr. Martin Baxmann

                      4 min
                    • 44- How Adenoids & Tonsils Grow in Children and Teens

                      Explore how adenoid and tonsil growth affects facial and airway development:

                      • Study on 90 Japanese children ages 6-20 using cephalometric radiographs.
                      • Findings show a gradual reduction of adenoid and tonsil sizes, not the expected sharp changes.
                      • Growth patterns challenge traditional beliefs of post-puberty tissue disappearance.
                      • Implications for diagnosing snoring, mild sleep apnea, and airway monitoring in orthodontics.

                        • The study highlights that adenoid and tonsil hypertrophy can persist into adulthood, emphasizing the importance of considering lymphoid tissues beyond childhood.

                        …………………….

                        Take Your Practice to the Next Level!

                        Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

                        If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

                        And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

                        Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

                        🎯 Book your free consultation call now.

                        Let’s make it happen!

                        – Dr. Dr. Martin Baxmann

                        4 min
                      • 43- Orthodontic Retention Explained Piecing Together Stability

                        Explore the complexities of orthodontic retention and learn why teeth often move back after treatment.

                        • Retention is a significant challenge in orthodontics.
                        • Key factors include biological, mechanical, and behavioral aspects.
                        • Key insights: Relapse is influenced by biology, growth, and time. Soft tissue balance and the original lower arch form are crucial. Growth and aging continue to affect teeth positioning.
                        • Retention strategies include: Circumferential supracrestal fibrotomy and interproximal reduction. Pharmacological methods are still experimental.
                        • Long-term solutions require tailored plans and patient involvement.

                          • Retention involves dynamic balance: tissue biology, growth, and patient behavior guide stability.

                          …………………….

                          Take Your Practice to the Next Level!

                          Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own!

                          If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow

                          And if you would like personal 1:1 guidance while implementing these ideas in your own practice:

                          Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential.

                          🎯 Book your free consultation call now.

                          Let’s make it happen!

                          – Dr. Dr. Martin Baxmann

                          4 min

                        About Evidence in Orthodontics

                        From the publisher's feed

                        Dr. Dr. Baxmann explains in his typical clear and no-bullshit way must-read articles in orthodontics. He highlights clinical implications for your integration into daily practice and explains the strength and weaknesses of the presented research.