Evidence in Orthodontics

Evidence in Orthodontics

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

  • 42- How to Keep Results Stable With Removable Retainers

    Retention is key for long-term orthodontic success. Here's what you need to know about removable retainers:

    • Types: Holly and clear thermostats.
    • Wear: Part-time wear (8-12 hours/day) is effective.
    • Maintenance: Use a toothbrush with cold water; avoid toothpaste and hot water.
    • Compliance: Critical for maintaining results.
    • Durability: Hollies are more durable but less discreet.

      • Retention is a partnership between patient understanding and motivation. Regular check-ups are essential.

      …………………….

      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
    • 41- The Hidden Complications of Fixed Retainers

      Key Takeaways on Fixed Retention:

      • Retention marks the beginning, not the end, of orthodontic care.
      • Fixed retainers ensure long-term stability but pose clinical challenges.
      • Common issues include material failures, moisture contamination, and occlusal wear.
      • Peridontal health can be compromised if retainers are poorly positioned.
      • Lifelong retention requires lifelong care and monitoring by patients and professionals.

        • Fixed retention solutions are effective but not without risks, highlighting the importance of early detection and regular maintenance.

        …………………….

        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
      • 40- Do Precision Wings Really Correct Class II

        Explore the effectiveness of Invisalign's precision wings for class 2 correction:

        • Recent systematic review by Mecenas et al. (2025).
        • Seven clinical studies included, mostly retrospective with high bias risk.
        • Evidence of very low certainty.
        • Minimal skeletal effects; overjet reduction via incisor movement.
        • Performed similarly to twin-block and Herbst appliances in minor shifts.
        • Authors call for more rigorous trials to support use as orthopedic treatment.

          • …………………….

          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
        • 39- Are Patients Reacting to Orthodontic Metals

          Allergic reactions to metals used in orthodontics, particularly nickel and titanium, are explored in this discussion. Key points include:

          • Nickel is a common allergen, affecting 14% of patients, mainly women and adults.
          • Titanium allergies are rare, affecting 4% of patients, with no clear predictive symptoms.
          • Substituting titanium for nickel isn’t always safe due to potential reactions to both.
          • Ceramic brackets might be a safer alternative for some patients.

            • Testing remains essential for accurate diagnosis.

            …………………….

            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
          • 38- Is AI the Future of Orthodontic Training

            Explore how generative AI is transforming dental and orthodontic education:

            • Benefits: Enhances knowledge retention and clinical decision-making through personalized learning and immediate feedback.
            • Challenges: Implementation barriers include lack of faculty training, digital infrastructure, and skepticism.
            • Ethical Considerations: Focus on privacy, transparency, and governance to protect sensitive data.
            • Future Outlook: Potential for AI as a powerful educational tool when integrated thoughtfully with investments in training and infrastructure.

              • …………………….

              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
            • 37- Six Digital Retainers Compared for Strength and Stability

              Comparison of Retainers:

              • Study: Tested 6 CAD-CAM retainers vs. traditional stainless steel.
              • Simulated Use: 15 years, 1.2 million chewing cycles.

                • Key Findings:

                • Stainless Steel Twist-Flex: Did not fail, highest load capacity (445 N).
                • Titanium Grade 5: Only CAD-CAM option matching strength.
                • Others (Nickel-Titanium, Zirconia, Gold, Cobalt-Chromium, P.E.K.): Premature breakage or debonding.

                  • Conclusion: Stainless steel remains the gold standard for long-term retention.

                  …………………….

                  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
                • 36- Are Orthodontic Patients Comfortable With Miniscrews

                  Discover insights from a study on patient experiences with microimplants in orthodontics:

                  • Microimplant placement is less painful than expected, especially the transgingival method.
                  • Compared to standard tooth extraction, microimplants cause less discomfort.
                  • Patient anxiety and perceived pain decline with better understanding and communication.
                  • Precision, hygiene, and communication are key for effective, comfortable treatment.

                    • Modern orthodontic anchorage can be both effective and comfortable.

                    …………………….

                    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
                  • 35- Open vs Closed Exposure - Which Do Patients Prefer

                    Explore the differences between open and closed exposure techniques for impacted canines:

                    • Study Details: Conducted by universities in Oslo and Jankoping, involving 100 young patients.
                    • Pain & Discomfort: Open technique caused more initial pain but equalized post-dressing removal.
                    • Analgesics Use: More in closed group after suture removal due to chain irritation.
                    • Surgery Duration: Open exposure faster, especially without flap.
                    • Complications: Open technique had more minor issues but no infections in either group.

                      • Closed technique is more comfortable initially and safer; open technique is quicker but needs informed patients due to possible discomfort.

                      …………………….

                      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

                      5 min
                    • 34- Does Printer Type Change 3D Orthodontic Results

                      3D printing has revolutionized orthodontics, but not all printer settings are equal. A study by Favero et al. reveals unexpected insights into model accuracy.

                      • Study Overview: Analyzed how printer type and layer height affect orthodontic model accuracy.
                      • Key Findings: 100 micron layer height resulted in the most accurate models. Jewel 3D printer exhibited the smallest average deviation. All tested printers were within clinical limits.
                      • Clinical Implication: Finer layers don't guarantee better accuracy; 100 micron is both effective and time-efficient.

                        • …………………….

                        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

                        5 min
                      • 33- Is the Midpalatal Suture Ready for Expansion

                        Discover how orthodontists can pinpoint the perfect timing for rapid maxillary expansion using a CBCT-based classification system. This method evaluates mid-palatal suture maturation, allowing for:

                        • Stages A & B: Ideal for conventional rapid expansion, mostly skeletal change.
                        • Stage C: Borderline phase, window for expansion closing.
                        • Stages D & E: Advanced fusion, requiring surgical intervention or skeletal anchorage.

                          • This new approach surpasses age as a predictor, providing a tailored diagnostic tool for maxillary deficiency treatment.

                          …………………….

                          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

                          5 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.