Evidence in Orthodontics

Evidence in Orthodontics

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

  • 32- Do We Finally Have a Standard of Care for TMD

    Discover the latest consensus on treating TMD, a complex condition once misunderstood in dentistry:

    • TMD: A multifactorial biopsychosocial disorder, not just a dental occlusion problem.
    • Diagnosis: Based on standardized history and clinical examination, not just imaging or bite analysis.
    • Treatment: Start conservatively with education, behavioral approaches, and physiotherapy. Use oral appliances temporarily. Avoid irreversible procedures unless structural pathology exists.
    • Focus: Support self-management, avoid harm, and prioritize medical insight over mechanical fixes.

      • The consensus aligns with decades of pain research, providing an evidence-based template for clinicians worldwide.

      …………………….

      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
    • 31- Can Early Facemask Treatment Prevent Surgery

      This episode explores a multicenter study on early face mask therapy for Class III treatment and its potential to reduce future jaw surgery needs.

      • Study involved 73 children, ages 7-9, followed for 6 years.
      • Early face mask therapy reduced the likelihood of surgery by two-thirds for the treated group.
      • No significant long-term skeletal differences were observed by age 15.
      • A persistent change was a clockwise rotation of the maxilla and mandible.
      • Clinically, two-thirds of treated children maintained a positive overjet.

        • While the therapy doesn't eliminate all Class III issues, it helps avoid some children needing surgery. Future directions include exploring skeletal anchorage for consistent results.

        …………………….

        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
      • 30- Does Orthodontics Help Mouth Breathers

        Explore the science behind mouth breathing and its effects on facial growth and orthodontic treatment:

        • Traditional beliefs link mouth breathing to long, narrow faces; however, recent studies suggest otherwise.
        • Much evidence stems from flawed animal studies, not human trials.
        • Modern research shows no causal link between mouth breathing and facial growth.
        • Functional appliances and myofunctional therapy do not alter skeletal growth.
        • Expanding the maxilla for mouth breathing lacks support; it may even harm long-faced children.
        • Mouth breathing is not a cause of ADHD; using it for intervention lacks ethics.

          • Diagnosing based on facial features alone isn't scientific. Orthodontics isn't a substitute for ENT medicine.

          …………………….

          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
        • 29- Does Early Facemask Treatment Last 3 Years Later

          Explore the long-term efficacy of early class 3 face mask treatment in this insightful study.

          • Study Overview: Followed patients for three years post-treatment.
          • Design: Multi-center randomized trial with standardized protocols and blinded measurements.
          • Clinical Implication: Reasonable choice for growing class 3 cases with modest skeletal gain.
          • Conclusion: Early intervention shows modest benefits; does not guarantee surgery avoidance or psychosocial improvements.

            • …………………….

            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
          • 28- Does Early Facemask Therapy Really Work

            Explore the effectiveness of early face mask treatment for class 3 malocclusion based on a major multicenter study. Key findings include:

            • The study involved 73 children under 10 with maxillary retrusion, randomized into treatment and observation groups.
            • Results showed forward maxilla movement and increased overjet, with positive outcomes in 70% of cases.
            • No increase in TMJ pain; however, no improvement in self-esteem was observed.

              • The study confirms short-term success of early face mask therapy but remains cautious about long-term effects and psychological benefits.

              …………………….

              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
            • 27- Early Class III Treatment - Which Technique Wins

              Comparison of Early Class 3 Correction Techniques:

              • Methods Studied: Reverse twin block vs. protraction face mask.
              • Sample: 32 children, about 9 years old.
              • Findings: Both improved anterior crossbite. | Face mask: Skeletal advancement with maxilla (SNA ↑ 2°, ANB ↑ 4°). | Reverse twin block: Dental compensation (upper incisors tipped forward, lowers tipped back).
              • Mandibular Plane Angle: Opened ~2° in both groups.
              • Overjet Increase: ~5.5 mm for both.
              • Clinical Implications: Reverse twin block suits mild anterior crossbite camouflage. Protraction face mask needed for maxillary deficiency correction.
              • Long-term Stability: Depends on child’s growth pattern.

                • …………………….

                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
              • 26- A New Way to Protract the Maxilla in Cleft Patients

                New Approach for Cleft Patients: ALT-REMEC

                • Uses weekly cycles of rapid expansion & constriction.
                • Based on a 2005 study by Eric Liu & Wenqing Cai.
                • Improves maxillary protraction in cleft patients.

                  • Key Findings:

                  • ALT-REMEC shows double the forward movement of the maxilla.
                  • Nearly triple skeletal advancement compared to traditional methods.
                  • Reduced dependence on patient compliance & stable results.

                    • …………………….

                    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

                    6 min
                  • 25- Autogenous Tooth Transplantation Explained

                    Key Highlights on Autogenous Tooth Transplantation:

                    • Natural teeth can be transplanted to different spots in the mouth.
                    • Success rate: ~94% overall; nearly 97% for immature teeth.
                    • Biological factors are crucial for success, such as respecting biology and minimizing extraoral time.
                    • Premolars and anterior teeth fare better in transplants.
                    • Clinical diversity and underreporting mean results show trends, not precise statistics.
                    • Emphasizes ATT as a biological alternative to implants, especially in young patients.

                      • …………………….

                      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
                    • 24- Total Arch Distalization with IZC Miniscrews

                      Explore the use of infrasagomatic crest miniscrews for class II malocclusion treatment:

                      • Technique: Total arch maxillary distalization without extractions
                      • Study: 25 adolescents, ICC miniscrews placed between upper molars
                      • Results: Molars moved 4mm distally, Incisors retracted 5mm, Overjet and overbite reduced
                      • Benefits: Comparable to palatal plates without surgery
                      • Considerations: Case selection crucial for success
                      • Best for: Patients with normal or low mandibular plane angles

                        • The study suggests ICC miniscrews are efficient for sagittal correction, minimizing patient cooperation.

                        …………………….

                        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
                      • 23- Six Keys to Managing Mixed Dentition Successfully - Part 2

                        Explore the keys to managing malocclusion in mixed dentition, focusing on:

                        • Preserving leeway space: Maintain space by retaining second primary molars, using a lingual arch when necessary.
                        • Palpating unerupted canines: Essential between ages 10-12 to guide development and address discrepancies early.
                        • Judicious extractions: Extract primary teeth only when they block eruption, ensuring balance to avoid issues like midline deviation.

                          • Act early, intervene thoughtfully, and prevent complex future orthodontics through proactive care.

                          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: https://www.myorthobooks.com/en/

                          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: https://dr-martin-baxmann.de/en/

                          Let’s make it happen!

                          – Dr. Dr. Martin Baxmann

                          3 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.