Evidence in Orthodontics

Evidence in Orthodontics

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

  • 12- Why 3D Scans May Revolutionize Treatment Planning

    Explore if 3D scans, like CBCT, enhance treatment plans for impacted canines:

    • A study by Aarhus University checked if CBCT changes plans compared to 2D x-rays.
    • Results showed that plans changed in about one-third of the cases post-CBCT.
    • Most changes involved traction direction, not extraction decisions.
    • CBCT detected root resorption more frequently than 2D x-rays, but it rarely influenced treatment.
    • Angular measures in x-rays might identify when 3D imaging is beneficial.

      • CBCT offers diagnostic improvements but should not be the default for every impacted canine due to cost, radiation, and time.

      …………………….

      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
    • 11- Which RME Type Wins in the Long Run A 5-Year Comparison

      Comparison:

      • Analyzed tooth-borne vs. tooth-borne-borne RME appliances
      • Conducted via a randomized controlled trial with a five-year follow-up

        • Outcome:

        • Both appliances stable long-term
        • Minimal clinical differences despite measurable variation

          • Recommendation:

          • Standard tooth-borne expanders sufficient for young patients
          • Hybrid design may aid older adolescents or cases with higher skeletal resistance

            • Conclusion:

            • Effectiveness and stability reaffirmed for both approaches

              • …………………….

              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
            • 10- New Trial Compares Open and Closed Techniques in Orthodontics

              Study Overview:

              • Multi-center randomized control trial from Sweden.
              • Compared open vs. closed surgical techniques for palatally displaced canines.
              • Included 120 patients aged 9 to 16.

                • Key Findings:

                • Eruption Speed: Open group's canines erupted about 3 months faster, though total treatment time was identical for both at around 26 months.

                • Patient Comfort: Closed technique reported more pain and analgesic use during traction. Open method had more immediate post-surgery discomfort but less during traction.

                • Treatment Success: Both techniques aligned canines successfully with no significant differences in root resorption or periodontal health.

                  • …………………….

                  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
                • 9- Efficacy of Miniscrew-Assisted Rapid Palatal Expansion

                  Explore the efficacy of Miniscule-Assisted Rapid Palatal Expansion (MARPE) in older patients:

                  • Evaluated via a systematic review and meta-analysis.
                  • 92% success rate in mid-palatal suture opening without surgery.
                  • Average skeletal change: 2.3 mm, total dental expansion: 6.5 mm.
                  • Includes limitations: high risk of bias, lack of randomized trials.
                  • Side effects: molar tipping, buccal bone thinning, changes in nasal tissue.

                    • …………………….

                    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
                  • 8- How Imaging Is Redefining Orthodontic Expansion Planning

                    Topic: Palatal Suture Maturation Classification and CBCT Imaging

                    Key Points:

                    • Study Focus: Evaluation of the palatal suture maturation classification through CBCT in orthodontics.

                    • Main Findings:

                    • High intra-examiner agreement, poor inter-examiner agreement.

                    • Limited predictive power for skeletal or dental outcomes.

                    • Recommendations: Caution in using this system for treatment decisions; rely on clinical judgment and maturity indicators.

                      • …………………….

                      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
                    • 7- Why Dentists Prefer Certain Orthodontists

                      Explore the factors influencing dental referrals as general dentists decide which orthodontists to recommend.

                      Key points include:

                      • Treatment Quality & Patient Satisfaction: Valued equally by dentists.
                      • Referral Criteria: Based predominantly on treatment results over cost, location, or reputation.
                      • Important Features: Canine guidance, class I molar relationships, and patient profile.
                      • Trust & Communication: Foundational to professional relationships, highlighting the importance of clear communication and patient satisfaction.

                        • Understanding these factors enhances modern orthodontic practice.

                        …………………….

                        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
                      • 6- How Bisphosphonates Affect Tooth Movement

                        Discover the impact of bisphosphonate therapy on orthodontic treatment:

                        • Bisphosphonates: Used for osteoporosis and cancers, inhibit osteoclasts, slowing bone resorption and tooth movement.
                        • Research Findings: Tooth movement is slower, space closure may be incomplete, and root parallelism compromised.
                        • Patient Risks: High-risk cancer patients may develop osteonecrosis of the jaw; low-risk osteoporosis patients have longer treatment times.
                        • Essential Steps:
                          • Take thorough medical history, Communicate with patient's physician, Expect slower progress and potential complications, Avoid aggressive mechanics; focus on conservative planning.

                          Key Message: Orthodontic treatment under bisphosphonate therapy is possible but unpredictable. Proceed with caution.

                          …………………….

                          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
                        • 5- How Extrusion Arches Affect Open Bite Correction
                          Effects of Maxillary and Mandibular Extrusion Arches on Adults with Anterior Open Bite
                          • Analysis from Alexandria University on closing anterior open bites using extrusion arches in adults.
                          • 23 adult women with moderate open bites were treated.
                          • Results showed overbite improvement and stable closure within 4 months.
                          • Upper and lower incisors extruded and uprighted; molars slightly intruded and tipped mesially.
                          • Highlighted limitations: all-female subjects, no control group, short follow-up.
                          • Technique offers a non-surgical option that is realistic and effective.

                            • …………………….

                            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
                          • 4- Use of the Clark Twin Block functional appliance with and without upper labial bow

                            Conclusions:

                            • Children with class 2 division 1 malocclusion treated with plaques twin-block show:
                            • No significant differences in maxillary incisor retroponation.
                            • No significant skeletal change.
                            • No significant difference in overjet reduction rate.
                            • An upper labial bow can be excluded without negative effects.

                              • …………………….

                              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
                            • 3- Esthetic perception of changes in facial profile resulting from orthodontic treatment with extraction of premolars

                              Our systematic review reveals:

                              • No significant differences in aesthetic outcomes between orthodontic treatments with or without premolar extraction.
                              • Premolar extractions benefit those with: Greater lip protrusion | More convex facial morphologies
                              • Shorter treatment duration without extractions.
                              • Cephalometric parameter LIE aids decision-making in borderline cases.

                                • …………………….

                                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

                              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.