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Short-term orthodontics (STO) is a concept that is being utilized principally on adult patients to correct minor dental irregularities. It is a cosmetically motivated treatment that is being increasingly sought as an alternative to conventional orthodontic treatment (COT). Although general dental practitioners (GDPs) who have completed further training can provide STO, for quality care delivery it is important to know the limitations of the scope of practice. This article aims to discuss the reasons for adults seeking STO, the societal pressures responsible for desiring it, precautions required by GDPs during patient selection and its associated risks.
CPD/Clinical Relevance: Most importantly, GDPs should have a good understanding of societal pressures that induce patients' desires to seek STO. Therefore, the dental practitioner can manage patient expectations appropriately. This highlights the challenge that not every patient's desires can be delivered with STO. Furthermore, the article explains the limits and risks of STO which should be thoroughly explained to patients in the process of obtaining valid consent.
Article
Orthodontic treatment under the National Health Service is free for children under 18 years and, in some cases, adults with severe malocclusions.1 For adults with a persisting malocclusion or aesthetic concern, treatment may be sought at an older age. Reasons for seeking adult orthodontic treatment include:
Often there is an autosuggestion that many adults do not want to wear conventional orthodontic appliances for several years; advanced restorative treatment modalities are seen as an alternative often to achieve quick results (Figure 1).
With the advent of short-term orthodontics (STO), no longer do adults have to wear fixed appliances for several years; STO can allegedly be completed in as little as 6 months.2
Therefore, this article will focus on:
Short-term orthodontics is a cosmetically motivated treatment, aiming to correct minor dental aesthetic anomalies, using controlled orthodontic forces over a relatively short period of time.3 STO appliances can be broadly categorized as fixed or removable (Table 1). As only certain features of an occlusion are corrected, STO is used to deliver what is referred to as Limited Treatment Orthodontics (LTO).4 These treatments appeal to adults as they tend to correct the rotations on anterior teeth alone, which are adult patients' main focus.
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