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The limitations of short-term orthodontics and why we still need specialists – a review of the current literature

From Volume 44, Issue 1, January 2017 | Pages 64-69

Authors

Sana Luqmani

BDS(Hons), MJDF RCS(Eng), MSc

General Dental Practitioner, ConfiDental Clinic, 359 Ewell Road, Surbiton, KT6 7BZ, UK (sluqmani@hotmail.com)

Articles by Sana Luqmani

Abstract

Short-term orthodontics (STO) serves to align anterior teeth. It has become popular in cosmetic dentistry as an alternative to destructive veneers and lengthy conventional orthodontics. The aim of this article is to raise awareness of the clinical limitations of STO and highlight some of the difficulties encountered with orthodontic retention. It also gives an overview of accredited training available to dentists who wish to develop their orthodontic skills.

CPD/Clinical Relevance: Greater awareness of the clinical limitations of short-term orthodontics will aid GDPs in appropriately selecting their cases and obtaining informed consent from patients. In addition, the article serves as encouragement for those GDPs wishing to develop their orthodontic skills and pursue further accredited training.

Article

Short-term orthodontics (STO) is a cosmetic treatment that aims to enhance a patient's smile by aligning his/her anterior teeth. It is provided predominantly by General Dental Practitioners (GDPs) and is offered privately to adults as a quicker and less destructive alternative to conventional orthodontics or veneers. It has been an accepted treatment modality in the United States of America for over a decade1 and has recently gained popularity in the United Kingdom. Dentists are increasingly practising STO and the range of available STO appliances is presently greater than ever.

The first STO system to be brought to the market was Invisalign in 1997; Align Technology initially intended its use only by orthodontists but due to great success and demand, two years later made it also accessible to GDPs.2 Soon, other companies such as Inman Aligner, Six Month Smiles and Fastbraces followed suit.

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