Questioning Orthodontics: Is It Just a Mechanical Makeover of a Biological Problem?

Edward Angle, the man who is considered the father of modern orthodontics, initially established the doctrines of the orthodontic profession in the early 20th century. One hundred years later, with the incidence of malocclusion in modern children approaching 100 percent and demand among adults for re-treatment following relapsed earlier treatment on the rise, orthodontic specialists should expect a brighter future. However, as the orthodontic profession passes its 100th anniversary, there are reasons to pause and reflect on the basis of those principles and doctrines established by Angle, a century ago.

Although technology has made the mechanics of orthodontics easier for practitioners and treatment more accessible to patients, increasing demand has encouraged non-specialists to become involved. This has also given rise to increasing concerns regarding techniques where the anterior teeth are straightened rapidly then fixed in place via permanent retention, ignoring Angle’s dogma of correcting to a Class I (Molar relationship). Some groups like the Australian Society of Orthodontists have expressed their view on their website involving short courses with quick results.