orthodontics In summary

Farooq Ahmed

Farooq brings the key points, references and understandings from keynote webinars and papers in a concise podcast. Providing easy access to gain the most from our esteemed speakers and experts. *Important to note the information is from our interpretation as individual professionals, and may incorporate our opinions*

  1. MISMARPE / DOME what is it?

    FEB 11

    MISMARPE / DOME what is it?

    MISMARPE / DOME what is it?   Join me for a look at maxillary expansion combining both surgery with miniscrews. Seemingly opposite ideas have been brought together to offer potentially greater versatility in expansion, with less surgical complexity andcomplications.       MISMARPE – minimally invasive surgery miniscrew assistedrapid palatal expansion Haas 2021 Or DOME Distraction Osteogenesis Maxillary Expansion Liu2017   Protocol ·     Osteotomy o  Anterior vertical incision interdental toperiform fossa o  Lateral incisions to the base of zygomaticprocess of maxilla o  Without releasing the pterygomaxillary suture o  Activate in surgery up to 20x ensure diastema o  Duration 24 minutes (14.4-32) Junior 2021 o  Less pain – Mild on VAS ·     Expansion o  7 days no expansion o  Expansion of rate 0.25 - 0.50 mm, § Some until diastema and slow to 0.25 per day     Advantages   ·     Less osteotomies required ·     Under sedation or local anaesthetic ·     Greater anchorage for force delivery throughminiscrews ·     Less intra-operative haemorrhage – due to a lackof pterygopalatine disjunction ·     Parallel expansion – Lin 2015 Vs V shapeexpansion   Age Limitation of MARPE was age, with 20-30 years females 94% 20-30years males 80%, MARPE success 30-37 = 20% Olivera 2021, MISMARPE 96% successage 20-59, 24 patients majority over 30 years old Piccoli 2023.   Expansion amount ·     Direct comparison show no significant differenceda Silva 3mm, and no difference in molar angulation 2023   Indicated for: ·     Failed MAPRE ·     Age- greater 30 females and 25 for males Could MISMARPE / DOME replaceSARPE?

    6 min

  2. JAN 28

    Direct To Print Aligners, Will It Change Clear Aligner Therapy? 8 MINUTE SUMMARY

    Direct To Print Aligners,Will It Change Clear Aligner Therapy? 8 MINUTE SUMMARY   In this episode, I review direct-to-print alignersand how the material offers potential biomechanical advantages through itsmaterial properties when compared with conventional thermoplastic aligners. Theunique feature of force recovery of the material and current emerging evidence.The episode also explores the current limitations of the evidence base anddiscusses why, despite theoretical advantages, direct-to-print aligners havenot yet entered routine clinical practice. This podcast is based on a recent lectureby Jean-Marc Retrouvey.   Timestamp 00:27 – What are direct-to-print aligners? 01:10 – How do direct-to-print aligners deliver force? 02:39 – Push and pull forces and adaptation 03:58 – Reactivation with heat, unique force recovery 05:09 – Variable aligner thickness 07:08 – Why haven’t direct-to-print aligners changed aligner therapy yet?     Material photopolymer resins   Force delivery – Push and Pull Engage with undercuts not possible with thermoformedaligners o  Deliver forces to areas seen as non-engagedsurfaces § Non-engaged surface – greater displacement thanTFA (Hertan 2022)   Force delivery – Adaptation ·     Closer adaptation 20-30% more accurate 30um or 0.03mm (48 um Graphy Zendura, Essix Ace and DPA Koenig2022). ·     Uniform thickness                                                                                             i.        TFA Non-uniform thickness – due thermal process, thinner areasend of aligner                                                                                          ii.        TFA sharp distribution around attachment / transition   Force delivery material properties ·     TFA Stress relaxation – Reduce force with time,12 hours reduce 60%, DPA reduce to around 50%, but with recovery increase to75% Xu 2025                                                                                             i.        Moment to force ratio more sustained for bodilymovement, in vitro study     ·     Thickness customisation o  Creating a force couple: 0.8 labial, Vs 0.5mmlingual , creating moment within the aligner       Direct to Print Aligners 2 types: Shape memory Vs Activememory ·      Similarclaims: 1.       Re-activate force recovery through heating inwater reactivation and reverse stress relaxation and creep 2.       Customise thickness, trimlines and auxiliaries 3.       Less attachments 4.       Speed of printing aligner 5.       Less wastage   ·      Shapememory: Graphy 2019 1.       Transition temperature – low 45 degrees, from30-45 degrees = increase temperature = reduce force. Re-activates inside themouth to maintain properties. Choi 2025   ·      Activememory LuxCreo 2022 1.       Transition temperature – high 60 degrees =maintain elasticity 2.       Re-activated with warm water  = restores mechanical properties     Challenges:   1.       Little clinical research to support biomechanicalsuperiority 2.       Loss of force from insertion Xu 2025 50% in 12hours 3.       Effectiveness seems camparable for mild to moderatecases: a.       PAR change DPA 86%, refinement of 40% VanessaKnode 2025, b.       PAR change TFA 88.9% Jaber 2022, refinement of 70-94%Ladewig 2005, Kravitz 2023       See Jean-Marc Retrouvey’s lecture in full: https://www.youtube.com/watch?v=j7fJmxgXHqU   Previous podcast on Direct To Print Aligners February2024 https://orthoinsummary.com/direct-to-print-aligners-are-they-really-different-to-normal-aligners-8-minute-summary/   #aligneronorthodontics #directtoprint #orthodontics #orthodonticsinsummary #Farooqahmed #Orthodontics #Luxcreo #graphy #clearalignertherapy

    9 min
  3. Has MARPE Found Its Place?

    JAN 7

    Has MARPE Found Its Place?

    Has MARPE Found Its Place?   Join me for our first podcast of 2026 looking at Miniscrew AssistedExpansion, and where this treatment modality currently stands in clinicalpractice. With discussions of different designs (MSE Vs MARPE), rapid andslow activation protocols, orthopaedic effects, and predictors of success.   Thispodcast is a summary based on an excellent lecture from Angle-Net by DanieleCantarella and Benedict Wilmes.   01:18 – MSE vs MARPE designs: key differences03:55 – Anchorage, bone quality, and force delivery05:29 – Skeletal effects: parallel suture split and expansion amounts06:42 – Asymmetry, resistance areas, and biomechanics07:00 – Class III correction: where MARPE really adds value09:26 – Rapid vs slow activation and what actually happens to bone10:28 – Predicting success: age limits, failure rates, and when to considersurgery #MARPE #MSE #expansion #orthodontics #orthodonticsinsummary #Farooqahmed #Orthodontics #dentalpodcast#orthodonticcommunity

    13 min
  4. Reflections on 20 years in Orthodontics | Orthodontics In Interview | BJÖRN LUDWIG

    12/17/2025

    Reflections on 20 years in Orthodontics | Orthodontics In Interview | BJÖRN LUDWIG

    Reflections on 20 years in Orthodontics | Orthodontics In Interview | BJÖRN LUDWIG “We focused so much ontechnology that maybe we neglected diagnostics.”   “Anecdotal is inspiring,but we need evidence for the average orthodontist.”   “If we don’t protectacademic journals, orthodontics becomes vulnerable,  legally and professionally.”   “Orthodontics grows whenwe are open, critical, and enquiring.”       In this special episode, I’m joined by BjörnLudwig for a reflective conversation recorded during the few weeks of hispublic speaking career, as he brings his landmark Ortho 50 series to aclose. We look back on two decades of clinical practice, academic leadership,and contribution to the orthodontic community, and ask whether modernorthodontics has truly improved on the outcomes of the 1990s.   We discuss evidence versus clinicalexperience, the impact of technology on diagnosis and treatment planning, thepressures facing academic publishing, and the evolving role of key opinionleaders. Björn also speaks candidly about family, health, Oscar and legacy, andhis decision to step back from speaking in orthodontics, offering thoughtfulinsight into what really matters in an orthodontic career.     02:41 – Why is today’s orthodontics nobetter than the outcomes in the 1990s? 04:54 – How do we improve outcomes intoday’s clinical practice? 06:36 – Evidence vs experience: shouldwe trust trials or clinical experience? 09:13 – When research proves us wrong, howshould orthodontists respond? 11:19 – The role of your parents inshaping your orthodontic career 14:06 – As Editor-in-Chief of Kieferorthopädie,what changes have you seen over the last decade? 17:59 – Do Key Opinion Leaders help orharm orthodontics? 21:37 – Quick fire: proudest research, 3best clinical tools, and 3 biggest clinical regrets 27:52 – What advice would you give tothe next generation of orthodontists? 29:51 – Health, Ortho 50, and knowingwhen to step back   Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.     Please like and subscribe if you find it useful!   #OrthodonticsInSummary#BjörnLudwig#Orthodontics #ortho50 #TADs #OrthodonticEvidence #OrthodonticsInInterview #FarooqAhmed #OrthodonticBiomechanics #OrthodonticResearch #DentalEducation   Farooq Ahmed   🕒Timestamps of Key Questions & Answers

    34 min
  5. Is There Really A Consensus On Aligners? A Delphi Author Explains| Orthodontics In Interview | VINCENZO D'ANTO

    11/26/2025

    Is There Really A Consensus On Aligners? A Delphi Author Explains| Orthodontics In Interview | VINCENZO D'ANTO

    “Even though the panelistswere huge aligner users, the statements are not so in favour of aligners, they are surprisingly reasonable.”   “It’s very difficult to find a real aligner experts without a conflict of interest. Almost impossible.”   “If you explain the differences honestly, most of my extraction patients choose fixed appliances. I’m not selling aligners.”   “Direct printing is the real breakthrough, but right now it has too many shortcomings to be a standard technology.”   “I am pessimistic. We must fight for our profession — against the idea that technology can replace orthodontists.”   In this episode, I’m joined by Vincenzo D'Antò, lead author and contributing author of this year’s two major consensusstatements on clear aligners. We explore the key findings from these landmark papers and how they translate into real-world clinical practice. Vincenzo shares his own views on aligners, their limitations, and his pragmatic approach to integrating hybrid mechanics, particularly skeletal anchorage, into alignertreatment. We discuss recent innovations in aligner therapy, distinguishing those with genuine clinical value from those that are ineffective. We also hear Vincenzo’s candid concerns about the future of orthodontics.     03:00 – Why did youcreate this Delphi aligner consensus? 05:03 – How were thealigner experts selected for the study? 06:51 – Do conflictsof interest affect aligner consensus statements? 11:49 – Crowding: Whydoes the Alharfi 2025 SR show better outcomes for aligners? 15:49 – 7 vs 10 vs 14days: How often should patients change aligners? 20:03 – Are complexmovement failures a design flaw or inherent to aligners? 22:19 – What trulylimits clear aligner biomechanics? 25:46 – Is hybridorthodontics the future of predictable aligner treatment? 29:35 – What hybridmechanics do you use most in practice? 32:05 – Can wereliably treat extraction cases with aligners? 36:03 – Is betterOHRQoL worth compromised occlusal outcomes? 39:11 – Do alignerswork for growing patients, or is this just marketing? 41:34 – Why ishigh-quality aligner research still so weak? 44:30 – Final advice:What should orthodontists focus on for the future?   Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.     Please like and subscribe if you find it useful!   Please visit the website for this interview podcast: https://orthoinsummary.com/is-there-really-a-consensus-on-aligners-a-delphi-author-explains-orthodontics-in-interview-vincenzo-danto/   Spotify podcasts for other platforms   YouTube https://youtu.be/jpMUbYINxzg   #OrthodonticsInSummary#VINCENZOD'ANTO#Orthodontics #ClearAligners #AlignerTherapy #HybridOrthodontics #SkeletalAnchorage #TADs #OrthodonticEvidence #OrthodonticsInInterview #FarooqAhmed #VincenzoDAnto #OrthodonticBiomechanics #OrthodonticResearch   Farooq Ahmed 🕒Timestamps of Key Questions & Answers

    47 min
  6. Retention, What Should We Do Now?

    11/12/2025

    Retention, What Should We Do Now?

    Retention, What Should We Do Now?   Join me for a update on retention, I explore a review of currentliterature and what the changes are recommended to our retention protocols,research of stability,  critical look of retainerfailures and factors to consider in design and location of fixedretainers, as well as monitoring recommendations based on Clinical PracticeGuidelines. This podcast is based on recent literature as well as two excellentlectures from this year’s British Orthodontic Conference by Marie Cornelis(Australia) and Simon Littlewood (UK).   Recommendations for the maxilla: ·     Low risk of relapse = Removable retainer (polyethyleneor polyurethane) ·     High risk of relapse = Dual retention with fixedand removable retainers ·     Fixed retainer o  3-3 if occlusion allows, most likely 2-2 designunless high risk of canine relapse o  Location slightly gingival due to occlusalforces and account for Increase in overbite with age (Littlewood)       Recommendations for the mandible Lower arch o  Low risk of relapse = fixed retainers o  High risk of relapse = dual arch o  Fixed retainer 3-3 § Position slightly incisal Mandible: slightlymore incisal, greater cleanability, less gingival inflammation  – Petsos 2023   Monitoring regime ·     1 month – fixed retainer (greatest timepoint offailure) ·     3 month – removable retainer (motivation ofcompliance) ·     Every 3-4 months Wouters 2018 ·     1 year retention necessary  Wouters 2018 ·     Annual check-up Wouters 2018 o  Greater likelihood of compliance if annualcheck-up o  General dentist   Improve compliance ·     2/3rds stop wearing after 4 years,All-Moghrabi 2018 ·     Visual photo of relapse to patient and parentsincreased compliance Vs patient only or instructions only Lin 2015 (1.5Hrsgreater wear)                                                             Clinical PracticeGuideline For Orthodontic Retention Wouters 2019 (open access paper)

    14 min
  7. Dental Monitoring, Is It The Future Of Orthodontics? | Orthodontics In Interview | PHILIPPE SALAH

    10/29/2025

    Dental Monitoring, Is It The Future Of Orthodontics? | Orthodontics In Interview | PHILIPPE SALAH

    “The purpose of Dental Monitoringisn’t to disconnect you from your patient, it’s to make sure you see them atthe right moment for the right reason.”   “Fix problems early andyou don’t have problems. If you intercept an issue straight away, you can oftenavoid side effects altogether.”   “If you don’t change yourprotocol, DM won’t reduce appointments, you do. The technology empowers smarterscheduling, not magic.”   “AI isn’t replacingorthodontists. It’s replicating their eyes, helping you catch what you’d wantto see, every single week.”   In this episode, I’m joined by PhilippeSalah, CEO and founder of DentalMonitoring. We explore the evolution of AI-based remote monitoring in orthodontics, how it aims to change the way we communicate with patients, provide data of our practice but also where the evidence remains mixed. Philippe addresses questions on reliability, patient compliance, and the impact on rapport when monitoring replaces in-personvisits. We discuss the real-world challenges of cost, protocol adaptation and workflow change, as well as the future role of AI, sustainability, and data-driven insight in clinical practice.   02:07 – How did youcome up with the concept of Dental Monitoring? 08:50 – How accurateis Dental Monitoring, and what happens if the AI misses something? 13:55 – Where do yousee the benefits of Dental Monitoring if studies show limited reduction invisits or treatment time? 18:56 – Is remotemonitoring less able to build patient rapport compared to in-person officevisits? 24:53 – DentalMonitoring comes at a financial cost, what is the return on investment forclinicians? 29:48 – Is DentalMonitoring for every patient, given compliance and scanning challenges? 33:02 – AI consumesglobal energy resources, how does Dental Monitoring address environmentalresponsibility? 36:52 – Tell us aboutDental Monitoring Insights and how it impacts clinical practice. 42:28 –What advicewould you give to orthodontists   Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date. 🕒Timestamps of Key Questions & Answers #OrthodonticsInSummary#DentalMonitoring#AIinOrthodontics#DigitalOrthodontics#RemoteMonitoring#OrthodonticInnovation#AlignerTechnology #OrthodonticEvidence#FutureOfOrthodontics#FarooqAhmed Farooq Ahmed

    45 min
  8. Will AI Change Orthodontics? | Orthodontics In Interview | JEAN-MARC RETROUVEY

    10/01/2025

    Will AI Change Orthodontics? | Orthodontics In Interview | JEAN-MARC RETROUVEY

    “Will AI it replace the orthodontist? No. Will it replace the bad orthodontist? Hopefully, yes.”   “With AI, you could probably get prediction accuracy down to less than 10% , because it can analyze what the human brain cannot”   “Computers are designed to crunch data. That’s all they do. The rest is up to you.”   “AI is not going away. There are billions invested in this technology. You better get on with the program.”   “Don’t drive your car inreverse… Don’t go backwards.”     In this episode of Orthodontics in Interview,I’m joined by Jean-Marc Retrouvey, researcher and innovator in AI-drivenorthodontics. We explore the concept of the “virtual patient” and how artificial intelligence is reshaping orthodontic diagnosis, biomechanics, and aligner staging. Jean-Marc shares his candid thoughts on the pace of change inacademia versus industry, the role of AI in predictions within orthodontics, and how clinicians can embrace AI without losing their judgment. With insightsfrom his work in both universities and industry projects, Jean-Marc offers a compelling vision of how orthodontics will evolve in the AI-era.   ·      01:47 What isthe “virtual patient” concept? ·      03:39 Wherewill AI impact clinicians, diagnosis vs outcomes? ·      07:21 Can AIbe our biomechanics co-pilot? ·      10:34 Why arealigner companies behind in AI? ·      12:57 Whatpractical changes will AI bring to aligner staging? ·      15:20 Why didyou say academia is too cautious for AI’s pace? ·      19:24 Shouldorthodontic AI education come from industry, and is that biased? ·      22:13 DoesRicketts’ 1983 “judgment over computers” still hold? ·      25:13 Will AIreplace clinician experience and literature in EBP? ·      30:44 Are weat risk of data overload with 3D/CBCT integration? ·      35:01 How dowe use AI responsibly given its environmental costs? ·      37:59 Why movefrom academia to industry, and what are you building at LuxCreo? ·      41:11 Whitepapers vs peer-review: what’s the real difference? ·      44:35 Your one piece of advice toorthodontists?   Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.     Please like and subscribe if you find it useful!   Please visit the website for this interview podcast: https://orthoinsummary.com/will-ai-change-orthodontics-orthodontics-in-interview-jean-marc-retrouvey/     Spotify podcasts for other platforms     YouTube https://youtu.be/UDfDTtLZm4A   #orthodontics #farooqahmed #jeanmarcretrouvey #AIorthodontics #clearalignertherapy   #orthodonticsinsummary #orthodonticsininterview   Farooq Ahmed 🕒Timestamps of Key Questions & Answers

    48 min
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About

Farooq brings the key points, references and understandings from keynote webinars and papers in a concise podcast. Providing easy access to gain the most from our esteemed speakers and experts. *Important to note the information is from our interpretation as individual professionals, and may incorporate our opinions*

Information

  • Creator
    Farooq Ahmed
  • Years Active
    2020 - 2026
  • Episodes
    141
  • Rating
    Clean
  • Copyright
    © Farooq Ahmed

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