The guidance on this website represents the view of the British Orthodontic Society, which was arrived at after careful consideration of the evidence available. All professionals are expected to take it fully into account when exercising their clinical judgment. However, as with any guideline, recommendations may not be appropriate for use in all circumstances. Furthermore, it is recognized that a limitation of a guideline is that it simplifies decision making. This guidance does not override the individual responsibility of all healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer. Decisions to adopt any particular recommendation must be made in accordance with the relevant regulatory body. Good medical and dental practice may take account of:

· Available resources

· Local services, policies and protocols

· Available personnel

· The patient’s circumstances and wishes

· Clinical experience of the practitioner

· Knowledge of more recent research findings