A number of websites are offering the public the opportunity to carry out their own orthodontic treatment at home. Most involve an individual being “assessed” as to their suitability for treatment using “selfie” photographs which they take themselves with their mobile phone. If deemed suitable, and upon the payment of a fee, the appliance is sent to them direct. Most take the form of a series of aligner-type appliances.
The BOS is extremely concerned about this trend for the following reasons:
- A full clinical examination by a trained clinician is necessary to decide if orthodontic treatment is in the best interests of an individual.
- There are a number of different types of orthodontic appliance with different advantages and risks. Those considering braces need to be aware of the choices available to them and also to understand the risks of treatment.
- Unsupervised treatment may result in a suboptimal outcome and the need for further treatment, or in the worst case scenario, cause permanent damage to dental health.
The BOS recommends that patients attend to see an experienced/trained clinician in person who will be able to carry out a full clinical and orthodontic assessment and discuss their particular orthodontic and dental requirements and ensure all appropriate and available options are considered. Seeing an experienced clinician will allow treatment to be carefully monitored and ensure that should any problems arise these are quickly addressed.
The British Orthodontic Society strongly advise the public not to undertake such treatments. If you are considering braces please seek the advice of your dentist first.
BOS Statement: Guidance on teledentistry and remote interactions in orthodontic care
Please find below an advice sheet on Guidance on teledentistry and remote interactions in orthodontic care (including remote monitoring of clear aligner treatment).
BOS Statement: Response to Advertising Standards Authority ruling on Acceledent
The Advertising Standards Authority (ASA) has made a ruling this week that marketing claims in support of Acceledent, a device designed to speed up treatment, are misleading.
BOS Statement: Claims about orthodontics
The role of the British Orthodontic Society (BOS) is to promote the highest quality standard of care throughout the UK. This statement has been compiled by the BOS to help navigate some of the claims that are made about orthodontics, so you can find the best treatment for you or your child. More general information can be found elsewhere on the BOS website.
BOS Statement: Endocarditis
An association has recently been made in the national press between infective endocarditis and the orthodontic treatment of a young female patient.
BOS Statement: Choosing the right clinician
Choose your clinician carefully, says the British Orthodontic Society. A report (1) on EssexLive News detailing the orthodontic experiences of a young male patient who wore appliances for more than 5 years illustrates how important it is for patients to see a clinician who is suitably qualified.
BOS Statement: Interproximal reduction
Interproximal reduction (IPR) is a technique used during orthodontic treatment to create space for tooth alignment. It involves removing up to 0.5mm of enamel from the sides of teeth to enable the orthodontist to straighten them accurately. The technique can also be used to improve the shape of teeth. It's a routine procedure but it requires care, skill and experience.
BOS Statement: Orthognathic treatment
“Each year it is estimated that around 3,000 people have orthognathic treatment with an overwhelming 90% saying it has dramatically improved their health and wellbeing. The BOS is campaigning to raise awareness of the importance of orthognathic treatment to patients with congenital conditions or dentofacial anomalies. The BOS wants to see NHS funding maintained for a procedure which has a dramatic and positive life-changing impact on the lives of patients.”