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EDITORIAL the dynamic and changing field of orthodontics T oday’s graduates from U.S. orthodontic programs bring with them a treasure trove of knowledge and experiences that will change the face of orthodontic clinical practice in the coming years. Most of us have had the opportunity to hear lectures about new technologies, but applying that knowledge in a busy practice can take a lot of time, energy and money. A few of these new technologies: temporary anchorage devices (TADs), cone beam computed tomography (CBCT), sophisticated treatment planning for patients in need of orthognathics, interdisciplinary treatment for craniofacial syndromes or sleep apnea, the use of fixed appliances with fully customized bracket prescriptions, periodontal bone engineering, corticotomies to speed up tooth movement, new protocols for improved treatment efficiency, control of white spot lesions, and laser surgery. 2 There is very little standardization among programs on the degree of exposure to new techniques. Some resident clinics take routine 3-D radiograms on each and every patient, while others take them only as deemed necessary, and some not at all. Many of these developing techniques will gradually be incorporated into private practices as these young orthodontists associate with or transition into existing practices, or start their own. Orthodontics is a dynamic and challenging field. The need for careful training and mentoring is now clearer than ever. The expertise of the orthodontic specialist becomes more important as well, as these new technologies also bring new risks and uncertainties. S ―Dr. Gerald Nelson, Editor, PCSO Bulletin PCSO Bulletin • summER 2011