The third anniversary of the Young Orthodontist’s Notebook

I started this blog this very day three years ago. For the first couple of years, I had not been very active here, but becoming more experienced as a clinician I write more frequently.

I am going to develop more practical and pragmatic focus in my upcoming writings. By now, I decided to look back at the most popular blog posts I have written so far. Interestingly, the more practical a text is, the more reads it gets. Here are the top five.


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Retention has nothing to do with a retainer. A very personal opinion

I have recently seen online a video introduction by a well-known British orthodontist to attend his upcoming lecture on retention. And this forced me to write this post.

This is true that British researchers have been very active in the recent years carrying out studies on retention. But I can’t help feeling that the question researches always ask in such studies is absolutely wrong. It often sounds like this: which type of retention is better?

In my opinion, a type of retainer or how it is worn has almost NOTHING to do with the problem of retention. I am going to write my post about what I consider important for stability. This is very subjective view which I base on my clinical experience and my critical evaluation of the long-term records from different sources.

Selecting_the_best_type_of_retainer_after_your_Invisalign_treatment.jpg Continue reading “Retention has nothing to do with a retainer. A very personal opinion”

Three major takeaways from the book that made my summer (Dentofacial Esthetics: Part 3)

I spend my summer locked-down in Moscow with almost no possibilities to have a trip abroad. On the bright side, I do have my patients coming back from the Covid break to resume the treatment. And I also have some time for reading.

I have recently finished an interesting comprehensive book by Dr David Sarver, Dentofcaial Esthetics: From Macro to Micro. I have already made two blog posts on it (the 1st and the 2nd). Now I am going to give you three main takeaways of the entire text… in my opinion, of course.

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Dentofacial Esthetics. Part 2: Aquire a system!

About two weeks ago, I published the first part of my review on a wonderful new book by David Sarver titled Dentofacial Esthetics: From Macro to Micro. I was then reviewing the first three chapters of the book. Now I am going to look at the following two.

In the beginning of the fourth chapter Dr Sarver points out his adherence to checklists and suggests a reader to take a look at a book by Dr Gawande The Checklist Manifesto. ‘No matter how expert you may be, well-designed checklists can improve outcomes’, states Sarver.

During these two chapters we go through cases in which Sarver shows how he applies checklists to evaluate and then improve smile characteristics of his patients. Very reasonably he points out: ‘The profession of orthodontics has hundreds of cephalometric analyses, but to this point, I know of no orthodontic smile analysis’…DSC04271.jpg Continue reading “Dentofacial Esthetics. Part 2: Aquire a system!”

On prescription again, really brief!

Recently, I wrote a blog post and then shot a video ranting about Dr. Lawrence Andrews and the virtues of having a prescription. Now I decided to write a ‘so-what’ blog post trying to answer a question what prescription to use? I’ll keep it short…


Different bracket designs engineered by Edward H. Angle in the beginning of the 20th century.

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Our extremely modest and immensely valuable knowledge on obstructive sleep apnea

Last year, the American Journal of Orthodontics published a white paper which has summarised a long-time debate on obstructive sleep apnea (OSA) and the role of the orthodontist in its management. OSA is a serious health issue, which in its severe forms can become life-threatening.


The paper is written by Rolf G. Behrents, the editor-in-chief of the journal, and a number of medical and dental experts in sleep medicine. This is the paper every orthodontist should read, analyse and come up with his or her own conclusions. Here are mine…

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Dentofacial Esthetics. Part 1: Engagement and Repetition

About a month ago, I started reading a wonderful new book by David Sarver titled Dentofacial Esthetics: From Macro to Micro. I am still in the middle of it because I can’t break a habit of reading multiple books simultaneously. Nevertheless, I decided to write the first part of a review now and do two more in a few weeks.

David Sarver is an adjunct professor of orthodontics in both the University of North Carolina and the University of Alabama. He runs a private practice in Vestavia Hills, Alabama. He is very well-known throughout orthodontic community as a prolific writer, demanded speaker and the guy who coauthored the most popular orthodontic textbook ever, Contemporary Orthodontics.


Truth to be told, I knew the new book was a masterpiece from the very first moment I received it. The book has a really nice design and the quality of printing is exceptional; the text, which is an outcome of four decades of clinical experience, truly deserves to be garnished this way.

In this part of my review, I will focus on the first three (out of eight) chapters of the book. Continue reading “Dentofacial Esthetics. Part 1: Engagement and Repetition”

Is my two-year-old message-in-the-bottle letter on post-communism orthodontics to the BDJ is still relevant?

Two years ago, I wrote a letter to the BDJ describing an orthodontic landscape in the former Soviet Union, today I want to revise my text…

Radio Silence

No one knows anything for certain about Russian orthodontics. Some probably have heard about murky self-proclaimed Soviet professors whose manners replicate those of Middle Eastern dictators. Others may have seen online some pictures by young Russian clinicians who seems to be so excited by the fact that teeth can be moved with nitinol wires that they tend to upload every step of the treatment as a single social media post. But what does this really tell us? Unfortunately, the former haven’t published papers in peer-reviewed journals, so we do not know if their claims for their academic titles are justified. Neither of the latter, in turn, have passed a board certification, so it is not clear if their social media accounts represent anything more than decent photography skills.

1566177526-Message-in-bottle Continue reading “Is my two-year-old message-in-the-bottle letter on post-communism orthodontics to the BDJ is still relevant?”

Six thoughts on the six keys to good occlusion

In 1989, a Californian orthodontist, Lawrence F. Andrews, published a book where he accurately described his landmark invention and a concept behind it. I am honoured to have a signed copy of this historic text, which he gifted me four years ago while I was travelling across America. Being an undisciplined reader, I let sit it on the shelf till last Christmas.

The book Straight Wire: The Concept and Appliance tells the story of how a study of 120 casts of naturally optimal occlusion lead to the development of the first preajdusted appliance. It is a carefully written text explaining basic concepts of the straight-wire appliance. It has plenty of beautiful drawings, but from the viewpoint of a clinician the most exciting feature of the book is apparently 200+ photos of before and after dental casts. These are the records from 1960s and 1970s collected by a number of orthodontists. The quality of the results is exceptional.

I decided not to indulge myself into retelling the six keys and straight-wire philosophy, but rather write my own subjective ideas loosely based on the book…

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A surgery book

Over the past year, I’ve started several dozens surgical cases. It is a specific group of patients requiring special attention.

Today I am going to review an excellent textbook that can become a lifebelt for those who are stepping into the realm of orthognathic surgery. I will also indicate several aspects on presurgical orthodontics that I consider the most critical.OBR12 illustrarion.jpeg

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