Abstract: Faced with the current tidal wave of clear aligners and TADs in order to meet patients’ esthetic demands and to push the biological limits, experienced clinicians may wonder if their well-working protocols and procedures based on sound scientific evidence are still relevant or will soon be discarded and substituted by the industry and their key-opinion leaders (KOL).
After 40 years of practicing ‘Real World Clinical Orthodontics’ coupled with critical self and peer-assessment, while maintaining an open mind for progress, it appears that despite the implementation of digital technology and AI, proven biomechanical principles and treatment concepts cannot be thrown overboard and that conventional fixed appliances and orthognathic surgery will always have their place in the orthodontic armamentarium for goal-oriented treatment planning and execution.