Truth or consequences: the potential implications of short-term cosmetic orthodontics for general dental practitioners

Until recently, cosmetic dentistry has focused on the use of traditional restorative techniques, bleaching and the so-called facial rejuvenators such as injectable dermal fillers and Botox. More latterly, the short-term use of aesthetic removable aligners and ceramic fixed appliance brackets have been promoted for use by general dental practitioners as a means of minimising the invasive amount of restorative dental treatment that would otherwise be required to achieve the desired degree of aesthetic improvement. Nevertheless, there are inherent risks and complications associated with short-term orthodontic treatments that are deliberately limited in their outcomes and these, together with the potential ramifications for the long-term dental health of patients, are discussed.