Björn Ludwig maintains a private orthodontic practice in Traben-Trarbach, Germany. He is an assistant professor at the Department of Orthodontics, University of Homburg/Saar, Germany. The focus of his research is skeletal anchorage and three-dimensional imaging.
He has published clinical and scientific papers and is editor of three books. He is editor in chief of the Quintessence publication “Kieferorthopädie” (Orthodontics). He is also co-editor of the Journal of Clinical Orthodontics. He is an active member of the Angle Society of Europe and serves on the council of the German Board of Orthodontics. He is the current president of the European Begg Society.
Failures and errors in orthodontics – how to say sorry
At the end of advanced orthodontic training, after studying some basics of dentistry and orthodontics, one is often convinced that major diagnostic and treatment-related errors could be avoided. After working in orthodontics for several years, this idea changes and one comes to believe in, or at least sees, only problems and errors. For instance, there can be an unusually high rate of bracket loss, damaged retainers, or frustrating treatment results – including relapse.
The increasing number of difficult cases in orthodontic practice which do not ‘simply’ exhibit simple crowding during the last few years compounds this problem. Severe dental and skeletal anomalies, such as multiple aplasia, trans-located teeth, adults with combined orthodontic and maxillofacial surgery treatment needs, as well as pre-prosthetic tasks, are prevalent in our treatment today. In this lecture the most common and most severe orthodontic problems and errors encountered in the last 15 years will be presented. These errors will be demonstrated using clinical examples and will be discussed with the current literature. Finally, the question ‘how to say sorry’ will be ethically reflected.
Aim, Objectives & Learning Outcomes
- Aim: To provide an overview of some of the complex cases encountered in clinical practice and also to present some of the complications which can occur.
- Objectives: To reflect on the changing severity of malocclusions seen in clinical practice and to present some of the potential treatment strategies. Also, to consider some of the potential complications encountered and how they may be managed.
- Learning outcomes: After the presentation, delegates should be able to reflect on their own patient cohort and consider how this may have changed and how the complications seen may be best managed.