Right Ortho

19/08/2026

Dr. Andrey Tikhonov explains why space calculation in orthodontic planning is not just about crowding.
Midline correction, incisor position, expansion, and the curve of Spee all change the final space balance.
That is why every movement should be calculated before mechanics begin.
To receive the full webinar recording, comment WEBINAR.

15/08/2026

12/08/2026

What Happens Inside the School?

Inside the Orthodontic Treatment Planning School the focus is on building a clear, realistic treatment plan before choosing the mechanics.
You learn how to determine:
👉where the incisors should finish,
👉how much space is required,
👉whether planned tooth movements are realistic,
👉how to manage asymmetry and midline deviation,
👉and which treatment option gives the most predictable final result.

The School includes 20 recorded lessons, 3 months of access, a closed professional community, and access to OrthoPlanner. The goal is to make treatment planning more structured, measurable and clinically predictable.
The link to the Treatment Planning School is in our bio.

20/07/2026

Years of training. Advanced tools. Expensive education.
But confident treatment starts with the right plan.
The OrthoPlanner Method helps orthodontists make clearer, more structured treatment decisions.

17/07/2026

Save this before replacing extraction planning with distalization based on selected online results.

Upper molar distalization can be part of a treatment plan, but it should begin with space calculation, molar root inclination, anchorage demand, and realistic movement limits.

In the discussed case, the upper second molars were already distally tipped. Their roots would first require approximately 2–3 mm of uprighting before true bodily distalization could create space.
The total distal root movement could therefore reach 6–8 mm.

That number should trigger reassessment rather than automatic mechanics.

Before choosing distalization instead of extraction, check:
1. Actual Space Deficiency;
2. Molar Crown and Root Inclination;
3. Bodily Distalization Required;
4. Anchorage Demand;
5. Incisor Position;
6. Overjet and Finishing Consequences.

Selected social media cases show what was achieved in exceptional circumstances. They should not replace routine planning references.

For bodily upper molar distalization, approximately 3–4 mm is a more realistic average planning reference than the extreme movements displayed online.

If a plan requires 6–8 mm, reconsider the treatment option before mechanics begin.

Write LIMITS in the comments to see how this question is resolved within a complete treatment plan.

17/07/2026

Save this before replacing extraction planning with distalization based on selected online results.
Upper molar distalization can be part of a treatment plan, but it should begin with space calculation, molar root inclination, anchorage demand, and realistic movement limits.

In the discussed case, the upper second molars were already distally tipped. Their roots would first require approximately 2–3 mm of uprighting before true bodily distalization could create space.
The total distal root movement could therefore reach 6–8 mm.

That number should trigger reassessment rather than automatic mechanics.
Before choosing distalization instead of extraction, check:
1. Actual Space Deficiency;
2. Molar Crown and Root Inclination;
3. Bodily Distalization Required;
4. Anchorage Demand;
5. Incisor Position;
6. Overjet and Finishing Consequences.

Selected social media cases show what was achieved in exceptional circumstances. They should not replace routine planning references.
For bodily upper molar distalization, approximately 3–4 mm is a more realistic average planning reference than the extreme movements displayed online.

If a plan requires 6–8 mm, reconsider the treatment option before mechanics begin.
Write LIMITS in the comments to see how this question is resolved within a complete treatment plan.

17/07/2026

Save this before choosing lower incisor extraction only because it resolves the lower anterior crowding.
When crowding is combined with lower midline deviation, removing one lower incisor may be a reasonable option. It can create anterior space and support midline correction.

The decision cannot be evaluated inside the lower arch alone.

Before choosing this plan, check:
1. Expected Overjet Change;
2. Anterior Tooth-Size Relationship;
3. Canine Relationship;
4. Lower Incisor Position;
5. Midline Correction;
6. Need for Posterior IPR or Distalization;
7. Finishing Compromise.

In the case discussed, lower incisor extraction matched the location of crowding and the midline deviation. After calculation, however, the sagittal consequence became more important.

Three lower incisors opposing four upper incisors could increase overjet. Compensation would then require additional compromises, including a Class III canine tendency, posterior IPR, and remaining distalization.
Lower incisor extraction should be judged by the complete occlusal result, not only by the amount of crowding it resolves.

Write OVERJET in the comments to see how this factor changes treatment planning and mechanics.

17/07/2026

Before Brackets or Aligners, Define the Final Tooth Positions

Save this post so the clinical sequence does not begin with the appliance.
Case discussions often move too quickly toward ex*****on: brackets or aligners, extraction or distalization, mini-screws or conventional anchorage.

These decisions are necessary, but they should follow the diagnostic objectives.

Before choosing mechanics, define:
1. Final Incisor Position;
2. Actual Space Deficiency;
3. Planned Midline Correction;
4. Expected Overjet Change;
5. Realistic Tooth Movements;
6. Biological Risks and Treatment Compromises.

Without this sequence, technically correct mechanics can still move the case away from the intended finish.
A bracket prescription, aligner setup, or mini-screw can deliver forces. It cannot decide which diagnostic problem has priority or which compromise is acceptable.

A treatment idea begins with a method. A treatment plan begins with diagnosis, measurements, objectives, and a defined sequence of decisions.

Before asking how to move the teeth, define where they should finish and why.

Write LOGIC in the comments to follow this logic from diagnosis to the final treatment plan.

17/07/2026

In complex orthodontic cases, the decisive error often occurs before the first wire, aligner, or mini-screw is used.
Mechanics can move teeth efficiently. The treatment plan must define which teeth should move, how far, in which direction, and toward what final position.

Before selecting an appliance, the clinician should know:
1. Planned Position of the Incisors;
2. Amount and Location of Space Deficiency;
3. Source of Space;
4. Required Anchorage;
5. Expected Overjet and Midline Change;
6. Biological Risks and Acceptable Compromises.

Without these answers, the case may look active: crowding decreases, spaces close, and teeth move. Tooth movement alone does not confirm that the case is approaching the treatment objective.

The clinical sequence should be:
Define the Finish
Calculate the Required Movements
Evaluate the Limits
Choose the Mechanics

Mechanics determines how forces will be delivered. Planning determines where the teeth should finish and why that position is appropriate.

Write PLAN in the comments to continue this discussion through a complete clinical case.