Right Ortho

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Right Ortho

Right Ortho - Orthodontic Training
Drs. Andrey & Sergey Tikhonovs
-оrthodontists, teachers, brothers We are twin brothers - Andrey and Sergey.

We have been training young orthodontists for over 10 years to improve their orthodontic skills ranging from diagnosis and treatment planning to clinical technique. We know we can provide useful, practical, and most importantly evidence-based information for contemporary orthodontic treatment. This project is oriented for any orthodontist who wants to become more efficient in their clinical practice while achieving high-quality outcomes.

30/05/2026

Pain + System + Product

The idea behind Orthodontic Planning School did not appear from theory. It appeared from a real clinical pain.

Every orthodontist knows this moment: the case is complex, the diagnosis has many layers, the patient expects a clear answer — and the doctor has to decide where the treatment should go.

Class II, Class III, crowding, asymmetry, missing teeth, midline deviation, bite problems — separately, these things are familiar. Together, they can create a case where intuition alone is not enough. This is where stress begins. The doctor sees several possible directions. Each option has consequences. Each compromise affects the final result. And the most difficult part is that the plan must be explained clearly before treatment even starts. That pain became the starting point.

The next step was the system.

A structured planning algorithm helps organize clinical thinking. It gives a sequence: how to analyze the case, how to define priorities, how to compare options, how to see risks, and how to build a treatment plan that is realistic and predictable. And from this system, the product was created.

Orthodontic Planning School is built around this logic: helping doctors plan complex orthodontic cases with more structure, confidence and clinical clarity. Because a strong product in medicine is not just information. It is a solution to a problem doctors face in real practice.

Sales for Orthodontic Planning School are now open. The link is in the profile header.

29/05/2026

A retrospective look at a case in which we extracted four premolars many years ago. I planned it using an algorithm and confirmed what we’d only realized toward the end of treatment: that the lower extraction was unnecessary. See the slides. As a reminder, we now have a clear, consistent treatment planning algorithm, OrtnoPlanner. If you follow it, the plan will always be correct. Join us in the journey to predictable orthodontics!

20/05/2026

Every orthodontist knows this feeling.

You open a complex case and at first everything looks understandable. Crowding. Midline deviation. Class II on one side. Maybe missing teeth. Maybe asymmetry. Maybe a deep bite or open bite.

Each problem is familiar.

But together they create one big question:

Where do I start?

This is exactly what happens without a planning system.

The doctor sees many clinical details, but there is no clear order of thinking. One decision pulls the case in one direction. Another decision pulls it in another. The plan starts to feel overloaded. Treatment options multiply. Confidence becomes weaker.

And the most stressful part is that the case still has to be explained to the patient.

What are we going to do?
Why this option?
How predictable is the result?
What are the risks?
What happens if we choose another way?

Without a system, the orthodontist often starts answering these questions from experience, intuition and separate clinical habits.

Sometimes it works.

But in complex cases, intuition alone can create too much stress.

A planning system gives the doctor something very important: a sequence of thinking.

It helps you move from diagnosis to treatment direction step by step. It helps you understand what matters first, what can wait, where the limits are and which decision will influence the whole result.

This is the type of clinical thinking we study inside Orthodontic Planning School.

Because complex orthodontic cases do not become clearer when we simply look at them longer.

They become clearer when we know how to think through them.

07/05/2026

Most orthodontic cases don’t fail because of mechanics.
Very often the problem starts earlier, at the stage where we choose the treatment plan.

The same case can be treated in different ways. And when there is no clear system behind the decision, the plan becomes intuitive. It may look logical at the beginning, but later you have to adjust, compromise or explain why the result is not exactly what you expected.

That is why we prepared a free lesson on orthodontic treatment planning.
Inside, we break down how to look at cases before treatment starts, how to compare options and how to make planning more structured and repeatable.

No theory overload. Just a clear practical approach for orthodontists, students and residents who want to plan with more confidence.

Comment PLAN below and we will send you the link to the free lesson in DMs.

20/04/2026

Hi dear colleagues,

Over the years of running this blog, you’ve likely seen the quality of our content.
It has always been evidence-based, practical, and honest.

For several years, we’ve been sharing our knowledge with you completely free of charge - and we will continue to do so.

At the same time, we’re excited to introduce our first commercial product: the OrthoPlanner Online School of Orthodontic Treatment Planning in Permanent Dentition

This is a structured course consisting of 20 video lessons (about 30 minutes each), with built-in knowledge checks.

Step by step, you’ll move from clear, clinically relevant diagnostics to a transparent and systematic treatment planning algorithm — one that can be applied to virtually any case.

After completing the course, you’ll take your treatment planning skills to a completely new level.

No more relying on intuition or guesswork.
No more unnecessary risks or disappointing outcomes.

Instead - clear, realistic, and precise treatment plans, with full understanding of limits, compromises, and key details **before treatment even begins.

In addition to structured, in-depth knowledge of treatment planning, you will also gain access to OrthoPlanner - a semi-automated treatment planning service.
Think of it as an experienced mentor with over 20 years in orthodontics, built into a system: powered by hundreds of intelligent algorithms, clinical prompts, and safeguards - always available, always consistent, and designed to support you in even the most complex cases.
This tool allows you to apply everything you learn in practice and implement it with precision in real treatment plans.
It also provides ready-to-use outputs, including:
— patient-ready documents for review and signature;
— technical instructions for aligner setup or a structured biomechanics plan for bracket treatment.
You can continue relying on intuition.
Or you can bring your treatment planning to a fundamentally higher level.

The choice is yours.

Become precise. Become predictable.
Welcome to the OrthoPlanner Online School! Find the link in bio!

18/04/2026

Most orthodontists don’t have a clear system for treatment planning — even if they’ve been
practicing for years.
Decisions are often based on experience, habits, or intuition. And while that works
sometimes, it also leads to inconsistency, uncertainty, and avoidable mistakes.
Hi colleagues, this is Andrey Tikhonov.
I’ve been practicing orthodontics for over 23 years and teaching for more than 15. Over the
past few years, I’ve focused on one goal: creating a structured, step-by-step treatment
planning algorithm that does not depend on years of experience — and works reliably even in
complex cases.
Today, this algorithm is fully developed and has been tested in our clinics over several years.
Alongside it, we’ve built a tool that makes it practical in everyday work — the OrthoPlanner
treatment planning service.
In this post, I’ve shared a short breakdown of the algorithm and several real clinical cases
with challenging geometry — cases where diﬀerent treatment options were possible, but the
algorithm helped arrive at a predictable and stable result.
If you want to understand how it works, I recommend watching the webinar.
Comment “webinar” and I’ll send you the recording.
I truly believe this will change how you think about treatment planning — especially in
permanent dentition cases.
We’ve also created a full online training program:
20 lessons (~30 minutes each), plus tests and assignments. During the course, you’ll get
access to OrthoPlanner and apply the system to both training cases and your own patients.
The goal is simple:
→ more predictable outcomes
→ fewer patient conflicts
→ more confidence in your decisions
The program is launching very soon. In April, we’re oﬀering special conditions for
subscribers — details are in the carousel.
If you’d like to secure them, send us a direct message with the word “school”.
⠀
Wishing you clear, structured orthodontics — and consistently great results

31/03/2026

The 6 most common causes of a “Gummy smile” and how to correct It.

Here, we’ve compiled useful information about correcting a “gummy smile,” including its causes and treatment options.

We’ve also included a detailed example of implant placement in the upper dental arch for corrective purposes.
View the slides 👉

Write the word “smile” in the comments if you'd like to receive a more detailed chart listing the 6 main causes, typical signs, and treatment options for a “gummy smile”!

24/03/2026

5 simple geometric rules of occlusion in orthodontics.
⠀
Here are five straightforward geometric principles that should become second nature in every case. If you can’t recall them instantly — even when you’re woken up at 4 a.m. after a fun night out with friends — it’s worth revisiting and reinforcing them until they stick.
⠀
Comment “𝗦𝗣𝗔𝗖𝗘” if you’d like a diagram showing how to calculate space gained or required during incisor proclination or retroclination, as well as when uprighting posterior teeth.

18/03/2026

In patients with a convex profile, extraction treatment alone can significantly improve the profile, but in high-angle patients with a weak chin, vertical control is especially important.
Intrusion of the entire maxillary dentition during space closure leads to anterior mandibular autorotation, reduction of facial height, and increased chin prominence.
Retraction of the incisors further harmonizes the profile, and elimination of mandibular incisor protrusion enhances the labiomental fold and improves chin shape.

To maximize the benefits of miniscrew-assisted treatment, a solid understanding of biomechanics is essential. If the force vector passes close to the center of resistance of the entire dentition, located approximately at the level of the mid-root of the premolars between the first and second premolars, the entire arch receives an intrusive force, and the absence of a moment prevents rotation of the dentition and thus loss of anterior intrusion.
Technically, there are two ways to implement this biomechanics, as shown in the slides.

Excellent results can be achieved without surgery. It is very rewarding to see that in orthodontics we can not only align teeth but also significantly improve facial aesthetics.

Value your specialty and wish you beautiful results in your work!

25/02/2026

When planning skeletal expansion in adolescents, it’s important to have a clear understanding of several key quantitative parameters. You need to know how much true skeletal expansion will occur in the posterior region, what the total transverse expansion will be, and how much space will be gained in the dental arch — in other words, the expected diastema.

We reviewed the available data from the scientific literature and combined it with the results of our own clinical study involving adolescent patients treated with MARPE appliances supported by 2 or 4 mini-implants.

On average, you can expect a diastema of about 5 mm, meaning approximately 5 mm of space gained in the dental arch.

On the slide, you’ll find additional important quantitative characteristics of this type of treatment. It outlines how much screw activation is typically required, the proportion of skeletal versus total expansion, and several other clinically useful parameters.

Feel free to incorporate this data into your clinical decision-making.

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