Part I — Diploma in Orthodontics

Aims and Objectives

The Diploma is designed to develop the interest and capability of family and primary-care dentists in orthodontics so that clinical practice is based on sound, evidence-based knowledge and fundamental clinical skills. On completion, candidates should be able to:

  • Diagnose anomalies of the dentition and facial structures.
  • Detect deviations from normal development of the dentition and facial structures.
  • Comprehend the physiological basis and limitations of orthodontic treatment.
  • Assess need for orthodontic treatment at individual and societal levels.
  • Understand the professional and ethical standards of orthodontic practice.
  • Formulate treatment objectives and select appropriate treatment plans.
  • Communicate effectively with patients/parents regarding diagnosis and treatment.
  • Conduct interceptive procedures, particularly in the mixed dentition stage.- Anticipate treatment changes and predict course and outcomes.
  • Execute treatment for common malocclusions appropriate to the clinician’s level of
    training.
  • Collaborate in interdisciplinary dental care according to treatment needs and context.

General Conditions and Entry Requirements:

  • The basic objective is to train clinicians with registrable dental/stomatological qualifications and an interest in orthodontics; further training is required to become a specialist.
  • Candidates must be registered dentists in the country/region of qualification and/or current practice.
  • Attendance at all prescribed components is required.
  • Each registrant must start a minimum of 20 well-documented patient cases and treat patients under continuous supervision of qualified trainers.
  • All trainers are centrally registered with the Programme Management Office and appointed by the Programme Coordinator.
  • Each theoretical course concludes with an assessment.

Programme Structure (2.5 years, part-time)

Components

1. Lectures and practical courses — lectures, seminars, and practical exercises delivered at suitable venues by appointed educational bodies. All training sessions are compulsory.

2. Workplace-based training — approximately one clinical session per week of supervised clinical learning and observation, supported by appointed specialist trainers.

3. Continuous assessment — every 6 months, focusing on theoretical components (typically short-answer/structured formats).

4. Essential reading — recommended English and Chinese literature lists form part of the theoretical course requirements.

5. Continuing Dental Education (CDE) — minimum 10 hours per annum (≥30 hours across the programme) from reputable national/international bodies in Orthodontics or related Clinical Dental Sciences.

Examination and Completion Requirements

  • Clinical Case Log: Over the 2.5-year period, participants treat 20 supervised cases. Three cases must be written up and submitted for formal assessment by the Examination Panel at the end of the programme.

  • Written Paper: Multiple Choice Questions (2 hours).

  • Case Presentation: Two treated or almost-completed cases.

  • Diagnostic Cases: Two diagnostic exercises.

  • Oral Examination.

    Successful candidates are awarded the Diploma in Orthodontics (Shanghai Jiao Tong University, Ninth People’s Hospital). Diploma holders may progress to the MOrth (RCSEd) Training Programme detailed in Part II.

Curriculum (Total Guided Hours: no less than 86)

1. Concepts of physical growth and development — 3 h
• Early stages of growth and development
• Later stages of growth and development
2. Biological, skeletal, dental age; stages of sexual development; adolescent growth spurt and its relevance to craniofacial growth — 1 h
3. Normal growth and development of face and jaws — 1 h
4. Normal development of teeth (deciduous and permanent); leeway/primate space; abnormalities in number/size/position; orthodontic consequences — 1 h
5. Tissue response to orthodontic force; bone remodelling; biological responses to force application — 1 h
6. Tooth eruption / root resorption — 1 h
7. Orthodontics: general principles and aetiology — 1 h
8. Treatment need: assessment, indices, application — 1 h
9. Ethics, informed consent — 1 h
10. Patient communication in orthodontic treatment (motivation, cooperation, psychosocial impact) — 3 h
11. Orthodontic clinical examination — 1 h
12. Supplementary investigation (e.g., imaging modalities) — 1 h
13. Lateral cephalometry and its development — 1 h
14. 2-D lateral cephalometric analyses and clinical applications — 1 h
15. Application of 3-D imaging in clinical orthodontics — 1 h
16. 3-D cephalometric analyses and clinical applications — 2 h
17. Study model examination and analyses — 1 h
18. Digital setup in orthodontic examination — 1 h
19. Classification of malocclusion and diagnosis; problem list; diagnosis and treatment planning — 2 h
20. Consideration of treatment alternatives — 2 h
21. Biomechanical basis of orthodontic therapy — 1 h
22. Mechanical principles in orthodontic force control — 2 h
23. Mechanical properties and orthodontic materials — 1 h
24. Myofunctional therapy — 2 h
25. Orthodontics and temporomandibular joint dysfunction (TMD) — 2 h
26. Condylar trauma and orthodontic treatment — 2 h
27. Adenoid hypertrophy and management — 1 h
28. Design of orthodontic appliances and mechanical characteristics — 1 h
29. Functional appliances — 1 h
30. Fixed labial appliances — 1 h
31. Fixed lingual appliances — 1 h
32. “Invisible” aligners — 1 h
33. Bonding agents; orthodontic wires/sequencing/instruments; expanders; intra-oral laser applications — 1 h
34. Dental impression materials; intra-oral scanning — 1 h
35. Stage I treatment goals — 2 h
• Alignment
• Correction of reverse bite
• Assisted eruption of impacted teeth
• Overjet and overbite reduction
36. Stage II treatment goals — —
• Correction of buccal segment relationships
• Space closure of extraction sites
37. Stage III treatment goals — —
• Finishing adjustments, bracket repositioning, vertical control of canines
• Development of final occlusion and aesthetics
38. Retention — 2 h
• Indications and principles; removable, fixed, and active retainers
• Orthodontic relapse of dental crowding — current understanding and research
39. Treatment of Class I malocclusion in children — 1 h40. Treatment of Class I malocclusion in adolescents — 1 h
41. Class I malocclusion — comprehensive orthodontic treatment — 1 h
42. Bimaxillary protrusion — orthodontic management — 1 h
43. Bimaxillary protrusion — combined orthodontic/orthognathic treatment — 1 h
44. Bimaxillary protrusion — periodontal concerns and strategies — 2 h
45. Interceptive treatment of Class II in children — 1 h
46. Orthopaedic treatment of Class II in adolescents — 2 h
47. High-angle Class II — orthodontic treatment — 2 h
48. Low-angle Class II — orthodontic treatment — 2 h
49. High-angle Class II — combined orthodontic/orthognathic treatment — 2 h
50. Low-angle Class II — combined orthodontic/orthognathic treatment — 2 h
51. Class II with TMD — orthodontic treatment — 2 h
52. Class II with TMD — combined orthodontic/orthognathic care — 2 h
53. Interceptive treatment of Class III in children — 1 h
54. Orthopaedic treatment of Class III in adolescents — 2 h
55. Class III — orthodontic treatment — 2 h
56. Class III — combined orthodontic/orthognathic treatment — 2 h
57. Asymmetry — treatment in children — 1 h
58. Asymmetry — treatment in adolescents — 1 h
59. Open bite — treatment in children — 1 h
60. Open bite — treatment in adolescents — 1 h
61. “Invisible” orthodontics — 2 h
62. Individualised lingual orthodontics — 2 h
63. Orthodontic practice / infection control — 1 h
64. Growth and treatment analysis — 1 h
65. Risks of orthodontic treatment and their management — 1 h

Online Lecture Series

– Prof. Fraser McDonald — Growth in orthodontics; Functional appliances; Fixed appliance mechanics; Biology of tooth movement; Root resorption; Diagnosis and treatment planning; Dental materials.


– Prof. Dirk Bister — Functional appliances; Lateral cephalometry; Management of fractured teeth.

– Dr. Toby Gillgrass — Cleft lip and palate in orthodontics; Biomechanics; Growth and development; Stability and retention.


– Dr. John Scholey — Lower incisor extraction in Class III cases.

– Dr. Richard Cure — Class III orthodontics; Class II Division 1 orthodontics; Hypodontia; Adult orthodontics.


– Prof. Peter Ngan — Early and timely orthodontic treatment; Management of transverse discrepancies with TADs; Growth and development in Class II treatment; Early orthopaedic management of Class III; Borderline extraction cases; Can we speed up tooth movement?; Treatment of extraction and missing-tooth cases with aligners; Impacted maxillary canines; Interdisciplinary management of complex adult malocclusions.


– Prof. Fang Bing — TMJ and orthodontics; TMD and imaging; Clear aligners: principles and practice.


– Prof. He Hong — Sleep apnoea and its orthodontic implications.


– Prof. James Chow / Prof. Piet Haers — Orthognathic surgery; Cleft palate repair; Radiographic imaging.


– Prof. Pan Xiaogang — Aligners to treat increased vertical dimension; Aligners to treat reduced vertical dimension.


– Dr. Romeo Jacob — Loop mechanics and wire bending.


– Dr. Cordia Lam — Basic principles of clear aligner treatment.


Note: The programme may invite additional guest lecturers. Schedules are confirmed annually.