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ИИ-анализ Обновления Американских протоколов "ортодонтического лечения". Всё стало ещё хуже. Ссылка на видео от хирурга, которое его заставили удалить

https://www.facebook.com/groups/extractionorthodonticsreversal/posts/27118072917780454/

THE American association of orthodontics' "White Paper on Othodontics and OBSTRUCTIVE SLeEP APNEA" HAS BEEN UPDATED!
IT PROTECTS THE INDUSTRY EVEN MORE FROm PATIENTS REPORTING AIRWAY AND BREATHING ISSUES AFTER ORTHODONTIC TREATMENT.
You can access the paper here:
Read the full AAO 2026 "Update" to their White Paper
ARTIFICIAL INTELLIGENCE (AI) ANALYZES THE STRATEGIES OF THE AAO UPDATED PAPER TO DENY ALL RESPONSIBILITY FOR PATIENTS REPORTING BREATHING DISORDERS FOLLOWING ORTHODONTIC TREATMENT:
'
AI OUTLINE:
1. What this document is (plainly)

A position statement by the American Association of Orthodontists
An update of their 2019 white paper
Written by a task force of "orthodontists and affiliated experts"

2. The core strategy
The paper is built around three protective moves:
A. Shift the problem
Moves from “sleep apnea (OSA)” → “sleep-disordered breathing (SDB)”
👉 This broadens and blurs the condition
👉 Makes it harder to assign clear cause
B. Emphasize “lack of evidence” everywhere
The paper repeatedly states:

No evidence orthodontics causes SDB
No evidence orthodontics prevents SDB
No evidence orthodontics changes outcomes

👉 This is the central defensive position
C. Redefine orthodontists’ role downward

Orthodontists:
can screen
must refer
cannot diagnose

👉 This limits responsibility
3. Key claims (translated into plain language)
Claim 1 — “Orthodontics is not proven to affect breathing disorders”

No causal link between orthodontics and Sleep Disordered Breathing
This includes extractions and other treatments

👉 Interpretation:
This is not saying “it does not happen”
It is saying “it has not been proven”
Claim 2 — Imaging as evidence is dismissed
CBCT airway measurements:
not diagnostic
not predictive

Airway size ≠ airway function

👉 This directly blocks airway-based arguments
Claim 3 — Everything is “multifactorial”

SDB (SLEEP DISORDERED BREATHING) IS attributed to:
neuromuscular factors
systemic factors
multiple variables
everything but othodontic reraction

👉 Effect:
Structural causes become harder to isolate
Claim 4 — Extractions are not causative

States no evidence linking extractions to SDB
Acknowledges variability in outcomes

👉 Important nuance (from the paper itself):

Some studies show reduction in airway dimensions after retraction
But causation is still denied

4. What the paper does NOT address
This is as important as what it says.
It does NOT include:

Long-term patient outcome tracking
Large-scale symptom follow-up
Patient-reported functional changes
Risk stratification (who is vulnerable vs not)
Detailed analysis of premolar extraction populations

👉 In other words:
It avoids the patient-level question
5. What this paper is really doing
1. Limiting liability
By repeating:

“no proven causation”
“insufficient evidence

👉 This protects against claims of harm
2. Controlling acceptable claims

Orthodontists cannot:
diagnose airway disorders
claim treatment improves airway
claim treatment harms airway

👉 This narrows the narrative
3. Weakening structural arguments
By asserting:

airway size is not meaningful
anatomy alone is insufficient

👉 This directly counters:

arch reduction concerns
tongue space arguments
retraction-based airway models

6. What is new vs 2019

Stronger emphasis on uncertainty
Broader terminology (SDB)
More explicit rejection of:
imaging-based conclusions
preventive orthodontic claims

👉 But the underlying position is unchanged
7. Bottom line (clear and direct)

This document does not:

acknowledge orthodontic airway harm as established
validate CBCT airway concerns
engage deeply with extraction-related outcome data

This document does:

emphasize lack of proof
define limits of responsibility
frame airway as too complex for structural causation

One-sentence summary:

The AAO 2026 white paper does not investigate patient outcomes; instead it sets a professional position that no causal link between orthodontics and breathing disorders has been proven, while narrowing what orthodontists are allowed to claim and emphasizing uncertainty and lack of responsibility.


Please do circulate my survey link—it is currently the only place patient experiences are being collected, and the only way to reach an aggregated group. As of 2026, the survey has reached approximately 4,000 people. If shared more broadly beyond orthodontic sites, it could reach many more people, including the likely majority who do not realize that their health issues could be related to premolar extraction. Each year, an estimated 6 million people undergo premolar extractions, most of them children, many of whom adapt to the consequences and may never realize any connection to later health issues: https://forms.gle/F5LEdN9ujjiMu4Mt6 (https://docs.google.com/forms/d/e/1FAIpQLSfES0DTiu4DxUvaKIePxDXnTNZYF6GMTZN9DO0uE8xAYec6nw/viewform)

You remember maxillofacial surgeon David Alfi's video on Tiktok that explained clearly how extractions cause problems? It was so direct and powerful, that I worried it would be taken down imminently---and contacted my techie brilliant friend Alex and asked him to bootleg immediately, and he did. Alfi took down his video the next day. He told me later that the orthodontists from the AAO wrote him and told him he had to take down that video. He did so, and he told me he had no choice but to as he was harrassed. https://drive.google.com/file/d/1zCk6I4WI3jmbRL45f4_HD__0eG3QgIxd/view
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