Beginning with Edward Angle, significant changes have taken place over the years that have molded orthodontic education in the U.S. into its contemporary design. While it is clear that the quality of the educational process has improved far above its historical foundations, changing designs in the practice of orthodontics, professional organizations, and society require that new challenges must be met if orthodontic education and the delivery of care is to continue to advance in the future. Some of these challenges will be very difficult.