Bonded brackets, self ligating prescription brackets, lingual orthodontics, glass ionomer cement, nickel-titanium super-elastic thermal phase-transformation wires, Clark Twin Blocks, Jasper Jumpers, relaxed advertising rules, two phase treatment, non-extraction treatment, permanent retention, computers for appointment scheduling, sign in, ledger, clinical notes, digital photography X-rays and models, CBCT, internet communication, web sites. Automated texting of appointment reminders, non-compliance appliances, indirect bonding using CAD/CAM, sequential plastic aligners, more adults in treatment, cosmetic dentistry, advances in orthognathic surgery, distraction osteogenesis, tooth implants, temporary anchorage devices, sleep apnoea appliances, weekend motel orthodontic courses for GP dentists, three year postgraduate orthodontic training, multi-chair practices, privacy and O H & S laws,. These are some of the changes in orthodontic practice over the last three decades. All good? Some bad, even ugly?