Sir, I am writing in response to the letter in the BDJ titled Undermining consent by J. Mew (BDJ 2011; 210: 52).

I would like to say that the so called orthotropics is not an established form of treatment for malocclusion. It is presently neither being taught to postgraduate trainees in orthodontics nor is it recommended as an option of treatment by the NHS. So the question of undermining of consent doesn't arise at all.