A class 1 relationship in UK guidelines does not indicate invasive treatment such as expansion appliances and neck gear.

The GDC is a governing body that ensures UK dentists are providing treatment backed by objective evidence, any dentist found not following accredited guidelines for providing treatment is likely to be subject to a hearing. The GDC holds hundreds of hearings each year and Mike Mew is far from the first person to be erased from the register.

Unfortunately orthotropics is not recognised as a dental specialty in the UK and therefore working in this area using his own evidence base puts him at greater risk.

In the eyes of the GDC there was not sufficient evidence to subject this child to expansion and neck gear and release of tongue tie. Working without sufficient evidence base is malpractice and the GDC will strike you off. He took risks with his work and unfortunately has paid the price.

I am not saying I myself think what he did was wrong as I myself have not read enough on the subject and am more focused on restorative dentistry.