O rthodontic therapy is the newest grade of dental care professional (DCP) in the UK. The first cohort of students started their oneyear course on the Yorkshire Orthodontic Therapy Course in Leeds in 2007. It is estimated there are now more than 400 registered orthodontic therapists in UK. This article provides a brief background to the introduction of orthodontic therapists, as well as the real-life experiences of a qualified orthodontic therapist, an orthodontic therapist in training and a workplace trainer. The first discussions about orthodontic therapists, then referred to as ancillary orthodontic personnel, began in 1967. However, it was not until the early nineties with the Nuffield Enquiry into Ancillary Dental Personnel that the role was considered in more detail (by this stage it was being referred to as orthodontic auxiliaries) at which point evidence was also emerging that 50% of 11-year-old children had a defined need for orthodontic treatment and that there were fewer orthodontic specialists in the UK in comparison to other European countries. Furthermore, those who were working in UK specialist practices had caseloads of double that of European counterparts. 1,2 To provide evidence of the benefit of orthodontic therapists for the delivery of orthodontic healthcare, a pilot study was set