The field of orthodontics has changed markedly in recent years. An increase in available clear brackets and clear aligner systems, such as Invisalign® and ClearCorrect®, have contributed to adult electivity, as many patients in this population may oppose the idea of metal braces and wires. There has also been an increase in demand for shortened treatment time, leading research to seek ways to accelerate treatment. Other evolutions in orthodontics include the use of skeletal anchorage to improve control of tooth movement, as well as a surge of technology including digital scanners and cone beam computed tomography. This course reviews some of the many advances in orthodontics and their impact on patient care.