A nostalgic aura haunted me when I read Steven J. Lindauer’s Centennial Guest Editorial, “Where are we going” (Am J Orthod Dentofacial Orthop 2015;148:708-9). I would like to remark.

Advances and clinical innovations are a boon to orthodontics. In the last 100 years, we have seen a leap from conventional orthodontics to contemporary orthodontics. Modern treatment modalities, including Wilckodontics, accelerated orthodontics, and invisible orthodontics, must be well understood and executed with special care. Orthotropics and the soft-tissue paradigm dictate the type of treatment modalities. While digital advancements such as cone-beam computed tomography are definitely helping practitioners, their use need not be impulsive but, rather, indicated for the particular patient.

Now, we no longer manage practice—practice manages us. Change is evident, starting from staff management to patient counseling; we are becoming trained managers as much as skilled clinicians. Thus, we need to focus on quality management of the services we provide and practice ethically. The rest would follow, and we will succeed as practitioners.