Orthodontists are specialized dentists. Unfortunately in Germany, they have two different job titles: either “orthodontist” or “dentist for orthodontics.” Orthodontists graduate in dentistry which takes five and a half years. After that and before beginning postgraduate education, a one year occupation as general dentist is mandatory in most federal states. The postgraduate education in orthodontics takes three years. These three years can be completed at the orthodontic department of a university hospital of dentistry, but two of these three years can either be spent at an orthodontic office authorized to have postgraduate students. For this reason, the university education is reduced in most cases to the so called “clinic year.” This differs to the system of most other countries because orthodontists are usually being trained at a university hospital for three years. As the educating offices are hardly subjects to control and many German university hospitals train unsystematically or have too few patients, the German education is to be rated rather poor compared to international standards. Those who want to achieve a high standard as orthodontist have to invest a lot into courses, congresses and reading literature within the German educational system. Moreover, some federal states proceed to abolish the last bit of university education, i.e. the “clinic year.” The educational level has to suffer for young colleagues receiving their specialty training exclusively in poorly supervised orthodontic offices.