The Advisory Committee on the future of dentistry in the Netherlands recommends to deliver dental care through oral health care teams consisting of dental hygienists, dental assistants and other oral health care workers with extended qualifications with a new dental professional, the oral physician, as the director of those teams. What does this mean for the orthodontist? As modern orthodontics is far more multidisciplinary than in the past a structured collaboration between the orthodontist and the oral physician under one roof will be the future, probably supported by a management service organisation. Furthermore a quality system for orthodontic professionals such as the one that was developed though the EURO-QUAl-network needs to be established. And finally, orthodontists should change their clinical behaviour by applying evidence-based treatment strategies. It is clear that these developments need to be tailored in a European context.