On 1 October 2022, James Green was awarded the Orthodontic Technicians Association Award for Outstanding Contribution to the Field of Orthodontic Technology.

James trained as a dental technician at Barts and the London, Queen Mary's School of Medicine and Dentistry, in association with Lambeth College and qualified in 2001. This was followed by a vocational training year at the Royal London Hospital and two years based at the Eastman Dental Hospital. He currently works as a Maxillofacial and Dental Laboratory Manager for Great Ormond Street Hospital (GOSH) in London and Broomfield Hospital in Chelmsford.

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Since joining GOSH in 2004, James has been actively involved in research, the majority of which is related to facial clefts. He has co-authored papers that have been presented at national and international meetings and published in The Cleft Palate-Craniofacial Journal. Between 2011 and 2013 he collaborated with a team at Loma Linda University in California to investigate the effect of changes in primary attending doctor coverage frequency on orthodontic treatment time and results, the findings of which were published in The Angle Orthodontist. In 2016, he developed the auricular splint (a custom-made medical device used to maintain auricular dimensions and projection following second stage auricular reconstruction) together with plastic surgeons at GOSH. This work was presented at the 2nd Congress of the International Society for Auricular Reconstruction in Beijing, China, and the British Association of Plastic, Reconstructive and Aesthetic Surgeons Winter Scientific Meeting in London and published in the Annals of Plastic Surgery.

James has delivered more than 40 invited lectures, both nationally and internationally. In recent years, he has lectured widely on the new custom-made medical device regulations; this work has been published in journals including the British Dental Journal and BDJ Team.

James has been an elected member of the Orthodontic Technicians Association (OTA) Council since 2006. He served as OTA Treasurer from 2007 to 2016 and was elected to his current role, OTA Secretary, in 2018. He was also a Dental Technologists Association council member from 2013 to 2019, during which time he served as Deputy President from 2014 to 2016 and President from 2016 to 2018.