Orthotown September 2019 - 48
[Editor's note: Is it proper or expected for
orthodontics to be discussed in a pediatric dental
practice? We' ll let you decide after reading the
answers to this next question.]
At what age do you bring up
the topic of orthodontics
to your patients?
What are your top
concerns today?
CV: Crowding, smiles, airway function
and stable joints.
RM: Spacing/crowding, followed by
the aesthetics of the smile. Airway and
function will come into play when you see
a patient who's truly struggling with one
of these aspects.
Do you believe you learned
enough about the basics of
orthodontics?
CV: Yes.
RM: I didn't learn enough about the basics
of orthodontics during residence, so most
of what I know today was learned while in
practice. As an associate, the office I worked
in for the first several years worked closely
with a neighboring orthodontic group, and
I was able to ask a lot of questions and learn
some through the osmosis of practicing.
Now, Dr. Grob and I are able to look at cases
together and discuss different treatments,
topics, etc.
48
SEPTEMBER 2019 // orthotown.com
CV: I start discussing spacing and arch
development as early as 1, particularly if
there's a non-nutritive habit. If the patient has
a crossbite, narrow palate or primary-tooth
crowding, I start the discussion about early
intervention as young as 3, to "plant the
seed" of the importance of early intervention.
RM: I bring up the topic of orthodontics
at a very young age with my patients and
their families. In the primary dentition when
I see little to no spacing, I will subtly bring
up the fact that when there is no extra space
for the baby teeth, the adult teeth will likely
be tight or even crowded. I'll often emphasize
that when we are reviewing early occlusal
X-rays or the panos after the age of 6.
Do you refer everyone
for orthodontics?
CV: Yes.
RM: I will refer when either the parents or
I am concerned with crowding, appearance,
etc. I do discuss spacing and development
for all of my patients, but not everyone is
referred to an orthodontist-more than half
of them are referred at some point, though.
Do you believe orthodontics is an
elective service, or a necessary
part of treatment?
CV: I have a culturally diverse patient
population, so I'm sensitive to the fact that
some cultures aren't as concerned about
aesthetics or orthodontics. In this situation,
I've found that informing them of potential
issues can help: Most patients will benefit
from orthodontics for function, aesthetics
or airway, so giving parents information,
showing them my concerns, and describing
possible long-term effects is an effective way
to communicate and build trust. Most of
http://www.orthotown.com
Orthotown September 2019
Table of Contents for the Digital Edition of Orthotown September 2019
Orthotown September 2019 - Intro
Orthotown September 2019 - Cover1
Orthotown September 2019 - Cover2
Orthotown September 2019 - 1
Orthotown September 2019 - 2
Orthotown September 2019 - 3
Orthotown September 2019 - 4
Orthotown September 2019 - 5
Orthotown September 2019 - 6
Orthotown September 2019 - 7
Orthotown September 2019 - 8
Orthotown September 2019 - 9
Orthotown September 2019 - 10
Orthotown September 2019 - 11
Orthotown September 2019 - 12
Orthotown September 2019 - 13
Orthotown September 2019 - 14
Orthotown September 2019 - 15
Orthotown September 2019 - 16
Orthotown September 2019 - 17
Orthotown September 2019 - 18
Orthotown September 2019 - 19
Orthotown September 2019 - 20
Orthotown September 2019 - 21
Orthotown September 2019 - 22
Orthotown September 2019 - 23
Orthotown September 2019 - 24
Orthotown September 2019 - 25
Orthotown September 2019 - 26
Orthotown September 2019 - 27
Orthotown September 2019 - 28
Orthotown September 2019 - 29
Orthotown September 2019 - 30
Orthotown September 2019 - 31
Orthotown September 2019 - 32
Orthotown September 2019 - 33
Orthotown September 2019 - 34
Orthotown September 2019 - 35
Orthotown September 2019 - 36
Orthotown September 2019 - 37
Orthotown September 2019 - 38
Orthotown September 2019 - 39
Orthotown September 2019 - 40
Orthotown September 2019 - 41
Orthotown September 2019 - 42
Orthotown September 2019 - 43
Orthotown September 2019 - 44
Orthotown September 2019 - 45
Orthotown September 2019 - 46
Orthotown September 2019 - 47
Orthotown September 2019 - 48
Orthotown September 2019 - 49
Orthotown September 2019 - 50
Orthotown September 2019 - 51
Orthotown September 2019 - 52
Orthotown September 2019 - 53
Orthotown September 2019 - 54
Orthotown September 2019 - 55
Orthotown September 2019 - 56
Orthotown September 2019 - 57
Orthotown September 2019 - 58
Orthotown September 2019 - 59
Orthotown September 2019 - 60
Orthotown September 2019 - 61
Orthotown September 2019 - 62
Orthotown September 2019 - 63
Orthotown September 2019 - 64
Orthotown September 2019 - Cover3
Orthotown September 2019 - Cover4
https://www.nxtbook.com/farran/orthotown/orthotown-july-august-2024
https://www.nxtbook.com/farran/orthotown/orthotown-june-2024
https://www.nxtbook.com/farran/orthotown/orthotown-may-2024
https://www.nxtbook.com/farran/orthotown/orthotown-april-2024
https://www.nxtbook.com/farran/orthotown/orthotown-march-24
https://www.nxtbook.com/farran/orthotown/orthotown-january-february-2024
https://www.nxtbook.com/farran/orthotown/orthotown-december-2023
https://www.nxtbook.com/farran/orthotown/orthotown-november-2023
https://www.nxtbook.com/farran/orthotown/orthotown-october-2023
https://www.nxtbook.com/farran/orthotown/orthotown-september-2023
https://www.nxtbook.com/farran/orthotown/orthotown-july-august-2023
https://www.nxtbook.com/farran/orthotown/orthotown-june-2023
https://www.nxtbook.com/farran/orthotown/orthotown-may-2023
https://www.nxtbook.com/farran/orthotown/orthotown-april-2023
https://www.nxtbook.com/farran/orthotown/orthotown-march-2023
https://www.nxtbook.com/farran/orthotown/orthotown-january-february-2023
https://www.nxtbook.com/farran/orthotown/orthotown-december-2022
https://www.nxtbook.com/farran/orthotown/orthotown-november-2022
https://www.nxtbook.com/farran/orthotown/orthotown-october-2022
https://www.nxtbook.com/farran/orthotown/orthotown-september-2022
https://www.nxtbook.com/farran/orthotown/orthotown-july-august-2022
https://www.nxtbook.com/farran/orthotown/orthotown-june-2022
https://www.nxtbook.com/farran/orthotown/orthotown-may-2022
https://www.nxtbook.com/farran/orthotown/orthotown-april-2022
https://www.nxtbook.com/farran/orthotown/orthotown-march-2022
https://www.nxtbook.com/farran/orthotown/orthotown-january-february-2022
https://www.nxtbook.com/farran/orthotown/orthotown-december-2021
https://www.nxtbook.com/farran/orthotown/orthotown-november-2021
https://www.nxtbook.com/farran/orthotown/orthotown-october-2021
https://www.nxtbook.com/farran/orthotown/orthotown-september-2021
https://www.nxtbook.com/farran/orthotown/orthotown-july-august-2021
https://www.nxtbook.com/farran/orthotown/orthotown-june-2021
https://www.nxtbook.com/farran/orthotown/orthotown-april-2021
https://www.nxtbook.com/farran/orthotown/orthotown-march-2021
https://www.nxtbook.com/farran/orthotown/2021JanuaryFebruary
https://www.nxtbook.com/farran/orthotown/December2020
https://www.nxtbook.com/farran/orthotown/2020November
https://www.nxtbook.com/farran/orthotown/2020October
https://www.nxtbook.com/farran/orthotown/2020September
https://www.nxtbook.com/farran/orthotown/2020JulyAugust
https://www.nxtbook.com/farran/orthotown/2020June
https://www.nxtbook.com/farran/orthotown/2020May
https://www.nxtbook.com/farran/orthotown/2020April
https://www.nxtbook.com/farran/orthotown/2020March
https://www.nxtbook.com/farran/orthotown/2020JanuaryFebruary
https://www.nxtbook.com/farran/orthotown/2019December
https://www.nxtbook.com/farran/orthotown/2019November
https://www.nxtbook.com/farran/orthotown/2019October
https://www.nxtbook.com/farran/orthotown/2019September
https://www.nxtbook.com/farran/orthotown/2019JulyAugust
https://www.nxtbook.com/farran/orthotown/2019June
https://www.nxtbook.com/farran/orthotown/2019May
https://www.nxtbook.com/farran/orthotown/2019April
https://www.nxtbook.com/farran/orthotown/2019March
https://www.nxtbook.com/farran/orthotown/2019JanFeb
https://www.nxtbook.com/farran/orthotown/2018December
https://www.nxtbook.com/farran/orthotown/2018November
https://www.nxtbook.com/farran/orthotown/2018October
https://www.nxtbook.com/farran/orthotown/2018September
https://www.nxtbook.com/farran/orthotown/2018August
https://www.nxtbook.com/farran/orthotown/2018June
https://www.nxtbook.com/farran/orthotown/2018May
https://www.nxtbook.com/farran/orthotown/2018April
https://www.nxtbook.com/farran/orthotown/2018March
https://www.nxtbook.com/farran/orthotown/2018February
https://www.nxtbook.com/farran/orthotown/2017December
https://www.nxtbook.com/farran/orthotown/2017November
https://www.nxtbook.com/farran/orthotown/2017October
https://www.nxtbook.com/farran/orthotown/2017September
https://www.nxtbook.com/farran/orthotown/August_2017
https://www.nxtbook.com/farran/orthotown/2017June
https://www.nxtbook.com/farran/orthotown/2017May
https://www.nxtbook.com/farran/orthotown/2017April
https://www.nxtbook.com/farran/orthotown/March2017
https://www.nxtbook.com/farran/orthotown/2017JanFeb
https://www.nxtbook.com/farran/orthotown/2016_December_Orthotown
https://www.nxtbook.com/farran/orthotown/2016November
https://www.nxtbook.com/farran/orthotown/2016October
https://www.nxtbook.com/farran/orthotown/2016september
https://www.nxtbook.com/farran/orthotown/2016august
https://www.nxtbook.com/farran/orthotown/2016june
https://www.nxtbook.com/farran/orthotown/2016may
https://www.nxtbook.com/farran/orthotown/2016april
https://www.nxtbook.com/farran/orthotown/2016march
https://www.nxtbook.com/farran/orthotown/2016february
https://www.nxtbook.com/farran/orthotown/2015december
https://www.nxtbook.com/farran/orthotown/2015november
https://www.nxtbook.com/farran/orthotown/2015october
https://www.nxtbook.com/farran/orthotown/2015september
https://www.nxtbook.com/farran/orthotown/2015august
https://www.nxtbook.com/farran/orthotown/2015june
https://www.nxtbook.com/farran/orthotown/2015may
https://www.nxtbook.com/farran/orthotown/2015april
https://www.nxtbook.com/farran/orthotown/2015march
https://www.nxtbook.com/farran/orthotown/2015february
https://www.nxtbook.com/farran/orthotown/2014december
https://www.nxtbook.com/farran/orthotown/2014november
https://www.nxtbook.com/farran/orthotown/2014october
https://www.nxtbook.com/farran/orthotown/2014september
https://www.nxtbook.com/farran/orthotown/2014august
https://www.nxtbook.com/farran/orthotown/2014june
https://www.nxtbook.com/farran/orthotown/2014may
https://www.nxtbook.com/farran/orthotown/2014april
https://www.nxtbook.com/farran/orthotown/march2014
https://www.nxtbook.com/farran/orthotown/2014february
https://www.nxtbook.com/farran/orthotown/2013december
https://www.nxtbook.com/farran/orthotown/2013november
https://www.nxtbook.com/farran/orthotown/2013october
https://www.nxtbook.com/farran/orthotown/2013september
https://www.nxtbook.com/farran/orthotown/2013august
https://www.nxtbook.com/farran/orthotown/2013june
https://www.nxtbook.com/farran/orthotown/2013may
https://www.nxtbook.com/farran/orthotown/2013april
https://www.nxtbook.com/farran/orthotown/2013march
https://www.nxtbook.com/farran/orthotown/2013janfeb
https://www.nxtbook.com/farran/orthotown/2012december
https://www.nxtbook.com/farran/orthotown/2012november
https://www.nxtbook.com/farran/orthotown/2012october
https://www.nxtbookmedia.com