Orthotown January/February 2020 - 32
office visit
Fortunately, none of this life experience
has gone to waste. I hope I'm much better
at motivating 11-year-olds because I can
definitely understand when they've had a
bad hygiene or elastics appointment. It's also
super easy to empathize with older teenagers
who are worried about braces getting in the
way of some important life moments. Kids
need to know you're on their side, you're
in their corner, and together you can do
something very hard and very rewarding.
You have a lot of experience in lingual
orthodontics. What do you like most
about this treatment, and how often do
you provide this treatment?
Providing lingual orthodontics is difficult, which is probably why I'm drawn to
it. Though I was always interested in it, my
exposure to lingual orthodontics in residency
was minimal. That's pretty common in the
United States.
When I saw a first-of-its-kind lingual
fellowship offered at the University of Texas
Health Science Center at San Antonio, I
decided to take advantage of the opportunity-and it was an absolutely great decision!
Getting to learn from some of the best
lingual orthodontists in the world gave me
32
JANUARY/FEBRUARY 2020 // orthotown.com
the confidence to treat difficult cases and to
navigate problems and issues that arrive in
nearly all treatments, lingual or otherwise.
Clear aligner therapy is amazing, and
has proven it can provide excellent results
even in difficult cases. In my experience,
however, it takes longer than I would
like to arrive at those results (to nearly
everyone's exasperation). When patients
ask for clear aligners in a consult, I simply
find out if there's something specific about
plastic they like or if they're just looking
for aesthetic treatment. Lingual is so much
more predictable for me in terms of time in
treatment and result.
One thing that burned me right out
of residency is underestimating patient
expectations. Patients want the very best
result, period. If it can be or look better,
they want it. I'm able to provide an excellent
result more predictably with a fixed appliance,
and a lingual appliance satisfies the aesthetic
demands of patients who can't or won't
consider a traditional labial appliance.
Orthodontics can be a pretty
taxing profession, both mentally
and physically. As a result, you've
developed some back pain, which led
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Orthotown January/February 2020
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