Orthotown September 2019 - 49

the time, this informative approach and
encouragement to seek an orthodontic
evaluation typically results in accepting
treatment.
RM: For the most part, I believe that
orthodontics is an elective service of our
treatment. There are, of course, certain
cases where I feel it's more of a need due
to impacted teeth, functional issues or
other factors.

Do you regularly refer to
a single orthodontist or offer
several options?
CV: I refer to several.
RM: Because an orthodontist is a part
of my practice, I refer in-house. In cases
where siblings or other family members
have been seen by another orthodontist in
town, I'll ask if they've been happy with
the treatment they received; if they are, I
typically encourage them to consult with that
doctor. In cases where families would like
a second opinion, I encourage that as well
and will refer to some other orthodontists
in the area whom I know and respect.

they start, to stay the course. Too often
I've seen parents get frustrated because
they start talking to other parents whose
kids are receiving treatment elsewhere
under different philosophies, and begin to
second-guess their decisions.

And what bothers you about
orthodontic treatment?
CV: When comprehensive orthodontics
is complete, but position and occlusion of
second molars were not addressed. Particularly maxillary second molars can be
difficult to keep clean if they are rotated. I
love when orthodontists have a system to
ensure patients are maintaining preventive
dental visits during orthodontic treatment.
When there's a lack of emphasis on preventive
visits, many times the patient or parent
will assume the orthodontist is checking
to make sure the patient is disease-free. I
appreciate orthodontists who encourage a
three-month recall system, and removal of
wires for patients with poor oral hygiene.

Do you read the referral letter
or report that follows?
CV: Yes.
RM: I glance at it, but typically will
not really read it unless it's a case that has
something out of the ordinary going on.
At the point that they're being tracked by
the orthodontist, he or she is now the one
making the call on that treatment.

What if anything bothers you
about orthodontic referrals?
CV: Keep the referral pad simple!
RM: Not all orthodontists practice the
same or have the same treatment philosophies,
and I will commonly let parents know
that. If parents have taken their child to
multiple evaluations and ask my opinion
on that matter, I'll typically tell them that
they're best suited going with the opinion
that makes the most sense to them on how
to get from Point A to Point B, and once

orthotown.com \\ SEPTEMBER 2019

49



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
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Orthotown September 2019 - 17
Orthotown September 2019 - 18
Orthotown September 2019 - 19
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Orthotown September 2019 - Cover3
Orthotown September 2019 - Cover4
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