Orthotown November 2020 - 8
embrace progress
The Rise of Early Treatment
by Dan Grob, DDS, MS, editorial director, Orthotown magazine
As if practicing the "new" concept
of cosmetic orthodontics isn't enough, I
recently found myself being nudged into
practicing early treatment, commonly
known as "Phase 1." I'm sure many will have
as much to say about this as they do about
cosmetic orthodontics, such as:
* It's a fad that comes and goes.
* You're doing it for the money.
* Just wait and get it done in one phase.
* Tell the parents that crooked or
gapped teeth are normal at this stage.
After all, they didn't title chapters in
orthodontic textbooks "The 'Ugly Duckling' Stage" for no reason. I even heard
a well-respected and excellent clinician
denounce early treatment at a recent AAO
meeting. This led to my clinical assistants
immediately quizzing me on the reasons,
methods and motivation behind our recently
adopted treatment approaches.
The topic has been controversial, to
say the least. Only 10-15% of my previous
practice life was spent on early treatment.
In fact, it was a marketing strategy when
approaching general dentists who resented
orthodontists jumping in too early to fi x
something that they thought would go
away, be taken care of later or just preferred
to ignore. (Tell that to the 15-year-old girl
who finally was referred when her maxillary
cuspids failed to erupt.)
I'm not sure what's being taught at the
leading orthodontic programs these days
regarding early treatment, but judging from
message boards and other online postings,
an awful lot of orthodontists are still caught
up in the arguments about how many teeth,
8
if any, to take out to fi x an issue. Or they're
looking at what can be done in 16 months
after waiting for all of the teeth to come in
scary-crooked, only to be taken care of with
a certain bracket system.
Well, parents, dentists and patients are
not that simple-minded these days. Mothers
and fathers who bring their 2-year-old
children to the dentist are concerned about
their kids' appearance! After all, why else
are they taking care of their smile? Most
are not satisfied to be told that it is normal
or that they can wait.
My philosophy
Our association has been preaching
for years about the need to send a young
patient to the orthodontist for an evaluation
at age 7. Yet, how many orthodontists have
created a welcoming environment, systematic
evaluation and straightforward treatment
plan to take care of these patients if and
when they are referred? How many are aware
of the services and screening we could or
should be providing at this age?
I practice with a pediatric dentist,
so of course my view is tilted. This is a
NOVEMBER 2020 // orthotown.com
OT1120_Embrace-Progress_MM.indd 8
10/27/20 9:29 AM
http://www.orthotown.com
Orthotown November 2020
Table of Contents for the Digital Edition of Orthotown November 2020
Orthotown November 2020 - Cover1
Orthotown November 2020 - Cover2
Orthotown November 2020 - 1
Orthotown November 2020 - 2
Orthotown November 2020 - 3
Orthotown November 2020 - 4
Orthotown November 2020 - 5
Orthotown November 2020 - 6
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Orthotown November 2020 - 8
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