Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 9

PCSO News and Events

Editorial

Patient Perspectives on Orthodontic
Treatment and Implications for
Practitioner Selection
Considering our association's goals in the context
of today's rapidly evolving healthcare landscape,
it is essential to consider the trends in the public's
choice for orthodontic services.

Dr. Jae Hyun Park
PCSO Bulletin Editor-in-Chief

Over the past 15 years, there has been a trend away
from orthodontists toward general dentists among
the American public when selecting a clinician for
orthodontic treatment.1 This may be attributed to
the paucity of information regarding practitioner
options, qualifications, and treatment quality. Currently, the public's ability to differentiate between
orthodontic clinicians needs to be improved. In the
recent study in which I worked with Dr. Norman
Nagel, most patients are not aware that a dentist
cannot be called an orthodontist without additional training.1 Regardless of the demographic
status and previous orthodontic experiences, many
patients believe that a dentist who performs or
advertises orthodontic services is an orthodontist.1
While the treatment of orthodontic patients
by nonspecialist practitioners is not new, the
advent of multiple clear aligner systems and
increased competition in the marketplace seems
to have catalyzed the number of orthodontic
patients treated by nonspecialist practitioners.2
Direct-to-consumer advertising by orthodontic
product companies featuring products such as
specific clear aligners, or bracket systems seems
to have propelled this phenomenon even further.2
Given the public interest in rigorous qualifications
and limited knowledge of orthodontics, it would be
ideal if the dental profession itself would provide
trusted and meaningful oversight. As the " gatekeepers " of patients' orthodontic care decisions,
general dentists have a pivotal role in choosing an
orthodontic practitioner. Therefore, orthodontists
would be prudent to maximize efforts to collaborate with general and pediatric dentists and
provide more education to the public about the
orthodontic specialty. Despite the recent growth
in online marketing efforts, it has been shown that
patients do not generally rely on internet resources
or direct advertisements when deciding on their
orthodontic care.1 Rather, their primary source for
both " awareness " of the need and " information "

Spring 2021    PCSO Bulletin	

in the orthodontic treatment chain is still general
dentists. Therefore, it would be incumbent upon
orthodontists to maximize efforts to collaborate
with general and pediatric dentists and educate
the public about the orthodontic specialty.1
Orthodontic training for general dentists ranges
from basic undergraduate education to certificate
training and continuing education programs.
Undergraduate orthodontic training pertains
more to the diagnosis of dental malocclusion and
how to make appropriate referrals for specialist-delivered care. For pediatric dentists, residency
training involves comprehensive diagnosis and
assessment of orthodontic treatment needs.3 In
2019, the American Academy of Pediatric Dentistry
developed a guideline for the management of
developing dentition and occlusion. The guideline
emphasizes referrals to orthodontists, especially
for complex cases for individuals in permanent
dentition.3 Evaluating orthodontic competency in
general and pediatric dentists is difficult because
of the varying academic and clinical training levels.
Considering the quality of care and their level of
specialized experience, orthodontists are best
suited for rendering personalized and precise
orthodontic care. The public's limited understanding of different practitioner options in the United
States reveals the need for increased education
on orthodontic treatment practice and concepts.
Furthermore, patient involvement in their care is
paramount. Collaboration and communication
among the patient, the general dental team, and
the orthodontic team are essential elements to
ensuring a successful outcome.
References
1. Park JH, Kim JH, Bay C, Darendeliler M, Wishney M,
Nagel N. Trends in the choice of a clinician for orthodontic treatment in the United States. Am J Orthod
Dentofacial Orthop. In press.
2. Park JH. A licensed orthodontist versus do-it-yourself orthodontics. Am J Orthod Dentofacial Orthop
2020;157:591-592.
3. Thayer JJ, Park JJ, Duong MT, Park JH. The current
status of orthodontic education in U.S. pediatric dental
residencies. J Dent Educ 2020;84:1334-1340.

9



Pacific Coast Society of Orthodontists Bulletin Spring 2021

Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Spring 2021

No label
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - No label
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 2
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 3
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 4
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 5
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 6
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 7
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 8
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 9
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 10
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 11
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 12
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 13
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 14
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 15
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 16
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 17
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 18
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 19
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 20
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 21
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 22
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 23
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 24
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 25
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 26
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 27
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 28
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 29
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 30
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 31
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 32
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 33
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 34
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 35
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 36
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 37
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 38
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 39
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 40
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 41
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 42
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 43
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 44
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 45
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 46
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 47
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 48
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 49
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 50
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 51
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 52
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 53
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 54
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 55
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 56
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 57
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 58
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 59
Pacific Coast Society of Orthodontists Bulletin Spring 2021 - 60
http://www.brightcopy.net/allen/pcso/94-03
http://www.brightcopy.net/allen/pcso/94-02
http://www.brightcopy.net/allen/pcso/93-3
http://www.brightcopy.net/allen/pcso/93-2
http://www.brightcopy.net/allen/pcso/93-1
http://www.brightcopy.net/allen/pcso/92-3
http://www.brightcopy.net/allen/pcso/92-2
http://www.brightcopy.net/allen/pcso/92-1
http://www.brightcopy.net/allen/pcso/91-4
http://www.brightcopy.net/allen/pcso/91-3
http://www.brightcopy.net/allen/pcso/91-2
http://www.brightcopy.net/allen/pcso/91-1
http://www.brightcopy.net/allen/pcso/90-04
http://www.brightcopy.net/allen/pcso/90-3
http://www.brightcopy.net/allen/pcso/90-2
http://www.brightcopy.net/allen/pcso/90-1
http://www.brightcopy.net/allen/pcso/83-4
http://www.brightcopy.net/allen/pcso/89-3
http://www.brightcopy.net/allen/pcso/89-2
http://www.brightcopy.net/allen/pcso/89-1
http://www.brightcopy.net/allen/pcso/88-4
http://www.brightcopy.net/allen/pcso/88-3
http://www.brightcopy.net/allen/pcso/88-2
http://www.brightcopy.net/allen/pcso/88-1
http://www.brightcopy.net/allen/pcso/87-4
https://www.nxtbook.com/allen/pcso/87-03
https://www.nxtbook.com/allen/pcso/87-2
https://www.nxtbook.com/allen/pcso/87-1
https://www.nxtbook.com/allen/pcso/86-4
https://www.nxtbook.com/allen/pcso/86-3
https://www.nxtbook.com/allen/pcso/86-2
https://www.nxtbook.com/allen/pcso/86-1
https://www.nxtbook.com/allen/pcso/85-4
https://www.nxtbook.com/allen/pcso/85-3
https://www.nxtbook.com/allen/pcso/85-2
https://www.nxtbook.com/allen/pcso/85-1
https://www.nxtbook.com/allen/pcso/preview-program-2013
https://www.nxtbook.com/allen/pcso/84-4
https://www.nxtbook.com/allen/pcso/84-2
https://www.nxtbookmedia.com