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July 22, 2025 38 mins

Today on the Golden Age of Orthodontics, we’ll explore the controversial topic of early orthodontic treatment. Dr. Daniel Grob, a board-certified orthodontist with over 40 years of experience, discusses the benefits and challenges of early intervention. He emphasizes the importance of developing facial width and addressing oral habits in young patients.

Dr. Grob challenges traditional views on early treatment, arguing that cone beam X-rays have changed how orthodontists assess patients. He focuses on creating width for future development rather than just straightening teeth. Dr. Grob aims to complete phase one treatment in 15 months or less and phase two in 18 months or less.

The discussion covers the prevalence of oral habits like mouth breathing and nail biting in young patients seeking early treatment. Dr. Grob shares insights on educating parents and general dentists about the signs of maxillary deficiency and the benefits of early intervention.

The episode also addresses the marketing aspects of promoting early orthodontic treatment. Dr. Grob emphasizes the importance of building relationships with pediatric dentists and other specialists for referrals. The hosts discuss strategies for reaching parents directly through educational advertising. The conversation concludes with clinical advice for younger practitioners considering early treatment. 

IN THIS EPISODE: 

  • (00:00) Intro: Early orthodontic treatment debate
  • (02:28) Meet Dr. Daniel Grob
  • (10:14) Cone beam X-rays changed approach to early treatment
  • (14:47) Parent demand and concerns driving early ortho
  • (16:49) Prevalence of oral habits in early treatment patients
  • (24:42) Partnering with pediatric dentists for referrals
  • (29:51) Evaluating transverse dimension and expansion needs
  • (33:37) Compliance with Invisalign for young children
  • (34:59) Resources to learn more about pediatric orthodontics
  • (37:51) Closing thoughts and call for listener feedback

KEY TAKEAWAYS: 

  • Early orthodontic treatment is about more than just straightening teeth. Dr. Grob’s focus is on developing facial width and balance, which can lead to better long-term outcomes. Using cone beam imaging has revolutionized how he approaches early treatment by allowing him to assess the transverse dimension more accurately.
  • Oral habits play a significant role in malocclusions. Nearly half of the patients Dr. Grob sees for early treatment have some type of habit like mouth breathing or nail biting that impacts their dental development. Identifying and addressing these habits is crucial for successful early intervention.
  • Partnering with pediatric dentists and educating parents about the benefits of early treatment has been key to Dr. Grob’s practice's success. By starting treatment between ages 6-9 when appropriate, we can often help avoid more complex interventions later on and simplify the overall orthodontic process for many patients.

RESOURCE LINKS

People + Practice  - Website 

Leon - Email

Amy - Email

People + Practice - Email

The Pediatric Orthodontist Facebook Group

KEYWORDS: orthodontics, golden age of orthodontics, early orthodontic treatment, pediatric orthodontics, transverse dimension, oral habits, cone beam x-rays, phase one treatment, facial balance, orthodontic practice growth, non-extraction orthodontics, orthodontic marketing, pediatric...

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