The Golden Age of Orthodontics

Dr. Leon Klempner

Are you an Orthodontist wondering how to grow your practice in this fast-paced, competitive marketplace that seems to be changing every day? The Golden Age of Orthodontics, formerly The Survival Guide for Orthodontists podcast, is dedicated to making you the authority in orthodontics to prospective new patients in your community. Dr. Leon Klempner and Amy Epstein, co-founders of People & Practice, know the business of orthodontics. They bring you insights, tips and guest interviews focused on helping you thrive in a massively disrupted industry. Put more patients in chairs by competing on expertise and trust, not the lowest fees. Dedicated to making you the authority in orthodontics.

  1. Ep 84 - How Jake Gulick and Greyfinch are rethinking orthodontic workflows

    May 26

    Ep 84 - How Jake Gulick and Greyfinch are rethinking orthodontic workflows

    Clinical innovation in orthodontics is moving faster than ever, but many practices are still relying on workflows built for a different era. In this episode of The Golden Age of Orthodontics, Dr. Leon Klempner and Amy Epstein sit down with Jake Gulick, president of Greyfinch, to discuss how outdated systems, disconnected tools, and manual processes may be quietly limiting practice efficiency and growth. Jake shares his perspective from nearly two decades in the orthodontic technology space, from helping scale Cloud9Ortho in its early years to leading innovation at Greyfinch, and explains how modern cloud-based practice management systems, AI-assisted workflows, automation, and smarter integrations are reshaping the operational side of orthodontics. The conversation explores how practices can reduce workflow friction, improve patient communication, gain better visibility into marketing performance, and rethink long-standing processes that no longer serve today’s digital orthodontic practice. In this episode, you’ll learn: Why many orthodontic practices are still operating with outdated workflow modelsHow AI can improve efficiency without replacing the human side of the practiceThe difference between cloud-based and truly browser-based softwareHow automation can streamline patient follow-up and case acceptanceWhy disconnected systems create hidden operational frictionThe importance of workflow design when implementing new technologyHow practices can better track marketing performance and patient conversion dataWhy practice management software should evolve alongside modern orthodontics Go to www.pplpractice.com for more!

    38 min
  2. JCO Editor-in-Chief Dr. Neal Kravitz on AI, ethics, and the next generation of orthodontics

    Apr 23

    JCO Editor-in-Chief Dr. Neal Kravitz on AI, ethics, and the next generation of orthodontics

    What does the editor-in-chief of the Journal of Clinical Orthodontics really think about orthodontic AI, corporate orthodontics, and research bias? Dr. Neal Kravitz pulls no punches in this candid conversation with Dr. Leon Klempner and Amy Epstein. A practicing orthodontist, educator, and past AAO Technology Committee chair, Dr. Kravitz shares why evidence-based orthodontics still needs room for clinical judgment, why overtreatment is the specialty's quiet problem, and why young orthodontists have more reasons for optimism than anxiety. Honest, direct, and deeply practical. What You Will Learn In This Episode: How orthodontic AI is best used as a diagnostic and records automation tool rather than a replacement for clinical judgment, and why evidence-based orthodontics still requires the experienced eye of a trained specialist to catch what algorithms miss.Why research bias in orthodontic literature comes not only from industry-funded studies but also from reviewers and authors themselves, and how understanding this helps orthodontists read the Journal of Clinical Orthodontics and other publications more critically.How the philosophy of conservative orthodontic treatment planning and doing less rather than more protects young patients from iatrogenesis, and why this principle should guide practitioners from their very first cases in private practice orthodontics. Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacie Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People and Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS: 00:00 Introduction to orthodontic AI, corporate orthodontics, and specialty pressure with guest Dr. Neal Kravitz05:27 Dr. Kravitz explains how orthodontic AI supports diagnosis and records automation without replacing specialist judgment09:41 Discussion of underrepresented topics in the Journal of Clinical Orthodontics and what evidence-based orthodontics research needs more of14:29 Balancing evidence-based orthodontics with clinical experience and why residents need room to develop sound orthodontic treatment planning24:41 How research bias from companies, authors, and reviewers shapes what orthodontists read and how the JCO editor manages this challenge28:29 Advice for new graduates on private practice orthodontics, finding mentors, and navigating corporate orthodontics with confidence KEY TAKEAWAYS: Orthodontic AI is a powerful adjunct tool for diagnostics and workflow automation. Still, it will not replace the clinical judgment that distinguishes a trained orthodontist from a general dentist who uses Invisalign treatment without oversight or expertise.Research bias is not limited to industry-sponsored studies. Reviewer bias and author bias are equally real, which means every orthodontist must approach the literature, including the Journal of Clinical Orthodontics, with informed skepticism and critical thinking.The philosophy of doing less protects patients. Dr. Kravitz argues that overtreatment, not under-treatment, has driven his most regrettable cases, and that conservative orthodontic care built around humility and honest self-evaluation defines what ethical practice looks like across an entire career. ABOUT THE GUEST: Neal Kravitz, DMD, MS | Ashburn South Riding, VA Orthodontist RESOURCES MENTIONED: People + Practice - Website Practice Talk Dr. Leon Klempner - People + Practice

    35 min
  3. Is the AAO still worth it? CEO Trey Lawrence answers

    Mar 25

    Is the AAO still worth it? CEO Trey Lawrence answers

    AAO membership delivers far more than most orthodontists realize, and the CEO of the American Association of Orthodontists, Trey Lawrence, is here to prove it. In this episode of the Golden Age of Orthodontics, Dr. Leon Klempner and Amy Epstein sit down with Trey to explore how the American Association of Orthodontists is evolving to meet today's most pressing challenges. From a powerful legal toolkit for new orthodontists to exclusive buying group benefits for 19,000 members, the AAO is fighting hard on multiple fronts. Trey breaks down the association's bold stance on AI in orthodontic treatment planning and why keeping the human in command is non-negotiable as technology reshapes the specialty. What You Will Learn In This Episode: AAO membership benefits extend well beyond continuing education. Trey walks through the new legal toolkit for orthodontists, including a contract guide designed to protect recent graduates from dangerous rookie mistakes in their first associate employment agreements.The AAO's human-in-command framework establishes that no AI treatment-planning tool should operate without a licensed clinician holding ultimate responsibility, thereby protecting both patient safety and the doctor-patient relationship.The AAO's consumer awareness program is actively shaping how AI-powered search and large language models like ChatGPT answer patient questions, ensuring that searches about orthodontic care consistently point toward board-certified orthodontists. Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacie Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS: 00:00 Is AAO membership still worth the dues? Introduction of Trey Lawrence, CEO of the American Association of Orthodontists05:03 Trey details the AAO's new legal toolkit for orthodontists and how the associate contract guide protects new grads11:14 How the AAO is tackling rising orthodontic practice overhead through endorsed partnerships, cybersecurity, and 401 (k) benefits18:07 Trey explains the AAO's human-in-command policy and its AI in orthodontic treatment planning position paper24:30 The AAO's consumer awareness program and how it is influencing AI search engines to direct patients to orthodontists29:52 Trey addresses what orthodontists are telling him: concerns over general dentist competition and the state of orthodontic practice management36:54 A preview of the AAO annual session in Orlando, including the Universal Studios buyout and what members can expect from world-class CE and networking KEY TAKEAWAYS: Signing an orthodontic associate employment agreement without fully understanding it is one of the costliest mistakes new graduates make. The AAO's contract guide provides critical commentary on every clause, including the warning that verbal promises from employers mean nothing once ownership changes hands.The AAO is proactively engaging with the FDA and state dental boards through a formal white paper on AI in orthodontics, ensuring regulators view the association as a trusted authority before harmful policies are enacted.General dentist competition in orthodontics is real, but Trey argues that orthodontists who embrace smart pricing strategies, remote monitoring, and digital efficiency will make choosing a specialist an obvious decision for the vast majority of patients. ABOUT THE GUEST: Trey Lawrence currently serves as Chief Executive Officer for the American Association of Orthodontists. Before assuming the CEO role in March 2024, Trey led the AAO’s Legal and Advocacy teams as General Counsel for several years. Trey frequently discusses legal issues for orthodontic practices in podcast appearances, interviews, and articles, and he has conducted the AAO’s Resident Legal Course at residency programs throughout the nation for the past five years. Trey has also shared legal information and resources with orthodontists and practices through his Instagram account, @theorthattorney. Before joining the AAO in 2018, Trey spent nearly 20 years in law practice with Thompson Coburn LLP, a law firm of approximately 600 attorneys based in St. Louis with offices across the United States. Trey received his law degree from Washington University in St. Louis and a master’s degree from Harvard University. AAO Legal Toolkit RESOURCES MENTIONED: People + Practice - Website Practice Talk Dr. Leon Klempner - People + Practice

    40 min
  4. How KLOwen Helped Dr. Kristen Knecht Cut Visits and Boost Revenue

    Feb 19

    How KLOwen Helped Dr. Kristen Knecht Cut Visits and Boost Revenue

    On the Golden Age of Orthodontics, hosts Dr. Leon Klempner and Amy Epstein welcome Dr. Kristen Knecht to discuss how to revolutionize practice efficiency through indirect bonding. Dr. Knecht shares how her Houston startup practice grew 40-50% annually, forcing critical decisions about patient care delivery. Rather than hiring more staff, she redesigned her clinical orthodontics workflow with KLOwen custom brackets. The results were dramatic: reduced appointment scheduling burdens, eliminated bracket placement bottlenecks, and cut average case length by 40%. Learn her strategies for successful staff training, managing lab fees, and why partial technology adoption fails. What you will Learn in this Episode: How implementing indirect bonding completely transformed Dr. Knecht’s practice efficiency by freeing up hours of doctor time and reducing emergency appointments through superior bracket placement accuracy and isolation protocols.Why partial adoption of custom bracket systems fails and how Dr. Knecht's all-in approach with KLOwen enabled her team to master bonding technique, eliminate pan and repo appointments, and achieve consistent results across all cases.Strategic timing for practice management changes, including how Dr. Knecht planned her technology rollout during slower seasons to ensure successful staff training and avoid the common pitfalls that derail orthodontic practice growth. Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacie Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS: 00:00 Dr. Kristen Knecht discusses practice growth challenges and schedule management struggles08:50 Discovery of indirect bonding through a colleague's experience with KLOwen custom brackets12:08 Strategic implementation timing and preparing staff training for technology transition16:16 Measurable results: reducing visits from 21 to 12.5 and improving revenue per visit22:01 Why full commitment to the custom bracket system matters more than partial adoption27:03 Advice for startup practice owners on adopting orthodontic technology early KEY TAKEAWAYS: Indirect bonding requires complete commitment to realize benefits. Dr. Knecht emphasizes that dabbling with one case per week prevents staff from achieving proficiency in the bonding technique and fails to demonstrate the system's true time-saving potential.Strategic fee adjustments offset lab fees while delivering superior value. By raising fees by $200-250 and eliminating one visit through improved treatment planning and digital setup, practices can justify the investment while improving the patient experience.Early technology adoption in a startup practice prevents staffing challenges. Mastering systems like KLOwen, when schedules allow, enables easier clinical orthodontics workflow changes and reduces dependency on expanding teams as practice growth accelerates. ABOUT THE GUEST: Dr. Kristen Knecht, a Baton Rouge native, has always been passionate about creating beautiful, healthy smiles. As a board-certified orthodontist, she combines meticulous attention to detail with a deep commitment to improving her patients’ lives. She completed her orthodontic specialty training at the renowned University of Connecticut, where she worked with world-renowned faculty and developed expertise in advanced orthodontic techniques. Education Louisiana State University – Bachelor of Science in Biology LSU Health Science Center – Doctor of Dental Surgery University of Connecticut Health Science Center – Orthodontic Specialty Certification and Master of Dental Science A Holistic Approach to Orthodontics Dr. Knecht believes orthodontics is about much more than creating straight teeth — it’s about improving lives. Her approach focuses on identifying and addressing the root causes of malocclusions, with a strong emphasis on the connection between jaw development, airway health, and overall well-being. Her passion for this approach was inspired by her sister’s struggles with mouth breathing and airway issues as an adult, challenges that could have been addressed during her critical growth years. Dr. Knecht - Email

    32 min
  5. How Angel Aligner Grew By Offering An Aligner Alternative

    Jan 27

    How Angel Aligner Grew By Offering An Aligner Alternative

    Clear aligner orthodontics is evolving rapidly, and Angel Aligner is making waves in the North American market. On this episode of the Golden Age of Orthodontics podcast, hosts Dr. Leon Klempner and Amy Epstein welcome Jason Tabb, VP and GM of Angel Aligner North America, to discuss digital orthodontics, aligner treatment capabilities, and competitive market differentiation. Jason shares insights on Angel Aligner's innovative approach to complex cases, including mandibular advancement, unique aligner buttons, and digital workflow improvements. The conversation also addresses intellectual property concerns and how orthodontic practices can leverage aligner technology to enhance efficiency and patient outcomes. What you will Learn in this Episode: How Angel Aligner has rapidly scaled in the North American market through orthodontic innovation and responsive case setup designThe latest aligner technology advancements, including integrated aligner buttons, Angel Hook, and dual-material aligner systems for complex casesStrategies for orthodontic practices to improve efficiency with digital workflow solutions and treatment planning toolsHow to evaluate aligner treatment options based on clinical performance, turnaround times, and market differentiation Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacey Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS: 00:00 Amy shares the upcoming guest schedule and invites listeners to the Practice Talk podcast 04:11 Jason Tabb discusses Angel Aligner's entry strategy and why orthodontists responded to their market differentiation 08:53 Latest aligner technology innovations, including aligner buttons, Angel Button, Angel Hook, and mandibular advancement systems 13:56 Addressing intellectual property concerns and Angel Aligner's commitment to fair competition 15:44 Future of digital orthodontics and how aligner treatment improves practice efficiency KEY TAKEAWAYS: Angel Aligner differentiates through ease of doing business, consistent case setup quality, and specialized solutions for complex cases, including mandibular advancement, premolar extraction, and molar distalizationThe aligner button and Angel Hook innovations are integrated directly into aligners, reducing emergency visits and enabling treatment planning for challenging Class II and Class III cases with aligner therapyDigital orthodontics investments typically show ROI within 12-18 months as orthodontic practices gain workflow efficiency, treat larger patient loads, and meet growing patient demand for clear aligner orthodontics ABOUT THE GUEST: Angel Aligner - Website Jason Tabb - Email

    23 min
  6. What The Data Really Says About Orthodontics in 2026 with Chris Bentson

    12/18/2025

    What The Data Really Says About Orthodontics in 2026 with Chris Bentson

    Orthodontic practice management expert Chris Bentson, Founder, Bentson Copple Patterson & Associates, joins hosts Dr. Leon Klempner and Amy Epstein on the Golden Age of Orthodontics podcast to analyze the competitive landscape facing private practice orthodontics in 2026. With nearly four decades of experience in practice valuation and business strategy, Bentson shares critical data showing 3.5% growth in patient starts after three years of decline. The conversation explores how DSO consolidation is reshaping the specialty, why digital orthodontics technology is essential for differentiation, and what data-driven decision-making reveals about successful practices versus struggling ones. Bentson discusses the impact of federal student loan caps on new residents, the lifecycle of consolidation, and why practices that embrace consumer experience innovations, such as remote monitoring, consistently outperform competitors across every operational metric. What you will Learn in this Episode: ✅ How independent orthodontic practices can compete effectively against corporate consolidation by leveraging digital technology and improving the consumer experience throughout the patient journey ✅ Why practices that engage with consultants and implement data-driven decision making consistently outperform in every operational and financial metric, including practice overhead management ✅ What the latest industry data reveals about practice growth strategies for 2026, including why patient starts are finally showing positive growth after three consecutive years of decline ✅ How new federal student loan caps will impact residents and create opportunities for marketing for orthodontists who want to attract young doctors seeking private practice  Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacie Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS:  00:00 Discussion featuring orthodontic practice management expert Chris Bentson, discussing data-driven decision making that will shape private practice orthodontics in 2026 08:33 The competitive reality for private practice orthodontics, the impact of DSO consolidation and increased overhead pressure 11:36 2025 growth data showing a 3.5% increase in production and 2% growth in patient starts, signaling positive momentum for orthodontic practice management in 2026 19:02 Discussion of why only 20% of orthodontists engage consultants, OSOs and DSOs, and  data-driven decision-making and marketing for orthodontists 23:31 Analysis of new federal student loan caps, including how private practice orthodontics owners can attract young doctors and the future of practice valuation  30:31 Digital orthodontics investment strategy for new practice owners, using both custom braces and clear aligner therapy, is necessary  39:26 Discovering the “Why” in becoming an orthodontist KEY TAKEAWAYS:  💎 The competitive landscape for private practice orthodontics demands that doctors differentiate beyond "we do braces and aligners"—successful practices embrace digital technology, improve consumer experience, and implement data-driven decision making to outperform the industry average growth of 3.5% 💎 DSO consolidation is in its sixth inning, with only two major aggregators completing recapitalization events, while the consolidation rate is slowing and expected to cap around 30% of the specialty, leaving ample opportunity for independent ownership 💎 New orthodontists should invest comprehensively in digital orthodontics with deep penetration in either custom braces or clear aligner therapy to justify technology costs through reduced staffing needs, fewer appointments, and shorter treatment times  ABOUT THE GUEST:  Chris Bentson has been working with orthodontists regarding the business aspects of their practices for over thirty-five years. He is the founder of Bentson Copple Patterson & Associates. He spends much of his time working within the orthodontic industry. He joined the AAOF Board in 2016 and served as AAOF President in 2023-2024. He was awarded the 2022 “Outstanding Contribution to the Specialty Award” by a non-orthodontist from the AAO. Chris is also a guest lecturer in the Wharton Business School’s AAO Partnership course: “Mastering the Business of Orthodontics” covering “Practice Level Financial Management" and "Financial Acumen and Practice Transition Planning". Chris is a frequent presenter at AAO sponsored meetings and is a contributor to national orthodontic periodicals and journals. Bentson, Copple, Patterson and Associates - Website Chris Bentson - LinkedIn RESOURCES MENTIONED: People + Practice  - Website  Practice Talk Dr. Leon Klempner - People + Practice Golden Age of Orthodontics, Dr. Leon Klempner, Amy Epstein, Chris Bentson, Orthodontics, AAO, Orthodontic Practice Management, Private Practice Orthodontics, Practice Valuation, Patient Starts, DSO Consolidation, Digital Orthodontics, Data-Driven Decision Making, Consumer Experience, Remote Monitoring, Independent Orthodontic Practices, KLOwen, Grin, Marketing

    47 min
  7. Inside Align: Joe Hogan Answers Orthodontists’ Biggest Questions

    11/20/2025

    Inside Align: Joe Hogan Answers Orthodontists’ Biggest Questions

    Digital orthodontics is transforming the specialty, and in this episode of the Golden Age of Orthodontics, hosts Dr. Leon Klempner and Amy Epstein sit down with Align Technology CEO Joe Hogan to explore what's next for orthodontics. Joe Hogan discusses 3D printed aligners, AI in orthodontics, and how clear aligner technology continues to evolve. He addresses pricing concerns and competitive positioning, and reveals Align's roadmap for direct printing, promising greater design flexibility and efficiency. Learn how AI technology enhances orthodontic treatment planning and discover why Hogan believes technology will expand—not replace—the orthodontic profession. What you will Learn in this Episode: ✅ How digital orthodontics and 3D printing technology are revolutionizing aligner manufacturing, with Align's development of variable wall thickness aligners that mimic the orthodontic digital workflow advantages of traditional brackets while reducing waste by 95%. ✅ The strategic reasons behind Invisalign cost comparison with competitors, including how comprehensive aligner treatment pricing differs globally. ✅ Why orthodontic IP protection matters for innovation, and how Align's billion-dollar investment in ClinCheck software and iTero scanner technology creates efficiency tools that reduce weekend treatment planning time for practitioners. ✅ Joe Hogan's perspective on AI in orthodontics and whether technology will replace orthodontists—plus how orthodontic practice efficiency improvements will actually expand the marketplace and enhance the profession rather than diminish it. Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacie Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS:  00:00 Joe Hogan, Align Technology CEO, discussing the future of digital orthodontics and clear aligner technology innovation 07:18 Align's strategic focus on clear aligner therapy versus custom digital braces, and addressing the resurgence of brackets among younger patients 10:25 Joe defends Align’s IP, noting decades of innovation and significant R&D investment 13:36 Invisalign cost comparison explained: why US pricing differs from international markets, new flexible comprehensive aligner treatment options and marketing questions 22:56 Direct 3D printed aligners roadmap: CubiCure acquisition, bio-based resin development, variable wall thickness advantages, and orthodontic practice efficiency gains 28:58 AI in orthodontics and the future of the profession: why technology enhances rather than replaces orthodontists and expands the adult patient marketplace KEY TAKEAWAYS:  💎 Align Technology is pioneering 3D printed aligners with variable wall thickness capabilities through their CubiCure acquisition, enabling customized force application—40 mils on molars versus 10 mils on incisors—that mimics orthodontic digital workflow advantages of traditional brackets while eliminating 95% manufacturing waste and promising future cost efficiencies for practitioners. 💎 Invisalign treatment planning efficiency has dramatically improved with 20-25% of cases now "touchless" requiring minimal orthodontist input at the end, thanks to ClinCheck software, iTero scanner technology, and cloud-based systems that free doctors from weekend treatment planning sessions and enable better remote orthodontic monitoring capabilities. 💎 AI in orthodontics will enhance rather than replace the profession according to Hogan, who emphasizes that clear aligner technology expanded the marketplace by bringing adult patients to orthodontics at unprecedented levels—top practices now see 50% adult patients versus the wire-and-bracket era when adults rarely sought treatment. ABOUT THE GUEST:  Align - LinkedIn Align - Website RESOURCES MENTIONED: People + Practice  - Website  Practice Talk QUOTES:  "I hope the orthodontic community can see it's not us telling them how to practice, but giving them tools to allow them to practice more efficiently and in a better way with their patients." - Joe Hogan "If you go back to the complete analog data set and look at wires and brackets by nature, that process is constraining. You don't have a number of people who want to go through that process with wires and brackets. What did Invisalign bring to the market? It brought an adult population to the marketplace that never existed before." - Joe Hogan SEO KEYWORDS: Golden Age of Orthodontics, Dr. Leon Klempner, Amy Epstein, Orthodontics, AAO, Joe Hogan, Align Technology, Digital orthodontics, 3D printed aligners, AI in orthodontics, clear aligner technology, how AI technology enhances orthodontic treatment planning, Orthodontic Digital Workflow, 3D Printing Technology,  Invisalign Cost Comparison, ClinCheck Software, iTero Scanner Technology, Orthodontic Practice Efficiency, Analog Brackets and Wires

    35 min
  8. Treat Earlier, Finish Smarter: Early Aligner Therapy in Real Practice with Dr. Don Spillers

    10/23/2025

    Treat Earlier, Finish Smarter: Early Aligner Therapy in Real Practice with Dr. Don Spillers

    Early orthodontic treatment is transforming how practitioners approach phase one treatment for growing patients. In this episode of the Golden Age Of Orthodontics, hosts Dr. Leon Klempner and Amy Epstein welcome Dr. Don Spillers, a board-certified orthodontist and leading voice in Invisalign First therapy. Dr. Spillers shares how clear aligners for kids are revolutionizing pediatric orthodontics, offering superior compliance, better hygiene, and remarkable arch development without traditional metal appliances. The conversation explores the business impact of treating patients at age seven versus only offering observation, the role of digital orthodontics in the growth of modern practice, and the best age to start orthodontic treatment for children. What you will Learn in this Episode: • How early orthodontic treatment with Invisalign First delivers superior patient compliance and clinical outcomes compared to traditional orthodontic appliances like palatal expanders and headgear • The business impact of implementing aligner therapy for growing patients – including how observation and recall strategies may be costing your practice significant patient attrition to competitors • Why digital orthodontics is revolutionizing phase one treatment with innovations like the Invisalign palatal expander, mandibular advancement wings, and complete digital workflow integration • How treating children during active growth phases supports airway development and arch development, often eliminating the need for primary or permanent tooth extractions Subscribe to the Golden Age of Orthodontics and our sister podcast, Practice Talk, hosted by Lacey Ellis, wherever you listen to stay updated on orthodontic innovation and real-world practice strategies. Visit People in Practice for more insights and to connect with our team for practice growth solutions. TIMESTAMPS:  00:00 Introduction to early orthodontic treatment debate, the evolution of phase one treatment with clear aligners and personal insights from Dr. Leon and Amy Epstein 02:34 Meet Dr. Spillers 09:55 Dr. Don Spillers' journey from Invisalign skeptic to faculty member, teaching digital orthodontics and aligner therapy worldwide 15:43 Patient experience and business impact of implementing Invisalign First – including compliance advantages and practice growth from 30% early intervention orthodontics 19:21 Clinical innovations, including Invisalign palatal expander, mandibular advancement wings, and CBCT integration, showing bone change and airway benefits 28:00 The marketing reality of observation versus treatment – why delaying orthodontic treatment leads to patient attrition and the future of digital pediatric orthodontics by 2030 KEY TAKEAWAYS:  • Early orthodontic treatment with Invisalign First offers a complete digital workflow from scanning to retention, with new tools including the Invisalign palatal expander, mandibular advancement wings, and occlusal blocks – providing every appliance needed to treat growing patients without traditional metal devices • Children ages 7-8 demonstrate superior compliance compared to teenagers, with parents reporting kids remind them when it's time to change aligners – plus treatment causes no pain, allows normal eating and sports, and improves hygiene compared to traditional orthodontic appliances • Practices implementing phase one treatment with aligner therapy experience significant business growth, as observation strategies lead to substantial patient attrition to competitors – moms want immediate action when they identify problems, not years of waiting • Arch development through early intervention creates space without extracting primary or permanent teeth, positively impacts airway development, and can be visualized for parents through CBCT integration and ClinCheck comparisons showing actual bone change ABOUT THE GUEST:  Orthodontics has been my passion since I wore braces as a teen. It is not just a job; it has truly become my calling. I believe my chosen profession is a tool to help others by giving them a more beautiful, healthy, lifelong smile. There is nothing more rewarding than to change the lives of others. A beautiful smile can change more than just outward appearance. For many patients, a new smile is a life-changing event. I have truly been blessed to practice in my home town. In return, my life has been so enriched by the people I have been able to help; it is what continues to drive me. Specialties: Exceptional Orthodontic Care, Growth Modification, Sleep Apnea, Temporomandibular Disfunction (TMD) Dr. Spillers - Email Dr. Spillers - LinkedIn RESOURCES MENTIONED: People + Practice  - Website  Practice Talk QUOTES:  "If we can get these kids while they're growing the majority of the time we do not have to take teeth, even primary teeth. So that's been a big change in our practice because I was the guy, if you came and you were crowded, you were gonna get primary teeth extracted." - Dr. Don Spillers "Why make a kid go from seven years old to 12 years old with severe overbite and feeling bad about how things look? You can't buy self-esteem and you can't go back. So we see it as an opportunity to change how they're growing, change their self-esteem and truly change their life." - Dr. Don Spillers SEO KEYWORDS: Golden Age of Orthodontics, Dr. Leon Klempner, Amy Epstein, Orthodontics, AAO, Early Orthodontic Treatment, Phase One Treatment, Invisalign First, Clear Aligners For Kids, Pediatric Orthodontics, Arch Development, Digital Orthodontics, Best Age To Start Orthodontic Treatment For Children, Orthodontic Appliances, Aligner Therapy, Growing Patients, Dr. Don Spillers, Spillers Orthodontics, Aligner Therapy for Children

    37 min
5
out of 5
23 Ratings

About

Are you an Orthodontist wondering how to grow your practice in this fast-paced, competitive marketplace that seems to be changing every day? The Golden Age of Orthodontics, formerly The Survival Guide for Orthodontists podcast, is dedicated to making you the authority in orthodontics to prospective new patients in your community. Dr. Leon Klempner and Amy Epstein, co-founders of People & Practice, know the business of orthodontics. They bring you insights, tips and guest interviews focused on helping you thrive in a massively disrupted industry. Put more patients in chairs by competing on expertise and trust, not the lowest fees. Dedicated to making you the authority in orthodontics.

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