Is the horizon still bright for orthodontists?

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The orthodontics field is shifting amid technological advances, economic challenges and increased competition. These changes require orthodontists to place more focus on business operations and patient experience for success.

Barry Lyon, DDS, director of provider recruiting and onboarding at Dental Care Alliance, recently spoke with Becker’s about the future of orthodontics.

Editor’s note: This Q&A is part of a weekly series featuring Dr. Lyon focused on topics in the dental industry and DSO field. The views expressed are those of Dr. Lyon and do not necessarily reflect those of Dental Care Alliance.

This response was lightly edited for clarity and length.

Dr. Barry Lyon:

There was a time when orthodontics was considered an absolute lock for profitability, and orthodontists were destined to be high income earners. Most of that is true today, but the future has somewhat dimmed. Competition, saturation and an attempt at remote care have changed the landscape.

There are still many factors supporting the specialty. Not only is there a steady demand from the adolescent patient base, but younger patients are receiving treatment [for] mixed dentition, and the burst of clear aligner therapy for adults provides bonus support for orthodontists. Patients are increasingly willing to pay out of pocket for ortho care, thus providing a buffer from reimbursement limitations.

However, the once robust growth curve is beginning to moderate. Pediatric dentists have wisely hired orthodontic associates to keep patients in the office to avoid revenue loss through outside referrals. The days of opening the local neighborhood orthodontic office and finding your appointment book promptly filled has become increasingly more difficult to achieve. Competition now includes general dentists easily moving into clear aligner use and some pediatric dentists expanding the scope of their practices.

Technological advances have made day-to-day life easier for orthodontists, but have also simplified care provided by non-orthodontists. AI-assisted treatment planning, digital workflows and teledentistry have provided the tools and techniques that were not taught in dental schools.

Consumer confidence, inflation and fears of a recession can limit the willingness of parents to undergo clear aligner therapy in favor of their children who require non-vanity care. These economic dips affect cash flow, marketing and hiring.

Orthodontics continues to grow as a specialty, albeit not at the rate as in years past. Its evolution will require orthodontists to have a strong business sense and to provide a positive consumer experience to meet the expectations of patients and parents.

At the Becker's 5th Annual Future of Dentistry Roundtable, taking place September 14-15 in Chicago, dental leaders and executives will gain insights into emerging technologies, practice growth strategies and the evolving landscape of dental care delivery, with a focus on innovation, patient experience and operational excellence. Apply for complimentary registration now.

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