Renew Digital Learning Hub

7 Steps to Successfully Integrate Orthodontics into a Pediatric Dental Practice

Written by Nathan Hudson | February 18, 2025

When I got back from the AAO Winter Conference, I was blown away from a impossible-to-ignore trend in orthodontics happening right now. This year centered on the theme "From Small to Tall: Nurturing the Growth of Pediatric Dentistry & Orthodontics."

The AAO highlighted the evolving landscape of orthodontic practice, emphasizing interdisciplinary collaboration and technological advancements. As this year's theme was brought to life, I spoke with so many pediatric dentists looking to bring on an orthodontist and vice versa.

It makes perfect sense, this is hugely economical and the synergies between pedo and ortho are fantastic!

Many are finding this synergy offers comprehensive care, enhancing patient convenience and promoting early intervention strategies. Discussions emphasized the benefits of such models, including improved patient outcomes and practice growth. By integrating orthodontic services, practices can improve patient retention, enhance patient care, and increase revenue.

Today, I'm outlining the benefits of adding orthodontics to a pediatric practice and writing out the actionable steps for a smooth and successful integration, based on feedback from my customers who've gone down the same path.

Why Integrate Orthodontics into a Pediatric Dental Practice?

1. Built-in Patient Base

Pediatric dentists already have an established patient population that may require orthodontic treatment. Instead of referring patients to an outside orthodontist, offering in-house orthodontics allows you to provide comprehensive care under one roof.

2. Increased Revenue and Practice Growth

Orthodontics is a high-demand, high-revenue service that can significantly boost your practice’s profitability. Adding orthodontic treatments, such as traditional braces and Invisalign, creates new income streams while maximizing chair time efficiency.

3. Convenience and Continuity of Care for Patients

Parents appreciate the convenience of receiving both dental and orthodontic care in one location. This reduces the hassle of coordinating multiple appointments at different offices and improves patient satisfaction.

4. Competitive Advantage

By offering both pediatric dentistry and orthodontics, your practice differentiates itself from competitors, attracting more families looking for a one-stop dental home.

Steps to Successfully Integrate Orthodontics into a Pediatric Dental Practice

Step 1: Evaluate Demand and Market Potential

Before adding orthodontic services, assess the potential demand in your area:

  • Analyze Your Patient Demographics: Determine how many of your patients are of the age where they may need orthodontic care (typically 7+ years old).
  • Research Market Competition: Identify existing orthodontists in your area and what services they offer.
  • Survey Existing Patients: Ask parents if they would be interested in receiving orthodontic treatment within your practice.

Step 2: Choose an Integration Model

You can integrate orthodontic services into your pediatric practice in several ways:

1. Hire an In-House Orthodontist

Bringing a board-certified orthodontist on staff ensures expert treatment and allows for seamless collaboration between dental and orthodontic care.

2. Cross-Train Your Pediatric Dentists in Orthodontics

Pediatric dentists can complete additional training in orthodontics, particularly for early-phase treatment, interceptive orthodontics, and Invisalign.

3. Partner with an Orthodontic Specialist

Some pediatric dental offices bring in a visiting orthodontist on select days to treat patients within the practice. This model works well if there’s limited demand for a full-time orthodontist.

Step 3: Invest in the Right Equipment and Technology

Now, on the equipment side, many doctors who are pursuing this opportunity are in need of some additional pieces to help their in-office orthodontist(s) be successful. In this case, it may require adding a ceph or CBCT to their digital X-ray, adding I/O scanners as well as 3D printers. Or, on the flip side, it may require additional child-friendly X-rays, such as handhelds and I/O sensors.

But of course, while these are significant capital purchases, they still beat out additional real estate and brick & mortar you already have. AND, if you shop with Renew Digital, you can save 30-50% off new list prices on these types of equipment, and our digital dental division Voxel can support on the handheld, sensor and 3D printing side for a full comprehensive equipment solution!

Adding orthodontic services requires specific imaging and treatment equipment. Consider investing in:

  • CBCT Imaging: A 3D Cone Beam CT (CBCT) system provides detailed views of jaw alignment and airway analysis, essential for orthodontic treatment planning.
  • Intraoral Scanners: Digital scanners like the iTero Element or Medit i700 eliminate traditional impressions and allow for digital orthodontic planning.
  • Orthodontic Treatment Tools: Bracket placement tools, aligner treatment planning software, and cephalometric imaging systems.

Step 4: Develop a Comprehensive Treatment Workflow

To ensure efficiency and a seamless patient experience, establish a structured workflow for orthodontic cases:

  1. Initial Evaluation (Pediatric Exam)

    • Assess the child's dental and skeletal development.
    • Identify potential orthodontic issues early (crowding, overbites, crossbites).
  2. Orthodontic Consultation

    • Educate parents on treatment options.
    • Use digital scans and CBCT imaging to showcase treatment needs and expected outcomes.
  3. Treatment Planning

    • Offer multiple treatment options (traditional braces, Invisalign, Phase I appliances).
    • Schedule orthodontic visits in sync with regular dental checkups to improve efficiency.
  4. Active Treatment Phase

    • Assign specific team members to assist with orthodontic adjustments.
    • Use digital monitoring tools to track progress.
  5. Retention and Follow-Up

    • After treatment, provide custom retainers and continued follow-ups to maintain results.

Step 5: Train Your Team

Educating your team is essential for successful integration. Consider:

  • Continuing Education Courses: Send your pediatric dentists and hygienists to orthodontic training programs.
  • Hands-On Training: Cross-train dental assistants and front-office staff on orthodontic terminology, procedures, and billing.
  • Patient Communication Training: Teach staff how to explain orthodontic treatment options and benefits clearly to parents and patients.

Step 6: Market Your Orthodontic Services

Effectively promoting your orthodontic services ensures that existing and new patients are aware of the expanded offerings.

Marketing Strategies

  • Update Your Website: Highlight orthodontic services with before-and-after photos and FAQs.
  • Social Media Campaigns: Share success stories of pediatric patients who received orthodontic treatment.
  • In-Office Promotions: Offer free orthodontic consultations for existing patients.
  • Email & SMS Notifications: Inform parents about orthodontic services through practice newsletters and appointment reminders.

Step 7: Set Up Insurance and Financing Options

Orthodontic treatments can be expensive, so offering flexible payment plans and insurance guidance can help increase case acceptance.

  • Work with dental insurance providers to verify orthodontic coverage for patients.
  • Offer monthly payment plans through third-party financing providers like CareCredit.

Challenges to Anticipate and How to Overcome Them

1. Higher Initial Investment

Orthodontic integration requires purchasing new equipment, hiring additional staff, and training. Solution: Start with pre-owned equipment and phased hiring to minimize costs.

2. Scheduling Conflicts

Balancing orthodontic appointments with regular pediatric dental visits can be challenging. Solution: Implement block scheduling where specific days are dedicated to orthodontic procedures.

3. Parent Education & Case Acceptance

Parents may be hesitant about orthodontic treatment, especially early-phase intervention. Solution: Use visual tools (CBCT scans, digital models) and before-and-after images to illustrate the benefits clearly.

Conclusion

Integrating orthodontics into a pediatric dental practice is a strategic move that enhances patient care, increases revenue, and improves patient retention. By hiring the right professionals, investing in essential equipment, developing an efficient workflow, and marketing the new service effectively, pediatric practices can smoothly transition into offering orthodontic care.

For practices looking to integrate orthodontics cost-effectively, certified pre-owned CBCT and digital scanning systems from trusted suppliers like Renew Digital can help lower initial investment costs while maintaining high-quality imaging capabilities.

With the right planning, training, and execution, pediatric dentists can successfully expand their services, becoming a one-stop solution for children's dental and orthodontic needs.

If you have needs on the equipment side, reach out to us! We're happy to fill any gaps you may have reaching your vision.