Orthodontic services in pediatric dental practices

Document Type

Article

Publication Title

Ajo do Clinical Companion

Abstract

Introduction This cross-sectional descriptive study explores the extent to which pediatric dental practices in the United States (U.S.) offer orthodontic services, with an emphasis on practice structure, referral patterns, motivations, and the unique role of dual-trained pediatric dentist–orthodontists. Methods A 33-question electronic survey was distributed to the U.S. diplomates of the American Board of Pediatric Dentistry. Respondents were categorized into 3 groups: (1) practices without orthodontic services, (2) practices with orthodontic services, and (3) dual-trained providers. The survey examined demographic information, referral practices, reasons for offering or not offering orthodontic care, and operational models of integrated practices. Results Out of 4042 valid emails, 300 responses were received (response rate = 8.0%). Most respondents practice in suburban group settings. Approximately 76.3% received orthodontic training during their pediatric residency, whereas only 3.7% were dual-trained. Among practices without orthodontic services, 87.4% do not plan to incorporate orthodontics, citing a lack of interest, training, and staff. However, 57.2% of those starting new practices expressed interest in partnering with an orthodontist. Among practices offering orthodontic services, motivations included clinical satisfaction, improved scheduling, and increased revenue. The most frequently treated conditions included crossbites, ectopic eruptions, and oral habits. Dual-trained providers typically operate both specialties concurrently, with most having completed separate residencies. Conclusions Findings reveal significant variability in how orthodontic care is delivered or referred by pediatric dentists. Although barriers, such as insufficient training and staff availability, deter integration, many recognize the clinical and economic benefits of incorporating orthodontics. Dual-trained providers offer a unique model for comprehensive care, though limited training pathways may restrict wider adoption. Addressing training gaps and encouraging collaborative models may foster broader integration of orthodontic services in pediatric practices. Overall, the conclusions drawn are exploratory and offer a glimpse into the modern landscape of dual specialty practice in the U.S.

First Page

13

Last Page

23

DOI

10.1016/j.xaor.2025.11.002

Publication Date

2-1-2026

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