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

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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...