Orthodontic internships

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niko472

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Does anyone have any recent experience with doing an internship? Specifically Rochester, Indiana, Florida, UIC or Temple.

This was my second year applying and I did not match. I’m about ten years out and had ten interviews at strong programs between the two cycles (Iowa, UIC, Penn, etc). Worried I don’t stand out enough during interviews, or that programs doubt my motivation to go back.

For context I earn about 400k as a GP (associate) and have a mortgage that costs about 60k. I’ve saved enough to not be concerned about taking 2-3 years off for residency, but internship isn’t guaranteed entrance and that’s what gives me pause. It’s a huge financial gamble for me versus a new grad.

My alternative plan would be to do as much research as possible at the dental school I teach at, revise my CV and apply to non-match.

Any advice would be appreciated!
 
You make a fantastic salary. You must really like orthodontics to put that on the shelf for a while.
 
Ask around about doing an internship if you really want to become an orthodontist.
 
You'll be way better off staying a dental associate at that pay. Not sure why you'd even consider orthodontics under those circumstances. Save yourself the application money, brother.
Ortho kinda sucks nowadays. I worked for a corp where the general dentist made way more than I did as an orthodontist.
So my question for you is why do you want to do ortho?
 
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You'll be way better off staying a dental associate at that pay. Not sure why you'd even consider orthodontics under those circumstances. Save yourself the application money, brother.
Ortho kinda sucks nowadays. I worked for a corp where the general dentist made way more than I did as an orthodontist.
So my question for you is why do you want to do ortho?
Ortho is what I always wanted to do, but I had some significant family circumstances during and after dental school that delayed applying. I realize it’s likely a pay cut, but I’d rather do a job I love for the next 30 years than a job I’m meh about.

GP is also suffering. There’s more and more pressure to do advanced procedures like impacted thirds, implants, molar root canals, all of which are zero interest to me. A good chunk of my income is from extractions that are $80-100 a pop and rough on the body.

If money was the goal I’d be applying for endo. I’m envious of anyone who enjoys root canals!
 
Ortho is what I always wanted to do, but I had some significant family circumstances during and after dental school that delayed applying. I realize it’s likely a pay cut, but I’d rather do a job I love for the next 30 years than a job I’m meh about.

GP is also suffering. There’s more and more pressure to do advanced procedures like impacted thirds, implants, molar root canals, all of which are zero interest to me. A good chunk of my income is from extractions that are $80-100 a pop and rough on the body.

If money was the goal I’d be applying for endo. I’m envious of anyone who enjoys root canals!
Its hard to know if you'll love ortho until you actually start doing it. Many of the things that piss you about general dentistry exist in ortho. Plus, you will find plenty of more things that annoy you that you wouldn't have even thought about before doing it. Once you see plaque caked on around braces 3 mm thick for the thousandth time, or those annoying patients who won't wear their aligners then try to blame you for their teeth not moving... it gets old pretty fast.

if I were you I would stick to general, save up for retirement, then retire early. Then you won't be stuck with a different job that you also hate. Oh and possibly a bunch of debt.. but now you've pushed back your retirement age by nearly a decade.
 
Its hard to know if you'll love ortho until you actually start doing it. Many of the things that piss you about general dentistry exist in ortho. Plus, you will find plenty of more things that annoy you that you wouldn't have even thought about before doing it. Once you see plaque caked on around braces 3 mm thick for the thousandth time, or those annoying patients who won't wear their aligners then try to blame you for their teeth not moving... it gets old pretty fast.

if I were you I would stick to general, save up for retirement, then retire early. Then you won't be stuck with a different job that you also hate. Oh and possibly a bunch of debt.. but now you've pushed back your retirement age by nearly a decade.
I think he’s right. Everyone looks for ways to exit or at least par down their schedule from this profession. Just focus on retirement. I’m early in my career and I already feel heavily that way.
 
You’re making $400k a year not doing molar endo and implants and also only charging $80-$100 per extraction? You must be a beast!

People are going to give you crap for posting that you make $400k per year as an associate on here. Nobody wants to believe that it is possible.

That being said, I wouldn’t do it. The opportunity cost of the years in residency is too big to give up. If you just invested that money you would be MUCH better off than being an orthodontist but missing out on those years of income. I would regret my decision to give up that salary this late in my career when you could be smart with your money and retire or cut down your days significantly.

But you aren’t me. Money might not be your goal. Retirement might not be your goal. Freedom to do whatever you want in life and provide kids and family an amazing life might not be your goal. You might be really passionate about orthodontics and that is what will make you happy. If you really are, you’re crazy, but go for it. If that’s the case, do whatever it takes to get in. But really make sure that is the case before you make any decisions. Because you will come out way financially behind if you give up your salary to go back to residency compared to if you just invested $200k into VUG or VOO every year as a GP
 
If you really want to become an orthodontist, you should add Georgia program to your list.....instead of wasting your money on an intership program that doesn't offer any guarantee on the admission. I am sure you know by now (since you already applied twice) that ortho is still a highly competitive specialty despite the decline, high cost of attendance and over-saturation etc. It doesn't really matter where you earn your ortho certificate from. No one has ever asked me where I went for ortho.

Ortho is a wonderful specialty. You will love it. It will be a good "hobby" to have when you are in your 60, 70. It's cool to be able to make a difference in someone's life at that age. It's boring to retire early and stay home doing nothing. You can't travel or play golf 365 days/yr.

Good luck with the application! Apply broadly. Your research and teaching experience should help a lot.👍
 
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If you really want to become an orthodontist, you should add Georgia program to your list.....instead of wasting your money on an intership program that doesn't offer any guarantee on the admission. I am sure by now (since you already applied twice) that ortho is still a highly competitive specialty despite the decline, high cost of attendance and over-saturation etc. It doesn't really matter where you earn your ortho certificate from. No one has ever asked me where I went for ortho.

Ortho is a wonderful specialty. You will love it. It will be a good "hobby" to have when you are in your 60, 70. It's cool to be able to make a difference in someone's life at that age. It's boring to retire early and stay home doing nothing. You can't travel or play golf 365 days/yr.

Good luck with the application! Apply broadly. Your research and teaching experience should help a lot.👍
Heaven help me if I’m still practicing dentistry at 70…

Big Hoss
 
Heaven help me if I’m still practicing dentistry at 70…

Big Hoss
Yeah, it sucks if you have to bend your back and practice general dentistry at 70.....but not for ortho. Doing ortho actually becomes easier and more fun as you get older (and have zero debt) because you've seen enough complicated cases and gain more clinical experience. Diagnosis and tx planning are the 2 most important things in ortho that determine the tx outcomes.

You hate working right now because you are still young and are busy raising your young kids. Wait until you reach my age, when all your kids leave you for colleges, getting married, and have a family of their own. You'll be so lonely. I am 54 now.....I mow the lawn 3x a week and do my own gardening to keep myself entertained. Sometimes, my wife and I drove up to my kid's college apartment (50 miles away) to drop off stuff that he forgot to bring in the middle of the night. We didn't mind doing this because we had nothing to do....and it's a chance for us to see his face. Having a low stress (both physically and mentally) job like ortho is a nice thing to have in your old age. At least you can still contribute something to the society instead of being viewed as being just another old person.
 
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I personally couldn't recommend a $300k residency to become an orthodontist to anyone.



Are you sure?
LW_Happiness_is_Priceless__84216.jpg

Yes, I am sure. The OP has been out long enough to see all the cons of practicing general dentistry. He already has a house.....he will have zero debt.....he will be fine.
 
If you really want to become an orthodontist, you should add Georgia program to your list.....instead of wasting your money on an intership program that doesn't offer any guarantee on the admission.
I second this. Might as well apply to GSO post-match. There are 21 open spots, and you could start ortho residency this summer. This is only if you really want to be an orthodontist...

Otherwise, here are some internship programs I would consider if you want an internship:

Most of these you would be looking at becoming an orthodontist 4+ years from today. Eastman's would be a good one; otherwise, Indiana, Temple, and Louisville are good choices (2-year ortho residency), but note that none of these guarantees acceptance into orthodontic residency or an interview for the program. Indiana's intern this year didn't even get an interview invite to their program.


There are many internship programs out there, so do your own research.
 
I second this. Might as well apply to GSO post-match. There are 21 open spots, and you could start ortho residency this summer. This is only if you really want to be an orthodontist...

Otherwise, here are some internship programs I would consider if you want an internship:

Most of these you would be looking at becoming an orthodontist 4+ years from today. Eastman's would be a good one; otherwise, Indiana, Temple, and Louisville are good choices (2-year ortho residency), but note that none of these guarantees acceptance into orthodontic residency or an interview for the program. Indiana's intern this year didn't even get an interview invite to their program.


There are many internship programs out there, so do your own research.
There are 21 open spots for a reason. GSO is obscenely expensive and the training has to be poor with a class size that big. Simply put, it is a diploma mill.

Going to GSO would be like a $1,500,000 to $2,000,000 opportunity cost for the OP. Are you seriously advocating for that? The golden age for ortho is over. OP could end up finishing residency only to make less than they currently are.

Big Hoss
 
There are 21 open spots for a reason. GSO is obscenely expensive and the training has to be poor with a class size that big. Simply put, it is a diploma mill.

Going to GSO would be like a $1,500,000 to $2,000,000 opportunity cost for the OP. Are you seriously advocating for that? The golden age for ortho is over. OP could end up finishing residency only to make less than they currently are.

Big Hoss
There are open spots postmatch but this doesn't mean that you can easily get in. There are also open spots postmatch for OMFS. These open spots usually got filled very quickly after the match date. Some programs intentionally ranked fewer candidates so they could get the candidates of their choice outside of the match. My GPR program did that.

If you look at the Georgia's website, the first year class has 49 residents. The 2nd year class also has 45+ residents.
 
These are the areas in dentistry most vulnerable to AI. It’s going to get easier and easier for GPs to handle 90% of ortho cases.

Big Hoss
AI definitely helps make things easier for us. And this is a good thing. However, the treating orthodontists are still needed to review the ClinCheck and to tell the aligner companies (Invisalign, Angel Aligner etc) what to do. The orthodontists still treat significantly more Invisalign patients than the general dentists. If the certain cases go bad with Invisalign, the orthodontists can easily bail themselves out by putting braces on the patients to finish the case ideally. I recently joined a practice that does mostly invisalign tx (about 75% of the cases)....not impressed with the tx results.
 
Yeah, it sucks if you have to bend your back and practice general dentistry at 70.....but not for ortho. Doing ortho actually becomes easier and more fun as you get older (and have zero debt) because you've seen enough complicated cases and gain more clinical experience. Diagnosis and tx planning are the 2 most important thing in ortho that determine the tx outcomes.

You hate working right now because you are still young and are busy raising your young kids. Wait until you reach my age, when all your kids leave you for colleges, getting married, and have a family of their own. You'll be so lonely. I am 54 now.....I mow the lawn 3x a week and do my own gardening to keep myself entertained. Sometimes, my wife and I drove up to my kid's college apartment (50 miles away) to drop off stuff that he forgot to bring in the middle of the night. We didn't mind doing this because we had nothing to do....and it's a chance for us to see his face. Having a low stress (both physically and mentally) job like ortho is a nice thing to have in your old age. At least you can still contribute something to the society instead of being viewed as being just another old person.
I really think you need to stop saying stuff like this. Have you ever met older orthodontists? The question is rhetorical, of course, but there are many, many older orthodontists out there with hunched over back, fused discs in neck/back.. ortho is hard on the body like all other dental specialties.

There are so many misconceptions people have about ortho.. its easy for you to say "everything is great".. you came out at a different time than orthodontists now. The financial aspect alone makes this a not very good career anymore, you need to take that unto consideration. Not only that, the constant turnover of assistants at corporations, the reliance on assistants to do a lot of work (which they inevitably will do wrong), dealing with ridiculous parents and overly picky patients are many stressors orthodontists face. Most will find this job dull, boring, stressful just like general dentistry. Its not a fun hobby, and it would be way more fun being retired and sitting on a beach than dealing with all the BS an orthodontist has to deal with on a regular basis. Not to mention, if you own an orthodontic practice- the competition is absurd. Trying to stand out and grow a practice is getting so tough. Dealing with the slew of difficulties an owner does in ortho is no different than any specialty. Its very tough. Certainly very few things about i would consider "fun" or hobby-like.

Trying to piece together a full-time schedule as an orthodontist is also a frustrating endeavor which may require a lot of travel, and working at multiple offices. This is also frustrating and not ideal at all.

I often wonder why so many people have misconceptions about ortho... but if you keep telling people its all roses, when its not, that could be a reason why.

I would strongly advise the OP to NOT go into ortho, and to certainly not go to the Georgia school. In some cases it does matter where you go to school, I really doubt you will graduate from there being very competent. Its unlikely they are getting good clinical experience there. And it could easily set back one's retirement back a decade.
 
I recently joined a practice that does mostly invisalign tx (about 75% of the cases)....not impressed with the tx results.
I'll agree with you there. Invisalign is trash at getting torque on incisors, treating certain cases especially those class II div 2 cases gets mediocre results. Braces are better at treating most cases.
I don't think AI will have any more effect on ortho than it does any other job out there.. Or any other dental specialty. In ortho, there is a tremendous amount of physical work on actual real live patients that needs to be done. Something that AI could never do.
Also, the AI that aligner companies use (particularly Align) is quite trash at setting up cases. I end up having to throw out the first clincheck almost entirely when it comes back. The hierarchy of importance when selecting attachment type is really quite bad in their software.
The biggest threat to ortho comes from inside the specialty itself. The ridiculous Georgia program putting out insane amounts of residents.. In addition to many other ortho residencies out there graduating far too many orthodontists.
The other threat to the specialty is demographics. People having less kids.
Many reasons to not join this field, but AI is not really one of them.
 
I appreciate everyone’s replies!

My first cycle I interviewed at mostly cheap 2-2.5 year programs. This past cycle were longer, more expensive programs - and honestly, I didn’t rank two of them because they weren’t strong enough programs to justify the time/cost.

I’ll apply once more and see what happens. I know the math doesn’t make sense, but I’m stubborn and love ortho. My intent would be to move a more rural location after residency. My city is crazy saturated with both GP and ortho.
 
Brother is so in love with ortho that he is willing to give up a great income in a desirable city, delay retirement 10 years, and move rural this late in his life. Mad respect. Hope it all works out for ya.
 
Brother is so in love with ortho that he is willing to give up a great income in a desirable city, delay retirement 10 years, and move rural this late in his life. Mad respect. Hope it all works out for ya.
This thread has at least deterred me from internships and $300k+ programs. So I appreciate that.
 
This thread has at least deterred me from internships and $300k+ programs. So I appreciate that.
I just always like to point these things out because it is how my mind works. I’m not being sarcastic when I say that I have a ton of respect for your passion for ortho, but think about this.

If you make $400k per year. After tax that’s somewhere around $260k. If you live off of $60k per year for the four years you’d be taking to pursue an ortho internship and then ortho residency, and invest $200k per year into VOO (10% historical return) or something more aggressive like VUG (12% historical return) at the end of those four years you would have $978,000 invested.

Let’s assume that you are 36 now. After those four years you are 40. If you don’t touch that money from 40 until 65 when you start to think about retirement, even if you literally never invest another penny ever again, that $978,000 grows to $12 million at age 65.

So by pursuing ortho not only are you giving up that income for four years. You are giving up the investment potential of that income AND you are actually losing money paying hundreds of thousands of dollars for residency. You’re talking an over $12 million difference!

This isn’t magic math either. This isn’t assuming you are some investment guru. This is simply putting money into the S&P500 for four years of your life.

If it is worth it for you to give up $12 million come retirement to say that you’re an orthodontist (and potentially make less than you’re making now when it’s all said and done) then that passion alone would be enough for me to accept you into any ortho program in the country if it were up to me.
 
I really think you need to stop saying stuff like this. Have you ever met older orthodontists? The question is rhetorical, of course, but there are many, many older orthodontists out there with hunched over back, fused discs in neck/back.. ortho is hard on the body like all other dental specialties.

There are so many misconceptions people have about ortho.. its easy for you to say "everything is great".. you came out at a different time than orthodontists now. The financial aspect alone makes this a not very good career anymore, you need to take that unto consideration. Not only that, the constant turnover of assistants at corporations, the reliance on assistants to do a lot of work (which they inevitably will do wrong), dealing with ridiculous parents and overly picky patients are many stressors orthodontists face. Most will find this job dull, boring, stressful just like general dentistry. Its not a fun hobby, and it would be way more fun being retired and sitting on a beach than dealing with all the BS an orthodontist has to deal with on a regular basis. Not to mention, if you own an orthodontic practice- the competition is absurd. Trying to stand out and grow a practice is getting so tough. Dealing with the slew of difficulties an owner does in ortho is no different than any specialty. Its very tough. Certainly very few things about i would consider "fun" or hobby-like.

Trying to piece together a full-time schedule as an orthodontist is also a frustrating endeavor which may require a lot of travel, and working at multiple offices. This is also frustrating and not ideal at all.

I often wonder why so many people have misconceptions about ortho... but if you keep telling people its all roses, when its not, that could be a reason why.

I would strongly advise the OP to NOT go into ortho, and to certainly not go to the Georgia school. In some cases it does matter where you go to school, I really doubt you will graduate from there being very competent. Its unlikely they are getting good clinical experience there. And it could easily set back one's retirement back a decade.

I really think you need to stop saying stuff like this. Have you ever met older orthodontists? The question is rhetorical, of course, but there are many, many older orthodontists out there with hunched over back, fused discs in neck/back.. ortho is hard on the body like all other dental specialties.
Yes, I have….3 of them. They sold their practices and went to work part time for the corps. I bought 4 used ortho chairs from an orthodontist, who appeared to be in his early 70s. He had back surgery but he still worked a few days a month at his main office because he enjoyed it. Neck and back pain are very common problems among old people due to sedentary lifestyle and lack of exercise. Both of my parents had severe back pain when they were in their 70s and neither of them was a dentist. My father-in-law is getting steroid injection every 6 months for his back pain and he’s not a dentist either.
There are so many misconceptions people have about ortho.. its easy for you to say "everything is great".. you came out at a different time than orthodontists now. The financial aspect alone makes this a not very good career anymore, you need to take that unto consideration. Not only that, the constant turnover of assistants at corporations, the reliance on assistants to do a lot of work (which they inevitably will do wrong), dealing with ridiculous parents and overly picky patients are many stressors orthodontists face. Most will find this job dull, boring, stressful just like general dentistry. Its not a fun hobby, and it would be way more fun being retired and sitting on a beach than dealing with all the BS an orthodontist has to deal with on a regular basis. Not to mention, if you own an orthodontic practice- the competition is absurd. Trying to stand out and grow a practice is getting so tough. Dealing with the slew of difficulties an owner does in ortho is no different than any specialty. Its very tough. Certainly very few things about i would consider "fun" or hobby-like.
There are cons in every job and ortho is no exception to this. Work is not supposed to be fun. People work because there are bills to pay and family to support. When I was at your age (late 20s, mid 30s), I worked 6 days/wk…seeing 80-90 patients a day. The corp only provided 2-3 ortho chairside assistants so I had to sit down and work as an extra assistant in order to maintain smooth patient flow, to avoid complaints from patients, and to go home on time. I was too busy for a bathroom break. But I was happy because the pay was good and I was able to give myself, wife and my kids a good comfortable lifestyle. It’s way better than practicing general dentistry (I had practiced general for 1 yr before I went back to school for ortho).

The best way to achieve a good work life balance is to pay off debt as fast as you can. And in order to achieve this goal, you have to make some sacrifice at the beginning of your career…when you are still young and healthy. Time flies quickly so don’t waste it.

Once you become debt free, you get to dictate how you want run your practice, the type of patients you want to treat, the ones whom you don’t want to treat, the type of insurance you accept etc. You no longer worry about things like losing a referral dentist, an economic recession, a new ortho who opens his office right across from yours, a patient who threatens to sue you etc. Work will become less stressful (and actually enjoyable) I promise you.
Trying to piece together a full-time schedule as an orthodontist is also a frustrating endeavor which may require a lot of travel, and working at multiple offices. This is also frustrating and not ideal at all.
I actually prefer to travel to work at multiple offices for different employers than working for one employer. I can use the other jobs as leverage to negotiate for higher pay. If one place fired me (this has never happened), I would still have jobs at other places.

Working in an area (like So Cal) where there are a lot of available part time jobs at multiple locations is actually a good thing. This is one of the pros and not a con. This allows you open your own office from scratch at your desire location. You supplement your income by traveling to work at other offices. Having a positive cash flow (from the associate jobs) while building up clientele at your own office makes running a business a lot less stressful. If there were no corp jobs available in my area, I wouldn’t have been able to start my own office. It would have been impossible because my wife and I had a combine student loan debt of $450k.
I would strongly advise the OP to NOT go into ortho, and to certainly not go to the Georgia school. In some cases it does matter where you go to school, I really doubt you will graduate from there being very competent. Its unlikely they are getting good clinical experience there. And it could easily set back one's retirement back a decade.
It doesn’t matter where you earn your ortho certificate. School only teaches you basic stuff. You learn from your jobs. The more patients you treat, the more experience you will gain. A few young orthodontists in my team were let go because according to my assistants who had also worked with these orthos, they were too slow, they couldn’t tx plan, they didn’t know how to adjust the retainers (and kept sending them back to the lab), they stressed about everything, and a lot of patients complained about them. And they were from big programs like UCLA, UNC, Michigan, Harvard etc.

An ortho who travels to 5-6 different offices and sees 1000+ patients every month vs an ortho works at 1 location and only sees 100 patients a month…..who do you think has more clinical experience?
 
There are 21 open spots, and you could start ortho residency this summer.
The fact that this statement doesn't give you pause blows my mind. This ortho certificate mill money grab scheme needs to be closed down. In fact, closing down a majority of the programs would probably do ortho a huge favor.
 
The fact that this statement doesn't give you pause blows my mind. This ortho certificate mill money grab scheme needs to be closed down. In fact, closing down a majority of the programs would probably do ortho a huge favor.
My cousin said the same thing to me about OMFS. He said it's a dying specialty and no one wants to apply. I asked him where did he get this info. He said from an oral surgeon whom he currently works for. My cousin is a MD anesthesiologist and he helps sedate the patients at this OS office. According to this OS, there have been a lot of unfilled spots postmatch for OMFS. I told my cousin this is not true and that OS is still one of the toughest dental specialties to get into. My cousin didn't seem to believe me. Well, his daughter will apply for dental schools next year and I will let her correct him on this subject.
 
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My cousin said the same thing to me about OMFS. He said it's a dying specialty and no one wants to apply. I asked him where did he get this info. He said from an oral surgeon whom he currently works for. My cousin is a MD anesthesiologist and he helps sedate the patients at this OS office. According to this OS, there have been a lot of unfilled spots postmatch for OMFS. I told my cousin this is not true and that OS is still one of the toughest dental specialties to get into. My cousin doesn't seem to believe me. Well, his daughter will apply for dental schools next year and I will let her correct him on this subject.
Your cousin simply does not understand the current state of dental specialties. The unfilled spots for OMFS were more of a Match issue and were all filled immediately, not from lack of applicants. Match can be complicated and not always work out if you don't interview enough applicants and rank correctly. How could someone even think there aren't enough OMFS applicants? The data doesn't even remotely bear that out. Ortho new grads are traveling sometimes hundreds of miles each week for work. OMFS grads are booked out weeks.

Today, I'd infinitely rather be a young OMFS than a young ortho. 25 years ago, I'd have rather been an orthodontist but times have changed since you graduated, Charles. I know people who regret doing ortho (@New_Vegas comes to mind). You'll likely never find someone who regrets OMFS after graduation. OMFS associates easily pull in 500k+. OMFS has a barrier of entry of the CBSE. Ortho cranks out programs like nothing. Imagine an OMFS residency that took 40 residents a year. It simply isn't feasible and I think OMFS as a specialty has enough self respect to never allow themselves to become so denigrated.
 
Your cousin simply does not understand the current state of dental specialties. The unfilled spots for OMFS were more of a Match issue and were all filled immediately, not from lack of applicants. Match can be complicated and not always work out if you don't interview enough applicants and rank correctly. How could someone even think there aren't enough OMFS applicants? The data doesn't even remotely bear that out. Ortho new grads are traveling sometimes hundreds of miles each week for work. OMFS grads are booked out weeks.

Today, I'd infinitely rather be a young OMFS than a young ortho. 25 years ago, I'd have rather been an orthodontist but times have changed since you graduated, Charles. I know people who regret doing ortho (@New_Vegas comes to mind). You'll likely never find someone who regrets OMFS after graduation. OMFS associates easily pull in 500k+. OMFS has a barrier of entry of the CBSE. Ortho cranks out programs like nothing. Imagine an OMFS residency that took 40 residents a year. It simply isn't feasible and I think OMFS as a specialty has enough self respect to never allow themselves to become so denigrated.
I agree. I wish I would have applied to omfs instead of ortho. Big mistake.. oh well.
 
My cousin said the same thing to me about OMFS. He said it's a dying specialty and no one wants to apply. I asked him where did he get this info. He said from an oral surgeon whom he currently works for. My cousin is a MD anesthesiologist and he helps sedate the patients at this OS office. According to this OS, there have been a lot of unfilled spots postmatch for OMFS. I told my cousin this is not true and that OS is still one of the toughest dental specialties to get into. My cousin didn't seem to believe me. Well, his daughter will apply for dental schools next year and I will let her correct him on this subject.
Saying OMS is a dying specialty just isn't based in reality
 
DA, endo, peds, and OMFS are the only specialties I'd recommend to dental students.
Regardless of the specialty you choose, success is primarily a result of skill, attitudes, personal motivation, rather than the specialty itself. Success also depends on the relationship that the specialists have with their referring GPs.

It’s this time of year again. We’ll have to deliver 20 of these chocolate boxes (5 for my wife’s and 15 for my office) to the referring dentists to thank them for sending their patients to us. We used to have 30+ referring GP offices…some docs passed away, some retired, some decided to refer patients to another specialist.
20251203_164828.jpg
 
Saying OMS is a dying specialty just isn't based in reality
I guess the reason the OS expressed such negativity toward his own profession to my cousin was he didn’t like his job as an OMFS either. Physicians tell their kids to go into dentistry. Dentists tell their kids to go into medicine or engineering. Engineers tell their kids to pursue a career in health care. It’s sad to see that most people don’t feel good about their own job and think the grass is greener on the other side. Pablo Sanchez and I are the minority on this forum who still love our jobs.
 
For those who do not match, an internship or fellowship can be a good way to build up your application. Bently242 already listed a lot of programs that are available and, importantly, told everyone to do their own research. We can add to the list (and shorten your research time a little bit). CTOR Academy offers several educational opportunities for anyone interested in orthodontics and dentofacial orthopedics. Check out our website (CTOR Academy) for more information.
 
For those who do not match, an internship or fellowship can be a good way to build up your application. Bently242 already listed a lot of programs that are available and, importantly, told everyone to do their own research. We can add to the list (and shorten your research time a little bit). CTOR Academy offers several educational opportunities for anyone interested in orthodontics and dentofacial orthopedics. Check out our website (CTOR Academy) for more information.
And your tuition is an affordable $30,000…

Big Hoss
 
And your tuition is an affordable $30,000…

Big Hoss
CTOR Academy is devoted to education. In addition to our fully accredited orthodontics and dentofacial orthopedics program, we offer numerous fellowships and CE courses that range in price ($200 - $70,000) and duration (1-day - 1-year) for students, general dentists, specialists and assistants. We even offer a full scholarship for our 1-year Translational Research Fellowship ($45,000).

People who post here looking for guidance on how to improve their chances of getting into an orthodontic residency program are encouraged to look at all opportunities available to them. Yes, some will cost time and money. But, this path may provide the edge that will give you entry into a specialty that is truly fantastic.
 
My cousin said the same thing to me about OMFS. He said it's a dying specialty and no one wants to apply. I asked him where did he get this info. He said from an oral surgeon whom he currently works for. My cousin is a MD anesthesiologist and he helps sedate the patients at this OS office. According to this OS, there have been a lot of unfilled spots postmatch for OMFS. I told my cousin this is not true and that OS is still one of the toughest dental specialties to get into. My cousin didn't seem to believe me. Well, his daughter will apply for dental schools next year and I will let her correct him on this subject.
All of the unfilled postion from the last 2 years came from the 6 years programs. Although those programs are all GMD funded, like the 4 years programs does, candidates are required to spend 2 extra yeras and $200K+ tuition to earn a MD.

The path will be less popular under the OBBB.
 
CTOR Academy is devoted to education. In addition to our fully accredited orthodontics and dentofacial orthopedics program, we offer numerous fellowships and CE courses that range in price ($200 - $70,000) and duration (1-day - 1-year) for students, general dentists, specialists and assistants. We even offer a full scholarship for our 1-year Translational Research Fellowship ($45,000).

People who post here looking for guidance on how to improve their chances of getting into an orthodontic residency program are encouraged to look at all opportunities available to them. Yes, some will cost time and money. But, this path may provide the edge that will give you entry into a specialty that is truly fantastic.
Would you recommend people pursue this “truly fantastic” specialty even if they’ll be stuck with $750,000 or more in student loans?

The education bubble is bursting.

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Will CTOR survive? Or will it fold like the dental schools at Northwestern, Georgetown, and the like? Only time will tell…

Big Hoss
 
CTOR Academy is devoted to education. In addition to our fully accredited orthodontics and dentofacial orthopedics program, we offer numerous fellowships and CE courses that range in price ($200 - $70,000) and duration (1-day - 1-year) for students, general dentists, specialists and assistants. We even offer a full scholarship for our 1-year Translational Research Fellowship ($45,000).

People who post here looking for guidance on how to improve their chances of getting into an orthodontic residency program are encouraged to look at all opportunities available to them. Yes, some will cost time and money. But, this path may provide the edge that will give you entry into a specialty that is truly fantastic.
Your program embodies everything wrong with higher education.
 
CTOR Academy is devoted to education. In addition to our fully accredited orthodontics and dentofacial orthopedics program, we offer numerous fellowships and CE courses that range in price ($200 - $70,000) and duration (1-day - 1-year) for students, general dentists, specialists and assistants. We even offer a full scholarship for our 1-year Translational Research Fellowship ($45,000).

People who post here looking for guidance on how to improve their chances of getting into an orthodontic residency program are encouraged to look at all opportunities available to them. Yes, some will cost time and money. But, this path may provide the edge that will give you entry into a specialty that is truly fantastic.
And thanks to you opening up and further saturating the field, this specialty is getting worse and worse by the year.
 
I didn’t rank two of them because they weren’t strong enough programs to justify the time/cost.

How badly do you want to be an ortho? For those reading at home, NEVER do this. If a program invites you, RANK IT. It is better to match somewhere, anywhere rather than sit out a year and be posting on SDN about what to do now. If you don't rank a program, you will never know if you could have matched.

I don't have any school debt and I do still enjoy the actual specialty. I see cases that many refuse to treat because they are challenging. I enjoy thinking about how to solve them and then implementing the treatment. There are definitely downsides but I think these downsides exist across all of dentistry - hard to recruit staff, competition for patients, and parents have gone from rational people trying to raise responsible and grounded kids to full blown crazy helicopter people with control and trust issues raising high anxiety kids who have zero responsibilities. All of these problems got so much worse after COVID. And then ortho has its own special downside in that the number of graduates has been increased by like over 100 since I got out 15+ years ago. I'm definitely seeing and feeling the effects of that now where I am. I get a lot of inquiries from orthodontists looking for associate jobs. It is easier for me to hire an associate ortho than a dental/ortho assistant.

Would I still recommend someone to do this? Maybe, if you can keep your total educational debt to like under $400K and then work the 6 days/week club to reduce it ASAP. But only if you’re already in dental school. If you’re not in dentistry yet, find a different path to be a healthcare professional and/or business owner.
 
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@CTOR Academy Orthodontics I take it you're just some random administrator. Still, tell me, how do you justify working for a program that saddles naïve dental students with crippling, lifelong debt? You market hope while delivering financial ruin. It’s predatory, and everyone here sees it. I don't know how any administrator at CTOR sleeps at night knowing what they're doing.
 
Once you see plaque caked on around braces 3 mm thick for the thousandth time, or those annoying patients who won't wear their aligners then try to blame you for their teeth not moving... it gets old pretty fast.

I have not seen 3 mm of plaque in over 10 years. You can't start a case that is going to result in seeing 3 mm of plaque at every visit. For the aligners, we have mostly stopped doing them. We have gotten very strict about switching over to braces once people start showing they're lazy and don't want to wear them. But I get why you're seeing these things. You need something to pay the bills. Wherever it is that you work probably starts every case that walks in the door because $$$$$. You're likely a good ortho with good intentions, but stuff like this is why there are so many bad ortho results walking around out there.
 
I have not seen 3 mm of plaque in over 10 years. You can't start a case that is going to result in seeing 3 mm of plaque at every visit. For the aligners, we have mostly stopped doing them. We have gotten very strict about switching over to braces once people start showing they're lazy and don't want to wear them. But I get why you're seeing these things. You need something to pay the bills. Wherever it is that you work probably starts every case that walks in the door because $$$$$. You're likely a good ortho with good intentions, but stuff like this is why there are so many bad ortho results walking around out there.
As a pediatric dentist, I see way more patients than I’d like that should have been debonded by their ortho due to hygiene noncompliance. Like you said, these orthos are driven by money.

“Congratulations! Your teeth are straight…but now you need endo and crowns from canine to canine and you’re only 14 years old.”

I’ve had some cases that were so bad I almost told the parents that if they file a malpractice claim against the ortho I’d be an expert witness for free. I mean the ortho has been seeing these kids every 4-6 weeks and they never said anything about the rampant caries that’s completely visible to the naked eye?!

Big Hoss
 
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