Introduction
Dr. Amanda explains which appliances and treatment categories Straight Smile Solutions cannot consult on. The purpose is clarity: some devices fall outside her training, liability coverage, or clinical comfort zone. She emphasizes that being on this list does not mean a product is bad; it only means she cannot provide responsible advice on it.
- Why Some Products Can’t Be Supported
- Straight Smile Solutions’ consulting scope is based on direct clinical experience and liability insurance guidance.
• If Dr. Amanda has never used a system on real patients, she cannot ethically provide advice.
• She has tried to obtain experience, often contacting companies, auditing courses, and learning systems when clients ask.
• Many times this leads to adoption; other times she assists when possible. She has never refused a system unless it falls into very specific categories.
- Invitation to Companies
- Manufacturers are encouraged to invite her to audit full clinical training, not marketing events, so that she can understand the product properly.
• Compensation for travel makes participation possible, and historically has allowed her to expand what she can consult on.
- Children’s Expansion Appliances
- Fully supported. She is comfortable with nearly all pediatric expansion systems.
• If the brand is unfamiliar, she can still help align teeth after expansion.
• Prospective clients should always ask her first if unsure whether their device is on the non-supported list.
- Adult Expansion Devices (The Core “Naughty List”)
- Adult expansion for airway or skeletal remodeling is outside the orthodontic scope as she defines it.
• She believes this domain belongs to general dentists, sleep specialists, or an emerging airway specialty, not remote ortho consulting.
• She does not consult on non-surgical adult expansion devices.
• She has only performed adult expansion in the context of surgical jaw procedures, which is not something she can train or supervise remotely.
- Aligning Teeth After Adult Expansion
- Post-expansion alignment in adults is highly complex with significant potential side effects.
• While she has managed these cases clinically, she is not comfortable doing so remotely.
• Best practice: consult directly with the company that manufactured the adult expansion device for case support.
Conclusion
The “naughty list” is not a judgment, just a professional boundary rooted in safety, scope, and liability. Pediatric expansion remains fully supported; adult expansion does not. When in doubt, contact Straight Smile Solutions before starting a case to confirm whether the appliance is covered under your plan.