As an orthodontic consulting company, StraightSmile Solutions focuses heavily on helping general and pediatric dentists successfully navigate clinical cases. However, to maintain the highest standards of safety and liability, there are specific boundaries regarding the cases the company can support. Dr. Amanda recently shared the reasons behind her “naughty list”—a collection of products and appliances that fall completely outside her current consulting scope.
First and foremost, this list includes adult expansion devices. While pediatric or children’s growth expansion appliances are highly encouraged and fully supported by her team, adult jaw structures behave completely differently. True adult expansion usually enters the realm of airway management and sleep medicine. Because airway care is deeply tied to the fields of general dentistry and dedicated sleep specialists, Dr. Amanda chooses not to overstep clinical boundaries. Orthodontic consulting should stay strictly within its clinical specialty. Aside from surgical expansion paired with complex jaw surgeries, remote tracking for nonsurgical adult skeletal expansion simply introduces too much risk.
Furthermore, the complexity of aligning teeth after adult skeletal changes carries a high risk of adverse side effects. Managing those structural changes from afar is not a practice she feels comfortable providing remotely. Additionally, there are specific appliance brands where Dr. Amanda lacks direct, first-hand training. Even if a product is perfectly fine, she refuses to consult on workflows she has not rigorously audited herself.
To avoid complications, always check in with her clinical team before signing up for services with a specific product in mind. Staying firmly within her expertise ensures your practice receives safe, elite, and predictable clinical support.