Dr. Gena Otto is an orthodontist and the owner of Otto Orthodontics in St. Louis, Missouri. Her office has grown tremendously to include three locations, 30+ staff, and a full time marketing specialist.

I wanted to have Dr. Otto on the podcast because we work closely together professionally, and I've always loved her hip and energetic enthusiasm for orthodontics. She has a fantastic social media presence, along with really nice clinical outcomes and a passion for what she does.

In this podcast, Dr. Otto and I discuss some of the following ortho-peds issues:

- How has competition changed the marketplace for ortho work? Are orthodontists recommending comprehensive ortho earlier?
- What kind of outside-the-box marketing works well for orthodontists?
- When is the appropriate time to refer to an orthodontist?
- What options do we have to treat skeletal class II issues? Is headgear still even a thing?
- Congenitally missing laterals, do we canine sub or do we hold space and implant?
- Second molar substitution, what kind of mess do we leave for the orthodontist to clean up?

This was a great conversation and a nice refresher course on practical clinical applications for ortho issues in our pediatric patients.

Ortho-Peds Talk, with Dr. Gena Otto