Orthodontic Products Podcast

In a recent Orthodontic Products podcast episode, Chief Editor Alison Werner interviewed Josh DeVries, the founder and CEO of Intiveo, a cloud-based patient communication software tailored for dental and specialty practices. Intiveo offers features like automated appointment confirmations, recall reminders, booking requests, and reputation management.
 
The discussion delved into trends shaping the orthodontic industry in 2024 such as personalized treatment plans, the growth of adult orthodontics, diverse patient engagement strategies, and advancements in technology that promise to enhance care options for patients and streamline practice workflows. 
 
DeVries emphasized the significance of personalized treatment plans, considering factors such as age, genetics, and lifestyle for more effective outcomes. The growth of adult orthodontics, driven by aesthetic brackets and clear aligners, was identified as another prominent trend. Adult patients, comprising one-third of orthodontic patients in the U.S., are seeking cosmetic improvements at a higher rate, contributing to a 40% increase over the past decade.
 
“[There is] a trend towards people putting more value in cosmetic care. This is driven by aesthetics,” says DeVries. “People want to have a healthy looking smile more so than an actually healthy smile, which I think is really beneficial to the orthodontic industry.”
 
Regarding patient engagement, DeVries highlighted the need for varied communication methods to cater to different patient preferences, combining email, text, and phone calls. 
 
The podcast also touched upon advancements in orthodontic technologies. DeVries highlighted the rise of in-house solutions, 3D printing, computer-aided fabrication, teledentistry, and emerging robotic dentistry. These technologies offer both precision and efficiency, impacting urban and remote areas alike, providing advanced care.
 
“People just want solutions to their problems,” says DeVries. “And the quicker and better the solution is, the more appealing it is for us to consider.”

Creators and Guests

Host
Alison Werner
Editor-in-Chief, Orthodontic Products

What is Orthodontic Products Podcast?

Introducing the "Orthodontic Products Podcast", a journey into the dynamic realm of orthodontic innovations. Each episode dives into fresh research, transformative technologies, and the methodologies redefining the field. Expert interviews seamlessly blend with in-depth analyses, offering listeners a comprehensive look into the ever-evolving world of orthodontics. This isn't just a podcast—it's a portal to the future of orthodontic practices and breakthroughs.

Alison Werner: Hello and welcome
to the orthodontic products

podcast. I'm your host Alison
Warner. Today we have with us

Josh DeVries, founder and CEO of
Intiveo , a cloud based patient

communication software for
dental and specialty practices.

The software automates and
allows users to customize

appointment confirmations,
recall reminders, booking

requests, reputation management,
and more. In October, Intiveo

announced its integration with
Carestream dental sensei cloud

practice management platform.
While we'll talk a bit about the

software, Josh is actually here
today to talk about trends in

the orthodontic industry. That
will shape the year ahead, Josh,

thanks for joining me.

Josh DeVries: Thank you for
having me.

Alison Werner: Well, so before
we get started talking about

trends, can you tell me how you
came to the dental technology

space and give us a little more
about what Intiveo software can

do for an orthodontic practice?

Josh DeVries: Yeah, for sure.
Thank you for having me. So

Intiveo is a patient engagement
platform for dental

professionals across North
America with a specific focus on

specialists and providers with
complicated communication needs.

Confirmation rates don't mean
anything when the patient fails

to show up and your treatment is
unnecessarily delayed. We focus

on preparing patients for their
appointments and helping them

deliver successful treatment
outcomes. That's really where we

hang our hat on is outcomes.

Alison Werner: Okay, so let's
talk about the dental industry

as a whole. When you think about
that industry, what has most

surprised you about it?

Josh DeVries: I'm not sure it
surprises me. But the thing that

definitely pops to the top of my
head is that dentistry and oral

health is really a microscope
into the overall health of a

patient, which is why I think
it's important for dentists and

dental specialists to maintain
their autonomy from other health

care professionals. I also think
that patients are more educated

now than ever, which is part of
the reason why SmileDirectClub

was created. And it's because
people thought that dentists

were not adding value to ortho
treatments. Now, given their

fate, I think we know they were
wrong. We as healthcare

professionals must remember our
first job is to educate and

partner with our patients and
the treatments we provide, and

really try to withhold them just
being subjects of treatment.

Dentists care about delivering
the best possible care and rely

on the best tools available to
meet the patient's needs. The

reason we serve as primarily
dental specialists and GPs who

do advanced treatment is because
we look at delivering better

outcomes. And that starts with
better engagement. We're the

only solution to understanding
information your patients need

to review to fill out forms they
need to fill out and to partner

with you to complement your
current processes. Rather than

taking over your patient
communication. I believe that

any tool that focused on
removing all the distraction and

allows you as the professional
to focus on your craft is a

successful tool.

Alison Werner: Okay, so let's
dive into our topic. The four

trends you've identified that
orthodontic practices need to

know about for 2024. But before
we do that, can you talk about

how you identified these trends?

Josh DeVries: Yeah, through
multiple sources. So a little

bit about me, my immediate
family has been dentistry for

over 40 years, I quite literally
was raised around dentists. And

believe it or not, we actually
had clients on my father's

dental company, join our family
holidays. So before this list, I

have a lot of experience in
dentistry. But for this list

exactly. Specifically, I've read
a lot about the economic trends

in dentistry and beyond. I've
spoken with investors and our

own company and other companies.
We've spoken to dozens of

clients, and we reviewed
feedback from prospects who are

not purchasing us at this time.
And we have most fortunately to

be working with 10s of 1000s of
dental professionals. And when

they ask, they're willing to
give us the outlook that they

see. And we're just relaying
this instance over to the

market. We also additionally
have a research team at Intiveo

consistently reviewing thought
leadership. They're also

reviewing journals and articles
and putting together their own

conclusions. So we can
definitely share some of our

sources and what we're seeing in
the market with you all if

necessary.

Alison Werner: Okay, well let's
talk about the first trend you

identified, and it's the
importance of personalized

treatment plans. That phrasing
has definitely been on most

orthodontist radar in recent
years. But what does

personalized treatment plan mean
in 2024, for orthodontists and

for patients, in your opinion?

Josh DeVries: Yeah, personalized
treatment plans or custom

treatment plans are becoming the
norm in orthodontics, you know,

we have to consider things like
age, genetics lifestyle, and

this helps lead to quicker and
more effective treatments for

patients. Patients do want more
options. And they want these

options to align with what their
insurance companies will and

will not cover and they want to
know the difference. Also, we're

seeing that patients may be
waiting for treatment that they

don't consider to be urgent or
maybe more elective. So those

are some of the trends that
we're seeing.

Alison Werner: So another trend
you've identified is the growth

of adult orthodontics and
aesthetic brackets and clear

aligners have definitely made
orthodontics more appealing to

adults in the last two decades
and many practices saw a huge

increase in adult patients
during the pandemic as patients

redirected their spending away
from travel and outside

entertainment just to self care.
So what should orthodontic

practices expect in terms of
adult patients in 2024? Because

the financial resources aren't
necessarily the same.

Josh DeVries: Yeah I mean, 1/3
of orthodontic patients are

adults in the US and Canada.
This is a 40% increase over the

past decade. So it's definitely
a trend towards people putting

more value in Cosmetic care.
This is driven I think, from the

aesthetics, people want to have
a healthy looking smile more so

than maybe an actually healthy
smile, which I think is really

beneficial to the orthodontic
industry. The good news is when

orthodontics are done correctly,
you get the best of both worlds,

not only does it cosmetically
look good, but you're improving

some of the structural
deficiencies within your mouth

at the same time. And it clear
aligners are popular because of

their discrete nature, you can't
see them, you're seeing the vast

majority of the benefit with
almost all of the inconvenience,

you know, engineered out of that
solution.

Alison Werner: Okay, so Intiveo
software focuses on patient

engagement. And the reality is
patient engagement with the

parent of an adolescent patient
is different than engagement

with an adult patient seeking
treatment. So what's your advice

to orthodontic practices on best
engaging with that adult patient

population.

Josh DeVries: So the first thing
you have to do is you have to

understand that different
patients engage in different

ways. A personal example for
myself is my wife, Brittany, she

is a text person, she will read
and respond to texts within an

hour, often much, much, much
quicker than that. I on the

other hand, I'm an email person,
I have my phone muted all day

and night, and I only check in a
couple of times a day, the best

method to communicate with
everyone is probably through

neurolink. But unfortunately,
Elon hasn't figured that out.

And until then, we actually need
to use multiple methods of

communication to make sure that
all of our patients are followed

up with and connected. So you
can use email, you can use text

manual phone calls are super
critical. Additionally, we want

to make sure we continue to
remind patients when they have

outstanding tasks that need to
be completed, like consents

insurance information or forms
that need to be filled out

before their appointments. So
really, it's leveraging it all,

which I know sounds like the
best answer ever. But obviously,

it incurs a lot of work.

Alison Werner: Yeah no, totally.
Um, so I would imagine then

Intiveo is about kind of
streamlining that workflow.

Josh DeVries: Yeah, definitely.
I think, you know, we really

focus on how can we complement
your current communication

needs? You know, I think there's
a lot of opportunity for every

office to be better than they
currently are with or without

and Intiveo. And we just want to
be that solution that can help

offices that find it a little
bit overwhelming. They don't

have the resources to have 56789
10 touch points before an

appointment, but can only afford
to do one or two touch points.

Often you need to leverage an
additional service, additional

tool, additional resource, and
we'd like to be that solution.

Alison Werner: So moving on. The
third trend you've identified is

advancements in orthodontic
technologies. What are the key

technologies that you think
orthodontic practices need to

consider incorporating and 2024

Josh DeVries: I just think
there's a lot more in house

solutions available for
healthcare professionals, we're

seeing a rise of you know, 3d
printing, we're seeing a rise of

computer aided fabrication, it's
hence enhancing on the precision

side the efficiency. So I think
we're gonna see a continual

trend towards being able to do a
one stop shop, you know, same

day restoration kind of thing in
healthcare. Additionally,

teledentistry has increased
robotic dentistry is emerging

all these really exciting tools
that are not only going to

impact you know, the urban
centers, but also remote rural

centers to give them a higher
degree of advanced care. Yeah,

Alison Werner: what are your
thoughts on how these technology

advancements can affect patient
engagement with the practice and

their treatment?

Josh DeVries: So I think we
always need to remind ourselves

that patients are people. And
people just want solutions to

their problems. And the quicker
and better the solution is, the

more appealing it is for us to
consider. So when we provide

shorter and longer term
solutions, we're providing more

options for our patients to
consider with different things

being optimized. When you
provide something like a in

house 3d printed solution,
you're obviously not going to

have the same quality or
longevity that you would with a

lab solution similar to a clear
braces versus a you know,

traditional braces. But there's
still a lot of work to be done

there. Now, what we're seeing, I
think, as a big trend is those

that have the means they're able
to actually implement a

temporary solution for temporary
convenience and comfort while

waiting for longer term
solutions, which I think is a

great option for those that can
afford it. Additionally, those

who do not have the means or the
time they can actually receive

pretty good treatment same day
and that's gonna be more focused

on economical and time
sensitive. So I think there's

just more variety of options to
meet people at different places

and to deliver a better, you
know, overall arching care.

Yeah,

Alison Werner: and I think
that's the main takeaway here is

meet people where they are when
you can

Josh DeVries: 100% I think, you
know, everyone's going through a

different journey in life. Some
journeys are more difficult and

challenges and some have limited
finances limited time. And I

think our ability to really
listen to what patients are want

what our market wants and
deliver services to them is, you

know, the the ultimate test of a
good business. And we have to

remember when we talked about
orthodontics that we are looking

at the business end of it,
there's and we have to provide

that to the market.

Alison Werner: Yeah, absolutely.
So now the fourth trend you've

identified is tied to the
country's economic picture

overall, while Americans are
still concerned about with

inflation, and the economic and
their economic future, the

global orthodontics market is
expected to grow significantly.

What is driving this growth
globally?

Josh DeVries: Well, I think the
beauty of orthodontics is it is

a treatment that is very visible
cosmetic dentistry is obvious. I

think you're gonna see private
equity continue to pour

investment into orthodontic
practice practices, which, if

you're looking to be acquired,
that's awesome, that's great,

there's gonna be a market for
you. If you're looking just to

practice orthodontics, and kind
of put your head down and not

worry about the business end of
things, it's also really good

because they're gonna be group
practices are just wanting to

hire the most competent
orthodontist that have no

interest in business. Now, if
you want to stay independent,

branding yourself uniquely, and
in ways that the big

organizations cannot will be
your competitive advantage. So

what I like to tell our
customers is try sponsoring a

local high school sports team or
community event by using social

proof of notable uh people and
the treatment that you've

completed for them. Host dinner
parties office parties for

referring GPS leveraging the
social capital to get back into

their businesses. The benefits
of the independent is social

capital, and it's attributed to
the owner or the provider rather

than the organization, which
means the relationship is more

authentic and potent for you to
capitalize on. Large

organizations may be able to
beat you on reach and cost

savings, but you can beat them
on depth of relationship and

investment in personalizing your
patient care. I always tell

people you golf with the GP, you
get every referral they've ever

gotten. Private Equity back firm
can't do that. That's their

strategic advantage. And this
time more than ever, we need to

lean into those advantages,
because the market actually

cares about those
differentiators. And they're

willing to pay a premium for
someone who understands it and

delivers it in a competent
manner.

Alison Werner: Great, well, what
does the global growth of the

industry mean for orthodontist
practicing in the United States?

Josh DeVries: I mean, patients
today are overwhelmed more so

than ever, I think we need to
acknowledge that and be mindful

and intentional what we want to
say, and what do we need from

them? I really recommend that
everyone does a patient

engagement audit on their five
most frequent procedures, and

they understand all the steps,
information and requirements of

these treatments to be
successful, and what needs to be

done before their appointment.
And what are the consequences of

it not being done. Then I always
tell people to build out your

optimal communication plan based
on these findings using emails,

texts, and phone calls. And if
you can manage this on your own,

that's awesome, keep doing it
and you know, you're going to be

better off for it. Now, if you
do need support as you've likely

increased your pre appointment
communications from one or two

touch points to eight or nine
touch points, give us a call, we

can help you we can help
optimize and automate a lot of

those annoying touch points,
like fill out your form

reminders. Or make sure you take
your pre meds at 9pm [something]

instructions, all these sorts of
things, we really try to

understand what are you doing?
What are the procedures that you

are, you know, servicing every
single day? And how can we

deliver optimal communication so
patients are engaged in their

treatments and are you know,
motivated towards successful

outcomes?

Alison Werner: Okay, so now
before we wrap up, I'm curious

what trends you would recommend
orthodontic practices to keep in

mind in terms of patient
engagement for 2024?

Josh DeVries: Yeah, I mean, we
all know that referrals from GPs

are the lifeblood of all
orthodontics. And all

specialists really, we we've
actually built a module just for

GPS and it helps them
communicate with specialists on

the treatment plans they've sent
over for their patients. And the

really cool thing is that GPS
can look up and see how the

treatment plan is going whether
the patient has that appointment

in progress or where it's even
being completed. Now this has

revolutionized the way that
specialists are able to manage

the referring office
relationships to reduce the

follow up calls from GPS and to
ensure that patients return to

the regular cycle of care
following their treatment. I

mean, this feature has been game
changing has really been an

equalizer or even a leg up for
the independent specialists.

Additionally, another feature I
think you're listening to your,

your listeners will care about
is our co parenting message

messaging. So as families are
becoming more bended and parent

responsibilities are shared
between households, we are

making it easier for officers to
communicate with those that are

co parenting, making sure that
communication is frequent to

both parties, and making sure
that treatment doesn't fail

because of a lack of
communication between the

parents. And this is an industry
first that no one is doing for

both of those features. So I
believe, you know, this really

fits in place with delivering
that higher level of care. And

we're super excited to see how
it's impacting offices, you

know, everywhere in North
America. Okay,

Alison Werner: well, that's a
really interesting aspect that I

hadn't really thought about. But
now I can see the importance of

having that ability to
communicate with both parents.

So especially

Josh DeVries: in ortho right,
where you're having constant

follow up appointments every 234
weeks, and maybe with one parent

one week, one parent, the other
traditional systems only

communicate with the responsible
party, which means another

parents left in the dark, where
one's confirming the other's

unaware, and it's a tale as old
as time if you talk to these

orthodontic offices of why
patients don't show up why

patients show up late. And it's
usually revolving around

communication. It's not because
they didn't care. And they

didn't want to show up,

Alison Werner: right? Okay,
well, what's on tap for Intiveo

to in 2024?

Josh DeVries: Well, we're going
to continue to invest in these

trends. So we have found that
part of the referral GP module

that we've created, there's a
lot of enthusiasm on the

orthodontic and a specialist
side, but we need to change the

behaviors of GPs. You would be
surprised, scared, shocked maybe

about how many GPs are still
faxing over all their

information. And that we really
need to create a bridge from the

traditional way of faxing your
information, manual phone call

to follow up on that appointment
or to book that appointment to a

digital error. So some of the
things that we're looking at

doing is allowing the GPS to
still fax it over when they

faxed over digitizing that fax
for them automatically sending

them a link so they can access
the patient portal for

referrals, and really starting
to jumpstart the digital era for

referrals. We believe that is
the future. We believe that

because that's where most
specialists are getting their

revenue from it's an area of
focus that we should be

concerned around, because we are
the only solution that's focused

on specialists. And we're going
to continue to invest in that.

Fundamentally, we always believe
in outcomes. So we care about

the things that the Office cares
about. We care about patients

not confirming their
appointments, but showing up

prepared. We care about forms
being completed before the

appointment, not 10 minutes
after the appointment started in

the reception office. We really
care about you getting your

lunch break and not having to
eat your food chairside these

are the things that we're going
to try to continue to eliminate

and reduce through technology
and driving a better service of

care.

Alison Werner: Great. Well,
Josh, thanks so much for joining

me. I really appreciate it
appreciate getting your insight.

And if someone is interested in
learning more, where can they

go?

Josh DeVries: Yeah, so you can
go to intiveo.com i n t i v e

o.com. We are online all the
social media sites. But we would

love to chat with you. I think
like I said, we're happy to do

that patient evaluation or
communication evaluation with

you to understand how are you
communicating and engaging with

your patients for your top five
procedures. And we can help even

if it means not using our
service, I think we want to be a

wealth of knowledge. We want to
be a beacon of experience and

expertise within our market. So
wherever you're at whatever your

level of interest is, please
just engage with us and we hope

we can share what we're learning
every single day. Great.

Alison Werner: Thank you so
much, Josh, and to our audience.

Thanks for joining us and we'll
see you next time.

Josh DeVries: Have a great day
y'all.

Alison Werner: Thank you. As
always, thank you for joining

us. Be sure to subscribe to the
orthodontic products podcast to

keep up with the latest
episodes. And be sure to check

out orthodontic products
online.com to keep up with the

latest industry news. Until next
time, take care