The Tostado Take: Mentorship Matters by Dr. Julia Tostado

Start Discussion More by this author (5)
Categories: Orthodontics;
The Tostado Take: Mentorship Matters 

Why ‘figure it out’ is not enough for young orthodontists

by Dr. Julia Tostado

The transition from orthodontic residency to real-world practice is often described as exciting, empowering, and long overdue. It is also, for many, unexpectedly isolating. One day you are surrounded by faculty, co-residents, and constant feedback. The next, you are the final decision-maker. The training wheels are gone, yet the cases keep coming.

The idea that recent graduates should simply “figure it out” is outdated and counterproductive. Growth in a specialty as nuanced as orthodontics requires mentorship that is intentional, accessible, and ongoing.

Why mentorship shortens the learning curve
Residency builds a strong foundation, but it cannot replicate every scenario encountered in practice. A Class II that refuses to correct as planned. An aligner case that seems to stall without explanation. A surgical case that drifts subtly off track. These moments are not failures; they are part of the process. But navigating them alone can feel overwhelming.

Mentorship offers perspective, reassurance, and practical solutions drawn from years of experience. Instead of guessing, young orthodontists gain insight into why a case behaves a certain way and how to adjust accordingly. I was very blessed to have my dad as that resource. As an experienced orthodontist, he was the mentor I could turn to whenever I felt I wasn’t good enough, when a case wasn’t responding the way I expected, or when I just needed someone to confirm I was on the right track.

The value of case review and second opinions
The advice is simple: Do not treat complex cases in isolation. Even experienced orthodontists seek second opinions. For younger clinicians, this practice is invaluable.

Regular case reviews with a mentor can reveal blind spots that are difficult to see alone. Sometimes, the greatest benefit is not changing the treatment plan, but confirming that you are on the right track.

Technology has made this easier than ever. Study models, photos, and radiographs can be shared quickly. Virtual meetings allow for real-time discussion. The key is not just access, it is willingness. Seeking input should be seen as a strength, not a weakness.

There is also a practical benefit. Catching small issues early can prevent larger complications later. A minor adjustment in mechanics can save months of treatment time. A different approach to anchorage can improve outcomes significantly. These insights often come from experience, and mentorship provides access to that experience.

Plans do not go as planned
Even with careful planning, cases can evolve unpredictably. Teeth do not always move as expected. Growth patterns vary. Patient compliance fluctuates. Adaptability is one of the most important skills in practice, but it is easier to develop with guidance.

Mentors help reframe these situations. An aligner case becomes a lesson in staging and attachments. A relapse becomes a discussion about retention protocols. A challenging growth pattern presents an opportunity to revisit timing and biomechanics. Many seasoned orthodontists recall early cases that did not go as planned, often with a mix of embarrassment and laughter. That perspective is reassuring. It reminds younger clinicians that perfection is not the goal. Progress and learning are.

Practical strategies for finding mentorship
One of the challenges is not recognizing the value of mentorship, but knowing how to access it.

Be intentional. Mentorship does not always happen organically. Reaching out to experienced colleagues, joining study clubs, and participating in professional forums can open doors. Many orthodontists are willing to share their knowledge, especially when approached with respect and curiosity.

Be specific. Instead of asking broad questions, bring cases, photos, and clear concerns. This makes the interaction more productive and focused.

Be consistent. Mentorship is most effective when it is ongoing. Regular check-ins, even informal ones, create continuity. Over time, the mentor gains a deeper understanding of your approach and challenges.

Be open to feedback. Constructive criticism can be uncomfortable, but it is essential for growth. Viewing feedback as an opportunity rather than a judgment makes a significant difference.

‘Figure it out’ is not enough
The idea that young orthodontists should figure things out on their own is rooted in an older model of training. While independence is important, it should not come at the expense of support. As orthodontics continues to evolve with new technologies, treatment modalities, and patient expectations, navigating these changes is easier with guidance.

In the end, mentorship is not about having someone provide all the answers. It is about having someone help you ask better questions, think more critically, and grow more intentionally.

What has been the most impactful piece of mentorship, or lack of it, that shaped your early years in orthodontic practice? 
The Tostado Take is written by Dr. Julia Tostado with AI assistance and developed under her direction to ensure it reflects her authentic voice and expertise.
Author Bio
Julia Tostado Dr. Julia Tostado earned her DDS from Universidad Autónoma de Nuevo León and completed her Master of Science in orthodontics at Centro de Estudios Superiores de Ortodoncia. She currently practices at the family-owned clinic, Tostado Ortodoncia, and shares insights with the orthodontic community through her contributions on Orthotown’s social media.
More In Orthodontics
Expand Your Reality
Expand Your Reality
Dr. Michael K. DeLuke
CE Credits: 1.5
The Architects of the Lips: Part 2
The Architects of the Lips: Part 2
by Dr. Chad Foster
January/February 2026
Understanding the Mechanics of the MDA Appliance
Understanding the Mechanics of the MDA Appliance
Kay Gerety
CE Credits: 1.5
UR6 Issues
UR6 Issues
June 2025
Orthotown Magazine
May 2026
Orthotown Magazine May 2026 Read Current Issue Read Archived Issues
Sponsors
Townie® Poll
Historically, which area has the most turnover in your office?
  
Related Articles
Board Profile: 4 Questions With Dr. Trevor Nichols
Board Profile: 4 Questions With Dr. Trevor Nichols
October 2023
Earned Placement: Damon Ultima System
Earned Placement: Damon Ultima System
by Dr. Michael Bicknell
October 2023
Understanding Oral Facial Habits
Understanding Oral Facial Habits
by Dr. Daniel J. Grob
September 2025
Site Menu
Message Boards Magazine Continuing Education Podcasts Pods & Blogs Classifieds News Events Townie® Poll Ebooks Townie Choice Awards
Company Info
Contact Us Advertise With Us Howard Farran DDS, MBA Policies and Agreements
Site Help
The Orthotown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@orthotown.com
©2026 Orthotown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450