The DOC Podcast DeLuke Orthodontic Coaching, LLC

Check out this amazing conversation between Dr. Mike and Dr. Stacy!  In this episode, they discuss:
The importance of looking at the etiology of malocclusion and the role airway/breathing plays in the development of malocclusion.The status of the online challenge that Dr. Mike made to debate Kevin O’Brien.The ethical and logistical challenges associated with conducting randomized control trials on patients suffering with sleep-disordered breathing.What we can learn from Peter Attia, author of Outlive: The Science & Art of Longevity.The reasons why some orthodontists still resist the notion of incorporating an airway-aware mentality into their practice.The profound impact that detecting and addressing airway issues in pediatric patients has on your practice and your purpose as a provider.How millennials and Gen Z are on track to change the course of airway dentistry for the better.The important role that the ADA is playing in advancing airway dentistry.That many of the founding fathers of medicine/dentistry (Hippocrates, Angle, etc.) were prophetic in their hypotheses regarding the origins of disease/malocclusion.The importance of breaking down the silos between the medical and dental professions, as well as within the dental profession.Signs of significant progress in the movement to advance airway dentistry and orthodontics.And much, much more!LINKS/REFERENCES
-VISIT OUR EPISODE SPONSOR – Retainers for Life!  Go to www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!
-ADA Brochure on Sleep: https://engage.ada.org/p/phys/childrens-airways-711 - use code SLEEP10 to get 10% off!
-Allison Cole – Sleep is My Waking Passion Podcast - https://podcasts.apple.com/us/podcast/sleep-is-my-waking-passion/id1684976379
-ASAP Pathway: https://asappathway.com/; https://www.facebook.com/ASAPpathway 
-DeLuke Orthodontic Coaching: www.TheOrthoCoach.com; https://www.facebook.com/groups/1350463785569755 

Don’t miss this amazing discussion with speech-language pathologist and myofunctional therapist Nicole Goldfarb!  We discuss:
The distinction between speech-language pathology and orofacial myology/myofunctional therapy (HINT:  Not all speech pathologists are not myofunctional therapists!).The fact that speech pathologists get little-to-no training in myofunctional therapy and how/why she became interested in it.How Nicole began to notice the relationship between airway and speech.That 4 in 5 kids with speech articulation issues have concomitant myofunctional issues.What orofacial myofunctional disorder is, how it presents, and what can be done about it.The importance of correct oral rest posture in normal function and proper breathing.The challenges associated with incorporating myofunctional therapy into school-based speech therapy.The impact of soft tissue on malocclusion.The proper referral process to send your patient to a myofunctional therapist.The multifactorial nature of myofunctional disorders and the importance of determining their etiology.The three systems that must be evaluated as part of a myofunctional evaluation.The relationship between parafunctional oral habits and airway.A typical course of treatment for myofunctional therapy, including the role of mouth exercises.The CAST program being developed by the ADA and how that can help parents become more aware of their child’s airway issues.What could make orthodontists more open to the concept of myofunctional therapy.LINKS:
-D'Onofrio Article: Oral Dysfunction as the Cause of Malocclusion: https://onlinelibrary.wiley.com/doi/full/10.1111/ocr.12277#:~:text=Conclusion,bite%20and%20hard%20palate%20collapse.
-To learn more about myofunctional therapy:
-International Association of Orofacial Myology (IAOM): https://www.iaom.com/
-American Academy of Orofacial Myofunctional Therapy (AOMT): https://aomtinfo.org/
-Airway Circle: https://www.airwaycircle.com/
-Oro-Myofunctional Study Group (Facebook): https://www.facebook.com/groups/443131172546099
-www.TheOrthoCoach.com
-DOC FB Page: https://www.facebook.com/groups/1350463785569755/

After associating with Dr. Stuart Frost for 7 years, Trevor is going to be opening his own practice in Gilbert, AZ in the upcoming months.  He sat down with me for an amazing conversation where we discussed a wide range of topics, including:
·         What motivated Trevor to go out and start his own practice.
·         Trevor’s four pillars of life – family, faith, fitness, and teeth, and how he tries to balance them all.
·         The sacrifices our wives have made (as do many spouses!) to support our careers.
·         The importance of relationships and having people there to help you achieve balance.
·         How to manage our expectations of perfection.
·         What advice Trevor would give young docs regarding how to find fulfillment in their career.
·         The importance of defining your vision and setting goals to achieve that vision.
·         How to define your “why’s.”
·         Why learning to put yourself first allows you to better serve others.
·         Trevor’s three core values that bring him the most joy.
·         The keys to becoming an outstanding clinician and orthodontist.
·         The value of outstanding diagnostic records.
·         The importance of determining the etiology of the malocclusion and focusing on the face, not just the teeth.
·         When and how to adjust when a case is not progressing as hoped.
·         What orthodontists can learn from Koby Bryant.
·         The essential paradigm shift in orthodontics away from looking at just the teeth/occlusion and towards a more holistic approach to treatment.
·         The key to achieving superior finishes, including how to approach enamel contouring.
·         How to enjoy the journey of your personal and professional life!
LINKS:
·         Vision and Goals Podcast: https://podcasts.apple.com/us/podcast/the-doc-podcast/id1689703392?i=1000621411147
·         It’s Okay to be Selfish Podcast: https://podcasts.apple.com/us/podcast/the-doc-podcast/id1689703392?i=1000622923573
·         AAPMD Webinar: https://aapmd.org/event/a-unique-approach-to-the-interceptive-orthodontic-treatment-of-cleft-lip-palate-patientsmichael-k-deluke-dds-mds 
·         Trevor’s article in OrthoTown “Finishing Touches”: https://www.orthotown.com/magazine/article/9097/the-finishing-touches 
·         Contact Trevor on Instagram: @dr.trevornichols 

What a great conversation with an amazing orthodontist and person, Dr. Courtney Lavigne!  We cover everything from her professional journey, to her personal struggles with Upper Airway Resistance Syndrome, to the challenges of balancing a career with the responsibilities of family and motherhood (as she is currently 38 weeks pregnant!).  You’ll hear us discuss:
What led Courtney to sell her successful restorative practice after 10 years and return to school to specialize in orthodontics.The impact that people like Frank Spear, Greg Kinzer, Gary DeWood, and Vince Kokich had on her understanding of interdisciplinary care. Her personal journey with airway issues and orthodontic treatment after having 4 premolars extracted and the anterior teeth retracted as a child, then needing a MARPE to address the underlying transverse deficiency as an adult.What Upper Airway Resistance Syndrome is and how she figured out she had it.Why traditional orthodontic education is not focused on preventative and proactive treatment strategies, especially when it comes to airway compromise and sleep-disordered breathing.If the orthodontic profession risks becoming obsolete by neglecting to embrace the value of early intervention, especially as it pertains to airway and breathing.How Courtney balances being a mom, wife, orthodontist, national lecturer, and business owner.What advice Courtney has for busy moms who are working to achieve a work-life balance between their personal and professional responsibilities.The importance of setting goals and developing a vision for what you want your professional AND personal life to look like.The curse of the Type A achiever.The importance of saying no and setting boundaries.

He’s back!  In September 2023, I had Ty on to talk about CBCT imaging.  Now he has a new role as a practice transition broker with Professional Transition Strategies (PTS) where he assists with pairing doctors with a DSO that best fits their needs and desires.  In this episode, we do a deep dive into all things DSO (OSO, etc.), including:
What PTS is and how they can get the best financial and personal outcome for a provider when looking to sell to a DSO.The value of having a sell-side-only representative when considering selling to a DSO.How to get a free practice valuation from PTS with no strings attached.The number of offers PTS typically gets its clients.The reasons why private equity is so interested in dentistry.The difference between activist groups and aggregation/passivist groups in the corporate dentistry arena.How to use your practice as an investment vehicle.What a recapitalization event is, how often it is anticipated that they will occur, and how they can create generational wealth.The difference between a private equity transaction and a Mercer acquisition (selling off a piece of your practice at a time to a junior doc).The average age of the doctors that PTS represents in the sale of their practices to DSOs. How to determine if a DSO will let you keep your name on the door, keep clinical independence, and maintain control over staffing decisions.The differences between the DSOs of twenty years ago and the DSOs of today.The possibility of an owner doc selling a portion of his/her practice to a DSO and retaining ownership of a certain percentage.How fringe benefits (aka seller discretionary earnings) are handled once you sell to a DSO.The three most important things to consider when doing a deal with a DSO.How working for a DSO can create “organic growth.”How PTS gets paid.LINKS
·         To learn more about Professional Transition Strategies: https://professionaltransition.com/our-team/
·         To get in touch with Ty:  ty@professionaltransition.com; (469)360-1031
·         To contact Ty on LinkedIn: https://www.linkedin.com/in/tyramsey/
·         Link to the first episode with Ty: https://youtu.be/rPQ-P5NDj3g?si=7nFihFRb51Znx6Na·         To learn more about DOC:  www.TheOrthoCoach.com
·         To contact Dr. DeLuke: drmike@theorthocoach.com 

In this episode, I interview Dr. Dan Grob.  Dan has been a practicing orthodontist for 40 years, has been actively involved in academia throughout his career, has published numerous articles, and is the past Editorial Director of OrthoTown magazine.  Dan recently discovered the numerous and amazing benefits of providing more early orthodontic treatment and it has transformed how he approaches patient care.  We discuss:
What it was like purchasing Charlie Tweed’s brother’s practice in AZ.Why Dan didn’t do much early treatment in his first 25 years of practice, and how that changed approximately 15 years ago.How self-ligating appliances have helped improve his clinical efficiency.The importance of starting the patient evaluation by looking at the patient’s face and finishing with the teeth.How being airway-aware can both change lives and grow your practice.The void in our formal orthodontic education system when it comes to early treatment and airway.The reasons why pediatric and general dentists seem to be more cognizant of the benefits of early treatment, especially as it pertains to airway.The state of affairs in higher dental education regarding the disconnect between pediatric and orthodontic departments, and what we can do about it.How doing more Phase I treatment to address the transverse early has simplified Dan’s practice and given him more control over his cases.Why spending a bit more time to treat over two phases is well worthwhile based upon the superior results you can attain.Whether dental crowding is due to large teeth or small jaws.The different techniques that Dan and I use to expand the mandibular arch.How full braces and wires during Phase I can generate amazing expansion and arch development.Dan’s thoughts on lingual frenectomy.The best way to decrease the number of impacted canines you have to manage.The importance of determining the etiology of the transverse deficiency in younger kiddos.What can be done to shift the paradigm of orthodontic treatment towards one that focuses on the value and importance of early treatment.LINKS:
DOC CE Courses on Phase I Treatment: https://theorthocoach.com/ce-courses/