The DOC Podcast DeLuke Orthodontic Coaching, LLC

Get ready for an amazing conversation with Dr. Ben Miraglia where he explains his journey into the world of early orthodontic treatment, especially as it pertains to airway and breathing.  We discuss:
·         How Ben got involved in airway orthodontics and the primary reasons why GPs and pediatric dentists do ortho.
·         How the studies demonstrating that early/interceptive ortho treatment makes no difference got it wrong.
·         The validity of mandibular arch expansion in the orthodontic literature and in clinical practice.
·         How anthropological research, diet, and muscle function can tell us a lot about the etiology of malocclusion.
·         The way correctly executed early treatment makes a second phase easy and, in many cases, unnecessary.
·         The level of resistance that is normal in nasal breathing.
·         Why focusing on OSA is a fool’s errand and missing the underlying pathology.
·         What the analysis of 7000 patients has taught Ben about breathing problems in patients ages 3-12 years old.
·         What we can learn from Dr. E.A. Bogue’s research from the early 1900’s.
·         How our early soft diets play a role in the development of the jaws, malocclusion, and sleep-disordered breathing.
·         Why it’s necessary to expand upper AND lower arches in patients with a transverse deficiency, especially in the absence of posterior crossbite.
·         When, where, and why malocclusion began to emerge over time.
·         The role of myofunctional therapy in helping mandibular growth.
·         The 2017 ADA Position Statement calling on all dentists to screen for Sleep Related Breathing Disorders.
·         The role that mouth breathing plays in tooth decay in pediatric patients.
·         How early expansion can lead to successful eruption of third molars in the future.
·         Why the orthodontic profession still focuses more on being “tooth straighteners” than on helping younger patients grow and develop properly.
·         The reason GPs and pediatric dentists are more open to early treatment than orthodontists.
·         Why many patients who had upper only expansion in Phase I need extractions in Phase II.
 
LINKS:
-VISIT OUR EPISODE SPONSOR – Retainers for Life!  Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!
-Pediatric Sleep Questionnaire: https://images.app.goo.gl/ipKUowiPmbeV2my4A
-Contact Dr. Miraglia: www.AirwayHealthSolutions.com
-Subscribe to the DOC YouTube Channel: www.youtube.com/@delukeorthodonticcoaching
-Contact Dr. Mike:  drmike@theorthocoach.com

Dr. Daniel Klauer is a general practitioner who built a practice centered around TMD and airway.  He has an amazing journey and is a wealth of knowledge!  Be sure to check out this episode where we discuss:
How Daniel got involved in TMD & sleep and why he is so passionate about these areas of dentistry.The value and importance of having a mentor and/or life coach.The importance of taking the time to listen to the concerns of your patients.Where the medical community is getting it wrong when it comes to patient care.The things Daniel learned in dental school that he had to “unlearn” when he got into practice.The typical process that one of Daniel’s patients goes through in his practice.The essential role that myofunctional therapy plays in the care of his patients.The role of postural decompensation of the head and neck due to nasal passageway obstruction.How in-house sleep studies can be both practical and beneficial in the diagnostic process.Why so many orthodontists don’t recognize the relationship between airway compromise and altered craniofacial growth and development.Why academia and research seem to overlook the importance and relevance of clinical experience.How the fear of a lawsuit prevents many providers from pushing the envelope with patient care.How the typical ortho office is not set up to handle/manage the treatment of young (>7yo) patients.LINKS:-VISIT OUR EPISODE SPONSOR – Retainers for Life!  Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!-Achieve Your Victory:  https://www.amazon.com/Achieve-Your-Victory-Solutions-Sleep/dp/1599329034-Get a free copy of Daniel’s book by emailing your name and address to Dr. Mike (drmike@theorthocoach.com)-Dr. Mike’s webinar on Cleft Lip & Palate with AAPMD: https://aapmd.org/aapmd-official-webinar-store#!form/Webinars-ADA’s 2017 Position Statement “The Role of Dentistry in the Treatment of Sleep Related Breathing Disorders”: https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/the-role-of-dentistry-in-sleep-related-breathing-disorders.pdf-Dr. Klauer’s email address:  drklauer@tmjsleepindiana.com

Don’t miss this amazing discussion with Dr. Karen Parker Davidson on all things nasal breathing.  We discuss:
How Karen became so passionate about nasal function and rhinomanometry.The role of the dentist and orthodontist in evaluating nasal function and its implications on growth, development, and overall health and well-being.The many critical functions of the nose and why nasal breathing is such a big deal.Why we should think of our nose as a reactive organ.The history and evolution of rhinomanometry, including the relationship between Drs. Claus Vogt and Dr. Christian Guilleminault.The clinical applications of rhinomanometry.How Bernoulli’s Principle relates to nasal respiration and the critical role the nasal valve plays in this process.Why a certain amount of nasal resistance is necessary for proper breathingThe difference between static and dynamic measurements for analyzing nasal breathing.Why academia does not teach physicians, nurses, and dentists about nasal breathing and rhinomanometry.What functional rhinology is and how it can help us determine who suffers from nasal resistance.What rhinopathia nocturnia (‘sleep nose’) is and how it can lead to airway disease.The flaws with the current medical model and how that translates to a reactive approach to breathing issues.What the US health system can learn from the Taiwanese health system.The case for having a 4-phase rhinomanometer in every primary care physician and dentist’s office.The importance of looking at the Weber-Fichner Law to evaluate the psycho-physics of breathing.The impact of even a few mm of orthodontic change on airflow and nasal passageway resistance.How the physics of breathing tells us that OSA is not an issue of tube collapse.Whether tooth positioners like Myobrace can cause a decrease in nasal resistance.The role that the strength of the lateral nasal walls plays in airway resistance.Which OTC nasal spray works best for patients with inflamed nasal membranes.The role that AI can play in helping analyze the data obtained from rhinomanometry.  The reasons why many clinicians are resistant to incorporating this technology into their practices.The four genes that play a critical role in the width and shape of the face.What we see as the future for the science of nasal breathing and how it will be used in everyday clinical practice.LINKS:
-VISIT OUR EPISODE SPONSOR – Retainers for Life!  Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!
-Karen’s new book - https://www.amazon.com/Breathe-Through-Your-Nose-Dont/dp/B0CLNDL7RT?source=ps-sl-shoppingads-lpcontext&ref_=fplfs&psc=1&smid=ATVPDKIKX0DER
-Dr. Mike’s email: drmike@theorthocoach.com
-Karen’s email: karen@facthcg.com
-Reach Karen on Instagram: @_thenoseknows

Don’t miss this SPECIAL BONUS EPISODE of The DOC Podcast!  I got to sit on the other side of the microphone and be interviewed by my daughter, Kendall!  As part of her AICE General Paper class, Kendall had to select someone to interview to learn more about their life story and journey, and I'm honored that she chose me!  So we figured we’d record it and let everyone hear our conversation!  [Apologies about the audio - there was an issue with the microphones]Here’s some of what you’ll learn:
Why I became an orthodontist.The reasons why I decided to open my own practice right out of my residency.The resources I used to learn how to run a business.How I became involved in airway orthodontics and using braces and wires to expand/develop the arches of younger children.The impact that changing lives with airway-focused orthodontic treatment had on me.The struggle I faced after firing my associate 3 weeks into his employment.How I transitioned from running a successful private practice to teaching and coaching full-time, and the role that the COVID-19 shutdown played in this.Why we picked up our family and moved from Upstate NY to Florida in 2021, the challenges we faced, and how we’re doing now.Whether I have any regrets about leaving private practice to teach full-time.The importance of having a vision of the type of person you want to be and the type of life you want to live.The role that faith has played in my personal and professional journey.LINKS:-DOC Podcast on Vision & Goals: https://youtu.be/u6W5ErGpQ34

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/