The DOC Podcast

In this episode, I have the pleasure of interviewing the amazing Dr. Rebecca Bockow – a duly trained orthodontist and periodontist.  We discuss:How Becca’s background in restorative dentistry and periodontics helped her understand the critically important role that interceptive orthodontic treatment can play in redirecting growth and reducing the severity of the malocclusion.The impact Drs. Slick VanArsdall, Vince Kokich, and Jeff Rouse had on Becca’s approach to interceptive orthodontic treatment.The need to reframe our mission and the purpose of early orthodontic intervention.The possible reasons why many orthodontic residents receive little to no training in interceptive treatment.The value of CBCT in determining the etiology of the malocclusion.The importance of focusing on the transverse dimension.Why it is essential to focus on the overall health of our patients and not just their teeth.The importance of developing an interdisciplinary team of colleagues within your community.The challenges associated with obtaining a sleep study on a child and the potential flaws of the data gathered.Studies that show snoring alone (not OSA) can lead to learning deficits and decreases in gray matter.Which sleep study Becca uses for her patients and at what timepoints she has them fill it out.Possible reasons why Phase I treatment has historically received a bad rap and what can be done to reframe that image.The need to dispel the notion that orthodontists who address pediatric airway are diagnosing and treating sleep apnea.The basis for the AAO selecting 7-years-old as the age at which patients should first see the orthodontist.What the future holds for the profession of orthodontics, especially as it pertains to interceptive treatment and airway.LINKS-Pediatric Sleep Questionnaire: https://www.researchgate.net/figure/Pediatric-Sleep-Questionnaire_fig1_347054293 -Ferris 6 Sleep Study: https://www.fairest.org/tools/-Rethinking Rhinoplasty – Howard Stupak: https://www.amazon.com/Rethinking-Rhinoplasty-Facial-Surgery-Re-Analysis/dp/3030446751-The DOC Community on FB: https://www.facebook.com/share/g/1BpPABTX5w/-The DOC Website: https://theorthocoach.com/ 

In this episode of The DOC Podcast, I have the pleasure of sitting down with Dr. Steven Olmos, a world-renowned expert in craniofacial pain and sleep-related breathing disorders, and founder of TMJ & Sleep Therapy Centres International.  With over 40 years in dentistry, Dr. Olmos shares his journey from general practice to becoming a global leader in airway and pain management, and why he believes dentistry must evolve to address root causes, not just symptoms. We discuss:• How Dr. Olmos built a worldwide network focused on treating pain and sleep disorders • The critical connection between airway health, sleep, and chronic pain • Why current dental education and insurance models need to change • The importance of holistic, patient-centered care • Practical advice for both dental professionals and parents seeking better health outcomes• And much more! If you’re passionate about the future of dentistry or want to understand how airway and sleep impact overall health, this conversation is a must-listen! LINKS:Learn more: https://tmjtherapycentre.com Contact: drmike@theorthocoach.comThe DOC Website: https://theorthocoach.com/

Overview:In this episode of The DOC Podcast, I sit down with M.C. Laubscher—business owner, investor, financial freedom strategist, and host of the acclaimed Cashflow Ninja podcast. Together, we dive into the strategies the wealthy use to build generational wealth, the concept of becoming your own bank, and actionable steps for professionals and business owners to take control of their financial future. Guest Bio:MC Laubscher is the founder of Producers Wealth, a bestselling author, and the creator/host of Cashflow Ninja. He specializes in helping clients develop alternative wealth strategies and is a member of the Forbes Finance Council and the Million Dollar Round Table. Key Topics & Highlights:MC’s journey from South Africa to the US and his early influences (including the impact of "Rich Dad Poor Dad")The concept of financial freedom and how it can be achieved by building a family officeHow to become your own bank using the Infinite Banking ConceptThe power of life insurance as an asset and a tool for generational wealthPractical steps for business owners and professionals to implement these strategiesCommon pitfalls and how to avoid scams in the insurance and wealth-building spaceThe importance of financial education, cash flow management, and legacy planningM.C.’s experience as a podcaster and the growth of Cashflow Ninja Resources & Links:M.C. Laubscher’s website: Producers WealthFree eBook & audiobook: Get Wealthy For SureM.C.’s podcast: Cashflow NinjaDr. Mike’s custom balance sheet: TheOrthoCoach.comDOC Podcast on Cashflow: https://podcasts.apple.com/us/podcast/the-numbers-you-need-to-know-to-achieve-financial/id1689703392?i=1000642958320Listeners of The DOC Podcast can receive a $500 discount on registration for Airway Palooza 2025 in Fort Lauderdale by using code DOCPALOOZA at checkout. https://airwayhealthsolutions.com/paloozaContact M.C.: mc@producerswealth.comContact Dr. Mike: drmike@theorthocoach.com Calls to Action:Like, subscribe, and share if you found this episode valuable!Comment below with your questions or topics you’d like to hear more about.Check out the links above for free resources and to connect with our guest. Join the Community:Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Thank you for tuning in to The DOC Podcast! Remember, you have been blessed with the ability to do amazing things.

In this episode, I sit down with Dr. Staci Whitman, a board-certified pediatric, integrative, and naturopathic dentist.  Dr. Staci is one of the few dentists certified by the Institute of Functional Medicine, is the founder of a leading functional pediatric dental practice, co-founder of the Institute for Functional Dentistry, and a passionate educator on the oral-systemic connection.  She recently appeared on the Huberman Lab Podcast and did an outstanding job representing the dental profession!In this episode, you’ll learn:Dr. Staci’s personal journey from traditional dental training to pioneering a holistic, root-cause approach to pediatric dentistry.The challenges and limitations of current dental education and practice models.How burnout affects dental professionals—and how a functional approach can restore purpose and satisfaction.The truth about fluoride, the latest research, and why open-minded discussion is critical.The oral and gut microbiome: what it means for your health, how it connects to systemic wellness, and why it’s the next frontier in dentistry.Actionable steps for parents, patients, and providers to improve oral health, including nutrition, hydration, airway health, stress management, and hygiene.The importance of individualized care, patient education, and shifting away from a “one-size-fits-all” model.Resources & Links Mentioned:Listeners of The DOC Podcast can receive a $500 discount on registration for Airway Palooza 2025 in Fort Lauderdale by using code DOCPALOOZA at checkout. https://airwayhealthsolutions.com/paloozaOral microbiome testing resources: https://www.viome.com/products/oral-health-intelligence; https://www.bristlehealth.com/Cochrane Review on Fluoride (2024): https://pubmed.ncbi.nlm.nih.gov/39362658/The Institute for Functional Dentistry: https://functionaldentistry.com/Episode with Beth Lambert: https://podcasts.apple.com/us/podcast/whats-causing-the-chronic-disease-epidemic-in-our/id1689703392?i=1000716655495Connect with Dr. Staci:https://doctorstaci.com/Dr. Staci on Instagram: @doctor_staciConnect with Dr. Mike:theorthocoach.comEmail: drmike@theorthocoach.comJoin the DOC Community on Facebook: https://www.facebook.com/share/g/1Cb9rkQVde/

On this episode of The DOC Podcast, I host visionary orthodontist Dr. Ilya Lipkin. Dr. Lipkin discusses his groundbreaking work with Mini Screw Assisted Rapid Maxillary Expansion (MARPE) and shares his journey, from overcoming academic challenges in the Soviet Union to becoming a pioneer in airway-focused orthodontics. Learn about the clinical and academic divide in the field, the importance of comprehensive patient care that goes beyond aligning teeth, and practical advice for implementing MARPE in a busy practice. Dr. Lipkin also touches on the vital role of diagnostic processes and offers insights into the future of orthodontic treatment.  Whether you're an orthodontist, dental professional, or just curious about the advancements in orthodontics, this episode is packed with invaluable information. Enjoy the show! 00:27 Meet Dr. Ilya Lipkin: A Visionary in Orthodontics02:36 Dr. Lipkin's Journey: From the Soviet Union to Orthodontics05:26 The Impact of Sleep and Airway on Orthodontics09:38 Clinical vs. Academic Perspectives in Orthodontics14:16 Challenges and Changes in Orthodontic Practices35:12 The Role of Dentists in Airway Screening & Health35:34 Orthodontic Residency and Airway Issues35:43 TMJ and Orthodontics: A Controversial Topic36:36 The Importance of Comprehensive Diagnosis38:02 Challenges in Orthodontic Practices41:55 Diagnostic Ability and Patient Health42:32 The Evolution of Orthodontic Technology43:56 Determining the Right Treatment Approach53:59 Implementing MARPE in Practice01:00:17 The Need for Change in Orthodontic Education01:10:48 Final Thoughts and Future DirectionsSpecial Offer: Listeners of The DOC Podcast can receive a $500 discount on registration for Airway Palooza 2025 in Fort Lauderdale by using code DOCPALOOZA at checkout. https://airwayhealthsolutions.com/paloozaSHOW NOTES-Contact Dr. Lipkin: https://www.gotbraces.com/

Episode Summary: In this episode of The DOC Podcast, I welcome Mr. Erik Brenner, a private wealth advisor with over 30 years of experience and the President and CEO of Hilltop Wealth and Tax Solutions. Erik is also the author of the Amazon bestseller, "The Personal CFO Revolution: A Comprehensive Guide to Navigating Your Retirement." Together, we break down the often overwhelming world of personal finance, offering practical advice for every stage of your career and life. What You’ll Learn in This Episode:The Importance of Having a Financial Plan: Why everyone, regardless of career stage, needs a plan—and how to revisit and update it as your life evolves.Understanding the Role of a Fiduciary Advisor: What it means to work with a fiduciary, and why it matters for your financial security.Breaking Down Financial Planning by Life Stage: Dr. Mike and Erik discuss four key periods:Early Career (School to 5 Years Out):Building an emergency fundManaging and understanding debtThe value of starting to save and invest early (time value of money)Basics of insurance and budgetingMid-Career (5–20 Years):Growing wealth and managing taxesMaximizing retirement plans (401k, HSA, backdoor Roth strategies)Asset protection, estate planning, and insurance updatesThe importance of accurate bookkeeping and proactive tax planningLate Career (20 Years to Retirement):Increasing complexity: business ownership, real estate, and advanced tax mitigationPlanning for college expenses and balancing support for children with retirement goalsRegular estate plan checkups and preparing for the “walkaway” numberRetirement:Transitioning from accumulation to distributionManaging multiple income streams and ongoing tax mitigationEmotional and lifestyle considerations for a fulfilling retirementInsurance needs, self-insuring, and long-term care planningActionable Advice for Every Listener:The value of assembling a trusted advisory teamWhy intentional planning and flexibility are the true keys to building wealthHow to ask the right questions and be proactive with your advisors Resources & Links:Get Erik’s Book: The Personal CFO Revolution: A Comprehensive Guide to Navigating Your Retirement Visit the link for a free copy and to schedule a no-obligation introductory call with Erik’s team.Connect with Dr. Mike DeLuke:Email: drmike@theorthocoach.comThe Ortho Coach – CE Courses & CoachingJoin the DOC Community on Facebook: https://www.facebook.com/share/g/1Cb9rkQVde/Special Offer: Listeners of The DOC Podcast can receive a $500 discount on registration for Airway Palooza 2025 in Fort Lauderdale by using code DOCPALOOZA at checkout. https://airwayhealthsolutions.com/palooza Thank You for Listening! If you enjoyed this episode, please share it with colleagues, friends, or family who could benefit from these insights. Don’t forget to subscribe, leave a review, and join us next time for more conversations to help you lead a happier, healthier, and more prosperous life.

In this episode, I welcome Dr. Becca Bockow, a renowned orthodontist, periodontist, and educator, for a deep dive into the evolving world of interceptive (Phase I) orthodontic treatment. Dr. Bockow shares her unique journey from restorative dentistry to dual specialty training and how her interdisciplinary background shapes her approach to pediatric airway health and early intervention.Key Topics Covered:The science and evidence behind early orthodontic expansion and its impact on long-term healthThe relationship between airway, sleep-disordered breathing, and craniofacial developmentWhy traditional orthodontic training often overlooks early intervention—and how to bridge the gapThe importance of interdisciplinary collaboration with ENTs, pediatricians, sleep specialists, and therapistsPractical screening tools and questionnaires for identifying pediatric sleep issuesThe role of 3D imaging (CBCT) in modern orthodontic diagnosis and treatment planningAddressing common misconceptions and stigma around Phase I treatmentHow early intervention can help prevent surgery and improve quality of life for childrenActionable Takeaways:Early orthodontic evaluation is about more than just teeth—it's about whole-body health.Orthodontists can play a pivotal role in identifying and addressing pediatric airway issues.Collaboration and ongoing education are key to advancing patient care and professional growth.Resources & Links:Airway Palooza 2025: An upcoming conference focused on airway health, with a special $500 discount code for listeners (DOCPALOOZA) - https://airwayhealthsolutions.com/paloozaPediatric Sleep Questionnaire: https://www.researchgate.net/figure/Pediatric-Sleep-Questionnaire_fig1_347054293Ferris 6 Sleep Study: https://www.fairest.org/tools/Rethinking Rhinoplasty – Howard Stupak: https://www.amazon.com/Rethinking-Rhinoplasty-Facial-Surgery-Re-Analysis/dp/3030446751DeLuke Orthodontic Coaching Website:  www.theorthocoach.comTune in for an inspiring and practical conversation that challenges the status quo and empowers clinicians to make a lasting impact on their patients’ lives.

Episode Overview: In this episode, I welcome Dr. Vincenzo Recine, a physical therapist and founder of Prime Physio, to discuss a holistic approach to health, wellness, and pain management. Dr. Recine shares his journey from athletic training to specializing in physical therapy for TMJ, TMD, and orofacial pain, and explains how his practice integrates advanced manual therapy, movement re-education, and a whole-person perspective.Key Topics Covered:Dr. Recine’s background and what inspired his career in physical therapyThe prevalence and impact of TMJ/TMD pain in the U.S.Comprehensive evaluation and personalized treatment plans for pain, dysfunction, and performanceThe connection between airway health, sleep, and orofacial painCollaboration between physical therapists and dental professionals to improve patient outcomesThe importance of considering orofacial musculature in malocclusion and TMDStrategies for staying healthy and pain-free, especially for those with sedentary or repetitive work (e.g., dental professionals)The value of proactive, diagnostic-focused care over symptom-based treatmentAdvice for clinicians on being open-minded, self-reflective, and collaborativeActionable Takeaways:Seek comprehensive evaluations that look beyond symptoms to root causesFor providers: invest time in diagnostics and patient education for better outcomesDon’t hesitate to reach out to specialists or collaborate across disciplinesMove regularly and find ways to incorporate “exercise snacks” throughout your dayPrioritize sleep, hydration, and nutrition as foundational to healing and performanceResources & Mentions:Airway Palooza 2025: An upcoming conference focused on airway health, with a special $500 discount code for listeners (Enter: DOCPALOOZA at checkout) - https://airwayhealthsolutions.com/paloozaThe Ortho Coach CE Course: A comprehensive course on interceptive orthodontic treatment and airway-focused care. (https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99)Article on postural adaptations in rats: https://www.felicefesta.it/document/The%20Influence%20of%20an%20Experimentally%20Induced%20Malocclusion%20On%20Vertebral%20Alignment.pdfArticle on Dental Distress Syndrome: https://stamforddentist.com/wp-content/uploads/2016/04/ddsquantified.pdfConnect with Dr. Recine:DM on Instagram: @primephysio_ Website: https://www.prime-physio.net/Open to questions from both patients and professionalsContact the Show:Email Dr. Mike DeLuke: drmike@theorthocoach.comJoin the DOC Community on Facebook: https://www.facebook.com/share/g/19conYSiL6/Thank you for listening! If you enjoyed this episode, please subscribe, leave a review, and share with your colleagues and friends.

Don’t miss this AMAZING conversation with Dr. Marianna Evans!  As a dual-trained orthodontist/periodontist and expert in anthropology, she offers a unique perspective on the etiology of malocclusion, the periodontal consequences of the traditional approach to orthodontic treatment, and the numerous benefits of initiating orthodontic treatment in younger children.  She is also very knowledgeable about how airway patency impacts craniofacial growth and development and is passionate about the role the orthodontist can and should play in airway management.  Dr. Evans and I discuss:Why and how she decided to open her own practice from scratch in 2011, and how it’s going now.Her educational background, including why she decided to obtain degrees in both orthodontics and periodontics, and how it has helped her be a better orthodontist.How she developed an interest in, and eventually a passion for, anthropology by studying the Morton Skull Collection while at UPenn.The problem with using transverse norms based on post-industrial skulls.Why humans today can no longer accommodate 32 teeth, and why that is a bigger problem than we may realize.How diet and obstructed nasal breathing are turning malocclusion into a pandemic.The role of the orthodontist’s ego in the prevention of the advancement of our profession.Marianna’s advice to residents and young docs regarding questioning what they learn in their orthodontic residency.What the research says about providing orthodontic treatment to patients in the primary dentition.How the refusal of orthodontists to treat patients at a younger age will lead to the death of our specialty.The thinning of the alveolar bone that inevitably occurs during all orthodontic tooth movement.Why we should be more focused on developing the jaws in the primary dentition to allow the teeth to erupt into the center of the ridge.The need for orthodontists to look at their cases 20 years after treatment, and how that could change their perspective.The numerous flaws with the literature stating that early treatment is not effective.How to communicate to parents that their young child is in need of orthodontic treatment.Why we should be referring to the orthodontic treatment of younger patients as “preventative,” not “early.”The story of how she got connected with James Nestor and what it was like to be featured in his bestselling book, Breath.And much, much more!!LINKS:-Airway Palooza 2025: An upcoming conference focused on airway health, with a special $500 discount code for listeners (DOCPALOOZA) - https://airwayhealthsolutions.com/palooza-Email Dr. Evans: mevans@infinitiorthoperio.com -Email Dr. Mike:  drmike@theorthocoach.com-Breath by James Nestor: https://a.co/d/1JGxJa8 

Episode Overview: In this episode, I’m joined by three leaders in dentistry and airway health—Drs. Stacy Becker, Tracey Nguyen, and  Michelle Weddle, founders of the ASAP Pathway. Together, we discuss the evolution of airway-focused dental care, the importance of nasal breathing, and the challenges and progress in integrating airway health into mainstream dental and orthodontic practice.Key Topics Discussed:Raising awareness about airway health and its role in craniofacial and neurocognitive development.The journey of airway health in dentistry: where the field started, current challenges, and future goals.The importance of collaboration between general dentists, orthodontists, pediatric dentists, and medical professionals.Barriers to change in dental and orthodontic practice, including education gaps, workflow challenges, and financial considerations.The role of evidence-based medicine in airway dentistry and the limitations of current research.The need for respectful dialogue and teamwork across specialties to improve patient outcomes.Empowering parents and patients to advocate for airway health and seek the right care.The value of community, ongoing education, and practice-based research networks.Special Mentions:Airway Palooza 2025: An upcoming conference focused on airway health, with a special $500 discount code for listeners (DOCPALOOZA) - https://airwayhealthsolutions.com/paloozaThe Ortho Coach CE Course: A comprehensive course on interceptive orthodontic treatment and airway-focused care. (https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99)Contact information for research collaboration: michelle@asappathway.comResources & Links:TheOrthoCoach.com – For CE courses and coachingASAP Pathway – Educational resources and community.DOC Podcast Facebook Community – For ongoing discussion and support.Calls to Action:Share the episode with colleagues and friends interested in airway health.Consider attending Airway Palooza or enrolling in the Ortho Coach CE course.Reach out to the hosts or guests for collaboration or to share your story.Closing Thoughts: The episode wraps up with a candid, behind-the-scenes conversation about the realities of changing dental practice, the importance of humility and open-mindedness, and the power of community in driving progress for airway health.Thank you for listening to The DOC Podcast! For guest suggestions or to connect, email Dr. Mike at drmike@theorthocoach.com.

Episode Summary:In this episode, I welcome Dr. Kevin Boyd, a renowned pediatric dentist and expert in early orthodontic intervention, anthropology, and evolutionary oral medicine. Together, we explore the importance of early diagnosis and treatment of malocclusion, the interplay between genetics and environment, and the need for a paradigm shift in orthodontic education and practice.Key Topics Covered:Dr. Boyd’s unique career journey: from cardiology research to pediatric dentistry and anthropologyThe historical divide between orthodontic and pediatric dental departmentsThe critical role of behavioral sciences in treating young patientsWhy many orthodontists are hesitant to treat children under age 8, and how training and practice models contribute to this reluctanceThe impact of early intervention on long-term oral health and overall well-beingThe evolutionary and anthropological perspective on malocclusion: why it’s a modern problemThe role of diet, breastfeeding, and environmental factors in craniofacial developmentThe importance of collaborative, multidisciplinary care (including ENTs, pediatricians, myofunctional therapists, and more)Addressing common myths: genetics vs. environment, and the evidence for early treatmentHow to advocate for proactive, patient-centered care and overcome resistance within the professionNotable Quotes:“We are hardwired to have the capability of epigenetically producing a beautiful craniofacial structure—if we get the right environmental inputs.”“You don’t have to treat every child, but you do have to perform a validated risk assessment.”“It only takes one case to see the life-changing impact of early intervention.”Resources & Links:Airway Palooza 2025 – [https://airwayhealthsolutions.com/palooza] - Use code DOCPALOOZA for $500 off registrationTheOrthoCoach.com – Free educational content, CE courses, and coachingDOC Community on Facebook – Search “DOC Community” to joinRecommended reading: “Ultra-Processed People” by Chris van Tulleken, “The Human Respiratory Apparatus” (1953), and works by Melvin Moss, Enlow, and othersHarvard study by Silver: Silver EI. American Journal of Orthodontics and Oral Surgery. 1994;30(12):635:659.Link to AADSM Article: https://aadsm.org/journal/special_article_1_issue_112.phpDunedin Study: Richmond-Rakerd LS et al. PNAS. 2021;118(3):1-12Ultra-Processed People by VanTullican:  https://www.amazon.com/Ultra-Processed-People-Science-Behind-Food/dp/1324036729/ref=asc_df_1324036729/?gad_source=1&hvadid=693449522341&hvdev=c&hvdvcmdl&hvlocint&hvlocphy=9012267&hvnetw=g&hvpone&hvpos&hvptwo&hvqmt&hvrand=12253883059461682792&hvtargid=pla-1960574051028&linkCode=df0&mcid=f479b78a5ba03190bbb7f73789672dc7&psc=1&tag=hyprod-20Email Dr. Mike (drmike@theorthocoach.com) to get a copy of Dr. Boyd’s letter to the Primary Care PhysicianContact:Email Dr. Mike: drmike@theorthocoach.comGuest suggestions: Reach out via email or Facebook groupThank you for listening!If you enjoyed this episode, please subscribe, leave a review, and share with colleagues. Remember, you have the ability to do amazing things!!

Episode Overview: In this episode, I welcome Dr. Loria Nahatis, a board-certified pediatric dentist with a passion for pediatric airway health. Dr. Nahatis shares her journey from traditional pediatric dentistry to becoming an advocate for early airway intervention, inspired by her own daughter’s health challenges.Key Topics Discussed:Dr. Nahatis’s background, education, and early influences in dentistry.The personal story that led her to focus on pediatric airway health.The importance of early detection and intervention for airway issues in children.How to screen for pediatric sleep-disordered breathing using the Pediatric Sleep Questionnaire (PSQ).The challenges and rewards of changing practice models to prioritize airway health.Collaboration with ENTs, allergists, myofunctional therapists, and other specialists.Diagnostic tools: clinical exams, CBCT imaging, and quality of life questionnaires.The role of tongue tie releases and the importance of proper timing and collaboration with therapists.Advice for dental and orthodontic colleagues on starting airway-focused care.The impact of airway health on children’s overall well-being and family life.Balancing professional, personal, and family responsibilities as a healthcare provider.Actionable Takeaways:Dentists should consider screening all pediatric patients for sleep-disordered breathing.Use validated tools like the PSQ and collaborate with other healthcare professionals.Educate parents gently and plant seeds for awareness rather than overwhelming them.Early intervention can lead to better outcomes and may reduce the need for complex treatments later.Building a supportive team and network of like-minded professionals is key.Resources & Mentions:Airway Palooza conference (October 17–18, Fort Lauderdale, FL) – Use code “DOCPALOOZA” for a $500 discount. [https://airwayhealthsolutions.com/palooza]The DOC Community on Facebook for further discussion and resources. [https://www.facebook.com/share/g/1AwJhusor4/]Pacified app for pacifier sizing and guidance. [https://pacifiedapp.com/#/]Dr. Loria Nahatis’s Instagram: @beyondpediatricdentistry and @doctorloriaContact:Dr. Mike DeLuke: drmike@theorthocoach.comDr. Loria Nahatis: Instagram handles aboveSpecial Offers:$500 off Airway Palooza registration with code “DOCPALOOZA” (link above).

Dr. Jeff Rouse is an educator and clinician who has practiced with the likes of Drs. Frank Spear and Gregg Kinzer.  He is now a Resident Faculty Member at Spear Education and maintains a private practice in prosthodontics in San Antonio, TX.  He has a unique professional journey and understands more about airway and orthodontics than many orthodontists.  We discuss that and much more, including:How Jeff’s background in restorative dentistry helped him gain a better understanding of how orthodontic treatment, especially treatment involving extraction of permanent teeth, led to the breakdown of the dentition and airway issues later in life.Why Jeff started doing orthodontics when he was practicing as a general dentist and how that led to an “ortho first” approach to patient care.How Jeff developed and the curriculum for airway dentistry at Spear Education.Why GPs and prosthodontists are more open to the impact of airway on malocclusion than most orthodontists.Why orthodontists are resistant to incorporating airway-focused treatment into their practice (and it has nothing to do with evidence/literature!).Jeff’s message to orthos who are opposed to intervening earlier than 7yo to address anatomy that can lead to airway compromise.The primary causes of airway obstruction in young children (HINT: It’s not genetics!)Why orthodontic residents are not treating young children during their training.What recent studies in the otolaryngological literature say is a “normal” palatal width.The flaws with the studies that say Phase I is ineffective and often unnecessary.What is within the dentist’s/orthodontist’s scope of practice when it comes to airway.The role that anatomy plays in obstruction of nasal breathing.Why watchful waiting is supervised neglect.What orthodontists would learn if they had to look at all their cases 20 years out of treatment.Whether or not extractions cause airway issues.How heart rate variability can be used to determine sleep-related breathing issues.A new referral pattern for the future to help remove some of these obstacles.Jeff’s advice to young orthodontists.LINKS:-AAO Website on age to begin orthodontic treatment: https://aaoinfo.org/orthodontics-for-children/

Episode Overview: In this episode, I welcome Dr. Daniel Camacho, a board-certified orthodontist and owner of Forever Smiles Orthodontics in Fort Lauderdale, Florida. Together, we dive deep into the realities of private practice ownership, financial independence, work-life balance, and the evolving landscape of orthodontics and dental education.Guest Bio: Dr. Daniel Camacho immigrated from Colombia as a child, completed his undergraduate and dental degrees at the University of Connecticut, and earned his orthodontics certificate and master’s from Seton Hill University. He is known for his patient-centered, boutique practice model and his commitment to mentoring the next generation of orthodontists.Key Topics Discussed:Dr. Camacho’s journey from immigrant to orthodontist and practice ownerThe decision-making process behind buying vs. starting a practiceThe impact of mentorship and residency experiences on career directionFinancial literacy for dentists: lessons from "Rich Dad, Poor Dad"Good debt vs. bad debt, and leveraging business ownership for financial growthThe importance of building assets, not just incomeWork-life balance and the “three cups” analogy: health, happiness, and moneyBuilding a strong practice culture, leadership, and team managementThe value of private practice in a corporatized dental worldDifferentiation through customer service and patient careThe need for modernizing orthodontic education and embracing new technologiesEarly intervention in orthodontics and the importance of airway healthTakeaways:Private practice ownership is still viable and rewarding for new orthodontists.Financial discipline and asset-building are key to long-term success.Leadership and culture are the foundation of a thriving practice.Embrace change, invest in education, and always strive to improve patient care.Special Mentions:Airway Palooza 2025: Oct 17-18, Fort Lauderdale, FL. Use code DOCPALOOZA for $500 off! (https://airwayhealthsolutions.com/palooza)More resources & CE: https://theorthocoach.com📧 Contact Dr. Mike: drmike@theorthocoach.com 👥 Join the DOC Community on Facebook! https://www.facebook.com/share/g/16n4MR78DP/👍 Like, comment, and subscribe for more episodes on practice management, financial tips, and clinical excellence in orthodontics!Thank you for listening!

Don’t miss this fascinating conversation with the amazing and world-renowned Dr. Audrey Yoon!  We discuss:How Audrey’s journey in sleep medicine began and the role her training at UCLA played in that journey.The role that Dr. Stanley Liu played in Audrey’s passion for airway-focused orthodontic treatment.How an interaction with Dr. Christian Guilleminault (“CG”) changed Audrey’s life and launched her into a career focused on airway adult and pediatric airway. How Audrey and Mike were both inspired by medical colleagues to go out and teach about airway orthodontics.The challenges associated with using polysomnography and AHI classification for diagnosis of pediatric sleep apnea, and why CG expressed regret for creating an AHI scale for pediatric patients.The potential for a blood test that determines if a child has sleep apnea.Why it is logistically challenging and medically unethical to conduct a double-blinded RCT on the effects of with treatment and control groups.The plethora of literature that exists demonstrating the positive impact of expansion on airway patency.The difference between anatomical and neuromotor factors in the etiology of OSA/SDB.The role the dentist/orthodontist can play in the correction of anatomical factors that contribute to OSA/SDB.The recent position statement of the AADSM regarding the impact of different treatment modalities on OSA.The reason why many orthodontists remain reluctant to incorporate airway-centered treatment into their practices.Audrey’s message to the people who say that it is inappropriate or even malpractice to treat children under the age of 6yo.The fact that the American Academy of Pediatric Dentistry lists growth disturbances and airway problems as some of the considerations for treatment at any age that the issue is detected.Why Audrey sees a number of referrals from her medical colleagues seeking assistance with sleep-related breathing issues.What Audrey is working on now to advance the role of orthodontists in sleep medicine, including forming the World Dentofacial Sleep Society.And much, much more!!

In this enlightening episode of The DOC Podcast, I welcome Beth Lambert, a prominent advocate for addressing the root causes of chronic childhood conditions. Beth, the founder and executive director of Documenting Hope, shares her extensive research on the escalating rates of chronic illnesses in children, such as autism, ADHD, and autoimmune diseases. With a focus on personalized and systems-based treatments, Beth discusses the potential environmental stressors contributing to these conditions and emphasizes the importance of holistic healing approaches. This episode delves into the complexities of modern healthcare, the significance of the gut microbiome, the controversial effects of vaccines and fluoride, and the potential of emerging treatments such as photobiomodulation and stem cell therapy. Don't miss this vital conversation that aims to reshape our understanding of health and healing for the next generation.00:27 Meet Beth Lambert: Advocate for Children's Health03:42 Beth's Personal Journey into Health Advocacy07:44 Challenges with Conventional Medicine12:26 The Broken Healthcare System19:38 The Rise of Chronic Diseases in Children24:29 Exploring the Total Load Hypothesis35:58 The Vaccine Debate and Health Policies45:56 The Altruistic Nature of Healthcare Providers46:37 The Broken Healthcare System47:07 The Importance of Diagnostic Time in Orthodontics49:02 Fluoride Debate: Safety and Efficacy50:14 Public Health Policy and Fluoride51:42 Personal Experiences with Fluoride53:18 Diet and Oral Health55:09 The Role of Sealants in Dental Health59:08 Historical Perspectives on Tooth Decay01:04:13 The Gut Microbiome and Overall Health01:08:34 Sleep and Pediatric Health01:16:28 The Future of Regenerative Medicine01:21:56 Partnerships in Healthcare01:23:38 Conclusion and ResourcesLINKS:Epidemic Answers: www.epidemicanswers.orgThe Documenting Hope Project: www.documentinghope.comA Compromised Generation: http://sentientpublications.com/shop/books/all-titles/a-compromised-generation/Brain Under Attack: http://www.brainunderattack.comFollow Beth on Socials: @documentinghope  

I am SO EXCITED to bring you today’s guest, Dr. Tom Pitts.  Dr. Pitts is a true legend in the field of orthodontics who has been practicing and educating for over 50 years.  We have an amazing discussion about a variety of topics, including: How Art Dugoni influenced Dr. Pitts’ career from the very beginning.What Dr. Pitts learned from industry legends such as Ricketts, Harvold, Roth, Damon, and others.How Ricketts approach to slow maxillary expansion changed Dr. Pitts’ perspective on early treatment and arch development.Possible reasons why residents aren’t learning about the benefits of early treatment.Why general and pediatric dentists are more open to the benefits of early treatment.How to successfully achieve and maintain Class II correction in the mixed dentition.How to best retain Phase I arch development.The amazing benefits of disocclusion in both interceptive and comprehensive treatment.How the use of light, short Class II elastics is a complete game changer to achieve early and predictable sagittal correction.The 5 key components to Dr. Pitts’ vision for orthodontic treatment.How Dr. Pitts is treating full comprehensive cases in 9-13 months.The impact of extractions on lip fullness over time.The benefits of using square (versus rectangular) wires.Which arch forms to use to develop/expand the arches.The reason why Dr. Pitts developed an .021 x .026 bracket (versus the standard .022 x .028).The dates and locations of upcoming Pitts 21 Seminars.What Dr. Pitts sees as his legacy in the profession of orthodontics.*We also review various cases treated with the Pitts philosophy, so be sure to check out the YouTube link to this episode!LINKS:VISIT OUR EPISODE SPONSOR – Retainers for Life!  Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!Link to Video on DOC YouTube Channel (to view Dr. Pitts cases): https://youtu.be/NyLDNqGIsp0?si=Briqt0ud379_NcGlLink to enroll in the Pitts Seminars: joniabel@me.comLinks to the DOC courses on Phase I: https://theorthocoach.com/ce-courses/Links to the YouTube videos on Ph I:-Part I: https://youtu.be/AsqQDiwVn0Y?si=-glbQCLg0gnj-a73-Part II: https://youtu.be/kXZxuMiO3iE?si=YBbG1N56F6VrBbPSLinks to OrthoTown articles:-Part I: https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54-Part II: https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52

In this episode of the DOC Podcast, I welcome Dr. Mark Cruz, a dentist with a distinguished career, including serving as assistant director at the UCLA Center for Aesthetic Dentistry and on the editorial board for the Journal of Evidence-Based Dental Practice.   We delve into an evidence-based discussion about the etiology of malocclusion, exploring whether it is determined by genetics, environment, or both, the evolution of craniofacial growth and development, the impact of modern lifestyle on health and malocclusion, the importance of early intervention in patients suffering from sleep-disordered breathing, and the multitude of comorbidities associated with airway obstruction.   Don’t miss this enlightening conversation that bridges the gap between medicine and dentistry, highlighting the significant role of airway and breathing in overall health.  This episode is a must-listen for anyone in the dental or medical professions interested in airway health and early intervention. 02:23 Dr. Cruz's Early Career and Challenges03:21 Connecting the Dots: From Full Mouth Rehabs to Airway04:25 The Evolution of Airway Focus in Dentistry08:00 A Personal Story: Dr. Cruz's Son and Airway Issues09:13 Collaborations and Mini Residencies11:46 The Wild West of Airway Dentistry13:09 Evidence-Based Dentistry and Orthodontics16:14 The Importance of Interdisciplinary Collaboration33:47 Historical Perspectives on Medical and Dental Education41:16 The First Thousand Days: Impact on Life Expectancy41:46 Dental Crowding and Jaw Development42:07 The Role of Dentistry in Global Health42:34 Historical Perspectives on Craniofacial Growth43:33 Genetics vs. Environment in Orthodontics46:45 Bio Regulatory Systems Medicine49:10 Impact of Early Breathing Issues on Development59:57 The Evolution of Human Facial Structure01:03:18 The Industrial Revolution and Modern Health Issues01:08:42 Debating the Impact of Tooth Extraction on Airway01:17:36 Conclusion and Final Thoughts LINKS:-Mini-Residency: http://airwayfocuseddentistry.com/airway-mini-residency/-Contact Mark -  markcruz@markacruzdds.com-Orthotown Article Part I: https://www.orthotown.com/magazine/digital/649/march-2025-Orthotown Article Part II: https://www.orthotown.com/magazine/digital/652/may-2025-Phase I Early Treatment Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode of the DOC podcast, I am joined by Dr. David McIntosh, an ENT specialist, and Dr. Bill Harrell, an orthodontist.  We delve into the topics of evidence-based medicine, the significance of CBCT imaging, the challenges with pediatric sleep studies, and the critical role of identifying and treating mouth breathing in young children. Drs. McIntosh and Harrell share insights on how early detection and management of sleep-disordered breathing by the dental professional can prevent long-term health issues, highlight the importance of interdisciplinary collaboration in promoting pediatric health, and dispel many of the myths surrounding the impact of mouth breathing on craniofacial and neurocognitive growth and development.This episode offers invaluable knowledge for medical and dental professionals, as well as lay persons.01:30 Episode Overview and Topics02:55 Starting the Discussion: Evidence-Based Medicine03:48 Medical Perspective on Evidence-Based Medicine06:40 Ethics and Practicality in Medical Trials14:39 Orthodontic Perspective on Evidence-Based Medicine17:13 Challenges in Evidence-Based Orthodontics25:35 CBCT Imaging in Orthodontics and ENT45:01 Understanding Cancer Risks from Ionizing Radiation45:37 Unexpected Benefits of CBCT Scans46:46 Prevalence of Airway Problems in Orthodontics50:13 Orthodontic Practices and Resistance to Change55:27 Historical Perspectives on 2D vs 3D Imaging01:03:38 Early Intervention in Pediatric Orthodontics01:18:53 Health Implications of Mouth Breathing01:27:33 Impact of Mouth Breathing on Overall Health01:28:10 Negligence in Treating Mouth Breathing01:28:31 The Importance of Airway Screening01:30:28 Orthodontic Residencies and Early Treatment01:40:13 Sleep-Disordered Breathing and Orthodontics01:44:09 Challenges in Diagnosing Sleep Apnea in Children01:47:12 The Flaws in Sleep Study Metrics01:59:13 The Need for Early Orthodontic Intervention02:00:07 Final Thoughts and Call to Action LINKS:-Episode #w/Dr.45 Harrell: https://podcasts.apple.com/us/podcast/integrating-medicine-dentistry-to-improve-breathing/id1689703392?i=1000651408695-Episode #w/Dr.75  McIntosh: https://podcasts.apple.com/us/podcast/an-ents-perspective-on-airway-orthodontic-treatment/id1689703392?i=1000674427240 -Contact Dr. McIntosh: https://www.facebook.com/david.mcintosh.180-Contact Dr. Harrell:  drharrell@aol.com; https://www.facebook.com/bill.harrell.31

In this episode of The DOC Podcast, I dive into a fascinating discussion with Dr. Barry Raphael, an esteemed orthodontist who has revolutionized treatments to address airway-centered dysfunctions.   Together, we explore the importance of early intervention in pediatric airway health, the critical role of soft tissue function in malocclusion, and how multidisciplinary approaches can enhance patient outcomes.  The conversation touches upon the resistance within the profession to embrace new paradigms and offers insights into how orthodontists and other dental professionals can evolve their practices to better serve patients holistically. 00:23 Meet Dr. Barry Raphael: Orthodontics and Airway Health03:46 Dr. Raphael's Journey: From Music to Orthodontics06:18 Orthodontic Techniques and Early Influences11:18 The Evolution of Orthodontic Practices14:04 Challenging Orthodontic Orthodoxy17:30 The Role of Dentists in Treating Sleep Apnea26:59 The Importance of Airway and Breathing Patterns40:26 Reflecting on Missed Diagnoses41:03 Shifting Perspectives in Dentistry41:57 The Rise of Chronic Diseases in Children43:01 Personal Wake-Up Calls44:11 Understanding Soft Tissue Dysfunction45:46 Genetics vs. Environment in Malocclusion52:31 The Role of Airflow in Sleep Apnea56:51 The Importance of Early Intervention01:03:24 Collaborating with Other Healthcare Providers01:07:36 The Need for Holistic Orthodontic Care01:13:19 Conclusion and Call to Action LINKS:Website: https://www.morethanstraightteeth.com/Online Course: https://sites.google.com/alignmine.com/pediatricamr/home Contact Dr. Raphael: drbarry@alignmind.comDOC Ph I Comprehensive Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99