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 Topics
02:55 Starting the Discussion: Evidence-Based Medicine
03:48 Medical Perspective on Evidence-Based Medicine
06:40 Ethics and Practicality in Medical Trials
14:39 Orthodontic Perspective on Evidence-Based Medicine
17:13 Challenges in Evidence-Based Orthodontics
25:35 CBCT Imaging in Orthodontics and ENT
45:01 Understanding Cancer Risks from Ionizing Radiation
45:37 Unexpected Benefits of CBCT Scans
46:46 Prevalence of Airway Problems in Orthodontics
50:13 Orthodontic Practices and Resistance to Change
55:27 Historical Perspectives on 2D vs 3D Imaging
01:03:38 Early Intervention in Pediatric Orthodontics
01:18:53 Health Implications of Mouth Breathing
01:27:33 Impact of Mouth Breathing on Overall Health
01:28:10 Negligence in Treating Mouth Breathing
01:28:31 The Importance of Airway Screening
01:30:28 Orthodontic Residencies and Early Treatment
01:40:13 Sleep-Disordered Breathing and Orthodontics
01:44:09 Challenges in Diagnosing Sleep Apnea in Children
01:47:12 The Flaws in Sleep Study Metrics
01:59:13 The Need for Early Orthodontic Intervention
02:00:07 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