The DOC Podcast

In this episode, I sit down again with Dr. David McIntosh, an ENT surgeon from Australia and one of the sharpest medical minds I know when it comes to pediatric airway and sleep-disordered breathing. We dig deep into the recently updated AAO white paper, including what it got right, what it got dangerously wrong, and why publishing a document about interdisciplinary care without a single interdisciplinary author is a problem we can't ignore. Dr. McIntosh also walks me through one of the most eye-opening breakdowns I've ever heard about Scammon's curve, and what orthodontists were never actually taught about what that data really shows. This episode is a must-listen for any dental or medical professional who works with children and cares about more than just straight teeth.Timestamps:0:02:40 — Welcome & introducing Dr. David McIntosh back to the show0:04:35 — The AAO white paper update: eight orthodontists, one librarian, and zero medical or myofunctional colleagues0:09:51 — The quote that stopped Dr. McIntosh cold: "Pre-pubertal OSA tends to resolve naturally"0:11:34 — Dissecting the flaws in reference #17: small sample sizes, changing scoring rules & selection bias0:13:01 — Reference #18 from a 2010 Journal of Pediatrics paper that actually contradicts the white paper's own conclusion0:22:59 — Why the CHAT study should have been their starting point0:23:09 — The Karen Bonuck study: 12,000 children, 7 years of data, and what early SDB really does to development0:27:54 — Christian Guilleminault and why he wished he'd never invented the AHI0:38:16 — Breaking down Scammon's curve: what it actually measures (and what it doesn't)0:40:25 — The original data came from the spleen and thymus — not tonsils or adenoids0:53:30 — "I don't care about teeth" — Dr. McIntosh on why craniofacial outcomes are the wrong finish line0:55:34 — Straight teeth bias: why orthodontists need to think like dentofacial orthopedists1:04:08 — Mouth breathing and craniofacial growth: why the debate doesn't even matter anymore1:20:41 — Dr. McIntosh and Bill Harrell's upcoming Airway Breathing Academy — what it is and who it's forI hope this episode challenges the way you think about what we're really treating when we treat children's airways, because it's never just about the teeth. If you found this valuable, please follow me on Instagram at @theorthocoach, join our community at The DOC Community on Facebook (link below), and subscribe on YouTube at @theorthocoach. Your support helps keep these important conversations going. See you next episode.LINKSRegister for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/ Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Guillimenault & Huang article in Sleep Medicine Reviews, 2018: Guilleminault C, Huang YS. From oral facial dysfunction to dysmorphism and the onset of pediatric OSA. Sleep Med Rev. 2018 Aug;40:203-214.Connect with Dr. McIntosh:Facebook: https://www.facebook.com/david.mcintosh.180 Instagram: https://www.instagram.com/dr.mcintosh.ent/?hl=en 

In this episode, I sit down with Beth Lambert - bestselling author, founder of Documenting Hope, and creator of the CHIRP Study - for a deep dive into the skyrocketing rates of chronic illness in children. Beth shares her personal journey from pharmaceutical consultant to healthcare reform advocate, explains the "Total Load" theory of disease, and discusses the environmental, dietary, and systemic factors driving conditions like autism, ADHD, autoimmune disease, and allergies. The conversation covers vaccines, fluoride, gut health, sleep, and practical steps parents can take today, all grounded in science, and without the usual gatekeeping.Timestamps:0:23 – Introduction: Meet Beth Lambert8:01 – Beth gets kicked out of 3 pediatricians' offices for asking about root causes15:50 – How post-WWII pharmaceutical culture shaped modern medicine17:57 – Direct-to-consumer drug advertising: the U.S. is one of only two countries that allow it22:07 – The data: from 2% of kids with chronic illness in 1960 to 54%+ today24:23 – What's driving the epidemic? Food, air, water, antibiotics, toxins — the "Total Load"25:48 – Explaining the Total Load Theory and why no single cause explains it all30:40 – The CHIRP Study: Child Health Inventory for Resilience and Prevention31:15 – Preliminary findings: more health stressors = worse health outcomes36:32 – The vaccine-autism debate: why we need open, unbiased science37:59 – Antibiotics and the microbiome: the biggest signal in the CHIRP data43:13 – "The science is settled" — why that phrase has no place in real science54:38 – Fluoride: Beth hasn't used it in 20 years — here's why1:06:25 – Gut health: why the microbiome is foundational but not the whole picture1:12:22 – Is it ADHD or is it sleep deprivation? The airway-behavior connection1:19:57 – Biohacks (peptides, red light, vagus nerve stimulators): helpful tools, not solutions1:23:16 – Take-home message: clinician-parent partnership and owning your child's health1:25:37 – Where to find Beth & Documenting Hope: documentinghope.comLINKS: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  Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/REGISTER: 2026 Early Orthodontic Treatment Comprehensive: https://www.earlyorthotreatment.com/ 

Episode SummaryIn this two-part episode, I sit down with the founders of Sound Health and the Sonu Band - one of the most innovative products in the airway and sleep health space. In Part 1, Dr. Paramesh Gopi shares his personal journey from tech entrepreneur to co-founder of Sound Health, driven by his own debilitating struggle with chronic sinusitis and allergies. He explains how a chance meeting with Stanford physicians, Drs. Peter Hwang and Bryant Lin led to the world's first FDA-approved AI wearable using acoustic resonance therapy to decrease nasal congestion.In Part 2, Drs. Hwang and Lin dive deeper into the science. They discuss the neurogenic underpinning of nasal and sinus disease, how acoustic vibration at individualized resonant frequencies modulates the autonomic nervous system (specifically the sphenopalatine ganglion), and why neuromodulation, not just mechanical mucus clearance, may explain the device's broad effectiveness. Together, all three guests explore the future of the Sonu Band, the potential to bridge the gap between ENTs, dentists, orthodontists, and primary care physicians, and the exciting platform that pairs face scanning and voice analytics to deliver personalized airway data at scale.Timestamps3:22 — **PART 1 begins: Interview with Dr. Paramesh Gopi**4:11 — **The personal health crisis that changed everything** — Multiple sinus infections, rounds of antibiotics, a lifetime of allergies, and why a life-threatening level of illness in 2019 forced a new path.11:25 — **5 years without antibiotics or sprays** — Dr. Gopi describes his transformation after becoming the first patient to try acoustic resonance therapy with Drs. Hwang and Lin.16:57 — **Shared stories: empathy in medicine** — Dr. Mike and Dr. Gopi connect over parallel personal experiences with chronic sinus disease and how those experiences drove each of them into broader airway-focused work.24:23 — **The Sound Health app & free nasal airway report** — Anyone can download the app, speak into it, and get a quantified nasal airflow report — no purchase necessary. The role of voice biomarkers in identifying breathing patterns.29:53 — **How the Sonu Band works: the physics of resonance** — Dr. Gopi explains the mechanism using the analogy of resonating a bottle to pop a cork. Sound waves at the right frequency physically alter aerodynamics inside the sinus cavities to clear mucus blockages.32:28 — **AI-powered facial scanning replaces the CT scan** — How Sound Health trained AI on hundreds of CT scans to predict internal sinus anatomy from a simple face scan using your phone's camera.43:54 — **Why avoid single-solution thinking?** — A conversation on multifactorial airway disease and why combining therapies (expansion, resonance, surgery, pharmacology) with no-downside non-pharma options makes sense.48:19 — **Data-driven treatment and longitudinal tracking** — Sound Health's published 2,375-person usage study, correlating face shape with symptom improvement over 12+ months.52:21 — **The "Screen, Treat, Monitor" platform** — How Sound Health envisions its technology becoming a reimbursable remote therapeutic monitoring tool, usable by dentists, orthodontists, speech therapists, and physicians.1:01:07 — **Dr. Mike's personal Sonu Band experience** — Noticeable improvement in nasal patency, reduced reliance on nasal steroids, and sleeping on his "bad side" for the first time in decades.1:08:17 — **PART 2 begins: Interview with Drs. Peter Hwang & Bryant Lin**1:09:18 — **Origin story: humming, singers, and a hallway conversation** — Dr. Hwang recounts a 1990s residency comment about singers having fewer sinus problems that incubated for 20 years before becoming a product. Dr. Lin describes early prototyping with cell phone vibration motors and buzzer kits.1:23:29 — **Long-term real-world data** — Beyond the FDA trials: adherence patterns, frequency of use, and what happens when patients stop using the device. The difference from rebound effects seen with decongestant sprays.1:38:59 — **Why sleeping position affects nasal congestion** — The science of nasal cycling, pressure receptors, and dependent venous congestion. Why lying on one side makes the other side open up.1:43:06 — **What's next for Sound Health** — Upcoming indications: facial pain/migraines, rhinitis of pregnancy, younger pediatric patients, and a sleep entrainment product (Spatial Sleep) designed to guide brainwaves into theta for insomnia relief.LINKSREGISTER for the 2026 Early Orthodontic Treatment Comprehensive: https://www.earlyorthotreatment.com/ Sound Health Life: https://soundhealth.life/ Sleep Help Products: https://spatialsleep.com/ Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/

Episode OverviewI'm excited to share this week's episode, and I have to say, this one really hit home for me personally. My guest is Dr. Chad Capps, a board-certified orthodontist practicing in Rockwall, Texas, who also serves as adjunct faculty in the Department of Orthodontics at Texas A&M University College of Dentistry. What makes this conversation so compelling is that, like me, he didn't set out to be an airway-focused orthodontist. He evolved. And the path that got him there, full of personal health struggles, defining patient moments, and a relentless pursuit of deeper purpose, is one I think so many of you will connect with. You'll get to listen to two board-certified orthodontists who were not trained in airway-focused treatment share how their thinking evolved and why we believe orthodontists are uniquely positioned to change lives, not just straighten teeth. We dive into the science, the clinical realities, and the politics of our profession, as well as the reasons we are both so passionate about airway-focused treatment. I hope you enjoy it as much as I did.Highlights & Timestamps2:24 — **Welcome & Introduction**The conversation kicks off with how our shared work on an upcoming publication brought us together.3:18 — **A Career Path Redirected**What started as a passion for restorative dentistry led to a defining patient moment — a mom in tears handing over a teacher's note about how her child's life had changed after expansion and an ENT referral. That was the turning point.6:01 — **"That's What I Want to Do for the Rest of My Life"**The moment the decision was made to pursue orthodontics — with airway and growth at the center of it.7:41 — **Personal Health as a Clinical Lens**After attending an airway-focused CE course, the pieces fell into place personally — UARS misdiagnosed as narcolepsy, multiple tongue surgeries, atrial fibrillation, and two children who also struggled. Living through these experiences has shaped an extraordinary level of clinical empathy and insight.17:46 — **Building a Practice That Can Actually Do This Work**The practical side: how do you restructure your schedule, limit new patient exams, build a stable and educated team, and create systems that allow for the depth of care airway treatment demands? Spoiler — it's not easy, but it's worth it.32.13 — **The AAO White Paper on Pediatric Sleep Disordered Breathing**A candid breakdown of what the updated white paper gets right — and where it falls short. We discuss the dismissal of craniofacial phenotypes, the role of CBCT, the spectrum of SDB beyond OSA, and the troubling contradictions within the paper's own cited references.54:25 — **CBCT in Everyday Practice**How CBCT is used not just for diagnosis, but as a communication tool — with ENTs, with parents, and with patients themselves. When patients can see their own airway on screen, they become partners in their care.1:16:31 — **Extractions & Airway: The Real Conversation**It's not the extraction itself — it's the failure to diagnose and address the underlying skeletal issue. A thoughtful breakdown of why this debate is often argued on the wrong terms, including a close look at the Larson article frequently cited by AAO leadership.1:23:00 — **Not Everyone Has to Practice This Way — And That's Okay**A mature and respectful take on the diversity of orthodontic practice. Not every provider needs to be an airway orthodontist — but everyone should be aware enough to recognize it and refer when they see it.1:27:59 — **Closing Thoughts**Why this work is "the most rewarding thing you will ever do in your life" — and a call to keep the conversation going, keep the community growing, and keep moving the needle.Connect:Capps Orthodontics Website: https://cappsortho.com/ Email Dr. Capps: [email protected] The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Enroll in one-on-one coaching w/Dr. Mike: https://theorthocoach.com/doc-coaching/ Dr. Gozal Episode: https://podcasts.apple.com/us/podcast/the-irreversible-consequences-of-pediatric/id1689703392?i=1000758827479 If this episode resonated with you, please share it with a colleague. That's how we move the needle together!

Episode SummaryIn this powerful episode, I sit down with Dr. David Phelps, dentist turned financial freedom educator, real estate investor, and founder of Freedom Founders. Both of us retired from our clinical practices in our mid-40s and share remarkably parallel journeys. We dive deep into why earning more won't set you free, how to build genuine margin in your money and your time, the danger of tying your identity to your profession, and why having hard conversations with your spouse about money is the most important financial move you can make. Dr. Phelps also shares the deeply personal story of his daughter's battle with leukemia and a liver transplant, and how a family health crisis became the catalyst for his financial freedom journey.Key Topics CoveredWhy income alone will never create freedom, and what willThe power of living below your means and compounding savings over timeWhat your schedule says about how "free" you really areHow to have honest money conversations with your spouseThe negotiables and non-negotiables every couple needs to define togetherLetting go of your identity as "the doctor" when stepping away from practiceRecognizing and recovering from burnoutWhy starting small is the only way to start at allBuilding passive income outside the practice as a path to optionalityTimestamps0:23 — Episode introduction: Dr. Mike introduces Dr. David Phelps and his mission to help professionals achieve financial freedom4:08 — Dr. Phelps' background: growing up an entrepreneur and why dentistry appealed to him7:41 — First real estate investment in dental school: partnering with his dad to buy a property and discovering the power of assets12:00 — The question that changes everything: how both doctors ended up retiring from clinical practice in their mid-40s12:16 — Dr. Phelps shares his daughter's diagnosis with high-risk leukemia and the years of treatment that followed17:06 — Update: his daughter is now 34 and thriving — and the pride of escorting her at her high school homecoming after her recovery23:32 — Dr. Mike's parallel story: how COVID forced him to stop, sleep, and gain perspective on his own life and career36:22 — Identity crisis: what happens when your profession IS your identity — and why that's dangerous37:16 — Dr. Mike reflects on never feeling fully comfortable being "Dr. Mike" in the community40:33 — How to begin building an identity beyond the chair — before you leave it45:06 — The two types of margin every professional needs: money and time46:12 — "Income is not wealth": why trading time for dollars will never get you free47:41 — Why most high-income earners don't budget — and the cost of that habit1:04:44 — Burnout is real: what's driving it in healthcare today and why young doctors are saying they only want to work five years1:24:12 — Dr. Phelps' closing advice: start small, be consistent, and let compounding do the work1:28:32 — Where to find Dr. Phelps: Freedom Founders Podcast, YouTube, and freedomfounders.comLINKS: Freedom Founders Podcast: https://www.freedomfounders.com/podcast/?_ga=2.77650064.549393833.1775698798-1177225500.1774543265Website:  https://www.freedomfounders.com/ YouTube: https://www.youtube.com/@drdphelps Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/The DOC Podcast w/Dr. Brett Gilbert on mental health & burnout: https://youtu.be/LakpR7XiS9U 

Episode SummaryIn this episode, I sit down with Dr. David Gozal for a wide-ranging conversation on pediatric sleep-disordered breathing. We discuss why SDB should be understood as a chronic, lifelong inflammatory disease, not a simple condition with a simple fix. Dr. Gozal introduces his "Second Best Hypothesis" to explain how brain damage from childhood sleep apnea can be hidden by neural redundancy, only to surface years later. The conversation challenges common assumptions: that snoring in children is benign, that AHI alone can guide treatment decisions, and that adenotonsillectomy reliably cures the disease. We also explore the role of mouth breathing, viral triggers like RSV, and why a multidisciplinary, endotype-driven approach to each patient is essential.Key TakeawaysSnoring is never normal - it always signals increased upper airway resistanceSDB is a chronic, lifelong, low-grade inflammatory disease that may begin before birthReversibility of damage is not guaranteed - it depends on severity and durationThe "Second Best Hypothesis": the brain compensates for lost neurons, but at a hidden performance costAHI is just one data point - morbidity must be measured holistically before making treatment decisionsOnly about one-third of children normalize after adenotonsillectomyChildhood SDB may go silent but not away - it can re-emerge in adulthoodMultidisciplinary collaboration and individualized endotyping are criticalTimestamps0:00 – Intro & Guest Bio3:04 – Dr. Gozal's Background & Career Path9:51 – Philosophy of Giving & Serving Underserved Communities13:36 – SDB Is Not a Single Disease14:28 – "Snoring Is Not Normal"14:53 – SDB as a Chronic, Lifelong Inflammatory Disease17:09 – The Myth of Universal Reversibility19:35 – Oxidative Stress, Stem Cells & Accelerated Aging23:36 – The "Second Best Hypothesis" & the Backpack Analogy25:00 – Gray Matter Loss in Children with Normal Cognition27:47 – SDB Is a Syndrome, Not Just a Lab Value30:29 – "We Do Not Measure Morbidity"32:51 – Only a Third Normalize After Adenotonsillectomy35:39 – Phenotyping with AI & Machine Learning38:39 – RSV, Viruses & the Inflammatory Cascade40:30 – Does Childhood SDB Really Disappear?43:18 – Chronic Mouth Breathing: Harmless or Harmful?48:52 – The Multidisciplinary Mandate & Radar Plot Endotyping49:29 – Closing ThoughtsLINKS:Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Enroll in one-on-one coaching w/Dr. Mike: https://theorthocoach.com/doc-coaching/ Enjoyed This Episode?If you found this conversation valuable, please share it with a colleague, friend, or anyone who works with children's airway health — the more people who hear this message, the better outcomes we can create for our patients. And if you feel we've earned it, we'd truly appreciate a five-star review on Apple Podcasts and Spotify — it helps more listeners discover the show and keeps these important conversations going. Thank you for being part of the DOC community!

Episode SummaryDr. Vatish shares his unexpected journey from implant dentistry to becoming a leading practitioner in tongue tie releases and airway-based dentistry. The conversation covers diagnosis across age groups, the role of CO2 laser in treatment, the critical importance of myofunctional therapy, and the ongoing debate around evidence-based medicine in this emerging field.Key Topics & ConceptsTongue tie diagnosis across age groups — From infant nursing and latching difficulties to speech issues in toddlers, bruxism and sleep apnea in adults, and why posterior ties are often the most symptomatic despite being called "mild"The three pillars of physiological health — Sleep, breathing, and eating as a diagnostic framework; the critical difference between surviving and thrivingCO2 laser and modern release techniques — How laser technology, suturing for primary tension healing, and pre-/post-operative myofunctional therapy transformed outcomes compared to traditional scissors or diode approachesMyofunctional therapy is essential, not optional — Why releasing a tongue tie without concurrent therapy can make things worse; the personal trainer analogy for setting realistic patient expectations on duration and intensityInterdisciplinary team care — Orthodontists, myofunctional therapists, speech therapists, osteopaths, lactation consultants, and ENTs working together; why no single monotherapy solves airway problemsEvidence-based medicine beyond RCTs — The parachute analogy; Sackett's triangular epistemology of research, clinical experience, and patient values; why absence of evidence is not evidence of absenceLINKSHappy Kids Dental Chelsea: https://happykidsdental.co.uk/ American Smile: https://www.americansmile.co.uk/ Instagram: @DrSVatishDDSJoin The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Enjoyed this episode? Share it with a colleague, tag us on social media, and leave a review on your favorite podcast platform. Every share helps fellow clinicians discover conversations that can change the way they practice — and ultimately, change patients' lives.

Episode Summary:In this episode of The DOC Podcast, I sit down with Dr. Hal Stewart, a Texas-based dentist who transformed his practice from a traditional, restorative-based practice to one with a holistic approach, focusing on airway and TMD health. We discuss what holistic dentistry really means, how airway dysfunction connects to malocclusion, TMD, posture, and systemic health, and why the dental profession needs a paradigm shift towards a more proactive model of healthcare.Topics Covered:Dr. Stewart's Journey from Restorative Dentistry to Airway-Focused Practice — How a meticulous, low-volume approach to comprehensive dentistry evolved after discovering the connection between underdeveloped jaws, malocclusion, TMD, and airway dysfunction — driven in part by the personal loss of his father to Parkinson's linked to severe sleep apnea.The Multidisciplinary Team Approach & Diagnostic Framework — Why airway patients typically need 3-7 healthcare professionals, and Dr. Stewart's 5-zone diagnostic model (nasal passages, nasopharynx, oropharynx, oral cavity, and TMJ) for evaluating patients from a whole-body perspective while staying in his lane.The "Straight Teeth Bias" & Why the Profession Needs a Paradigm Shift — How orthodontic and dental training focuses narrowly on tooth-based outcomes, the gap between the ADA's 2017 airway screening recommendation and the AAO's more conservative stance, and the double standard around evidence-based practice.TMD, Airway & Posture: How It's All Connected — Dr. Stewart's clinical finding that over 90% of TMD patients have a comorbid airway component, how addressing airway has transformed his treatment outcomes, and the overlooked relationship between occlusion, cervical posture, and breathing.Advice for Practitioners & A Call for Professional Unity — Practical guidance for dentists wanting to incorporate airway into their practice, why every practitioner who discovers airway never goes back, and the importance of replacing intraprofessional criticism with respectful, interdisciplinary collaboration.Key Quotes:"There are multiple ways to treat things, but there's only one correct diagnosis." "Anybody that goes down this path, they see the truth is so evident to them that they cannot go back." "We're not here to put other professionals down. We're just here to speak the truth." Resources:OT Article on Evidence Based Orthodontics: https://www.orthotown.com/magazine/article/9835/defining-evidence-based-orthodontics?fbclid=IwY2xjawP14fxleHRuA2FlbQIxMABicmlkETFrVWE3M3EwYWJTRWpEdENTc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHhwMNgFJyCJB6JMvVDSomu6drLwAym2SI7CDx-eXbuwrUwBxzP6NpyP7HpT8_aem_NmfJlB15aUQgioH6xWUu3ALink to Dr. Mike on Health & Harmony, Beyond the Teeth: https://www.youtube.com/watch?v=Ce9TrzrgkKg&list=PLPOppJciyu_pws_EOiyejTsxkOwSxtZzjThestewartcenterforoptimalhealth.comJoin The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses:https://theorthocoach.com/ce-courses/

Episode SummaryIn this in-depth conversation, I welcome Dr. Ellen Stothard, PhD, a sleep researcher with expertise in integrative physiology, neuroscience, and data analytics. Ellen shares her unconventional journey from psychology student to sleep science researcher to clinical data specialist, offering a unique perspective on what "evidence-based" really means and how clinicians can become everyday researchers. Key Topics CoveredEllen's JourneyFrom psychology and French double major to a PhD in sleep and circadian rhythmsThe famous "Camping Study" and how natural light synchronizes our bodiesWhy academia wasn't the right fit and finding purpose in clinical dataBuilding Rebus Health: an integrative sleep medicine clinicUnderstanding Evidence-Based PracticeWhat "evidence-based" actually means (and what it doesn't)The difference between correlation and causationWhy negative findings are crucial but rarely publishedReal-world evidence vs. randomized controlled trialsResearch Methodology DemystifiedSmall, controlled studies (N=30) vs. large observational studies (N=50,000)Understanding statistical significance and what research can (and can't) tell youThe importance of understanding study assumptions and limitationsWhy averages hide responders and non-respondersClinical Practice as ResearchHow busy practitioners can gather research-quality dataThe power of before-and-after documentationWhy consistency matters more than perfectionOvercoming IRB fears: private IRBs and retrospective chart reviewsEarly Intervention vs. Watchful WaitingThe ethics of withholding treatment when harm is suspectedUsing "natural experiments" from patients who delayed treatmentWhy inaction carries responsibility tooBreaking Down SilosWhy dentists, sleep physicians, and researchers need to collaborateThe psychology of professional resistance to changeCreating bridges between academia and private practiceSpeaking each other's "language" across disciplinesMemorable Quotes-"The absence of evidence is not the evidence of absence."-"You can only call it evidence-based if you know what the science says AND what it doesn't say."-"If you're not looking, you won't necessarily find it."-"We can't just say 'okay, you feel better, bye.' We need to understand: you came in, you tested this way, we did something, it made you better. What happened?"-"Your clinical data IS evidence. You have the ability to generate the evidence yourselves."Practical Takeaways for CliniciansStart gathering before-and-after data consistentlyUse validated questionnaires when possible (or create standardized questions)Document outcomes at regular intervalsConsider hiring data analysts or partnering with graduate students Explore private IRBs for faster, easier research approval Retrospective chart reviews can be powerful research tools Looking at your outcomes makes you a better clinician LINKS:Rebis Health:Research email: [email protected] Website: https://www.rebishealth.org/ Social Links: FB | IG | LinkedIn | YouTubeJoin The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/

Episode OverviewIn this episode of The DOC Podcast, I’m joined by Doctors Claire Ferrari and Allie Larios of Ferrari Larios Orthodontics in Kensington, California. Together, they discuss transforming patient care through a proactive, whole-body approach to orthodontics. Topics include the need to integrate overall health into orthodontic residency programs, early diagnostic and treatment for pre-adolescent patients, the benefits of CBCT imaging, the relationship between tooth extraction and airway issues, building a trusted medical network, and the impact of corporate entities in dentistry. We also delve into the future of orthodontics and their decision to pursue a traditional business model to better serve their patients. Don't miss this insightful conversation on advancing orthodontic care. Enjoy the show!Timestamps00:27 Meet the Guests: Dr. Claire Ferrari and Dr. Allie Larios03:06 Dr. Ferrari’s Early Influences and Mentorship04:14 Educational Path and Career Decisions07:14 The Importance of CBCT Imaging13:40 Dr. Larios' Experience and Insights18:10 Holistic Approach in Orthodontics19:44 Challenges and Rewards of Early Treatment21:36 The Future of Orthodontics30:33 Addressing Airway Issues in Orthodontics34:30 Treating Young Patients: A New Perspective42:36 Challenges in Pediatric Dental Diagnostics43:52 Approaching Treatment for Young Children44:40 Parental Involvement and Patient Management46:34 The Importance of Early Intervention48:41 Debating Traditional vs. Modern Orthodontic Practices50:44 Evidence-Based Medicine in Dentistry01:06:57 The Business of Orthodontics: Corporate vs. Private Practice01:19:50 Final Thoughts and Contact InformationLINKS:Dr. Mike’s Orthotown Article on Pediatric Sleep Disordered Breathing: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34Dr. Claire Ferrari’s email:[email protected]. Allie Larios' email: [email protected] Practice Website:www.FerrariOrtho.comJoin The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/

In this episode, I welcome Dr. Joseph Yousefian for an in-depth discussion on pediatric airway disorders and innovative orthodontic treatment approaches that can change lives. 🎯 Episode HighlightsDr. Yousefian's Personal JourneyHis son Ryan's severe sleep apnea diagnosis and dramatic academic declineRyan's transformation from a struggling student to a Washington University scholarship recipient after treatmentThe Pediatric Airway CrisisWhy pediatric sleep-disordered breathing has become a pandemicEvolutionary changes in jaw development due to modern diet and lifestyleThe connection between crowding, malocclusion, and airway disordersRevolutionary Treatment ConceptsTeledontics & Telegnathics: Non-restrictive, airway-focused orthodontic treatment approachesMandibular symphyseal expansion: 200+ successful cases over 23 yearsEarly intervention strategies (ages 2-4) for preventionClinical & Professional InsightsWhy traditional orthodontic approaches may be inadequate for airway patientsInterdisciplinary collaboration strategies with medical providersThe future of orthodontics: paradigm shift vs. pendulum swingInsurance considerations and making airway treatment financially viableThe Future of OrthodonticsWhy this is a paradigm shift, not a pendulum swingThe need for specialized training in airway-focused orthodonticsHow the profession needs to evolve to address the 1.3 billion people worldwide suffering from sleep apnea 💡 Key TakeawaysPediatric airway disease is treatable and preventable when caught earlyUntreated sleep-disordered breathing can cause ADHD-like symptoms, academic decline, behavioral issues, and long-term health complicationsOrthodontists are uniquely positioned to be leaders in airway treatmentEarly intervention (before age 7) can prevent a lifetime of complicationsTreatment requires an interdisciplinary approach combining medicine and dentistry LINKS:Comprehensive Treatment Seminars: https://www.ctseminars.org/ApnoMed: https://www.apnomed.com/Pediatric Treatment of Sleep Apnea with Teledontics and Telegnathics: https://www.routledge.com/Pediatric-Treatment-of-Sleep-Apnea-With-TeledonticsTelegnathics/Yousefian/p/book/9781032978994Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Thank you for your support of The DOC Podcast!  Please remember to share the show with others and, if you feel we've earned it, we'd love to receive a 5-Star Review on Apple, Spotify, or YouTube. 

Episode Description:Join me for an in-depth conversation with husband-and-wife dental team Drs. Jeffrey Hindin and Jill Meyer, who are pioneering a whole-health approach to dentistry that addresses the root causes of disease rather than just treating symptoms. Key Topics Discussed:• Building an etiology-focused practice that treats underlying causes, not just symptoms• Early orthodontic intervention and airway-focused care in children• The significant overlap between TMD and sleep-disordered breathing • Heart rate variability (HRV) and objective physiologic measurements in treatment• Oral appliances for athletic performance enhancement• Common signs of sleep disorders in children and adults• Navigating resistance from traditional orthodontic approaches• The future of sleep medicine, including emerging pharmacological treatments Key Takeaways:Early intervention in children can prevent the need for invasive treatments and sleep appliances in adulthoodMouth breathing is a critical early indicator of sleep-disordered breathing and should not be dismissedThe airway affects the autonomic nervous system, impacting everything from athletic performance to mental healthDepression and anxiety are the #1 comorbidities associated with sleep-related breathing disordersOrthodontists are uniquely positioned to prevent adult TMD and sleep issues through early treatmentTreatment should focus on normalizing anatomy and addressing root causes, not just straightening teeth Resources Mentioned:Hindin Center: https://hindincenter.com/American Academy of Physiological Medicine and Dentistry: https://aapmd.org/AAPMD Collaboration Cures Meeting: May 15-16 in Pittsburgh Connect with Dr. Mike:Website: https://theorthocoach.com/Email: [email protected] The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/ **If you found value in this episode, please share it with colleagues and leave a 5-star review on Apple Podcasts or Spotify. Your support helps us continue to bring you conversations that challenge conventional thinking and improve patient care.**

In this episode of the DOC Podcast, I welcome Dr. Mary Motlagh to discuss one of dentistry's most critical yet overlooked issues: why beautiful dental and orthodontic work fails over time, and what we can do to achieve lasting stability.Dr. Motlagh, a restorative dentist with over 25 years of experience, shares her transformative journey from creating stunning cosmetic cases that broke down within years to developing a comprehensive physiologic approach that consistently delivers 15-20 year stability. Through compelling patient stories and clinical insights, she reveals the hidden connections between airway health, TMJ function, neuromuscular balance, and long-term treatment success.This conversation challenges fundamental assumptions in dentistry.  From how we diagnose and treat TMD to the extraction debate, early intervention timing, and what "evidence-based" really means. Whether you're an orthodontist frustrated by relapse, a restorative dentist dealing with occlusal breakdown, or any dental professional seeking better outcomes, this episode offers a paradigm shift in how we approach comprehensive care.Timestamps[2:27] Meet Dr. Motlagh[4:43] Why beautiful veneer cases started failing[5:45] Muscles dominate and airway always wins[9:54] Why teeth break at the gum line despite perfect crowns[13:37] Evidence-based dentistry: beyond randomized trials[16:52] Dentists are trained as tooth mechanics, not doctors[22:57] How posture affects occlusion[27:47] Signs and symptoms we miss: scalloped tongue, tinnitus, vertigo[37:15] The 17-year-old who couldn't open her mouth for 2 years[42:57] The extraction and airway debate[48:20] Introduction to MyAligner and the diagnostic phase[49:30] Ultra-low frequency TENS and neuromuscular CR[57:27] Case presentation: correcting facial asymmetry in 40 minutes[1:05:35] Final message: it is essential to screen for TMD and airway issuesNotable Quotes"We were trained as tooth mechanics and not the doctors of the oral cavity. We learned to look inside the mouth, not sit back and look at the face, look at the body, look at the connection of the orthopedic alignment of the head and neck." - Dr. Maryam Motlagh"When you do the diagnostics more thoroughly, your work gets easier and becomes more profitable because you cut a lot of the noise out, a lot of the headaches. It's not profitable to do a hundred aligners on somebody - you're paying the patient to treat the case at that point." - Dr. Mike"This is a complex problem, but once you see it, you cannot unsee it, and it becomes such a simple solution." - Dr. Maryam MotlaghLinksBite Circle: https://www.bitecircle.com/Myoaligner: https://www.myoaligner.com/ IG: @drmotlagh_Maryam’s Signs & Symptoms Sheet: https://www.myoaligner.com/_files/ugd/06070e_03dd7aac8db8431782111c81c1018d50.pdfDr. Mike’s Orthotown Article on Evidence Based Orthodontics: https://www.orthotown.com/magazine/article/9835/defining-evidence-based-orthodontics?fbclid=IwY2xjawP14fxleHRuA2FlbQIxMABicmlkETFrVWE3M3EwYWJTRWpEdENTc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHhwMNgFJyCJB6JMvVDSomu6drLwAym2SI7CDx-eXbuwrUwBxzP6NpyP7HpT8_aem_NmfJlB15aUQgioH6xWUu3A Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/

In this deeply personal and inspiring episode, I sit down with Dr. Brett Christiansen, an Army veteran and board-certified orthodontist who has transformed his practice to focus on treating the root causes of malocclusion and sleep-disordered breathing. Dr. Christiansen shares his remarkable journey from growing up on an Idaho farm to becoming one of only five orthodontists in the country board-certified in sleep medicine. He opens up about surviving a widow-maker heart attack at 45, losing his son in a tragic accident, overcoming depression, getting hit by a car while training for an Ironman, and enduring multiple heart surgeries—all while revolutionizing how he treats patients. This episode explores Brett's pioneering data collection using rhinometry on thousands of patients, his transition from traditional extraction-based orthodontics to skeletal expansion techniques, and why he believes orthodontists must become true doctors who treat patients, not just symptoms.  TIMESTAMPS:04:02 - Farm Kid to Orthodontist 06:00 - Military Service & Dental School 09:00 - Discovering Orthodontics 11:00 - Starting Practice in Lewiston, Idaho 14:46 - The Turning Point: Expansion & Snoring 18:20 - Personal Health Crisis: The Heart Attack 24:00 - Dad's Sleep Apnea Discovery 28:00 - Introduction to Sleep Apnea Treatment 32:00 - Collecting Data with Rhinometry 38:00 - Kevin Boyd's Life-Changing Phone Call 42:00 - Transitioning to MARPE & Skeletal Expansion 56:00 - The Key to Sleep Apnea: Nasal Breathing 1:00:00 - Recovery & Becoming an Ironman 1:13:00 - The Bike Accident & Heart Failure 1:18:00 - Everly's Story: Treating a 3-Year-Old 1:21:00 - Parallels Between Dr. Mike & Dr. Brett 1:10:00 - Facing Opposition from the AAO 1:30:00 - Why Orthodontists Must Become Doctors 1:38:00 - The Future of Orthodontics 1:45:00 - Surprise Guest: Everly Visits! 1:51:00 - Final Thoughts & Closing THREE SIGNIFICANT QUOTES:"We need orthodontists to become doctors. Most orthodontists out there that are straightening teeth, taking out teeth and lining teeth are tooth technicians. We need to become doctors of our patients. We need to be treating the patient, not the symptom of the crooked, crowded teeth." "The key to sleep apnea is not worrying as much about the tongue, it's worrying about getting the nasal passage opened. When we expand that maxilla and the nasal passage opens up and that pathway of airflow is just smooth, that patient can now breathe through their nose."  "My daughter changed my life. She looked at me and said, 'Dad, you say that you're the airway doctor. Kids die on the operating table from general anesthetic. I don't feel right about sending her. What are you gonna do?' That's when I started treating 3-year-olds."  KEY TOPICS: Early orthodontic intervention • MARPE for adults • Rhinometry data on thousands of patients • Nasal volume changes (3-8 cubic centimeters) • Treating children as young as 2-3 years old • The connection between sleep apnea and heart disease • Overcoming professional opposition • The future of orthodontics CONNECT:Dr. Brett Christiansen - Christiansen Orthodontics (Lewiston, Grangeville, Moscow, ID): https://christensenbraces.com/Dr. Mike DeLuke - TheOrthoCoach.com | [email protected] The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC website: https://theorthocoach.com/ 

Episode Description:Join me for an in-depth conversation with sleep medicine specialist and quadruple Board Certified Physician (Internal Medicine, Pulmonary Disease, Critical Care Medicine, Sleep Medicine), Dr. Sima Tahir, as we discuss the critical role that sleep plays in overall health. Dr. Tahir shares her journey from working on the COVID-19 frontlines to opening her own boutique sleep practice in Manhattan, and why she believes sleep should be at the forefront of medical care.Key Topics Covered:Why Sleep Medicine MattersThe lack of sleep education in medical schools and residenciesWhy sleep disorders are missed by traditional healthcare systemsHow sleep affects every aspect of health, from mood to chronic diseaseRecognizing Sleep DisordersWarning signs in children AND adults (headaches, jaw pain, teeth grinding, brain fog, irritability)Why children should NEVER snoreThe connection between sleep disorders and ADHD/behavioral issuesHow sleep problems manifest differently in kids vs. adultsThe Diagnostic ChallengeLimitations of polysomnography (sleep studies)Why a normal AHI doesn't rule out sleep disordersUnderstanding upper airway resistance syndromeThe importance of reviewing raw sleep study dataThe Multidisciplinary ApproachWhy "sleep takes a team" - collaboration between physicians, dentists, orthodontists, and specialistsHow dental providers can detect sleep and breathing issuesThe role of orthodontics in addressing airway problemsBreaking down silos between medical and dental Sleep Quality vs. QuantityWhy 7-9 hours isn't enough if quality is poorUnderstanding sleep architecture and circadian rhythmsHow weekend sleep schedule changes affect your entire weekThe one-hour-per-day recovery rulePractical Sleep HygieneThe importance of consistent sleep/wake timesHow hormones (especially in perimenopause) affect sleepWhy waking up multiple times per night is NOT normalRed flags that indicate you need a sleep evaluationPerfect For:Healthcare providers (medical and dental)Parents concerned about their children's sleepAnyone experiencing chronic fatigue, brain fog, or sleep issuesProfessionals interested in the intersection of sleep and overall healthTimestamps:3:08 (188s) - Meet Dr. Sima Tahir: From COVID Frontlines to Sleep Medicine3:45 (225s) - Dr. Tahir's Background: Quadruple Board Certified Physician8:08 (488s) - Why She Left Traditional Medicine to Open a Private Practice13:25 (805s) - The Shocking Lack of Sleep Education in Medical Schools22:17 (1337s) - Warning Signs of Sleep Disorders: Head-to-Toe Assessment27:15 (1635s) - How Dentists & Orthodontists Can Detect Sleep Issues33:52 (2032s) - The Truth About Sleep Studies: Why Normal Results Don't Rule Out Problems45:22 (2722s) - Hormones, Aging, and Sleep: What Your Doctor Isn't Asking53:30 (3210s) - What Does Good Sleep Actually Look Like?60:38 (3638s) - Sleep Quality vs. Quantity: Waking Up During the Night66:30 (3990s) - Wearables for Kids & The Future of Sleep Monitoring70:59 (4259s) - Closing Thoughts & How to Connect with Dr. TahirConnect with Dr. Sima Tahir:Website: https://drsaematahirmd.com/ 

Episode DescriptionIn this powerful episode, I sit down with Dr. Susan Maples, a pioneering general dentist who has practiced in Holt, Michigan, for over 40 years. Dr. Maples shares her revolutionary approach to dentistry, which goes far beyond traditional "drill and fill" methods, focusing on total health, the oral-systemic connection, and empowering patients (especially children) to take control of their own health journey.From her personal story of overcoming chronic illness as a child to developing the nationally recognized Hands-On Learning Lab for children, Dr. Maples demonstrates how dentistry can be the last bastion of hope for preventive healthcare in America.Key Topics Discussed:The oral-systemic health connection and America's growing health crisisWhy traditional "preventive" dental visits aren't actually preventing diseaseThe revolutionary Hands-On Learning Lab approach for childrenHow to implement root cause analysis in dental practiceThe role of Health Relationship Coordinators in patient careAirway health, sleep hygiene, and the gut microbiomeBreaking free from insurance-driven dentistryPractical strategies for implementing holistic care in any practice settingEpisode Timeline[3:43] - Dr. Susan's personal health journey - Overcoming chronic illness as a child[13:00] - The bubble wrap moment - How one doctor changed everything through hands-on learning[22:00] - Creating the Hands-On Learning Lab - 27 years of science experiments with kids[37:00] - The paradigm shift dentistry needs - Moving from reactive to proactive care[43:00] - Dropping all insurance contracts - Achieving true clinical independence[55:00] - Facilitation vs. education - Getting curious with patients instead of telling[1:05:00] - Mouth breathing and the oral microbiome connection[1:10:00] - The Health Relationship Coordinator role - Bridging dentistry and medicine[1:17:30] - Sleep hygiene fundamentals - Creating sleeping sanctuaries for children[1:22:30] - The definition of a healer - Helping others see their wholeness[1:25:00] - How to connect with Dr. Maples - Resources and final thoughtsResources MentionedBrave Parent - "Raising Healthy, Happy Kids Against All Odds in Today's World"https://a.co/d/2OoBGle Blabbermouth - "77 Secrets Only Your Mouth Can Tell You to Live a Healthier, Happier, Sexier Life"https://a.co/d/ajei0r5Total Health Academy - https://totalhealthacademy.net/  Online learning platform for dental professionalshttps://selfscreen.net/ Screening questionnaires for patient assessmentThe Anxious Generation by Jonathan HaidtOutlive by Peter AttiaConnect with Dr. Susan MaplesEmail: [email protected]: (517) 819-6330Website: DrSusanMaples.comSubscribe & FollowDon't miss future episodes! Subscribe to The DOC Podcast and join the conversation about transforming healthcare through dentistry.

General SummaryIn this comprehensive episode, I sit down with Dr. Avinesh Bhar, a board-certified pulmonary, critical care, and sleep medicine physician who left traditional private practice to revolutionize sleep healthcare through telemedicine. Dr. Bhar shares his journey from recognizing the profound shortcomings of the US healthcare system to founding Sleep, a virtual practice designed to provide accessible, personalized sleep and pulmonary care.The conversation explores the critical gaps in sleep medicine, including the severe shortage of sleep physicians (only 150-200 trained annually), the limitations of traditional sleep testing, and why women and children are disproportionately underdiagnosed. Dr. Bhar challenges the conventional reliance on polysomnography as the sole diagnostic tool, emphasizing the importance of clinical symptoms and thorough patient evaluation. The discussion reveals how the multifactorial nature of sleep disorders requires multifaceted, often multidisciplinary solutions, and why "mild" sleep apnea isn't always mild, and negative sleep studies don't always mean you're fine.Key PointsThe Sleep Doctor Shortage Crisis: The US produces only 150-200 sleep physicians annually, creating massive access barriers and 6-12 month wait times for patientsFalse Negatives Are Common: In-lab sleep studies suffer from "first night effect" and single-night testing limitations; home sleep tests with multiple nights provide better baseline dataClinical Symptoms Trump Test Results: A negative sleep study doesn't mean absence of sleep issues; patient symptoms must be explained and addressedWomen and Children Are Underdiagnosed: Sleep testing data have been validated primarily on overweight male populations, causing women and children to be systematically overlookedMild Doesn't Mean Mild: Sleep apnea severity ratings correlate with heart disease and stroke risk, but not necessarily with quality of life impacts; mild cases can cause severe symptomsMouth Breathing Is a Red Flag: It's an adaptation to airway obstruction, not normal behavior, and signals underlying issues that need investigationThe Co-Opted Healthcare System: Financial incentives drive practitioners toward in-lab testing (3x higher reimbursement) rather than more appropriate home testingMultifactorial Problems Need Multifaceted Solutions: Sleep disorders rarely have single causes or single treatments; adenotonsillectomy alone resolves OSA in only 27% of children long-termYou Don't Outgrow Sleep Issues: Childhood airway problems persist into adulthood, often worsening with age, weight changes, or hormonal shiftsTelemedicine as the Solution: Virtual sleep medicine can provide faster access (2-3 days vs. 6+ months), comprehensive care coordination, and better patient outcomesNotable Quotes"You can be a better physician to your patients if you understand their sleep issues as well.""If a patient has a sleep issue and the test is negative, so what? You have to figure out why. You have to give the patient an answer...why are they sleeping poorly? Why are they bruxing? Why do they have headaches? Why do they have anxiety?""Sleep has always kind of been looked at as a passive process, a side issue. Now that the data is coming out, it's driving everything that we're seeing as problems, whether it's heart disease, mental health issues, blood pressure control, metabolic syndrome." "Once you see it, you can't unsee it. That's the scary part, because now I'm out socially, I'm looking in people's mouths. I'm like, oh, she has a sleep issue. He has a sleep issue. And you can't stop yourself because it's everywhere."Timestamps[0:00] Introduction and Dr. Bhar's credentials[3:15] Dr. Bhar's journey: From fellowship to MBA to leaving private practice[10:30] The shortage of sleep physicians in America and its impact on patient care[18:45] Why sleep has been overlooked as a "passive process" and the emerging data on its critical importance[28:20] The problems with in-lab sleep studies and the advantages of home testing[42:15] Why "mild" sleep apnea isn't always mild and negative tests aren't always negative[56:40] Women and children: The biggest victims of sleep medicine's blind spots[1:12:30] The co-opting of healthcare: Financial incentives vs. patient care[1:28:45] Mouth breathing as a warning sign and why we're the only animals with crooked teeth[1:45:20] Do children really "outgrow" sleep issues? The truth about adenotonsillectomy outcomes[1:58:10] How Sleep works: The telemedicine solution for accessible, comprehensive sleep care[2:15:35] Final thoughts on changing the healthcare system and voting with your feetRelevant LinksSliiip Website: https://sliiip.com/ The Ortho Coach Website: www.theorthocoach.comJoin The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Guest Suggestions: Email [email protected] episode is part of The DOC Podcast's mission to help healthcare providers lead happier, healthier, and more prosperous lives both personally and professionally.

Episode OverviewIn this episode, I sit down with Joey Muré to discuss achieving financial freedom through passive income strategies rather than traditional Wall Street approaches. The conversation challenges conventional financial wisdom about debt payoff, retirement planning, and wealth accumulation, offering a roadmap for high-earning professionals who feel stuck on the hamster wheel despite their success. Joey and I explore practical strategies for creating cash flow today rather than waiting decades for retirement, including how to evaluate investment opportunities, avoid common money traps, and align financial decisions with personal values and family priorities.Key Topics DiscussedThe Psychology of Money & Financial FreedomWhy traditional retirement planning keeps you dependent on the systemThe difference between financial freedom and debt freedomHow to shift from an accumulation mindset to a cash flow mindsetThe financial freedom formula: Passive Income > Monthly ExpensesCommon Money TrapsPaying down debt too aggressivelyMaxing out retirement accounts (401k, IRAs) that lock money away until 59½Treating your primary residence as your biggest assetLifestyle creep and keeping up with the JonesesPassive Income StrategiesWhat passive income really means (involved but not day-to-day operations)Real estate investments, business partnerships, and alternative vehiclesHow to start with your first $500/month in passive incomeBuilding a personal P&L for your householdPractical Steps to Get StartedConducting a cash flow awareness analysisCreating a shared financial vision with your spouseThe importance of financial education and coachingBuilding your "buy box" for evaluating investment opportunitiesKey Quotes> "When your passive income exceeds your monthly expenses, you're financially free. It's not about what things look like on the outside, it's more about how much freedom do we actually have with our time."> "You can never pay off the cost of living. You can't pay it off. So you have to cover it with cash flow."> "Wall Street is not just the places where we've been told to invest. It's also a mindset that leads you to believe that your goal is to accumulate dollars for a someday, for a one day. That is complex to keep you dependent on the system that everybody else is getting rich off of."> "If you have no surplus because your lifestyle has crept up to where it equals your income, you're no closer than the person who is the janitor in the cash flow game."> "Opportunities find cash. If you start talking about wanting to invest, start talking about looking for deals, and you have cash, they will find you."Episode Timestamps4:21 - Joey's Wake-Up CallMaking $300K+ but feeling trapped; the beach vacation story with his five daughters that changed everything10:15 - The Psychology of Money & Financial FreedomShifting from Wall Street accumulation mindset to cash flow thinking; the formula: Passive Income > Monthly Expenses17:55 - What is Passive Income Really?Passive income is "involved but not uninvolved" - being an active steward vs. abdicating to others25:51 - The Debt DilemmaShould you aggressively pay down debt or invest for cash flow? The $400K student loan story30:08 - "You Can Never Pay Off the Cost of Living"Key insight: debt freedom ≠ financial freedom; the Cashflow Game lesson45:00 - Dave Ramsey vs. Rich Dad PhilosophyWhy paying extra on your mortgage doesn't create freedom; the 2009 mortgage crisis cautionary tale50:39 - Your House is NOT an AssetDebunking the primary residence myth and understanding lifestyle creep56:09 - Aligning with Your SpouseGetting on the same page financially; the Passport Challenge for couples1:04:44 - The Passive Income Lab12-week program guaranteeing first $500/month in passive income; becoming an investor through education1:15:24 - "Opportunities Find Cash" & Due DiligenceHow to attract deals, vet operators, and use tools like custom GPT for investment analysis1:23:25 - How to Get StartedResources and next steps: wealthwithoutwallstreet.com/doc for Financial Freedom AnalyzerLINKS:[email protected]: @WithoutWallStFB: /WealthWithoutWallStreetIG: @WealthWithoutWallStYT: /@WealthWithoutWallStreetApple Podcast: WealthWithoutWallStreetWealthWithoutWallStreet.com/DOC for free resources!  Join The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Free Balance Sheet: https://theorthocoach.com/ (You will need to disable your pop-up blocker)Link to Dr. Mike talking about goal setting: https://youtu.be/u6W5ErGpQ34?si=k3MFvNdrMk9FBN-qDisclaimer: The content and advice offered during this episode are for informational purposes only and are not intended to serve as financial or legal advice. Please consult with your own tax and legal professionals for advice relative to your specific financial situation.

Episode OverviewIn this episode, I welcome Dr. Svitlana Koval, an orthodontist based in Boca Raton, Florida, renowned for her expertise in airway-focused orthodontics and the diagnosis and treatment of sleep-disordered breathing in both children and adults. The conversation explores Dr. Koval’s professional journey, her clinical protocols, and the broader implications of airway health in orthodontics.Key Topics DiscussedDr. Koval’s Journey:Dr. Koval shares her path from Ukraine to the U.S., her early exposure to advanced diagnostic tools (like T-Scan and EMG), and her growing interest in TMD and airway health.Airway Orthodontics & Sleep-Disordered Breathing:The discussion covers the importance of screening for airway issues in orthodontic patients, the spectrum of sleep-disordered breathing (from snoring to obstructive sleep apnea), and the role of orthodontists in early detection and intervention.Diagnostic & Treatment Protocols:Dr. Koval details her approach to diagnosis, including the use of 3D imaging, CBCT, and comprehensive intake questionnaires (like the Pediatric Sleep Questionnaire). She emphasizes the need for individualized treatment, including expansion techniques and myofunctional therapy.Educational Gaps in Orthodontics:Dr. Koval and I discuss why airway health is underrepresented in dental and orthodontic education, and the need for curriculum reform to better prepare clinicians.Genetics vs. Environment:The conversation delves into the debate over genetic vs. environmental factors in malocclusion and airway issues, referencing key studies and the concept of epigenetics.Collaboration & Subspecialization:Dr. Koval advocates for interdisciplinary collaboration among dental and medical professionals and suggests that subspecialization within orthodontics may be beneficial for managing complex airway cases.Advice for Clinicians:Dr. Koval encourages clinicians to critically assess literature, stay open-minded, and prioritize patient well-being over dogmatic adherence to traditional protocols.Memorable Quotes“We as providers are here to serve our community. What matters most is the voice of our community and the needs of our patients.”“It’s not just about straightening teeth—it’s about improving overall health and well-being.”“Screening for airway issues should be a standard part of orthodontic care, starting as early as age three.”Resources & LinksDr. Koval Orthodontics: https://www.drssk.com/Dr. Koval on Instagram: @drsvitlanakovalDr. DeLuke on Instagram: @theorthocoachJoin The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/

Episode SummaryIn this powerful and candid episode, I welcome Dr. Brett Gilbert for an honest conversation about mental health, burnout, and the journey to personal and professional fulfillment. Together, they explore the challenges of balancing career ambitions with personal well-being, the impact of perfectionism, and the importance of self-care and emotional intelligence. Dr. Gilbert shares his own story of overcoming burnout, the lessons learned along the way, and practical strategies for living a more joyful, purpose-driven life.About Our GuestDr. Brett Gilbert is a board-certified endodontist, educator, and founder of Access Endo and the Dental Yogi Academy. With a passion for both clinical excellence and personal growth, Dr. Gilbert is recognized for his contributions to dental education and his advocacy for wellness in the healthcare profession. He is a frequent speaker, podcast host ("On the Cusp"), and mentor dedicated to helping others thrive both in and out of the operatory.Key Topics & HighlightsThe reality of burnout and mental health struggles in high-pressure professionsWhy achieving “balance” is more complex than it seemsThe generational shift in career expectations and definitions of successThe role of trauma, perfectionism, and self-limiting beliefs in professional lifeThe importance of vision, self-reflection, and designing a life with purposeStrategies for self-care: gratitude, mindfulness, and setting healthy boundariesThe power of community, mentorship, and supportive relationshipsHow to reframe setbacks as opportunities for growthThe ripple effect of self-love and a positive mindset on othersNotable Quotes“The most important love affair you will ever have in your life is within your own skin.”— Dr. Brett Gilbert“Life is happening for you, not to you. Every setback is an opportunity to learn and grow.”— Dr. Brett Gilbert“We’re trained in perfection, but the reality is, we are never perfect. The goal should be excellence, not perfection.”— Dr. Mike DeLukeDr. Gilbert’s Programs:Access Endo – Clinical education and mentorship for dentistsConnect with Dr. Brett GilbertInstagram: @drbrettgilbertWebsite: accessendo.orgJoin the DOC CommunityFacebook: Search for “The DOC Community” to connect with peers, access exclusive content, and join the conversation.Call to ActionIf you enjoyed this episode, please subscribe, leave a review, and share it with a friend or colleague who could benefit from these insights. For coaching, CE courses, or to be a guest on the show, visit theorthocoach.com or email Dr. Mike at [email protected]: You have been blessed with the ability to do amazing things—take care of yourself so you can continue to make a difference!

Episode OverviewIn this episode, I welcome Dr. Mart McClellan to discuss practical strategies for building and preserving wealth, with a focus on the unique challenges faced by healthcare professionals. Dr. McClellan shares his journey from orthodontics to financial advising, and together they break down actionable steps for financial success at any career stage. Key Topics & Timestamps00:00 – IntroductionDr. Mike’s mission and the importance of financial literacy03:00 – Meet Dr. Mart McClellanBackground, dual career, and founding Macro Wealth Management07:00 – Why Financial Education MattersThe lack of financial training in professional education12:00 – Dr. McClellan’s Financial JourneyEarly mistakes, learning from mentors, and the value of evidence-based planning20:00 – The Wealth Curve ExplainedWhy early decisions matter and the impact of delayed career starts28:00 – The Power of SavingSavings rate vs. rate of return, setting up a “wealth freedom account,” and automating savings36:00 – Good Debt vs. Bad DebtManaging student loans, mortgages, and emotional responses to debt45:00 – Diversification & Multiple Income StreamsBuilding wealth beyond retirement accounts, real estate, and alternative investments54:00 – The Role of Advisors & TeamworkWhy a team approach is essential for financial planning1:02:00 – Mindset Shifts & Avoiding Common PitfallsOvercoming emotional barriers, the “die with zero” mentality, and legacy planning1:10:00 – Actionable Steps for All AgesStarting early, maximizing old money, and planning for distribution in retirement1:18:00 – Resources, Book Recommendations, and Contact Info“Your Retirement Smile” and how to connect with Dr. McClellan Notable Quotes“The most important factor in wealth building is the ability to save as much money as you can. If you can’t save, it will be almost impossible to achieve financial success regardless of the rate of return earned.” — Dr. Mart McClellan“You only have one wealth curve. There’s no do-overs. Every decision you make in your twenties and thirties may not seem big at the time, but it shapes your financial future.” — Dr. Mart McClellan“It’s not about chasing the highest rate of return; it’s about having a plan, building good habits, and making your money work for you—so you can enjoy your wealth now and in retirement.” — Dr. Mike DeLuke Resources & MentionsBook: Your Retirement Smile: The Treatment Plan for Pay Cut Prevention in Your Golden Years by Dr. Mart McClellanBook: Rich Dad Poor Dad by Robert KiyosakiBook: Smart Couples Finish Rich by David BachBook: The Secret Wealth Advantage (real estate cycles)Macro Wealth Management: macro-wealth.comThe Ortho Coach: theorthocoach.com Connect with Dr. Mart McClellanEmail: [email protected]: macro-wealth.comPhone (text): (847) 363-5502 Connect with Dr. Mike DeLukeEmail: [email protected] Community on Facebook: https://www.facebook.com/share/g/1Cb9rkQVde/ If you enjoyed this episode, please subscribe, leave a review, and share with your colleagues!

Episode OverviewIn this episode, I welcome Dr. Peter Catalano, a renowned ENT specialist and innovator in minimally invasive surgical techniques. Together, we explore the critical importance of nasal breathing, the challenges and controversies in pediatric airway surgery, and the intersection of medical and dental care for children with airway issues. Key Topics & HighlightsInnovation in ENT Surgery:Discussion of Dr. Catalano’s work with the micro shaver, the evolution of sinus surgery, and the impact of computational flow dynamics on understanding nasal airflow.Nasal Breathing vs. Mouth Breathing:Why unobstructed nasal breathing is essential for health, and the wide-ranging consequences of chronic mouth breathing, especially in children.Pediatric Airway Surgery:The current state of the otolaryngology community regarding pediatric surgery to facilitate nasal breathing, and the persistent dogmas and insurance barriers that limit care.CBCT Imaging:The benefits of cone beam CT (CBCT) imaging for diagnosis and referral, and why both orthodontists and ENTs should leverage this technology for comprehensive airway assessment.Medical & Dental Research Challenges:A candid look at the flaws and hypocrisy in academic medicine and research, and how outdated studies and standards of care can hinder progress.Sleep Disordered Breathing & Nocturnal Enuresis:Exploring the links between airway obstruction, sleep issues, and conditions like bedwetting in children, and the role of interdisciplinary care.Innovative Surgical Procedures:Dr. Catalano describes targeted, minimally invasive surgeries that improve nasal airflow and patient outcomes, and the data-driven approach that led to policy changes in pediatric sinus surgery.Breaking Down Silos:The importance of collaboration between dentists, orthodontists, ENTs, and other specialists to provide holistic care for children with airway and craniofacial growth concerns.Advice for Clinicians:The need for ongoing education, openness to new evidence, and the courage to challenge outdated paradigms for the benefit of patients. Notable Quotes“If you want to improve the airway, you’ve got to follow the airflow.”“It's one of the real albatrosses around academic medicine, the inability to change a paradigm when it needs to be changed.”“Education is siloed, and that’s where it starts. People come out of training with dogmatic approaches to medicine.” Resources & ContactDr. Peter Catalano: Email: [email protected]  (Open to questions and collaboration)Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/AJODO Article on Mouth Breathing: https://pubmed.ncbi.nlm.nih.gov/40057896/ Thank you for listening!If you enjoyed this episode, please share it with colleagues and consider leaving a review. For more content and future episodes, subscribe to The DOC Podcast.

Episode Summary:In this episode, I welcome neurologist Dr. Stasha Gominak for a deep dive into the critical, but often misunderstood, role of sleep, sunlight, and vitamins in our overall health. Dr. Gominak shares her journey from traditional neurology to a holistic, proactive approach that addresses the root causes of chronic health issues, especially those related to sleep.Key Topics & Highlights:The Sleep Crisis:How modern lifestyles and reduced sun exposure contribute to poor sleep.The epidemic of sleep disorders, especially among young, otherwise healthy women.The limitations of traditional sleep apnea diagnosis and treatment.Vitamin D, B12, and the Microbiome:Dr. Gominak’s research linking vitamin D deficiency to sleep problems and chronic headaches.The importance of B vitamins, especially B12 and B5, and their connection to the gut microbiome.How supplementation and sun exposure can restore sleep quality and overall health.Holistic, Patient-Centered Care:Moving beyond “Medicine 2.0” to a more integrative, root-cause approach.The value of curiosity, patient partnership, and humility in healthcare.The parallels between medicine and dentistry in addressing airway and sleep issues.Practical Takeaways:Why everyone should pay attention to their sleep quality, vitamin D levels, and gut health.The risks and benefits of supplementation—why “biohacking” isn’t always the answer for everyone.The importance of sunlight, outdoor activity, and a balanced approach to health.Notable Quotes:“We are standing at the bedside while the body heals itself. Sleep is the power behind healing.”“Vitamin D is not just a nutrient—it’s a hormone, and its deficiency is at the root of many modern health problems.”“The patients have to be willing to take responsibility for their own health in order to do some of the things that you and I want to do.”Connect & Learn More:Visit theorthocoach.com for CE courses and coaching with Dr. Mike.Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Contact Dr. Mike at [email protected] to suggest guests or be a guest yourself!Thank you for listening!If you enjoyed this episode, please like, comment, and share. Subscribe for more insightful conversations on health, wellness, and proactive living.

In this episode, I sit down with Dr. Roger Price, a world-renowned expert in airway and breathing science. Dr. Price, with decades of experience in pharmacy, physiology, nutrition, and applied breathing sciences, challenges conventional approaches to health and medicine. The conversation dives deep into the science of breathing, the pitfalls of modern medicine, and the critical role of prevention and early intervention, especially in children.Key Topics & Highlights:The Problem with Modern Medicine:Western medicine’s reactive, disease-management focus vs. true health promotion.The concept of “normal” being confused with “commonplace” dysfunction.The financial and systemic incentives that perpetuate treatment over prevention.Breathing Science Demystified:The importance of functional breathing and why most people (including clinicians) misunderstand it.The critical role of carbon dioxide (CO2) in maintaining health—contrary to popular belief, CO2 is not just a waste gas but essential for oxygen delivery and pH balance.Analogies: The “swimming pool” (body systems) and “train station” (oxygen transport) to explain how breathing impacts overall health.Consequences of Dysfunctional Breathing:Over-breathing and mouth breathing lead to chronic health issues, poor sleep, and even behavioral and developmental problems in children.The link between breathing patterns, epigenetics, and malocclusion (improper jaw/teeth development).Prevention & Early Intervention:The need for education among parents, teachers, and healthcare providers to spot early signs of dysfunction.Dr. Price’s work with international programs (e.g., in Romania) to assess and improve children’s functional health from kindergarten age.The importance of interdisciplinary collaboration and breaking down medical silos.Breathing Exercises & Training:Why popular methods (Wim Hof, Buteyko, yoga breathing) may not address root causes.Dr. Price’s philosophy: You can’t “train” a reflex—true change comes from removing compensations and letting the body breathe naturally.Introduction of a free app developed by Dr. Price and his sons to help users build better breathing habits in just 26 minutes a day.Actionable Takeaways:Rethink what “normal” means in health—commonplace dysfunction is not inevitable.Prioritize nasal breathing and be mindful of mouth breathing, especially in children.Prevention and early intervention are key; look for early signs of dysfunction.Self-care is not selfish—improving your own health benefits those around you.Explore Dr. Price’s free breathing app and stay tuned for his upcoming book and wearable device.Resources & Links:IOPE Charity: iope.org – Learn more about Dr. Price’s global health initiatives and how to support them.Contact Dr. Mike: [email protected] the DOC Community: Find more content and connect with like-minded professionals on Facebook- https://www.facebook.com/share/g/1BMzqwsZMo/ The Ortho Coach: theorthocoach.com – Access CE courses and coaching.Quotable Moments:“Dysfunction is the new function, abnormal is the new normal.”“The chemical that keeps your swimming pool from going green is carbon dioxide.”“You cannot train a reflex. You have to let your body breathe you.”“Prevention doesn’t make money, but it saves billions.”Thank you for listening!If you enjoyed this episode, please share, subscribe, and leave a five-star review on Apple Podcasts or Spotify. Your support helps us reach more listeners and continue bringing you valuable content.

Episode OverviewIn this episode, I welcome Dr. Lauren Ballinger, a board-certified pediatric dentist with a unique focus on pediatric airway health and wellness. Dr. Ballinger shares her personal and professional journey from traditional pediatric dentistry to a practice centered on airway-focused care, collaborative medicine, and holistic patient wellness.About the GuestDr. Lauren Ballinger is a board-certified pediatric dentist who trained at the University of Maryland School of Dentistry. After 15 years in her family’s traditional practice, she founded her own clinic dedicated to airway and dental wellness. Dr. Ballinger is also the co-founder of the Endeavor Foundation, an international organization committed to evolving pediatric dental standards to address root causes of preventable ailments, especially those related to breathing, sleep, nutrition, and inflammation.Key Topics & Discussion HighlightsDr. Ballinger’s Journey: How her personal experiences as a mother and clinician led her to question traditional approaches and embrace airway-focused pediatric dentistry.Transitioning to Airway-Focused Care: The challenges and rewards of shifting from a conventional dental model to one that prioritizes airway health, including the need for team training, patient education, and practice workflow changes.Collaborative Care: The importance of building networks with ENTs, allergists, myofunctional therapists, and other healthcare providers to deliver comprehensive care for pediatric patients.Communicating with Parents and Patients: Strategies for discussing airway issues and treatment recommendations with families, including the need for sensitivity, education, and involving children in their own care.Behavior Management in Pediatric Dentistry: Insights into the unique skills pediatric dentists bring to managing young patients, and how these can benefit interdisciplinary teams.Access to Care & Systemic Challenges: The difficulties families face in finding airway-focused providers, especially in rural areas, and the broader implications for public health.Impact of Airway Health on Child Development: Discussion of the neurological and behavioral consequences of sleep-disordered breathing, the overlap with ADHD symptoms, and the critical window for early intervention.The Role of Dentists in Whole-Patient Wellness: Why dentists are uniquely positioned to identify and address airway issues, and the need for the profession to embrace a more holistic, medical approach.Notable Quotes“This is our window, our opportunity to treat the whole patient, not just straighten teeth.”“When you fully embrace airway-focused care, you have to change everything in your practice.”“Some of the best connections I have are with parents who are just grateful someone is listening and acknowledging their concerns.”Resources & LinksLearn more about DOC CE Courses: https://theorthocoach.com/ce-courses/ Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)Connect with the ShowEmail: [email protected] a Review: If you enjoyed this episode, please rate and review The DOC Podcast on Apple Podcasts or Spotify.Thank you for listening! Share this episode with colleagues or parents who may benefit from a deeper understanding of pediatric airway health and collaborative dental care.

In this episode, I welcome Mark Miller, a financial powerhouse with nearly 40 years of experience advising business owners, doctors, executives, and high-net-worth individuals on how to legally minimize taxes, grow wealth, and build lasting legacies. Mark is the co-founder of Hilton Tax and Wealth Advisors alongside Bradley J. Hilton (grandson of Conrad Hilton) and author of "Hilton Wealth: How to Invest Like an American Dynasty."Key Topics Discussed:Retail vs. Smart Money Investing:Mark explains the pitfalls of traditional retail investing—such as hidden fees, higher volatility, and risk exposure—and contrasts it with the “smart money” approach used by the ultra-wealthy and family offices. He details how institutional strategies focus on safety, security, and long-term wealth preservation.The Family Office Model:Learn how the family office concept, pioneered by the Rockefellers, brings together a team of experts (tax, investment, insurance, estate planning) to holistically manage and grow family wealth. Mark shares how Hilton Tax and Wealth Advisors are making these advanced strategies accessible to more people, not just the ultra-rich.Tax Efficiency and Qualified Plans:The conversation dives deep into the tax time bomb lurking in traditional qualified plans (401(k)s, IRAs), and why the wealthy prioritize tax-free withdrawals and efficient estate planning. Mark discusses Roth conversions, proprietary tax strategies, and the importance of planning for your largest lifetime expense—taxes.Portfolio Diversification and Alternative Investments:Mark outlines the “bucket” approach to portfolio construction, balancing safe and secure investments, income-generating assets, institutional-grade managed money, and alternatives like private equity and real estate. He emphasizes the need for true diversification beyond the outdated 60/40 model.Actionable Tips for Professionals:Mark’s top advice for listeners:Prioritize safety and security in your investments.Minimize fees to maximize long-term returns.Reduce portfolio volatility for better wealth growth.Have a proactive plan to lower your tax burden.Resources & Contact:Book:"Hilton Wealth: How to Invest Like an American Dynasty" – Complimentary copies available at hiltonwealth.comContact Mark Miller:Visit hiltonwealth.com to schedule a complimentary 20-minute consultation or request an assessment of your financial situation.Connect with Dr. Mike:[email protected] The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/Disclaimer:The content in this episode is for informational purposes only and does not constitute legal or financial advice. Please consult your own tax and legal professionals for guidance specific to your situation.Enjoyed the episode?Share it with a colleague, leave a review, and subscribe for more expert insights on building a happier, healthier, and more prosperous life!

Episode Summary: In this episode of The DOC Podcast, I sit down with Dr. Liz Walker, a leading orthodontist and passionate advocate for airway health. Dr. Walker shares her unique journey from a background in public relations to becoming a pioneer in integrating airway-focused care into orthodontics. Together, they explore the challenges, breakthroughs, and future of collaborative, whole-body approaches to dental and medical care. Listeners will gain insight into the importance of early airway evaluation, the impact of CBCT imaging, and the obstacles faced by dental professionals in adopting proactive, evidence-based airway care. Dr. Walker also introduces her new initiative, AirwayZ, designed to empower both providers and patients with education and resources for better airway health. Key Topics Discussed:Dr. Walker’s personal and professional journey into airway-focused orthodonticsThe influence of her father and the power of mentorship in embracing new technology (CBCT)The paradigm shift from traditional orthodontics to a holistic, airway-centered approachThe role of CBCT imaging in diagnosis and treatment planningWhat “evidence-based” really means in dental and medical practiceSystemic resistance in academia and professional organizations (AAO, AAPD) to airway-focused careThe importance of interdisciplinary collaboration: building networks with ENTs, pediatricians, sleep physicians, and moreHow to educate medical colleagues and the public about pediatric airway healthOvercoming obstacles: time constraints, burnout, and the business realities of airway-focused practiceThe launch of Airway Z: a platform for education, networking, and patient-provider connection in airway healthStrategies for effective communication with medical colleagues and advocating for patientsThe need for a paradigm shift in orthodontic and dental education and practice Notable Quotes:“Breathing is the most important thing we do. It is the most important bodily function. Breathing through the nose is the only way that our body feels safe doing it. Period.” – Dr. Liz Walker“The etiology is multifactorial. The solution needs to be multifaceted—and multidisciplinary.” – Dr. Mike Deluke“You have to breathe it to believe it.” – Dr. Liz Walker Resources & Links:Airway Z: airwayz.com – Sign up for updates on Dr. Walker’s new platform for airway health education and networking.Contact Dr. Liz Walker: [email protected] | [email protected] Ortho Coach: theorthocoach.com – Access CE courses and private coaching with Dr. Mike Deluce.Join the DOC Community on FG: https://www.facebook.com/share/g/1AWfwf25zU/Orhan Tuncay Article ( AJODO, 1993): https://pubmed.ncbi.nlm.nih.gov/8249937/ Calls to Action:Know a great guest for the show, or want to be featured? Email Dr. Mike at [email protected], rate, and review The DOC Podcast on your favorite platform to help us reach more listeners.About the Show: The DOC Podcast is dedicated to helping dental and medical professionals lead happier, healthier, and more prosperous lives—personally and professionally. Each episode features in-depth conversations with thought leaders, innovators, and practitioners who are shaping the future of healthcare.Thank you for listening! Remember: You have been blessed with the ability to do amazing things.

In this powerful episode, I sit down with Trish and John Hopper, parents of Lauren, to share their family’s transformative journey through airway-focused, proactive orthodontic care. Discover how early intervention not only changed Lauren’s smile but also dramatically improved her sleep, health, and confidence.⏰ TIMESTAMPS:00:00 – Introduction & Listener Appreciation02:30 – The Impact of the Show: Airway and Orthodontics05:00 – Why Early, Holistic Care Matters08:00 – Lauren’s Story: From Crooked Teeth to Airway Discovery12:00 – The Diagnosis: Beyond Teeth – Sleep, Breathing, and Growth18:00 – The Treatment Plan: Braces at Age 6, No Expanders25:00 – The Parent Experience: Fears, Hopes, and Trust32:00 – Lauren’s Transformation: Health, Sleep, and Confidence40:00 – John’s Perspective: Airway Management as a CRNA48:00 – The Results: A New Smile, Better Sleep, and a Happier Child55:00 – Reflections: Why Early Intervention Matters1:00:00 – Advice for Parents and Providers1:05:00 – Closing Thoughts & How to Connect✨ EPISODE HIGHLIGHTS:The importance of shifting from a reactive, tooth-focused approach (“Ortho 2.0”) to a proactive, holistic model (“Ortho 3.0”)How Lauren’s airway issues were discovered during a routine orthodontic visitThe decision to use braces at a young age instead of traditional expandersThe emotional journey for parents: skepticism, education, and reliefThe dramatic improvements in Lauren’s sleep, energy, and self-confidenceInsights from John, a nurse anesthetist, on airway health and long-term outcomesThe broader message: why early, airway-focused orthodontics can change lives🔗 RESOURCES & LINKS:Visit theorthocoach.com for CE courses and coachingTo learn more about Dr. DeLuke's early Phase I braces and wires technique: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99 Join the DOC Community on Facebook for more content and discussion: https://www.facebook.com/share/g/16WN2TbP5Z/Contact Dr. Mike: [email protected]🙌 THANK YOU for listening and supporting The DOC Podcast!If you enjoyed this episode, please like, subscribe, and share with anyone who could benefit from Lauren’s story and the message of proactive, holistic care.orthodontics#airwayhealth #parenting #pediatrics #podcast #healthykids #earlyintervention #holistichealth #TheDOCPodcast

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: [email protected] 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.: [email protected] Dr. Mike: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] 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: [email protected] -Email Dr. Mike:  [email protected] 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: [email protected] & 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 [email protected].

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 ([email protected]) to get a copy of Dr. Boyd’s letter to the Primary Care PhysicianContact:Email Dr. Mike: [email protected] 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: [email protected]. 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: [email protected] 👥 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: [email protected] 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 -  [email protected] 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:  [email protected]; 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: [email protected] Ph I Comprehensive Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode of The DOC Podcast, I’m joined by Dr. Jack Fisher, an esteemed orthodontist with decades of experience in both clinical practice and education. Dr. Fisher shares his journey, from overcoming dyslexia and ADD to becoming a pioneer in the use of temporary skeletal anchorage devices (TSADs) and CBCT imaging for orthodontic diagnosis and treatment.  The discussion dives into various topics, including the future of orthodontic education, the necessity of early intervention, the use of 3D imaging, evidence-based practice, and the importance of addressing the why in orthodontics. Dr. Fisher emphasizes the need for the orthodontic community to adopt new technologies and approaches to truly improve patients' health, rather than just straightening teeth. 00:27 Meet Dr. Jack Fisher: Orthodontic Pioneer02:56 Dr. Fisher's Early Life and Challenges05:14 The Journey to Orthodontics08:23 Innovations in Orthodontics12:34 The Importance of CBCT Imaging16:44 Orthodontic Education and Challenges24:55 The Future of Orthodontics40:28 The Financial Realities of Orthodontic Practice40:45 Critique of Orthodontic Organizations41:43 Orthodontic Residency Programs and Their Shortcomings43:24 The Importance of CBCT in Orthodontics45:28 Aligners and Their Limitations48:08 The Role of Early Intervention in Orthodontics49:32 Challenges in Orthodontic Research and Evidence-Based Practice53:04 The Future of Orthodontics and Patient Care59:38 The Importance of Nasal Breathing in Orthodontics01:12:10 Concluding Thoughts and Call to Action LINKS:Dr. Mike’s Orthotown Articles: -Part I: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34-Part II: https://www.orthotown.com/magazine/article/9575/beyond-osapart-2Sleep Breathe and Thrive: https://www.drshereenlim.com.au/book/Howard Stupak’s Book: https://a.co/d/iPD8SUtContact Dr. Fisher:  [email protected]

In this episode of The DOC Podcast, my guest is Dr. Dave McCarty, a board-certified expert in internal and sleep medicine.  Dr. McCarty discusses his journey from a primary care internist to an innovator in sleep medicine. He sheds light on the complexities of sleep apnea, the importance of nasal breathing, and the shortcomings of the current treatment protocols.  Dr. McCarty introduces his Empowered Sleep Apnea Project and the innovative integrated multidisciplinary ecosystem at Rebis, designed to democratize complexity and improve patient outcomes. The discussion also highlights the need for collaboration between the dental and medical communities to address sleep-related disorders effectively. 00:23 Meet Dr. Dave McCarty02:32 Dr. McCarty's Journey into Sleep Medicine03:03 Discovering Sleep Apnea04:05 Training and Early Career Challenges06:15 Advanced Training and Fellowship08:39 Innovations in Sleep Medicine11:58 Collaborations and Multidisciplinary Approaches17:09 The Empowered Sleep Apnea Project25:02 The Evolution of Sleep Apnea Understanding36.53-The 5 Reasons to Treat Sleep Apnea43:49 Posture and Sleep Apnea44:17 Diagnostic Challenges and Communication Issues44:41 The Efficiency Machine and CPAP45:11 Empowering Patients in Sleep Apnea Treatment48:19 The Importance of Nasal Breathing51:25 The Role of Nasal Breathing in Development54:59 Historical Perspective: Ignaz Semmelweis01:02:03 Orthodontic Practices and Airway Health01:06:33 The Need for Evidence-Based Orthodontics01:11:10 Complexity in Sleep Apnea Treatment01:16:55 Introducing the Rebis Project01:26:44 Conclusion and Final Thoughts LINKS:Rebis: https://www.rebishealth.org/ Contact Dr. McCarty:  https://www.empoweredsleepapnea.com/Beyond OSA: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34; Articles Referenced by Dr. McCarty: email Dr. DeLuke ([email protected]) Phase I CE Courses: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99