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January 2, 2025 โ€ข 72 mins

โš ๏ธ ๐ƒ๐ˆ๐’๐‚๐‹๐€๐ˆ๐Œ๐„๐‘: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.ย 

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Welcome to ๐€๐ข๐ซ๐ฐ๐š๐ฒ ๐‚๐จ๐ง๐ฏ๐ž๐ซ๐ฌ๐š๐ญ๐ข๐จ๐ง๐ฌ!ย  In this episode, Dr. Mike Duke, Board Certified Orthodontist, and Nicole Goldfarb, Speech Language Pathologist and Certified Orofacial Myologist, ๐๐ข๐ฏ๐ž ๐๐ž๐ž๐ฉ ๐ข๐ง๐ญ๐จ ๐ญ๐ก๐ž ๐ฐ๐จ๐ซ๐ฅ๐ ๐จ๐Ÿ ๐š๐ข๐ซ๐ฐ๐š๐ฒ-๐œ๐ž๐ง๐ญ๐ž๐ซ๐ž๐ ๐จ๐ซ๐ญ๐ก๐จ๐๐จ๐ง๐ญ๐ข๐œ๐ฌ ๐Ÿซ๐Ÿฆท.ย 

โœ… They discuss how ๐ฃ๐š๐ฐ ๐š๐ง๐ ๐ญ๐ž๐ž๐ญ๐ก ๐š๐ฅ๐ข๐ ๐ง๐ฆ๐ž๐ง๐ญ ๐ข๐ฆ๐ฉ๐š๐œ๐ญ๐ฌ ๐›๐ซ๐ž๐š๐ญ๐ก๐ข๐ง๐ , ๐ฌ๐ฅ๐ž๐ž๐ฉ, ๐š๐ง๐ ๐จ๐ฏ๐ž๐ซ๐š๐ฅ๐ฅ ๐ก๐ž๐š๐ฅ๐ญ๐ก.

โœ… Dr. DeLuke ๐œ๐จ๐ง๐ญ๐ซ๐š๐ฌ๐ญ๐ฌ ๐ญ๐ซ๐š๐๐ข๐ญ๐ข๐จ๐ง๐š๐ฅ ๐จ๐ซ๐ญ๐ก๐จ๐๐จ๐ง๐ญ๐ข๐ฌ๐ญ๐ฌ, ๐Ÿ๐จ๐œ๐ฎ๐ฌ๐ž๐ ๐จ๐ง ๐ญ๐ž๐ž๐ญ๐ก, ๐ฐ๐ข๐ญ๐ก ๐š๐ข๐ซ๐ฐ๐š๐ฒ-๐Ÿ๐จ๐œ๐ฎ๐ฌ๐ž๐ ๐จ๐ซ๐ญ๐ก๐จ๐๐จ๐ง๐ญ๐ข๐ฌ๐ญ๐ฌ, ๐ฐ๐ก๐จ ๐œ๐จ๐ง๐ฌ๐ข๐๐ž๐ซ ๐ฅ๐จ๐ง๐ -๐ญ๐ž๐ซ๐ฆ ๐ก๐ž๐š๐ฅ๐ญ๐ก ๐š๐ง๐ ๐ญ๐ซ๐ž๐š๐ญ ๐ฒ๐จ๐ฎ๐ง๐ ๐ž๐ซ ๐ค๐ข๐๐ฌ ๐Ÿ‘ง๐Ÿ‘ฆ. He reviews the ๐€๐ƒ๐€'๐ฌ ๐š๐ง๐ ๐€๐€๐Ž'๐ฌ ๐๐ข๐Ÿ๐Ÿ๐ž๐ซ๐ข๐ง๐  ๐ฌ๐ญ๐š๐ง๐œ๐ž๐ฌ ๐จ๐ง ๐š๐ข๐ซ๐ฐ๐š๐ฒ ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ, with the ADA advocating for a broad approach and the AAO more focused on OSA.

โœ… Dr. DeLuke and Nicole explore the ๐ฌ๐ฉ๐ž๐œ๐ญ๐ซ๐ฎ๐ฆ ๐จ๐Ÿ ๐ฌ๐ฅ๐ž๐ž๐ฉ-๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ๐ž๐ ๐›๐ซ๐ž๐š๐ญ๐ก๐ข๐ง๐ , from mouth breathing to OSA, noting that ๐ฅ๐จ๐ฐ๐ž๐ซ-๐ฅ๐ž๐ฏ๐ž๐ฅ ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ ๐œ๐š๐ง ๐ก๐š๐ฏ๐ž ๐ฌ๐ž๐ซ๐ข๐จ๐ฎ๐ฌ ๐ก๐ž๐š๐ฅ๐ญ๐ก ๐ข๐ฆ๐ฉ๐š๐œ๐ญ๐ฌ ๐Ÿ˜ซ. The apnea-hypopnea index (AHI) isn't the only important measure, may not always have clinical significance, and should not be the only measure relied on!

โœ… They discuss how ๐ฌ๐ฅ๐ž๐ž๐ฉ ๐ฌ๐ญ๐ฎ๐๐ข๐ž๐ฌ ๐š๐ซ๐ž๐ง'๐ญ ๐š๐ฅ๐ฐ๐š๐ฒ๐ฌ ๐š๐œ๐œ๐ฎ๐ซ๐š๐ญ๐ž, ๐ž๐ฌ๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ฅ๐ฒ ๐Ÿ๐จ๐ซ ๐ค๐ข๐๐ฌ ๐Ÿ˜ด, and the importance of recognizing both ๐ง๐ข๐ ๐ก๐ญ๐ญ๐ข๐ฆ๐ž ๐š๐ง๐ ๐๐š๐ฒ๐ญ๐ข๐ฆ๐ž ๐ฌ๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ ๐จ๐Ÿ ๐ฌ๐ฅ๐ž๐ž๐ฉ ๐ข๐ฌ๐ฌ๐ฎ๐ž๐ฌ, as well as ๐จ๐ซ๐š๐ฅ ๐š๐ง๐ ๐Ÿ๐š๐œ๐ข๐š๐ฅ ๐ฌ๐ข๐ ๐ง๐ฌ ๐ฅ๐ข๐ค๐ž ๐จ๐ฉ๐ž๐ง-๐ฆ๐จ๐ฎ๐ญ๐ก ๐›๐ซ๐ž๐š๐ญ๐ก๐ข๐ง๐ , ๐๐š๐ซ๐ค ๐œ๐ข๐ซ๐œ๐ฅ๐ž๐ฌ ๐ฎ๐ง๐๐ž๐ซ ๐ญ๐ก๐ž ๐ž๐ฒ๐ž๐ฌ ๐Ÿ‘€, ๐š๐ง๐ ๐ฆ๐ฎ๐œ๐ก ๐ฆ๐จ๐ซ๐ž.

โœ… Dr. DeLuke and Nicole emphasize that ๐ฌ๐ฅ๐ž๐ž๐ฉ-๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ๐ž๐ ๐›๐ซ๐ž๐š๐ญ๐ก๐ข๐ง๐  ๐ข๐ฌ ๐ฆ๐ฎ๐ฅ๐ญ๐ข-๐Ÿ๐š๐œ๐ญ๐จ๐ซ๐ข๐š๐ฅ ๐Ÿงฉ and monotherapies aren't enough!

โœ… They stress the need to ๐ฅ๐จ๐จ๐ค ๐š๐ญ ๐ญ๐ก๐ž ๐Ÿ๐š๐œ๐ž ๐Ÿ๐ข๐ซ๐ฌ๐ญ ๐›๐ž๐Ÿ๐จ๐ซ๐ž ๐ญ๐ก๐ž ๐ฆ๐จ๐ฎ๐ญ๐ก.

โœ… They note that ๐ฌ๐จ๐ฆ๐ž ๐จ๐ซ๐ญ๐ก๐จ๐๐จ๐ง๐ญ๐ข๐ฌ๐ญ๐ฌ ๐ก๐š๐ฏ๐ž ๐ฌ๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ข๐ณ๐ž๐ ๐ญ๐ซ๐š๐ข๐ง๐ข๐ง๐  ๐ŸŽ“, but there are ๐ฆ๐š๐ง๐ฒ ๐ ๐ž๐ง๐ž๐ซ๐š๐ฅ ๐๐ž๐ง๐ญ๐ข๐ฌ๐ญ๐ฌ ๐ฐ๐ก๐จ ๐š๐ซ๐ž ๐ ๐š๐ข๐ง๐ข๐ง๐  ๐š๐ข๐ซ๐ฐ๐š๐ฒ ๐ค๐ง๐จ๐ฐ๐ฅ๐ž๐๐ ๐ž ๐š๐ง๐ ๐ฎ๐ญ๐ข๐ฅ๐ข๐ณ๐ข๐ง๐  ๐š๐ข๐ซ๐ฐ๐š๐ฒ ๐จ๐ซ๐ญ๐ก๐จ๐๐จ๐ง๐ญ๐ข๐œ ๐ญ๐ž๐œ๐ก๐ง๐ข๐ช๐ฎ๐ž๐ฌ.

โœ… ๐๐š๐ซ๐ž๐ง๐ญ๐ฌ, ๐ญ๐ซ๐ฎ๐ฌ๐ญ ๐ฒ๐จ๐ฎ๐ซ ๐ข๐ง๐ฌ๐ญ๐ข๐ง๐œ๐ญ๐ฌ!๐Ÿ’– Seek providers who understand the airway-orthodontic connection and don't settle for providers who aren't asking about sleep ๐Ÿ˜ด and breathing ๐Ÿ‘ƒ.

๐’๐จ๐ฆ๐ž ๐๐ฎ๐ž๐ฌ๐ญ๐ข๐จ๐ง๐ฌ ๐€๐ฌ๐ค๐ž๐ ๐š๐ง๐ ๐€๐ง๐ฌ๐ฐ๐ž๐ซ๐ž๐:
โ— ๐‘Šโ„Ž๐‘Ž๐‘ก'๐‘  ๐‘กโ„Ž๐‘’ ๐‘‘๐‘–๐‘“๐‘“๐‘’๐‘Ÿ๐‘’๐‘›๐‘๐‘’ ๐‘๐‘’๐‘ก๐‘ค๐‘’๐‘’๐‘› ๐‘ก๐‘Ÿ๐‘Ž๐‘‘๐‘–๐‘ก๐‘–๐‘œ๐‘›๐‘Ž๐‘™ ๐‘Ž๐‘›๐‘‘ ๐‘Ž๐‘–๐‘Ÿ๐‘ค๐‘Ž๐‘ฆ-๐‘“๐‘œ๐‘๐‘ข๐‘ ๐‘’๐‘‘ ๐‘œ๐‘Ÿ๐‘กโ„Ž๐‘œ๐‘‘๐‘œ๐‘›๐‘ก๐‘–๐‘ ๐‘ก๐‘ ?
โ— ๐‘Šโ„Ž๐‘Ž๐‘ก ๐‘Ž๐‘Ÿ๐‘’ ๐‘กโ„Ž๐‘’ ๐ด๐ท๐ด ๐‘Ž๐‘›๐‘‘ ๐ด๐ด๐‘‚'๐‘  ๐‘ ๐‘ก๐‘Ž๐‘›๐‘๐‘’๐‘  ๐‘œ๐‘› ๐‘ ๐‘™๐‘’๐‘’๐‘-๐‘‘๐‘–๐‘ ๐‘œ๐‘Ÿ๐‘‘๐‘’๐‘Ÿ๐‘’๐‘‘ ๐‘๐‘Ÿ๐‘’๐‘Ž๐‘กโ„Ž๐‘–๐‘›๐‘”?
โ— ๐‘Šโ„Ž๐‘Ž๐‘ก ๐‘–๐‘  ๐‘กโ„Ž๐‘’ ๐‘“๐‘ข๐‘™๐‘™ ๐‘ ๐‘๐‘’๐‘๐‘ก๐‘Ÿ๐‘ข๐‘š ๐‘œ๐‘“ ๐‘ ๐‘™๐‘’๐‘’๐‘-๐‘‘๐‘–๐‘ ๐‘œ๐‘Ÿ๐‘‘๐‘’๐‘Ÿ๐‘’๐‘‘ ๐‘๐‘Ÿ๐‘’๐‘Ž๐‘กโ„Ž๐‘–๐‘›๐‘”?
โ— ๐‘Šโ„Ž๐‘Ž๐‘ก ๐‘Ž๐‘Ÿ๐‘’ ๐‘กโ„Ž๐‘’ ๐‘ ๐‘ฆ๐‘š๐‘๐‘ก๐‘œ๐‘š๐‘  ๐‘œ๐‘“ ๐‘ ๐‘™๐‘’๐‘’๐‘-๐‘‘๐‘–๐‘ ๐‘œ๐‘Ÿ๐‘‘๐‘’๐‘Ÿ๐‘’๐‘‘ ๐‘๐‘Ÿ๐‘’๐‘Ž๐‘กโ„Ž๐‘–๐‘›๐‘”?
โ— ๐‘Šโ„Ž๐‘Ž๐‘ก ๐‘Ž๐‘Ÿ๐‘’ ๐‘กโ„Ž๐‘’ ๐‘œ๐‘Ÿ๐‘Ž๐‘™ ๐‘Ž๐‘›๐‘‘ ๐‘‘๐‘’๐‘›๐‘ก๐‘Ž๐‘™ ๐‘ ๐‘–๐‘”๐‘›๐‘  ๐‘™๐‘–๐‘›๐‘˜๐‘’๐‘‘ ๐‘ก๐‘œ ๐‘Ž๐‘–๐‘Ÿ๐‘ค๐‘Ž๐‘ฆ ๐‘–๐‘ ๐‘ ๐‘ข๐‘’๐‘ ?
โ— ๐ป๐‘œ๐‘ค ๐‘Ž๐‘Ÿ๐‘’ ๐‘œ๐‘Ÿ๐‘กโ„Ž๐‘œ๐‘‘๐‘œ๐‘›๐‘ก๐‘–๐‘ ๐‘ก๐‘  ๐‘Ž๐‘›๐‘‘ ๐‘‘๐‘’๐‘›๐‘ก๐‘–๐‘ ๐‘ก๐‘  ๐‘ก๐‘Ÿ๐‘Ž๐‘–๐‘›๐‘’๐‘‘ ๐‘‘๐‘–๐‘“๐‘“๐‘’๐‘Ÿ๐‘’๐‘›๐‘ก๐‘™๐‘ฆ?
โ— ๐‘Šโ„Ž๐‘Ž๐‘ก ๐‘ โ„Ž๐‘œ๐‘ข๐‘™๐‘‘ ๐‘๐‘Ž๐‘Ÿ๐‘’๐‘›๐‘ก๐‘  ๐‘‘๐‘œ ๐‘–๐‘“ ๐‘กโ„Ž๐‘’๐‘–๐‘Ÿ ๐‘๐‘Ÿ๐‘œ๐‘ฃ๐‘–๐‘‘๐‘’๐‘Ÿ ๐‘–๐‘”๐‘›๐‘œ๐‘Ÿ๐‘’๐‘  ๐‘Ž๐‘–๐‘Ÿ๐‘ค๐‘Ž๐‘ฆ ๐‘๐‘œ๐‘›๐‘๐‘’๐‘Ÿ๐‘›๐‘ ?
โ— ๐˜ผ๐‘ต๐˜ฟ ๐™ˆ๐‘ถ๐™๐‘ฌ!

๐€๐๐Ž๐”๐“ ๐ƒ๐‘. ๐ƒ๐„๐‹๐”๐Š๐„:
Dr. Michael K. DeLuke obtained his DDS from SUNY Stony Brook, where he graduated as class valedictorian. He obtained his Certificate of Proficiency in Orthodontics and Master of Dental Science (MDS) degree from the University of Connecticut. Dr. DeLuke is a Diplomate of the American Board of Orthodontics, served as the orthodontist on the prestigious Cleft Craniofacial Team at Albany Medical Center, served as a clinical professor at both Ellis Hospital and the University of Connecticut Health Center Department of Orthodontics, and is currently an adjunct professor at the NSU College of Dental Medicine in the Department of Orthodontics. Dr. DeLuke owned and operated DeLuke Orthodontics in

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