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October 16, 2023 • 78 mins
This will be a 2 part episode between Dr Stacy Ochoa and Dr Mike DeLuke (of The Doc Podcast). In this episode, they dive into the importance of early orthodontic/pedic intervention in children to help with sleep and breathing.

Dr. DeLuke is an orthodontist who left private practice to teach/educate full-time on this important topic through his courses at The Ortho Coach.

DeLuke Orthodontic Coaching (DOC) website: www.TheOrthoCoach.com

DOC YouTube Channel: https://www.youtube.com/@delukeorthodonticcoaching

Private One-On-One Coaching with Dr. DeLuke: https://michael-deluke.mykajabi.com/offers/KBUuSTLa/checkout




In this podcast, Dr. Stacy Ochoa and Dr. Mike DeLuke discuss the importance of early intervention in orthodontic and dental treatment for children with sleep and airway issues. They emphasize the need for thorough diagnosis and treatment planning, dispelling the misconception that intercepted treatment is solely about expanding arches to cure sleep apnea. The speakers discuss specific treatment options, including maxillary expansion and the use of braces and wires.

They address the resistance some orthodontists have towards early intervention and stress the importance of addressing sleep and airway issues in children early on to prevent irreversible neurocognitive deficits and behavioral issues.

The speakers argue that orthodontists and dentists are in a unique position to identify and address these issues, as they see children more frequently than pediatricians and can observe craniofacial changes. They highlight the need for proactive care and a paradigm shift towards prevention and early intervention in orthodontics and dentistry. They also discuss the limitations of current diagnostic criteria for sleep apnea in children and advocate for a more comprehensive and patient-centered approach.

The podcast emphasizes the importance of collaboration between orthodontists, physicians, and other healthcare professionals in addressing airway issues in children. It highlights the need for unity within the dental community and collaboration with physicians to provide the best care for patients. The speakers also discuss the benefits of using advanced imaging techniques, such as 3D imaging, in orthodontic treatment for children and encourage healthcare professionals to embrace new technologies for better patient outcomes.

In this episode, they discuss:
  • The literature that supports AND refutes early intervention.
  • Why more Dentists and Orthodontists are not doing this and NEED to be.
  • The importance of collaboration with our medical colleagues.
  • The importance of having conversations in our community on this topic.
  • What are the obstacles to providing this level of care and what can be done to overcome them?
  • What are the life-changing effects of early orthodontic intervention?
  • Changes that can be made in our profession to make this a standard of care.
CHAPTERS:
00:03 - Diagnosing sleep apnea in kids
29:00 - Challenges in treating young children
41:55 - Factors affecting children's airway health
51:09 - Orthodontists as primary airway care
01:03:13 - Shifting focus from teeth to airway

Part two of the podcast will provide more detailed and specific treatment options and suggestions for pediatric patients who suffer from sleep disorder breathing, including a comparison of slow maxillary expansion to rapid maxillary expansion, expansion on the mandibular arch, and the possibility of using brace
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Transcript

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