This podcast features Dr. David McIntosh, an ENT specialist from Australia, who discusses with Dr. Stacy Ochoa, the importance of airway health, particularly in children. The conversation focuses on the history and evolution of ENT surgery, specifically tonsillectomy and adenoidectomy. Dr. McIntosh emphasizes the need for collaboration between ENTs and dentists and staying updated with the latest research. The podcast aims to empower listeners with actionable insights and foster a supportive community.

The conversation also discusses mouth breathing and its causes, such as physical airway obstruction. The speakers highlight the importance of accurate diagnosis and treatment for children with airway issues. They discuss the correlation between deviated septum and mouth breathing and the need to address the root causes of mouth breathing.

The podcast transcript also touches on viral infections as the root cause of airway problems and the role of diet in inflammation. The speakers discuss the risks and benefits of tonsil surgery and the impact of mouth breathing on heart function. They emphasize the importance of evidence-based practice and continuous reassessment of treatment approaches.

The conversation also covers sleep apnea, sleep studies, and acid reflux in children. The speakers discuss the limitations of sleep questionnaires and the relationship between acid reflux and sleep disorder breathing. They stress the importance of early intervention for sleep apnea to prevent long-term damage to brain development.

Another topic discussed is brain mapping in autistic children and its implications for their development. The speakers highlight the importance of addressing airway issues before orthodontic treatment and the limitations of sleep studies in diagnosing sleep disordered breathing.

The podcast also touches on the flaws in the American healthcare system and the need for improved diagnosis and treatment of sleep-related breathing disorders. It emphasizes the collaboration between medical and dental professionals in addressing these issues.

This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway

Please subscribe, share and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.

Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway Live Courses

00:03 - The ENT's role in sleep apnea
11:19 - Misinformation in the dental field
21:33 - Putting the patient first
40:58 - Mouth breathing and heart damage
48:29 - Misdiagnosis of sleep apnea
01:00:15 - Reflux misunderstandings and medication
01:08:36 - Normal sleep study, abnormal breathing


What is the historical context of ENT surgery?
ENT surgery gained prominence in the 1920s and 1930s due to the development of safer and easier anesthetic agents. It was thought that tonsils were the cause of many illnesses and infections.
What led to potential research studies in the dental community?
Anecdotal patterns observed in dental practices led to potential research studies.
What are the main causes of mouth breathing according to the speaker?
The main causes of mouth breathing are adenoid enlargement and nasal allergies.
What is causing the body's reaction to viral load and why does it get stuck?
The body's reaction to viral load is a natural response, but sometimes the viral particles can get trapped and take up residency, causing a prolonged immune response.
What are the risks of surgery for tonsil removal and how common is post-procedural hemorrhage?
The risk of post-procedural hemorrhage after tonsil surgery is about 1% in children, but most cases can be managed conservatively without further surgery.


Links for Dr McIntosh's Books:

https://www.amazon.com/dp/B08NV9FTKD/
https://a.co/c6Lm8Sp
https://a.co/d/58bWPNA

This is part 2 of a two-part discussion between Drs. Stacy Ochoa and Mike DeLuke.

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.

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.

Link to the DOC Website: www.TheOrthoCoach.com

Link to the DOC Podcast YouTube Page: https://www.youtube.com/@delukeorthodonticcoaching

The DOC Podcast with the parents of a 6 yo girl on whom Dr. Mike detected an airway issue: https://www.youtube.com/watch?v=wJFP_9NFnv0&t=627s&ab_channel=DeLukeOrthodonticCoaching

Link to The DOC Community Facebook Page: https://www.facebook.com/groups/1350463785569755

Link to Part 1 of Dr. Mike’s article on Interceptive Treatment in OrthoTown: https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54
This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway

Please subscribe and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.

Because Kids Can't Wait...

• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway Live Courses

Drs Ochoa and DeLuke discuss various topics related to orthodontic treatment for children, including the importance of sleep and airway health, intercept orthodontic treatment, the use of braces and wires, expanders, and Invisalign.
The conversations emphasize the need for a thorough diagnosis and treatment planning process, as well as the importance of collaboration between dentists, orthodontists, and medical colleagues to provide comprehensive care for patients. They highlight the impact of sleep disorders on children's overall health and well-being, including neurocognitive issues and hyperactivity.
Dr. DeLuke shares his innovative approach to orthodontic treatment using braces and wires in young patients, focusing on developing wide arches and the role of the tongue in shaping the palate. The speakers also discuss the use of expanders and Invisalign in young children, acknowledging the potential benefits but also the challenges and limitations.
The conversations stress the importance of early intervention and interceptive orthodontic treatment in young children, and the need for a shift in orthodontic practices to prioritize children's needs and improve patient outcomes. They mention the ASAP Pathway as a resource for professionals interested in interceptive orthodontics and pediatric dental sleep medicine.

The speakers aim to create a unified front and gather evidence to support their approach and fight for what is best for children.

What topics are discussed in part two of the podcast?

Part two of the podcast discusses treatment options for pediatric patients with sleep-related breathing disorders, including maxillary and mandibular expansion.

1. Why is it important to treat these kids at a young age?

Treating these kids at a young age can have a transformative impact on their lives, improving their airway and addressing symptoms of sleep-related breathing disorders.


2. What is unique about Dr. Mike Deluc's approach to arch development?
Dr. Mike Deluc uses a different approach to arch development, focusing on expanding the arches rather than extracting teeth. He also explores the use of rapid expanders for younger patients.

3 What did Dr DeLuke notice when he started using braces and wires on pre-adolescent patients?

He noticed that the patients' arches were developing beautifully and there was more room for the canines and incisors.


4. What is the tongue referred to as in the podcast?

The tongue is referred to as nature's expander.



CHAPTERS:
00:03 - Importance of pediatric sleep disorders
07:08 - Collaborative care for patients
14:55 - Role of tongue in palate development
23:33 - Orthopedic changes with expanders
31:20 - Debate on rapid vs slow expansion
42:16 - Implementing changes in orthodontic practice
48:05 - Collaboration between dentists and orthodontists
53:12 - Optimism for the future of pediatric orthodontics

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

• This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway
• Please subscribe and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.
• Because Kids Can't Wait...
• CLICK HERE To Find an ASAP Pathway Provider
• CLICK HERE To Become an ASAP Pathway Provider
• CLICK HERE FOR ASAP Pathway Live Courses

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 braces and wires instead of traditional methods to expand and develop the arches.

Join Dr. Stacy Ochoa as she has a much-needed discussion with Dr. Angie Tenholder, one of the world's leading teachers on the topic of ALF therapy, Babylase, and Oralase. Dr. Angie Tenholder has learned ALF Therapy and the impact of neural connections through the power of laser and ALF therapy, under Dr. Darick Nordstrom.

To learn more about ALF Therapy visit:

https://thefaceplace.us/

As Dentists...we often look at breathing and sleep problems as a problem with a mechanical-only solution (CPAP or Mandibular Advancement Devices). What controls the anatomy? The Neurology!

Dr. Stacy Ochoa and Dr. Angie Tenholder discuss the importance of sleep and airway health for children in a podcast. They highlight the confusion and controversy surrounding the topic and the need for more conversations. The traditional approach to managing obstructive sleep apnea (OSA) is mechanical and does not address the root of the problem.
They introduce the concept of ALF therapy, which is 80% functional and 20% structural, and uses the tongue to make room for the teeth. The podcast also discusses the connection between OSA and the trigeminal cardiac reflex, the importance of gut health for sleep, and the role of the cranial vault and fascia in controlling muscles.
The ALF community is highlighted as a platform where more discussion needs to happen, and new appliance designs are being utilized to provide consistency in the product. The speakers stress the importance of treating children early to reset neural pathways and minimize the impact on the adult population.

In this episode:

• What is the importance of the neurology?
• Should all "tethered tissues" be "fixed"?
• Is ALF Therapy just "another expander"?
• How are Babylase and Oralase different from traditional techniques that "release" tethered tissues?
• How can we all work together to help more kiddos?
• What does the Trigeminal Nerve have to do with sleep apnea?

• This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway
• Please subscribe and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.
• Because Kids Can't Wait...
• Find an ASAP Pathway Provider
• Become an ASAP Pathway Provider

Dr. Stacy Ochoa and Dr. Jill Ombrello discuss the importance of pediatric airway health and sleep. Dr. Ombrello is a fourth-generation dentist and author of "Moms in the Trenches," a book that aims to empower parents with actionable insights and a supportive community to make informed decisions about their children's health. The speakers emphasize the need to break down the complexities of pediatric airway health and sleep in a way that makes sense to parents and provide additional information that may change the way they look at the same problem. The podcast highlights the importance of pediatric airway health and sleep, which is gaining momentum in the medical field. The book provides practical advice for parents on how to improve their children's airway health, and the doctors hope that it will help parents make informed decisions about their children's health.


Join Dr. Stacy Ochoa and her guest Dr. Jill Ombrello, as they discuss the launch of Dr. Ombrello's new book, Moms In The Trenches (Available on Amazon).

Dr Ombrello's Book and Recommended Products

Dr. Ombrello is not only a holistic Dentist with a comprehensive patient care approach...she is a mother! She wrote Moms In The Trenches with the goal of empowering parents in the health trajectory of their children. "Children are sick and are only getting sicker. Begin to understand why and what to do. It's time to get down in the trenches and fight alongside them."

This book shows you how to:

• Understand the path to sustainable health so you enjoy lasting wellness.
• Learn your healthcare options so you can make the best-informed choices.
• Advocate for your kids' health so you lead your family into a better future.

Grab your copy of Moms In The Trenches today!
https://a.co/d/2mqggL5

• This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time. VISIT: ASAP Pathway
• Please subscribe and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.
• Because Kids Can't Wait...
• Find an ASAP Pathway Provider
• Become an ASAP Pathway Provider

Join Dr. Stacy Ochoa, with ASAP Pathway, as she embarks on a transformative journey with her inaugural guest, Jason (aka her brother). In this debut episode, they discuss their story of how suboptimal airway and sleep health have affected their lives and families.

In a masterful blend of lightheartedness and profound insights, they kickstart the conversation with a playful twist on a topic that holds immense significance. Jason, a firsthand witness to the profound impact of airway health, shares his personal story of how poor sleep and breathing have affected his life and how it really started...in childhood.

Their story....might be your family's story.

• Mouthbreathing in childhood or EVER is not healthy
• Habitual snoring in childhood or EVER is not healthy
• Early orthodontic intervention has a role in your health
• This is the ASAP Pathway Podcast, Airway, Sleep, and Pediatric Pathway, where sleep and airway health take center stage, one breath at a time.
• Please subscribe and tune in to future episodes of how we can help children live their best lives, one breath, and restful night's sleep at a time. Don't miss this exciting launch into a world of knowledge and transformation.
• Because Kids Can't Wait...
• Find an ASAP Pathway Provider
• Become an ASAP Pathway Provider