In this episode, Dr. Mike interviews the amazing Dr. Rebecca Bockow – a duly trained orthodontist and periodontist, to 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