In this episode of The DOC Podcast, I have the pleasure of hosting Brittny Murphy, a registered dental hygienist and certified orofacial myologist. Brittny shares her journey into the field of orofacial myology and her experiences as an educator and mentor. 

The discussion covers a comprehensive overview of orofacial myofunctional therapy, its benefits, diagnostic and treatment protocols, and the importance of collaborative care. Brittny also provides insights into the implications of oral habits, the role of non-nutritive sucking, the use of guidance appliances and myo munchies, and offers practical advice for parents and practitioners in managing orofacial myofunctional disorders. 

This episode is packed with valuable information for healthcare professionals and parents dealing with airway and myofunctional concerns.

00:26 Meet Brittny Murphy: Dental Hygienist and Myofunctional Therapist

01:17 What is Orofacial Myofunctional Therapy?

03:18 Brittny's Journey into Myofunctional Therapy

07:00 Understanding the Role of Myofunctional Therapy

11:30 Challenges and Misconceptions in Myofunctional Therapy

18:11 The Importance of Early Intervention and Team Approach

42:16 Collaborative Approach in Dental and Structural Care

42:42 Recognizing the Need for ENT Referrals

43:08 Challenges in Airway Obstruction and Surgical Decisions

44:13 The Role of Pediatric Allergists

59:07 Importance of Nasal Hygiene

01:07:34 Addressing Non-Nutritive Sucking Habits

01:16:51 Myofunctional Guidance Appliances

01:20:40 Conclusion and Resources

LINKS:

-I Spy With My Myo Eye (Episode w/Dr. DeLuke):  https://podcasts.apple.com/us/podcast/episode-101-unlocking-the-connection-between-airway/id1500946532?i=1000686246760 

-AHS: https://www.airwayhealthsolutions.com/ 

-IAOFM: https://iaom.com/

-AOMT: https://aomtinfo.org/

-Brittny's Website: https://themyohygienist.com/

-IG: @ ct_orofacial_myology

PLEASE NOTE:  We had an issue with the video file so it's a bit choppy.  The audio file was not impacted.

In this episode of The DOC Podcast, I have the pleasure of interviewing Dr. Svitlana Koval, an orthodontist from Boca Raton, Florida, whose practice focuses on detecting and treating patients with sleep-disordered breathing. 

The discussion covers Dr. Koval’s groundbreaking work in airway-focused orthodontics and the treatment of temporomandibular disorders, the various factors impacting jaw development in children, the need for better education in orthodontic training programs regarding airway health, the importance of early intervention and why Dr. Koval treats patients as young as 3 years old, and the benefits of collaborating with medical professionals.

Tune in to learn how an airway-focused approach to orthodontic treatment can have a life-changing impact on the overall health and well-being of your patients!

00:00 Introduction and Welcome

00:54 Guest Introduction: Dr. Svetlana Koval

02:31 Dr. Koval's Journey and Early Career

05:37 The Importance of Airway Health in Orthodontics

08:43 Misconceptions in Orthodontics as it Relates to Airway

12:08 Environmental and Genetic Factors in Malocclusion

14:43 The Role of CBCT in Airway Analysis

15:04 The Role of Orthodontists in Airway Health

26:37 Advice for Young Orthodontists

28:59 Parental Concerns and ADHD Misdiagnosis

29:39 The Importance of Airway Orthodontics

30:47 Challenges in Implementing New Techniques

31:36 Understanding Expansion Techniques

32:46 Evaluating Airway and Breathing

34:26 Diagnostic Processes and Tools

38:42 Addressing Relapse and Treatment Efficiency

41:50 Early Intervention and Patient Management

49:19 Collaborating with Medical Providers

52:50 Conclusion and Contact Information

LINKS:

-Dr. Koval Orthodontics: https://www.drssk.com/

-Instagram: @drsvitlanakoval 

In this episode, I bring you a deep dive into sleep and airway disorders with two leading experts in the field, Dr. Jerry Simmons, a neurologist with a passion for sleep medicine, and Dr. Steve Carstensen, a renowned dentist who focuses on airway management in his patients.  

Join us as we explore their sleep and airway medicine journeys, discuss the complexities and spectrum of sleep-related breathing disorders, and highlight the importance of dental and medical collaboration. We delve into the epidemiology of sleep disorders, the shortcomings in medical and dental education regarding airway & sleep, the crucial role of early intervention, especially in children, and the C-GASP screening tool designed to simplify the detection of sleep disorders in pediatric patients. 

This episode is a must-watch/listen for healthcare professionals, parents, and anyone interested in understanding the critical intersection of sleep, airway health, and overall well-being.

00:53 Jerry's Journey into Sleep Medicine

07:06 Steve's Path to Dental Sleep Medicine

17:19 Challenges in Sleep Medicine Education

36:25 Understanding Sleep-Related Breathing Disorders

45:40 Critique of the 2019 AAO White Paper

46:29 Understanding Obstructive Sleep Apnea Syndrome

47:15 Snoring and Its Implications

49:32 The Crucial Role of Dentists in Identifying Sleep Disorders

53:12 The importance of Nasal Breathing

59:10 Diagnosing and Treating Pediatric Sleep Disorders

01:04:02 The Need for Better Screening Tools

01:06:33 Call to Action for Dentists and Physicians

01:18:50 Validation of the C-GASP Screener

01:27:06 Final Thoughts and Resources 

LINKS:

-Sleep Education Consortium for Dentists: https://dentalsleepconference.com/

-Sleep Education Consortium for Physicians: https://medicalsleepconference.com/

-C-GASP Screener Registration: https://airwayassessment.azurewebsites.net/register

-Jerry Simmons TED Talk: https://youtu.be/WoJ63AFmFyA?si=G9H7i38LZAzr-xlB
-Dental Sleep Practice Magazine:  https://dentalsleeppractice.com/

-Comprehensive Sleep Medicine Associates: https://www.csmaclinic.com/
-Dr. Simmons' Webinar: https://aapmd.org/event/transformative-advances-in-sleep-medicine-leading-innovations-from-the-womb-to-the-tombjerald-h-simmons-md

In this episode, I have a fascinating and thought-provoking conversation with real estate investor David Valley about financial freedom and personal transformation through real estate and self-development.  

David outlines his journey from modest means to becoming a multimillionaire in commercial real estate.  He shares insights about overcoming challenges, leveraging opportunities, and the importance of mindset in achieving success.  The discussion covers practical steps for investing in real estate, the role of mentorship, balancing work and life, and understanding the tax benefits of real estate investments. 

Whether you're an aspiring investor or a seasoned professional looking to diversify your portfolio, this episode provides valuable advice and motivation to take control of your financial future.

00:34 Early Life and Career Beginnings

01:29 First Steps into Real Estate

02:25 Achieving Financial Freedom

03:31 Mentorship and Personal Growth

05:27 Real Estate Strategies and Success

07:48 Mindset and Financial Freedom

10:16 Balancing Professional and Personal Life

12:46 Overcoming Challenges and Finding Purpose

14:52 Practical Advice for Financial Independence

16:39 The Importance of Self-Reflection

19:18 Starting Small and Building Wealth

28:58 You Are Not Your Job

29:42 The Concept of Flow State

30:35 Finding the Right Mentor

32:41 The Power of Team Investing

34:28 Tax Benefits in Real Estate

39:29 Starting Small in Real Estate

47:40 Good Debt vs. Bad Debt

52:06 Closing Thoughts and Contact Information

LINKS:

-Instagram: @therealdavidvalley
-Email: [email protected]

Don’t miss this episode of The DOC Podcast as we delve into the revolutionary approach of functional pediatric dentistry with Dr. Pia Gandhi.  You’ll learn about Dr. Gandhi's inspiring journey, her pioneering work in early airway intervention, and how she's transforming lives by addressing the root causes of pediatric sleep and breathing disorders. 

You’ll also discover the challenges and rewards of going beyond traditional dental care, and gain insights into the importance of educating both practitioners and parents. This episode is a must-watch for anyone interested in how innovative dental practices can impact overall health and development.

00:55 Pia's Journey into Dentistry

01:39 Transition to Pediatric Dentistry

07:54 Functional Pediatric Dentistry Explained

13:44 Identifying and Addressing Mouth Breathing

22:01 Challenges and Rewards of Functional Dentistry

36:20 Challenges in Changing Practice Models

36:42 Motivations for Change

37:23 Impact of Treatment on Patients and Families

40:44 Screening for Airway Problems

43:09 Collaboration and Specialization in Dentistry

48:23 Facing Criticism and Resistance

54:42 Practical Advice for Practitioners

01:06:48 Educational Resources and Courses

01:10:16 Conclusion and Final Thoughts

LINKS:

-Piya’s website: https://westupediatricdentistry.com/about/ 

-Instagram: @westupediatricdentistry 

-Fairest 6: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.fairest.org/wp-content/uploads/2023/05/FAirEST-6-FINAL_4.14.23-1.pdf   

In this episode of The DOC Podcast, I’m joined by Dr. Andrew Leland, an orthodontist from Reno, Nevada, to discuss the journey from traditional orthodontic techniques to modern, proactive treatments that focus on the etiology of malocclusion. 

Dr. Leland shares insights into his unique career path, the importance of evaluating airway issues in younger patients using CBCT imaging, and his approach to early interceptive orthodontic treatment. We delve into the complexities of balancing life as a parent, spouse, business owner, and orthodontist, while exploring the mindset shifts necessary for growth in both professional and personal spheres. 

Tune in to learn about the benefits of early treatment, handling practice ownership, and making patient-centered decisions to lead a happier, healthier, and more prosperous life.

02:46 Dr. Leland's Journey to Orthodontics

06:19 Starting and Running a Practice

09:11 Advice for Aspiring Orthodontists

13:45 Proactive Orthodontic Approaches

18:55 Expanding Arches and Airway Health

28:03 Communicating with Parents and Team

33:10 Using CBCT in Orthodontics

33:58 Assessing Patient's Initial Diagnosis

34:53 Importance of Patient Interaction

35:28 Analyzing CBCT and Airway Assessment

37:20 Challenges in Airway Treatment

49:29 Balancing Professional and Personal Life

01:00:07 Perfectionism and Professional Growth

01:03:09 Final Thoughts and Contact Information

LINKS:

Contact Dr. Andrew Leland: [email protected]; (206)718-4514 

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

Today’s guest is Dr. Amanda Vanderstelt, a renowned orthodontist from Denver, Colorado. Known for her holistic approach to orthodontics, Amanda delves into the root causes and etiology of orthodontic issues, prioritizing overall facial health over merely straightening teeth. 

In this episode, Amanda shares her fascinating journey to becoming an orthodontist, the importance of understanding the etiology of malocclusion, and her passion for airway-focused orthodontics. Learn about her protocols, the significance of craniofacial growth, and why many orthodontists may overlook airway issues. Amanda also opens up about the challenges of owning her practice and balancing family life.

Join us for a deep dive into holistic orthodontics and gain insights from Amanda’s inspiring career journey!

A special thanks to the sponsor of today’s episode, Allure Ortho!  Visit www.allureortho.com for more information.

00:27 Meet Dr. Amanda Vanderstelt

00:34 Amanda's Holistic Orthodontic Approach

01:28 Topics of Today's Discussion

03:05 Amanda's Journey to Orthodontics

04:03 Challenges and Realizations

05:35 Discovering a Passion for Orthodontics

09:58 Residency and Advanced Training

14:55 The Importance of Airway in Orthodontics

17:48 Personal Airway Issues and Professional Insights

21:20 The Complexity of Holistic Orthodontic Practice

28:41 Educating the Public and Colleagues

37:18 Vision and Philosophy of Practice

48:57 Struggles with Sleep and Memory

49:14 Breathing Issues and Nasal Cavity

49:45 Empathy and Children's Health

51:02 Initial Assessment Protocols

52:06 Detailed Evaluation Process

57:03 Orthodontic Treatment Goals

57:29 Misconceptions in Orthodontics

58:10 Comprehensive Patient Care

01:07:13 Importance of CBCT in Orthodontics

01:17:35 Balancing Professional and Personal Life

01:24:38 Final Thoughts and Reflections

To Contact Dr. Amanda: [email protected]

In this episode, Dr. Mike and Nicole Goldfarb, an orofacial myofunctional therapist, dive deep into pediatric airway health and sleep-disordered breathing.  This is the first episode in a collaborative series called Airway Conversations which has the goal of spreading awareness and educating providers and parents on the topic of pediatric airway health. 

This episode emphasizes the importance of early detection and treatment of pediatric sleep-disordered breathing, challenges the notion that orthodontics and airway issues are not interconnected, and reviews the stance of both the American Dental Association (ADA) and American Association of Orthodontists (AAO) on the topic.  

Dr. DeLuke and Nicole critique existing dental guidelines and highlight the significance of recognizing symptoms such as crowded teeth, a narrow palate, altered facial growth, myofunctional disorders, behavioral issues, and neurocognitive defects in pediatric patients. 

They also discuss the role that dental professionals can and should play in the detection and treatment of pediatric sleep-disordered breathing, and encourage parents to seek out knowledgeable practitioners who have an understanding of the implications of mouth breathing and snoring.  

Future episodes of the Airway Conversations series will cover related topics such as tooth extraction, orthodontic techniques to expand and develop the arches, and how parents can go about finding airway-aware orthodontists.

·        01:33 Introducing the New Series with Nicole Goldfarb

·        02:15 Discussion on Pediatric Airway Health

·        03:48 ADA Position Statement and AAO White Paper

·        06:35 Challenges in Diagnosing Sleep-Disordered Breathing

·        08:07 Orthodontic and Medical Community Perspectives

·        10:47 Myofunctional Disorders and Airway Issues

·        21:26 Environmental Influences on Craniofacial Growth

·        35:34 Efficacy of Adenotonsillectomy in Pediatric Sleep Apnea

·        37:24 Lack of Awareness Among Pediatricians

·        38:35 The Role of Tongue Tie

·        42:07 Orthodontic Signs of Airway Dysfunction

·        42:24 Facial Indicators of Sleep-Disordered Breathing

·        49:00 Parental Concerns and Next Steps

·        55:37 Orthodontic Training and Airway Awareness

·         01:01:01 Future Topics and Closing Remarks

LINKS:

-Part 1 on Airway Answers Podcast: https://youtu.be/Fz5AE3MVdd4?si=WcpyhTiBauNWB49i

-ADA Position Statement: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/the-role-of-dentistry-in-sleep-related-breathing-disorders.pdf

-AAO White Paper: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.dentalheadstart.com/wp-content/uploads/2019/10/sleep-apnea-white-paper-FINAL-2019-1.pdf

Earlier this year, I got to sit on the other side of the microphone and be interviewed by my daughter, Kendall!  As part of her ACE General Paper class, Kendall had to select someone to interview to learn more about their live story and journey and she chose me!  So we figured we’d record it and let everyone hear our conversation! 

With the Holidays upon us, I figured it was a good episode to repost as a reminder to focus on family, faith, and constantly working to grow and become your best self.

I hope everyone had a very Merry Christmas and Happy Holidays!  See you in the New Year!

[My apologies on the audio - there was an issue with Kendall's mic]

Here’s some of what you’ll learn in this episode:

·         Why I became an orthodontist.

·         The reasons why I decided to open my own practice right out of my residency.

·         The resources I used to learn how to run a business.

·         How I became involved in airway orthodontics and using braces and wires to expand/develop the arches of younger children.

·         The impact that changing lives with airway-focused orthodontic treatment had on me.

·         The struggle I faced after firing my associate 3 weeks into his employment.

·         How I transitioned from running a successful private practice to teaching and coaching full-time, and the role that the COVID-19 shutdown played in this.

·         Why we picked up our family and moved from Upstate NY to Florida in 2021, the challenges we faced, and how we’re doing now.

·         Whether I have any regrets about leaving private practice to teach full-time.

·         The importance of having a vision of the type of person you want to be and the type of life you want to live.

·         The role that faith has played in my personal and professional journey.

In this episode of The DOC Podcast, I get to talk with Dr. Maz Moshiri, a visionary orthodontist and educator known for pioneering clear aligner therapy.  We discuss Dr. Moshiri's journey into orthodontics, the bridging of the clinical-academic divide, and his groundbreaking work with clear aligners.  We delve into the importance of breaking professional dogmas, persevering through challenges, the need for orthodontists to embrace proactive patient care, and transformative developments in early orthodontic treatment.  We also discuss the upcoming 'Winds of Change' meeting and share personal stories that showcase the impact of modern orthodontics on patient lives.   Don't miss this insightful and inspiring episode!

00:27 Meet Dr. Maz Moshiri
01:29 Maz's Journey into Orthodontics
03:19 Family Influence and Early Career
08:17 Professional Challenges and Decisions
13:12 Academic and Clinical Divide
16:31 Innovations in Orthodontics
22:59 The Future of Orthodontics
38:34 Pioneering Clear Aligner Therapy
42:27 Overcoming Initial Failures
42:55 Challenging Conventional Wisdom
43:36 Becoming a Speaker and Educator
44:37 Creating Educational Resources
46:29 Launching the Aligner Fellowship
48:14 Advocating for Orthodontic Excellence
53:32 Exploring Early Treatment with Clear Aligners
57:39 The Importance of Early Intervention
01:03:57 Winds of Change: A Multidisciplinary Meeting
01:10:06 Personal Stories and Healthcare Challenges
01:18:43 Conclusion and Contact Information

LINKS
Contact Dr. Moshiri: moshirimaz@gmail.com 
Info on Aligner Fellowship: https://www.alignerfellowship.com/