The DOC Podcast

What All Dentists Should Know About Airway (w/Dr. Jeff Rouse) [Ep.70]


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Dr. Jeff Rouse is an educator and clinician who has practiced with the likes of Drs. Frank Spear and Gregg Kinzer.  He is now a Resident Faculty Member at Spear Education and maintains a private practice in prosthodontics in San Antonio, TX.  He has a unique professional journey and understands more about airway and orthodontics than many orthodontists.  We discuss that and much more, including:

  • How Jeff’s background in restorative dentistry helped him gain a better understanding of how orthodontic treatment, especially treatment involving extraction of permanent teeth, led to the breakdown of the dentition and airway issues later in life.
  • Why Jeff started doing orthodontics when he was practicing as a general dentist and how that led to an “ortho first” approach to patient care.
  • How Jeff developed and the curriculum for airway dentistry at Spear Education.
  • Why GPs and prosthodontists are more open to the impact of airway on malocclusion than most orthodontists.
  • Why orthodontists are resistant to incorporating airway-focused treatment into their practice (and it has nothing to do with evidence/literature!).
  • Jeff’s message to orthos who are opposed to intervening earlier than 7yo to address anatomy that can lead to airway compromise.
  • The primary causes of airway obstruction in young children (HINT: It’s not genetics!)
  • Why orthodontic residents are not treating young children during their training.
  • What recent studies in the otolaryngological literature say is a “normal” palatal width.
  • The flaws with the studies that say Phase I is ineffective and often unnecessary.
  • What is within the dentist’s/orthodontist’s scope of practice when it comes to airway.
  • The role that anatomy plays in obstruction of nasal breathing.
  • Why watchful waiting is supervised neglect.
  • What orthodontists would learn if they had to look at all their cases 20 years out of treatment.
  • Whether or not extractions cause airway issues.
  • How heart rate variability can be used to determine sleep-related breathing issues.
  • A new referral pattern for the future to help remove some of these obstacles.
  • Jeff’s advice to young orthodontists.

LINKS:

-AAO Website on age to begin orthodontic treatment: https://aaoinfo.org/orthodontics-for-children/

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