x-rays

Check out this great conversation with the amazing and brilliant Dr. Dave Singh.  Dave is a true expert in craniofacial growth and development, airway, and early orthodontic treatment, and we discuss:

• Dave’s background in craniofacial orthodontics and how it led to his understanding of the ability of dentofacial orthopedics to impact airway patency.
• The functional matrix hypothesis and what Dave asked Melvin Moss about it.
• How Dave developed the spatial matrix hypothesis to expound upon the functional matrix hypothesis and better explain malocclusion.
• The role of the cranial base phenotype in the etiology of malocclusion, and how that can be determined by looking at the bridge of the nose.
• How breathing impacts craniofacial growth and development.
• The role of diet in the development of malocclusion and the impact of our diets softening over time.
• What to feed children to minimize negative impacts on both growth and development and gut microbiome.
• The purpose of bruxing from an evolutionary standpoint.
• Dave’s approach to the diagnosis and treatment of pediatric patients, including skeletal posture, airway, breathing, and sleep.
• The importance of tongue posture.
• How to build a professional network around you to facilitate the coordination of care with your dental and medical colleagues.
• The devastating impact of pediatric sleep disruption, including that caused by screens and blue light.
• The primary reasons for the divide between academia and clinical practice and how AI may be able to help.
• Why the next generation of orthodontics must integrate orthodontics into human health.
• A study Dave conducted demonstrating that football players who had permanent teeth extracted were more prone to get concussions.
• The historical and biological reasons why we turn RPE screws 0.25mm at a time.
• The role that stem cells play in sutural homeostasis.

LINKS:

• Dr. Singh’s new book: Pneumopedics and Craniofacial Epigenetics (PACE) (https://www.amazon.com/Pneumopedics-Craniofacial-Epigenetics-Biomimetic-Disordered/dp/9811225346)
• To contact Dr. Singh directly: drsingh@drdavesingh.com

Don’t miss this amazing conversation with Dr. Jeremy Manuele.  Jeremy is a private practice orthodontist, a part-time faculty member at UNLV, and the creator of the MARPE 360 CE course.  In this episode, we discuss:

• The flaws with the current pediatric AHI scale and classification of pediatric obstructive sleep apnea (OSA).
• The importance of differentiating OSA from sleep-disordered breathing (SDB).
• The reason why the orthodontist, not the pediatrician, should be the quarterback of sleep-related breathing issues in pediatric patients.
• The reasons why so few orthodontists come out of residency understanding Phase I treatment, airway, or how to collaborate with our medical colleagues. 
• The 2017 ADA policy statement and the 2019 AAO White Paper on pediatric airway and orthodontics.
• The importance of bridging the gap between medicine and dentistry regarding the diagnosis and treatment of SDB.
• The flaws with the opinion article in the December 2023 AJODO saying that orthodontists should not be involved in treating younger children with the goal of improving airway patency.
• The importance of having open discussions and debates on the topic of airway and orthodontics.
• The role private practice orthodontists can play in bridging the gap between private/clinical practice and academia.
• The three types of expansion that we typically see when applying force to widen the maxilla. 
• What MARPE is, when it is indicated, how it can benefit your patients, and how it differs from SARPE.
• The primary reasons why Jeremy created his MARPE 360 course.
• IMPORTANT NOTE:  Dr. Manuele has agreed to offer 10% off his course enrollment for all DOC listeners!  Link and code are below!

LINKS:
·         To enroll in Dr. Manuele’s MARPE 360 course, click the link below and enter the code ‘DOC’ at checkout to receive a 10% discount!  https://www.innovatorortho.com/marpe-360

·         To learn more about archwire expansion in Phase I, visit the DOC website: https://theorthocoach.com/ce-courses/

Don’t miss this fascinating episode with orthodontist and entrepreneur Dr. Rael Bernstein!  In this interview, we discuss:

·         How Rael expanded his practice from renting one chair in a colleague’s office to owning and operating 11 orthodontic practices!

·         The way Rael is able to maintain a work-life balance with such a busy schedule.

·         What Rael believes are the best marketing strategies to grow and sustain a practice.

·         The importance of starting to diagnose the patient before you even look at the teeth.
·         Why so many docs don’t like performing Phase I treatment.
·         How to make Phase I treatment enjoyable and profitable!
·         How to know when you are approaching burnout and what you can do about it.

·         How Ricketts’ Bioprogressive Technique helped Rael begin to understand the importance of airway in the development and management of malocclusion.

·         The importance of looking at your patient from the outside in, versus focusing on the teeth.

·         The role the orthodontist can play in the management of airway obstruction and why so many orthodontists elect not to embrace the concept of airway management.

·         How Rael transitioned from using traditional “expanders” to using braces and wires to expand the arches of preadolescent patients in the early-mixed dentition.

·         Why he developed the Bernie Tube for Phase I Treatment

·         The tremendous psycho-social benefit of performing arch development and aligning the teeth on preadolescent patients.

LINKS:

-To learn more about how to do archwire expansion in Phase I, go to: https://theorthocoach.com/ce-courses/

This is a re-posting of an awesome episode on enamel recontouring that was released in June 2023.  Our audience has grown so much since that time and I'd like for all our new viewers to be able to provide this amazing service to their patients!  In this episode, I review the art and science of recontouring anterior teeth that will set your work apart from your competitors and have your patients raving about how their teeth look!

Important points that will be discussed include:

• Which teeth to recontour to achieve the best results.
• The differences between recontouring in Phase I and Comprehensive Treatment.
• At what stage of treatment to perform recontouring and how this differs for patients in braces versus those undergoing clear aligner therapy.
• How to set the teeth up to be recontoured.
• How to avoid tooth sensitivity.
• Technique to use to perform the recontouring, including what handpiece, burs, and disks to use.

Numerous sample cases will be presented as will a detailed, narrated, step-by-step video where I demonstrate recontouring the teeth of one of my patients!  

-Visit the DOC website for more great information:  www.TheOrthoCoach.com
-For information on the CE course referenced:  https://theorthocoach.com/ce-courses/

This week’s episode is a re-release of an interview with my first guest on The DOC Podcast - Dr. Jeff Rothenberg! Our audience has grown so much since this was released back in June 2023 that I wanted to give everyone a chance to hear our amazing conversation!

SUMMARY:

Don't miss this amazing interview with Dr. Jeff Rothenberg!  Jeff is an orthodontist who has an awesome practice in his hometown of Aventura, FL.  He has been developing the arches of preadolescent patients in the early mixed dentition for approximately 10 years and not only has he seen some amazing results, but it has grown his practice significantly.  We discuss:

o   The etiology of dental crowding and why we see so much crowding at such a young age.

o   The role of airway in the development of dental crowding in preadolescent patients.

o   The questions to ask parents to determine if their child has sleep-disordered breathing.

o   How to comfortably and efficiently expand the arches of preadolescent patients in the early mixed dentition without using expanders.

o   How to present this unique approach to patients and parents and how to implement it into your practice.

o   How to dramatically decrease the severity and duration of Phase II treatment by using this unique approach in Phase I.

o   How to set your practice apart from your colleagues by providing a service others aren’t offering.

o   How taking this unique approach to Phase I treatment will both grow your practice and change patients’ lives.

o   How using digital technology such as LightForce can further simplify the placement of Phase I braces by increasing efficiency, maximizing patient comfort, and improving treatment results. 

SHOW NOTES:

·         Visit the DOC website at www.TheOrthoCoach.com for more great content!

·         For access to the series of CE courses on Phase I Treatment:  https://michael-deluke.mykajabi.com/offers/JwPTtF2z/checkout

·         To enroll in one-on-one coaching with Dr. Mike: https://michaeldeluke.mykajabi.com/offers/KBUuSTLa/checkout

·         Breath by James Nestor (https://www.amazon.com/Breath-New-Science-Lost-Art/dp/0241289122/ref=asc_df_0241289122/?tag=hyprod-20&linkCode=df0&hvadid=532597683340&hvpos=&hvnetw=g&hvrand=16510346258553406966&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9012267&hvtargid=pla-984701754398&psc=1)

Wading through pre-sale radiographs (or x-rays) of yearlings has long been considered murky territory. But now, thanks to groundbreaking research undertaken by a team at The University of Queensland and supported by the AgriFutures Thoroughbred Horses Program, the industry can now be more confident in understanding the impact of a range of lesions on a yearling’s potential racing performance.

In this episode, Dr Argue unpacks the most important takeaways from his research. He explains how it will better inform buyers making purchasing decisions and the agents and sellers involved in a yearling sale. The research will also help vets review pre-sale x-rays and provide advice that could lead to early intervention and improved management for a range of skeletal conditions now understood to impact a thoroughbred’s racing performance and career.

Featuring:

• Dr Brodie Argue, Equine Sports Medicine and Rehabilitation Resident, University of Queensland Equine Specialist Hospital

Find out more:

• Project snapshot: Investigation of what radiographic lesions in thoroughbred yearlings are significant in limiting future racing performance | AgriFutures Australia

In this episode, I sit down to talk with the current President of the AAO, Dr. Myron Guymon, and discuss:
• What he feels is the role of the AAO in our profession.
• The three primary areas that the AAO focuses upon.
• The Consumer Advocacy Program (CAP) and why he feels it is both effective and important.
• The limitations of what can be said as part of the CAP.
• Some of the resources that the AAO offers to members.
• The resources that the AAO offers to residents, what the AAO is doing to try to educate residents about the benefits of joining the AAO, and where residents can go to learn more about the AAO and the services it provides to them.
• The different ways to get involved with the AAO from a leadership perspective, including at the component and constituent levels.
• How the AAO determines what content to present in their Annual Session and Winter Meeting.
• What he has accomplished so far and what he hopes to accomplish before turning the reins over to Dr. John Callahan in May 2024.
• The biggest challenges the AAO is facing right now and into the future.

-For more information on the AAO, go to:  https://www2.aaoinfo.org/
-To learn more about DOC, go to:  www.TheOrthoCoach.com

Don’t miss Part 2 of my interview with the amazing Dr. Stacy Ochoa!
You’ll learn:
• Why Dr. Mike and Dr. Stacy are so passionate about the topic of sleep-disordered breathing interceptive orthodontic treatment.
• The importance of diagnosing and treating the etiology of the malocclusion and how to determine if/when a patient has a transverse discrepancy that can be helped by expansion.
• Examples from the otolaryngological literature demonstrating the relationship between pediatric sleep-disordered breathing and behavioral, neurologic, and quality of life problems.
• Evidence from the literature demonstrating a decrease in adenoid hypertrophy after orthodontic expansion in preadolescent patients.
• Why the most frequently referenced orthodontic literature focusing on the lack of value of interceptive treatment is flawed.
• Where the 2019 AAO White Paper got it wrong.
• Dr. Mike’s unique approach to developing arches in the early mixed dentition using full braces and wires – NO EXPANDERS!!
• The role of the tongue in assisting with arch development and expansion.
• Why every dentist (specialist and GP) needs to recognize the signs and symptoms of pediatric sleep-disordered breathing and understand the importance of normalizing the craniofacial growth and development of these patients.

LINKS:
-ASAP Pathway ( Airway Sleep and Pediatric Pathway) 
https://asappathway.com/
-Parents:  Is my child at risk assessment 
https://asappathway.com/is-my-child-at-risk-quiz/
-Find a provider: https://asappathway.com/parents/
-Doctors: live training courses through ASAP Pathway 
https://asappathway.com/pediatric-dentistry-training-events/

-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

9 FAQs regarding Chiropractic X-rays

Orthodontists truly can change lives!!!  Don't miss this interview with the parents of a 6 y.o. patient (Lauren) who was suffering from sleep-disordered breathing.  We'll discuss:

• How Dr. Mike determined that an airway issue existed.
• Mom’s reaction when Dr. Mike asked her if Lauren was mouth breathing and/or snoring.
• What the pediatric ENT told mom and dad about Laruen’s breathing issues and why the tonsils and adenoids weren’t the problem.
• How mom and dad saw their daughter’s energy and temperament change as a result of her sleep-disordered breathing.
• What mom’s thoughts were when Dr. Mike told her that we were going to expand Laruen’s arches with traditional braces and wires instead of expanders.
• Lauren’s experience getting and having braces, including how her peers reacted.
• How Lauren's dad, who is a Certified Registered Nurse Anesthetist and extremely knowledgeable about airway and the impact of expansion on airway patency, saw his daughter’s breathing change a few months into orthodontic treatment and the impact that had on her overall health and well-being. 
• The amazing esthetic benefit Laruen received from her Phase I braces and how that impacted her self-confidence.
• Phase I retainers and whether or not the results of Phase I archwire expansion have been stable since the braces were removed 2.5 years ago.
• How Lauren’s mom's experience with braces and extractions as an adolescent compare to Lauren's experience with braces as a younger child.
• What mom would say to practitioners who are not using braces and wires in Phase I to develop arches, eliminate crowding, and improve airway patency.

In PART II you'll learn:
o How Lou became aware of the impact of the airway on malocclusion and developed a passion for helping detect and treat sleep-disordered breathing.
o Lou’s opinion on early/interceptive orthodontic treatment and whether it can have a positive impact on airway.
o Why orthodontists are hesitant to accept the role of interceptive orthodontics in improving airway patency.
o The importance of taking the time to thoroughly diagnose your patient and develop a specific treatment plan for each individual patient.
o The problem with lumping patients into certain categories and treating them all the same way.
o Lou’s thoughts on using braces and wires to expand the arches of preadolescent patients. 
o How Lou used dental monitoring to maximize convenience for patients and parents.
o What Egghead Ortho is and how it can help you build, grow, and run your practice.

-Visit www.eggheadortho.com to learn more about Lou’s consulting company.
-Contact Lou at drlou@eggheadortho.com.  

In PART I of this 2-part interview you'll learn:

o   The long and winding road that led Lou to pursue a career in orthodontics, including his time spent working for Dr. Robert Moyers in the Michigan Growth Center as a dental student.

o   The trajectory of Lou’s storied career in private practice and many of the lessons he learned along the way.

o   How and why Lou became an early adopter of CBCT imaging back in 2009.

o   Lou's thoughts on why so many orthos are resistant to investing in CBCT technology for their offices.

o   The actual amount of radiation delivered by CBCT images.

o   How CBCT imaging can improve diagnostic accuracy and ability while lowering the risk of liability.

o   The role of the orthodontist in diagnosing the symptoms of an underlying airway issue.

-Visit www.eggheadortho.com to learn more about Lou’s consulting company.
-Contact Lou at drlou@eggheadortho.com.  

As a Chiropractor, I can’t tell where subluxations are on my own. I need scientific, objective tools to be my companion.

Keith Palumbo and David Rossillo Jr. meet a grim fate in a double homicide; their bodies are discovered concealed inside a crypt within the eerie, abandoned Mount Moriah Cemetery.

Unraveling the complexities of this chilling case, Joseph Scott Morgan and Dave Mack explore the labyrinthine investigation that led authorities to the hidden burial site, thanks to a tip about Keith's disappearance and the involvement of a woman with close ties to both the Warlocks Motorcycle Club in Philadelphia and the cemetery.

The episode delves into the forensic intricacies—from gunshot residue on decomposing bodies to the challenges of DNA matching—and uncovers the lengths criminals will go to hide their heinous acts. It also touches on the human stories behind the headlines, offering a gripping journey through the dark corners of crime and justice. 

Time codes:

00:00:20 — Joseph Scott Morgan discusses his comfort around the dead and introduces the topic of a double homicide case involving an old, abandoned burial ground.

00:02:14 — Joe Scott talks about Mount Moriah, a cemetery named after a biblical location. 

00:03:00 — Dave Mack introduces the victims, Keith Palumbo, a musician and tattoo artist, and David Rossillo Jr.,  who had no known connections to the Warlocks Motorcycle Club in Philadelphia. 

00:04:00 — Discussion of how Keith's disappearance was reported and the significant tip that led police to start their search at the cemetery. 

00:07:36 — Highlighting the logistical difficulties of the investigation, Joe Scott explains the challenges of accessing the burial site due to its depth and lack of a ladder or staircase. 

00:09:00 — Dave mentions that the police were expecting to find Keith Palumbo but discovered David Rossillo Jr.'s body as well. Morgan discusses the state of Rossillo’s remains.

00:11:00 — The hosts speculate about the crypt being used as a common dumping ground by organized crime groups, raising questions about the extent of criminal activity.

00:14:48 — Discussion about the significance of the carpet found at the crime scene, and speculation on its potential connection to the body.

00:15:00 — Morgan begins to explain what forensic evidence can be obtained from a decomposing body, particularly when a gunshot wound to the head is involved.

00:17:00 — An explanation of how bruises can still be detected on a decomposing body.

00:21:31 — The process of transferring remains from a crypt to a medical examiner's wagon, with added emphasis on the importance of maintaining the integrity of the remains.

00:25:22 — The challenges the police faced in identifying the bodies, particularly David Rossillo Jr., who had not been reported missing, and the role of informants in criminal investigations, particularly within tightly-knit organizations like motorcycle clubs.

00:32:53 — Joe Scott Morgan delves into the difficulties of determining a cause of death with skeletal remains, especially if the skull is fractured or parts are missing. He elaborates on how animals can complicate an investigation.

See omnystudio.com/listener for privacy information.

• In this edition of The DOC Podcast, we have a great conversation with the AMAZING Dr. Amy Jackson – orthodontist extraordinaire and founder of Retainers for Life (RFL). 

• You’ll learn the following: 

o How and why Dr. Amy decided on orthodontics as a career. 

o The value of performing a Pre-Debond Conference from both a treatment and financial perspective. 

o How and why Dr. Amy started RFL. 

o How to begin using RFL for your practice. [HINT: Go to www.MyRetainersForLife.com or www.AfterOrthoRevenue.com]. o Some exciting news regarding upcoming additions to the RFL platform.

o The importance of addressing airway issues in your patients. 

o How Dr. Amy balances being a mom, a wife, owner of 4 practices, and CEO of a successful and growing international company. 

o Where Dr. Amy sees her career in 20 years. 

• You’ll also get to hear about my experiences as a RFL user!

• Be sure to go to www.TheOrthoCoach.com for more great information!

Dr. Kimberly Arcand is a Visualization and Emerging Technology Scientist at NASA's Chandra X-ray Observatory at the Center for Astrophysics, Harvard, and Smithsonian.

In this episode of The Show About Science, Nate and Dr. Arcand dive into the mysteries of the universe illuminated by Chandra's use of X-ray light. From uncovering the intricacies of black hole cosmic recycling processes to exploring the aftermath of exploded stars and the mesmerizing pulsars emitting high-energy particles like cosmic lighthouses, this is a galactic tour like no other!

Connect with The Show About Science:

Instagram: https://www.instagram.com/showaboutscience
Facebook: https://www.facebook.com/theshowaboutscience
YouTube: https://www.youtube.com/showaboutscience
Twitter: https://www.twitter.com/natepodcasts
LinkedIn: https://www.linkedin.com/company/the-show-about-science/

After experiencing the universe in a new light, consider leaving a stellar review and rating on your favorite podcast platform.

In this clinical episode, Dr. Mike reviews the art and science of recontouring anterior teeth that will set your work apart from your competitors and have your patients raving about how their teeth look! 

Important points that will be discussed include:

• Which teeth to recontour.
• The differences between recontouring in Phase I and Comprehensive Treatment.
• At what stage of treatment to perform recontouring and how this differs for patients in braces versus those undergoing clear aligner therapy.
• How to set the teeth up to be recontoured.
• Technique to use to perform the recontouring, including what handpiece, burs, and disks to use.

Numerous sample cases will be presented as will a detailed, narrated, step-by-step video demonstrating Dr. Mike recontouring the teeth of one of his patients!  

Visit the DOC website for more great information:  www.TheOrthoCoach.com

SUMMARY:

Don't miss this amazing interview with Dr. Jeff Rothenberg!  Jeff is an orthodontist who has an amazing practice in his hometown of Aventura, FL.  He has been developing the arches of preadolescent patients in the early mixed dentition for approximately 10 years and not only has he seen some amazing results, but it has grown his practice significantly.  Highlights include:

o   A discussion about the etiology of dental crowding and why we see so much crowding at such a young age.

o   The role of airway in the development of dental crowding in preadolescent patients.

o   The questions to ask parents to determine if their child has sleep-disordered breathing.

o   How to comfortably and efficiently expand the arches of preadolescent patients in the early mixed dentition without using expanders.

o   How to present this unique approach to patients and parents and how to implement it into your practice.

o   How to dramatically decrease the severity and duration of Phase II treatment by using this unique approach in Phase I.

o   How to set your practice apart from your colleagues by providing a service others aren’t offering.

o   How taking this unique approach to Phase I treatment will both grow your practice and change patients’ lives.

o   How using digital technology such as LightForce can further simplify the placement of Phase I braces by increasing efficiency, maximizing patient comfort, and improving treatment results. 

SHOW NOTES:

·         Visit the DOC website at www.TheOrthoCoach.com for more great content!

·         For access to the series of CE courses on Phase I Treatment:  https://theorthocoach.com/ce-courses/

·         To enroll in one-on-one coaching with Dr. Mike: https://michaeldeluke.mykajabi.com/offers/KBUuSTLa/checkout

·         Breath by James Nestor (https://www.amazon.com/Breath-New-Science-Lost-Art/dp/0241289122/ref=asc_df_0241289122/?tag=hyprod-20&linkCode=df0&hvadid=532597683340&hvpos=&hvnetw=g&hvrand=16510346258553406966&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9012267&hvtargid=pla-984701754398&psc=1)

META PERFORMANCE SHOW | In this episode, Jason Jaggard sits down with co-founder of Pixar Animation Studios and New York Times Best-Selling Author Ed Catmull. 

Ed, quite simply, is responsible for the Renaissance Age of Animation. Walking us through his early days of being introduced to the process of creating animated stories, he details how his team was pushing the boundaries of what was technologically possible in that space as often as possible. One thing Ed shares as a part of this success was the team he put around him, holding steadfast that “getting the right people and the right chemistry is more important than getting the right idea”. 

That said, this idea was a really good one: in the process of developing this technology into what we know today as Pixar, something big happened - he met a man named Steve Jobs. Ed speaks to his 45-year working relationship with Steve, including his initial investment in Pixar itself, how people get him “wrong”, and what leadership skills he still incorporates to this day thanks to that relationship. 

This was an incredibly motivational conversation from a pioneer at the intersection of technology and entertainment; we hope you enjoy the show! 

Order Creativity, Inc. by Ed Catmull 

Join us on the Beyond High Performance Network - Pre-Order Beyond High Performance by Jason Jaggard today, and get free access to special bonus content! 

Book a free vision call with Novus Global to see how we can journey with you to go beyond high performance. Click here to explore https://novus.global/client-meta-performance-show/

Are you a coach looking to expand your practice and join an elite coaching firm? Find out more here:  https://novus.global/coach-meta-performance-show/

We want to give a special thank you to the crew for this episode. Casey Skinner was our Story and Video Editor, Robb Gilligan was our Sound Editor and Mixer, and thank you to our Videographers, Tri Nguyen and Ian Albert, and to Elle Sassenrath and Tower 33 for VFX Production, and to the Rainbow Creative Production team, Producers Matthew Jones and Stephen Selnick and Audio Editor Jeremy Davidson.