Episodes

  • Tax Strategies for Dentists (w/John Vento, CPA, CFP) [Ep.59]
    Jul 4 2024

    John is a CPA, CFP, author, educator, and TV personality who has appeared on such shows as NY1 News “Money Matters,” Fox Business News, CBSN, and Reuters TV. He wrote an amazing book on achieving financial independence titled “Getting to Point X” and has published articles in Money Magazine, the Wall Street Journal, the NY Times, Forbes, US News & World Report, and Financial Advisor Magazine. John has tremendous knowledge in the tax and financial planning arena, especially as it pertains to dentists. If you’re a dentist and you want to know more about how to lower your taxes, DO NOT MISS THIS EPISODE!!

    This episode is FULL of AMAZING TAX INFORMATION FOR DENTISTS, including:

    • How to get to what John calls “Point X,” or financial independence.
    • The biggest expense that dental practitioners face.
    • Legal strategies and loopholes to decrease your tax liability and increase your wealth.
    • The difference between a tax deduction and a tax credit.
    • The most commonly missed tax deductions and credits.
    • How to make entertainment expenses fully deductible.
    • What the “Ordinary and Necessary Test” is and how it’s used by the IRS.
    • How to choose the right accountant for you and your practice.
    • Whether your receipts should be digital or paper, how they should be organized, and for how long you should retain them.
    • How you can save literally hundreds of thousands of dollars with the SALT deduction/credit loophole.
    • How the ERC credit works, if you can really save up to $26k per employee, and how working with certain solicitors can lead to criminal charges and the loss of your dental license!
    • Whether or not the Inflation Reduction Act will increase your chances of being audited.
    • Which entity is least likely to get audited and which entity is MOST likely to get audited and if the Inflation Reduction Act will change that.
    • The different types of IRS audits and the steps to take if you are audited.
    • If you should pay more taxes than you need to in order to decrease the risk of an audit.

    Important Links:
    -To purchase John’s Book: https://www.ventotaxandwealth.com/buy-the-book

    -You can find more information on John and his firm, Vento Tax and Wealth Management, at www.VentoTaxAndWealth.com.

    -Link to John’s Newsletter: https://www.ventotaxandwealth.com/blog

    -Link to John’s article on IRS Audits: https://www.ventotaxandwealth.com/tips-for-dentists

    -Link to a number of tax calculators: https://www.ventotaxandwealth.com/resource-center/calculators

    -Link to the IRS website on the Employee Retention Credit: https://www.irs.gov/coronavirus/employee-retention-credit
    -Link to the DOC website: www.TheOrthoCoach.com

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    1 hr and 22 mins
  • A Passion for Changing Lives (w/Dr. Steffen Decker) [Ep.58]
    Jun 27 2024

    I had an amazing conversation with my extremely impressive colleague, Dr. Steffen Decker. Steffen is a prominent orthodontist in the UK who started his career treating adults with Invisalign and lingual braces and has since developed a passion for helping younger patients with interceptive orthodontic treatment. We discuss:

    • How Dr. Soroush Zahgi inspired Steffen to focus more on interceptive treatment and airway.
    • How restorative dentists such as Dr. John Kois and Steffen’s wife helped Steffen understand the detrimental long-term impacts of an extraction/retraction approach to orthodontic treatment.
    • The role of an oral habit in the aberrant craniofacial growth and development of one of Steffen’s twin sons.
    • The importance of a thorough diagnostic process, including listening to your patients, in order to determine the etiology of the presenting malocclusion.
    • Why so many orthodontists remain opposed to treating patients earlier/younger.
    • A recent debate I had with a colleague on social media about determining and treating the etiology of malocclusion.
    • The difference between left-brained and right-brained individuals, and how that can determine who is more open to changing their approach to patient care.
    • The logistical challenges associated with having randomized controlled studies on the benefits of early treatment, especially as it pertains to airway.
    • Why CPAP was originally approved based upon a study with only 5 patients, yet studies showing the benefits of expansion on airway of hundreds of patients are deemed insufficient evidence of its efficacy.
    • The influence of environmental factors on the development of malocclusion and the fallacy that the etiology of malocclusion is completely genetic.
    • Why Steffen has parents film their child sleeping with a baby monitor and send it to him.
    • That once you see and feel what you can do to change the lives of younger children, you will never be the same regarding your approach to early treatment.
    • The need for all those who have had the privilege of changing a patient’s life through early treatment to share that message with others.

    LINKS:

    -To contact Dr. Decker: Steffen@theorthodonticspecialist.co.uk

    -Tuncay & Schiffman article: https://www.researchgate.net/publication/11794785_Maxillary_expansion_A_meta_analysis

    -Papadopolous Review of Tuncay & Shiffman article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3111736/

    -Link to episode w/parents of a 6yo patient Dr. Mike treated: https://youtu.be/wJFP_9NFnv0?si=0QhYGPAQ3HV0G2dn

    -To contact Dr. Mike: DrMike@TheOrthoCoach.com

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    1 hr and 19 mins
  • The Future of Orthodontics (w/Dr. Tom Pitts) [Ep.57]
    Jun 20 2024

    I am SO EXCITED to bring you today’s guest, Dr. Tom Pitts. Dr. Pitts is a true legend in the field of orthodontics who has been practicing and educating for over 50 years. We have an amazing discussion about a variety of topics, including:

    • How Art Dugoni influenced Dr. Pitts’ career from the very beginning.
    • What Dr. Pitts learned from industry legends such as Ricketts, Harvold, Roth, Damon, and others.
    • How Ricketts approach to slow maxillary expansion changed Dr. Pitts’ perspective on early treatment and arch development.
    • Possible reasons why residents aren’t learning about the benefits of early treatment.
    • Why general and pediatric dentists are more open to the benefits of early treatment.
    • How to successfully achieve and maintain Class II correction in the mixed dentition.
    • How to best retain Phase I arch development.
    • The amazing benefits of disocclusion in both interceptive and comprehensive treatment.
    • How the use of light, short Class II elastics is a complete game changer to achieve early and predictable sagittal correction.
    • The 5 key components to Dr. Pitts’ vision for orthodontic treatment.
    • How Dr. Pitts is treating full comprehensive cases in 9-13 months.
    • The impact of extractions on lip fullness over time.
    • The benefits of using square (versus rectangular) wires.
    • Which arch forms to use to develop/expand the arches.
    • The reason why Dr. Pitts developed an .021 x .026 bracket (versus the standard .022 x .028).
    • The dates and locations of upcoming Pitts 21 Seminars.
    • What Dr. Pitts sees as his legacy in the profession of orthodontics.

    *We also review various cases treated with the Pitts philosophy, so be sure to check out the YouTube link to this episode!

    LINKS:

    • VISIT OUR EPISODE SPONSOR – Retainers for Life! Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!
    • Link to Video on DOC YouTube Channel (to view Dr. Pitts cases): https://youtu.be/NyLDNqGIsp0?si=Briqt0ud379_NcGl
    • Link to enroll in the Pitts Seminars: joniabel@me.com
    • Links to the DOC courses on Phase I: https://theorthocoach.com/ce-courses/
    • Links to the YouTube videos on Ph I:
    • -Part I: https://youtu.be/AsqQDiwVn0Y?si=-glbQCLg0gnj-a73
    • -Part II: https://youtu.be/kXZxuMiO3iE?si=YBbG1N56F6VrBbPS
    • Links to OrthoTown articles:
    • -Part I: https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54
    • -Part II: https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52
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    1 hr and 11 mins
  • A GP's Perspective on the Benefits of Early Orthodontic Treatment (w/Dr. Ben Miraglia) [Ep.56]
    Jun 13 2024

    Get ready for an amazing conversation with Dr. Ben Miraglia where he explains his journey into the world of early orthodontic treatment, especially as it pertains to airway and breathing. We discuss:

    · How Ben got involved in airway orthodontics and the primary reasons why GPs and pediatric dentists do ortho.

    · How the studies demonstrating that early/interceptive ortho treatment makes no difference got it wrong.

    · The validity of mandibular arch expansion in the orthodontic literature and in clinical practice.

    · How anthropological research, diet, and muscle function can tell us a lot about the etiology of malocclusion.

    · The way correctly executed early treatment makes a second phase easy and, in many cases, unnecessary.

    · The level of resistance that is normal in nasal breathing.

    · Why focusing on OSA is a fool’s errand and missing the underlying pathology.

    · What the analysis of 7000 patients has taught Ben about breathing problems in patients ages 3-12 years old.

    · What we can learn from Dr. E.A. Bogue’s research from the early 1900’s.

    · How our early soft diets play a role in the development of the jaws, malocclusion, and sleep-disordered breathing.

    · Why it’s necessary to expand upper AND lower arches in patients with a transverse deficiency, especially in the absence of posterior crossbite.

    · When, where, and why malocclusion began to emerge over time.

    · The role of myofunctional therapy in helping mandibular growth.

    · The 2017 ADA Position Statement calling on all dentists to screen for Sleep Related Breathing Disorders.

    · The role that mouth breathing plays in tooth decay in pediatric patients.

    · How early expansion can lead to successful eruption of third molars in the future.

    · Why the orthodontic profession still focuses more on being “tooth straighteners” than on helping younger patients grow and develop properly.

    · The reason GPs and pediatric dentists are more open to early treatment than orthodontists.

    · Why many patients who had upper only expansion in Phase I need extractions in Phase II.

    LINKS:

    -VISIT OUR EPISODE SPONSOR – Retainers for Life! Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!

    -Pediatric Sleep Questionnaire: https://images.app.goo.gl/ipKUowiPmbeV2my4A

    -Contact Dr. Miraglia: www.AirwayHealthSolutions.com

    -Subscribe to the DOC YouTube Channel: www.youtube.com/@delukeorthodonticcoaching

    -Contact Dr. Mike: drmike@theorthocoach.com

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    1 hr and 34 mins
  • A Practice Dedicated to TMD & Sleep (w/Dr. Daniel Klauer) [Ep.55]
    Jun 6 2024

    Dr. Daniel Klauer is a general practitioner who built a practice centered around TMD and airway. He has an amazing journey and is a wealth of knowledge! Be sure to check out this episode where we discuss:

    • How Daniel got involved in TMD & sleep and why he is so passionate about these areas of dentistry.
    • The value and importance of having a mentor and/or life coach.
    • The importance of taking the time to listen to the concerns of your patients.
    • Where the medical community is getting it wrong when it comes to patient care.
    • The things Daniel learned in dental school that he had to “unlearn” when he got into practice.
    • The typical process that one of Daniel’s patients goes through in his practice.
    • The essential role that myofunctional therapy plays in the care of his patients.
    • The role of postural decompensation of the head and neck due to nasal passageway obstruction.
    • How in-house sleep studies can be both practical and beneficial in the diagnostic process.
    • Why so many orthodontists don’t recognize the relationship between airway compromise and altered craniofacial growth and development.
    • Why academia and research seem to overlook the importance and relevance of clinical experience.
    • How the fear of a lawsuit prevents many providers from pushing the envelope with patient care.
    • How the typical ortho office is not set up to handle/manage the treatment of young (>7yo) patients.

    LINKS:
    -VISIT OUR EPISODE SPONSOR – Retainers for Life! Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!
    -Achieve Your Victory: https://www.amazon.com/Achieve-Your-Victory-Solutions-Sleep/dp/1599329034
    -Get a free copy of Daniel’s book by emailing your name and address to Dr. Mike (drmike@theorthocoach.com)
    -Dr. Mike’s webinar on Cleft Lip & Palate with AAPMD: https://aapmd.org/aapmd-official-webinar-store#!form/Webinars
    -ADA’s 2017 Position Statement “The Role of Dentistry in the Treatment of Sleep Related Breathing Disorders”: https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/the-role-of-dentistry-in-sleep-related-breathing-disorders.pdf
    -Dr. Klauer’s email address: drklauer@tmjsleepindiana.com

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    1 hr and 18 mins
  • The Science of Nasal Breathing (w/Dr. Karen Parker Davidson) [Ep.54]
    May 30 2024

    Don’t miss this amazing discussion with Dr. Karen Parker Davidson on all things nasal breathing.
    We discuss:

    • How Karen became so passionate about nasal function and rhinomanometry.
    • The role of the dentist and orthodontist in evaluating nasal function and its implications on growth, development, and overall health and well-being.
    • The many critical functions of the nose and why nasal breathing is such a big deal.
    • Why we should think of our nose as a reactive organ.
    • The history and evolution of rhinomanometry, including the relationship between Drs. Claus Vogt and Dr. Christian Guilleminault.
    • The clinical applications of rhinomanometry.
    • How Bernoulli’s Principle relates to nasal respiration and the critical role the nasal valve plays in this process.
    • Why a certain amount of nasal resistance is necessary for proper breathing
    • The difference between static and dynamic measurements for analyzing nasal breathing.
    • Why academia does not teach physicians, nurses, and dentists about nasal breathing and rhinomanometry.
    • What functional rhinology is and how it can help us determine who suffers from nasal resistance.
    • What rhinopathia nocturnia (‘sleep nose’) is and how it can lead to airway disease.
    • The flaws with the current medical model and how that translates to a reactive approach to breathing issues.
    • What the US health system can learn from the Taiwanese health system.
    • The case for having a 4-phase rhinomanometer in every primary care physician and dentist’s office.
    • The importance of looking at the Weber-Fichner Law to evaluate the psycho-physics of breathing.
    • The impact of even a few mm of orthodontic change on airflow and nasal passageway resistance.
    • How the physics of breathing tells us that OSA is not an issue of tube collapse.
    • Whether tooth positioners like Myobrace can cause a decrease in nasal resistance.
    • The role that the strength of the lateral nasal walls plays in airway resistance.
    • Which OTC nasal spray works best for patients with inflamed nasal membranes.
    • The role that AI can play in helping analyze the data obtained from rhinomanometry.
    • The reasons why many clinicians are resistant to incorporating this technology into their practices.
    • The four genes that play a critical role in the width and shape of the face.
    • What we see as the future for the science of nasal breathing and how it will be used in everyday clinical practice.

    LINKS:

    -VISIT OUR EPISODE SPONSOR – Retainers for Life! Visit www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!

    -Karen’s new book - https://www.amazon.com/Breathe-Through-Your-Nose-Dont/dp/B0CLNDL7RT?source=ps-sl-shoppingads-lpcontext&ref_=fplfs&psc=1&smid=ATVPDKIKX0DER

    -Dr. Mike’s email: drmike@theorthocoach.com

    -Karen’s email: karen@facthcg.com

    -Reach Karen on Instagram: @_thenoseknows

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    1 hr and 25 mins
  • A Journey to Find Happiness & Fulfillment in Life (w/Guest Host Kendall DeLuke) [Ep.53]
    May 28 2024

    Don’t miss this SPECIAL BONUS EPISODE of The DOC Podcast! I got to sit on the other side of the microphone and be interviewed by my daughter, Kendall! As part of her AICE General Paper class, Kendall had to select someone to interview to learn more about their life story and journey, and I'm honored that she chose me! So we figured we’d record it and let everyone hear our conversation! [Apologies about the audio - there was an issue with the microphones]
    Here’s some of what you’ll learn:

    • 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.

    LINKS:
    -DOC Podcast on Vision & Goals: https://youtu.be/u6W5ErGpQ34

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    55 mins
  • The Pendulum is Shifting in Airway Orthodontics (w/Dr. Stacy Becker) [Ep.52]
    May 23 2024

    Check out this amazing conversation between Dr. Mike and Dr. Stacy! In this episode, they discuss:

    • The importance of looking at the etiology of malocclusion and the role airway/breathing plays in the development of malocclusion.
    • The status of the online challenge that Dr. Mike made to debate Kevin O’Brien.
    • The ethical and logistical challenges associated with conducting randomized control trials on patients suffering with sleep-disordered breathing.
    • What we can learn from Peter Attia, author of Outlive: The Science & Art of Longevity.
    • The reasons why some orthodontists still resist the notion of incorporating an airway-aware mentality into their practice.
    • The profound impact that detecting and addressing airway issues in pediatric patients has on your practice and your purpose as a provider.
    • How millennials and Gen Z are on track to change the course of airway dentistry for the better.
    • The important role that the ADA is playing in advancing airway dentistry.
    • That many of the founding fathers of medicine/dentistry (Hippocrates, Angle, etc.) were prophetic in their hypotheses regarding the origins of disease/malocclusion.
    • The importance of breaking down the silos between the medical and dental professions, as well as within the dental profession.
    • Signs of significant progress in the movement to advance airway dentistry and orthodontics.
    • And much, much more!

    LINKS/REFERENCES

    -VISIT OUR EPISODE SPONSORRetainers for Life! Go to www.AfterOrthoRevenue.com and use code ‘DOC2024’ to get $2500 off your enrollment fee!

    -ADA Brochure on Sleep: https://engage.ada.org/p/phys/childrens-airways-711 - use code SLEEP10 to get 10% off!

    -Allison Cole – Sleep is My Waking Passion Podcast - https://podcasts.apple.com/us/podcast/sleep-is-my-waking-passion/id1684976379

    -ASAP Pathway: https://asappathway.com/; https://www.facebook.com/ASAPpathway

    -DeLuke Orthodontic Coaching: www.TheOrthoCoach.com; https://www.facebook.com/groups/1350463785569755

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    1 hr and 15 mins