In this episode of the DOC Podcast, I welcome Dr. Mark Cruz, a dentist with a distinguished career, including serving as assistant director at the UCLA Center for Aesthetic Dentistry and on the editorial board for the Journal of Evidence-Based Dental Practice.

We delve into an evidence-based discussion about the etiology of malocclusion, exploring whether it is determined by genetics, environment, or both, the evolution of craniofacial growth and development, the impact of modern lifestyle on health and malocclusion, the importance of early intervention in patients suffering from sleep-disordered breathing, and the multitude of comorbidities associated with airway obstruction.

Don’t miss this enlightening conversation that bridges the gap between medicine and dentistry, highlighting the significant role of airway and breathing in overall health. This episode is a must-listen for anyone in the dental or medical professions interested in airway health and early intervention.

02:23 Dr. Cruz's Early Career and Challenges

03:21 Connecting the Dots: From Full Mouth Rehabs to Airway

04:25 The Evolution of Airway Focus in Dentistry

08:00 A Personal Story: Dr. Cruz's Son and Airway Issues

09:13 Collaborations and Mini Residencies

11:46 The Wild West of Airway Dentistry

13:09 Evidence-Based Dentistry and Orthodontics

16:14 The Importance of Interdisciplinary Collaboration

33:47 Historical Perspectives on Medical and Dental Education

41:16 The First Thousand Days: Impact on Life Expectancy

41:46 Dental Crowding and Jaw Development

42:07 The Role of Dentistry in Global Health

42:34 Historical Perspectives on Craniofacial Growth

43:33 Genetics vs. Environment in Orthodontics

46:45 Bio Regulatory Systems Medicine

49:10 Impact of Early Breathing Issues on Development

59:57 The Evolution of Human Facial Structure

01:03:18 The Industrial Revolution and Modern Health Issues

01:08:42 Debating the Impact of Tooth Extraction on Airway

01:17:36 Conclusion and Final Thoughts

LINKS:

-Mini-Residency: http://airwayfocuseddentistry.com/airway-mini-residency/

-Contact Mark - markcruz@markacruzdds.com

-Orthotown Article Part I: https://www.orthotown.com/magazine/digital/649/march-2025

-Orthotown Article Part II: https://www.orthotown.com/magazine/digital/652/may-2025

-Phase I Early Treatment Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode of the DOC podcast, I am joined by Dr. David McIntosh, an ENT specialist, and Dr. Bill Harrell, an orthodontist. We delve into the topics of evidence-based medicine, the significance of CBCT imaging, the challenges with pediatric sleep studies, and the critical role of identifying and treating mouth breathing in young children.

Drs. McIntosh and Harrell share insights on how early detection and management of sleep-disordered breathing by the dental professional can prevent long-term health issues, highlight the importance of interdisciplinary collaboration in promoting pediatric health, and dispel many of the myths surrounding the impact of mouth breathing on craniofacial and neurocognitive growth and development.

This episode offers invaluable knowledge for medical and dental professionals, as well as lay persons.

01:30 Episode Overview and Topics
02:55 Starting the Discussion: Evidence-Based Medicine
03:48 Medical Perspective on Evidence-Based Medicine
06:40 Ethics and Practicality in Medical Trials
14:39 Orthodontic Perspective on Evidence-Based Medicine
17:13 Challenges in Evidence-Based Orthodontics
25:35 CBCT Imaging in Orthodontics and ENT
45:01 Understanding Cancer Risks from Ionizing Radiation
45:37 Unexpected Benefits of CBCT Scans
46:46 Prevalence of Airway Problems in Orthodontics
50:13 Orthodontic Practices and Resistance to Change
55:27 Historical Perspectives on 2D vs 3D Imaging
01:03:38 Early Intervention in Pediatric Orthodontics
01:18:53 Health Implications of Mouth Breathing
01:27:33 Impact of Mouth Breathing on Overall Health
01:28:10 Negligence in Treating Mouth Breathing
01:28:31 The Importance of Airway Screening
01:30:28 Orthodontic Residencies and Early Treatment
01:40:13 Sleep-Disordered Breathing and Orthodontics
01:44:09 Challenges in Diagnosing Sleep Apnea in Children
01:47:12 The Flaws in Sleep Study Metrics
01:59:13 The Need for Early Orthodontic Intervention
02:00:07 Final Thoughts and Call to Action

LINKS:
-Episode #w/Dr.45 Harrell: https://podcasts.apple.com/us/podcast/integrating-medicine-dentistry-to-improve-breathing/id1689703392?i=1000651408695
-Episode #w/Dr.75 McIntosh: https://podcasts.apple.com/us/podcast/an-ents-perspective-on-airway-orthodontic-treatment/id1689703392?i=1000674427240
-Contact Dr. McIntosh: https://www.facebook.com/david.mcintosh.180
-Contact Dr. Harrell: drharrell@aol.com; https://www.facebook.com/bill.harrell.31

In this episode of The DOC Podcast, I dive into a fascinating discussion with Dr. Barry Raphael, an esteemed orthodontist who has revolutionized treatments to address airway-centered dysfunctions.

Together, we explore the importance of early intervention in pediatric airway health, the critical role of soft tissue function in malocclusion, and how multidisciplinary approaches can enhance patient outcomes.

The conversation touches upon the resistance within the profession to embrace new paradigms and offers insights into how orthodontists and other dental professionals can evolve their practices to better serve patients holistically.

00:23 Meet Dr. Barry Raphael: Orthodontics and Airway Health

03:46 Dr. Raphael's Journey: From Music to Orthodontics

06:18 Orthodontic Techniques and Early Influences

11:18 The Evolution of Orthodontic Practices

14:04 Challenging Orthodontic Orthodoxy

17:30 The Role of Dentists in Treating Sleep Apnea

26:59 The Importance of Airway and Breathing Patterns

40:26 Reflecting on Missed Diagnoses

41:03 Shifting Perspectives in Dentistry

41:57 The Rise of Chronic Diseases in Children

43:01 Personal Wake-Up Calls

44:11 Understanding Soft Tissue Dysfunction

45:46 Genetics vs. Environment in Malocclusion

52:31 The Role of Airflow in Sleep Apnea

56:51 The Importance of Early Intervention

01:03:24 Collaborating with Other Healthcare Providers

01:07:36 The Need for Holistic Orthodontic Care

01:13:19 Conclusion and Call to Action

LINKS:

Website: https://www.morethanstraightteeth.com/

Online Course: https://sites.google.com/alignmine.com/pediatricamr/home

Contact Dr. Raphael: drbarry@alignmind.com

DOC Ph I Comprehensive Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode of The DOC Podcast, I’m joined by Dr. Jack Fisher, an esteemed orthodontist with decades of experience in both clinical practice and education. Dr. Fisher shares his journey, from overcoming dyslexia and ADD to becoming a pioneer in the use of temporary skeletal anchorage devices (TSADs) and CBCT imaging for orthodontic diagnosis and treatment.

The discussion dives into various topics, including the future of orthodontic education, the necessity of early intervention, the use of 3D imaging, evidence-based practice, and the importance of addressing the why in orthodontics. Dr. Fisher emphasizes the need for the orthodontic community to adopt new technologies and approaches to truly improve patients' health, rather than just straightening teeth.

00:27 Meet Dr. Jack Fisher: Orthodontic Pioneer

02:56 Dr. Fisher's Early Life and Challenges

05:14 The Journey to Orthodontics

08:23 Innovations in Orthodontics

12:34 The Importance of CBCT Imaging

16:44 Orthodontic Education and Challenges

24:55 The Future of Orthodontics

40:28 The Financial Realities of Orthodontic Practice

40:45 Critique of Orthodontic Organizations

41:43 Orthodontic Residency Programs and Their Shortcomings

43:24 The Importance of CBCT in Orthodontics

45:28 Aligners and Their Limitations

48:08 The Role of Early Intervention in Orthodontics

49:32 Challenges in Orthodontic Research and Evidence-Based Practice

53:04 The Future of Orthodontics and Patient Care

59:38 The Importance of Nasal Breathing in Orthodontics

01:12:10 Concluding Thoughts and Call to Action

LINKS:

Dr. Mike’s Orthotown Articles:

-Part I: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34

-Part II: https://www.orthotown.com/magazine/article/9575/beyond-osapart-2

Sleep Breathe and Thrive: https://www.drshereenlim.com.au/book/

Howard Stupak’s Book: https://a.co/d/iPD8SUt

Contact Dr. Fisher: Jack.fisher@mac.com

In this episode of The DOC Podcast, my guest is Dr. Dave McCarty, a board-certified expert in internal and sleep medicine.

Dr. McCarty discusses his journey from a primary care internist to an innovator in sleep medicine. He sheds light on the complexities of sleep apnea, the importance of nasal breathing, and the shortcomings of the current treatment protocols.

Dr. McCarty introduces his Empowered Sleep Apnea Project and the innovative integrated multidisciplinary ecosystem at Rebis, designed to democratize complexity and improve patient outcomes. The discussion also highlights the need for collaboration between the dental and medical communities to address sleep-related disorders effectively.

00:23 Meet Dr. Dave McCarty

02:32 Dr. McCarty's Journey into Sleep Medicine

03:03 Discovering Sleep Apnea

04:05 Training and Early Career Challenges

06:15 Advanced Training and Fellowship

08:39 Innovations in Sleep Medicine

11:58 Collaborations and Multidisciplinary Approaches

17:09 The Empowered Sleep Apnea Project

25:02 The Evolution of Sleep Apnea Understanding

36.53-The 5 Reasons to Treat Sleep Apnea

43:49 Posture and Sleep Apnea

44:17 Diagnostic Challenges and Communication Issues

44:41 The Efficiency Machine and CPAP

45:11 Empowering Patients in Sleep Apnea Treatment

48:19 The Importance of Nasal Breathing

51:25 The Role of Nasal Breathing in Development

54:59 Historical Perspective: Ignaz Semmelweis

01:02:03 Orthodontic Practices and Airway Health

01:06:33 The Need for Evidence-Based Orthodontics

01:11:10 Complexity in Sleep Apnea Treatment

01:16:55 Introducing the Rebis Project

01:26:44 Conclusion and Final Thoughts

LINKS:

Rebis: https://www.rebishealth.org/

Contact Dr. McCarty: https://www.empoweredsleepapnea.com/

Beyond OSA: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34;

Articles Referenced by Dr. McCarty: email Dr. DeLuke (drmike@theorthocoach.com)

Phase I CE Courses: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode, I welcome Dr. German Ramirez, an expert in pediatric dentistry and orthodontics with a PhD in oral biology. We discuss Dr. Ramirez's career journey from Colombia to Canada and his unique approach to early orthodontic intervention.

The conversation delves into the importance of functional appliances, the role of pediatric airway-focused therapy, the interplay between genetics and environment in craniofacial growth, and the significance of collaboration between medical professionals in treating sleep and breathing disorders.

Dr. Ramirez also emphasizes the need for effective communication with young patients and their parents to ensure successful treatment outcomes.

00:27 Meet Dr. German Ramirez

02:23 Dr. Ramirez's Educational Journey

04:00 Early Orthodontic Interventions

04:29 Functional Appliances and Early Intervention

06:33 Advanced Studies and Research

10:56 Breathing and Functional Disorders

29:39 Collaborating with Medical Professionals

46:14 Understanding Sleep Disorders in Children

47:40 The Link Between Bruxism and Airway Issues

51:40 Challenges in Orthodontic Training and Practice

56:02 The Role of Genetics and Environment in Craniofacial Development

01:00:56 The Importance of Muscle Stimulation in Growth

01:09:47 Effective Communication with Pediatric Patients

01:18:53 Conclusion and Future Directions

LINKS:

Airway videos: https://www.youtube.com/watch?v=3h0JgmmLj_Q&ab_channel=TMJ%26SleepTherapyCentre

Dr. Ramirez’ website: https://www.kidsmalocclusions.com/

Pediatric Airway-focused Myofunctional Orthodontics: https://a.co/d/b1wQhD9

Dr. DeLuke’s Early Treatment Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode of The DOC Podcast, I welcome Dino Watt to discuss personal and professional development. We dive into Dino's background, exploring how his diverse experiences in acting, DJing, and business have shaped his expertise as a business relationship trainer.

Dino shares insights into effective team management, the importance of knowing your 'why,' and strategies for maintaining work-life balance, especially in marriage. The episode emphasizes the need for clear communication, understanding individual motivations, and fostering a supportive work environment.

Dino also discusses the changing landscape of the dental industry, including the rise of corporate dentistry, and offers practical advice for both new and established professionals.

00:33 Meet Dino Watt: Business Relationship Trainer

02:34 Dino's Journey: From Performer to Business Mentor

08:54 The Importance of Early Jobs and Skills

15:06 Analyzing and Improving Practice Dynamics

19:15 Understanding Your 'Why' and Personal Fulfillment

27:48 The Shift in Professional Mindset

35:40 Struggles with Perfectionism

36:47 Balancing OCD and Professional Life

37:15 Team Dynamics and Expectations

38:31 Recognizing Achievements and Setting Goals

40:15 Understanding and Supporting Team Members

42:00 Effective Communication and Acknowledgment

44:06 The Importance of Regular Check-Ins

53:22 Conducting Productive Reviews

01:01:51 Compensation and Bonuses

01:08:07 The Power of Bonuses in Business

01:08:58 The Importance of Positive Reinforcement

01:10:00 Managing Expectations with Bonuses

01:11:23 Effective Bonus Strategies

01:13:54 Hiring the Right Talent

01:18:35 Corporate Dentistry: Pros and Cons

01:24:47 Balancing Professional and Personal Life

01:29:27 Marriage Mastermind: Strengthening Relationships

01:34:19 Conclusion and Contact Information

LINKS:

Contact Dion: dino@dinowatt.com

Dino’s websites: https://www.dinowatt.com/; https://www.dinowattconsulting.com/

The Practice Rx: https://a.co/d/bHcyFO2

The One Minute Manager: https://a.co/d/btNeAig

I Love It Here: https://a.co/d/2uzJZOb

The Gap in the Gain: https://a.co/d/9I0JHVs

The Road Less Stupid: https://a.co/d/5UWd0o3

Link to DOC Phase I CE Course: https://theorthocoach.com/courses/phase-i-arch-development/?portfolioCats=99

In this episode of The DOC Podcast, I’m joined by Doctors Claire Ferrari and Allie Larios of Ferrari Larios Orthodontics in Kensington, California. Together, they discuss transforming patient care through a proactive, whole-body approach to orthodontics.

Topics include the need to integrate overall health into orthodontic residency programs, early diagnostic and treatment for pre-adolescent patients, the benefits of CBCT imaging, the relationship between tooth extraction and airway issues, building a trusted medical network, and the impact of corporate entities in dentistry. We also delve into the future of orthodontics and their decision to pursue a traditional business model to better serve their patients.

Don't miss this insightful conversation on advancing orthodontic care. Enjoy the show!

00:27 Meet the Guests: Dr. Claire Ferrari and Dr. Allie Larios

03:06 Dr. Ferrari’s Early Influences and Mentorship

04:14 Educational Path and Career Decisions

07:14 The Importance of CBCT Imaging

13:40 Dr. Larios' Experience and Insights

18:10 Holistic Approach in Orthodontics

19:44 Challenges and Rewards of Early Treatment

21:36 The Future of Orthodontics

30:33 Addressing Airway Issues in Orthodontics

34:30 Treating Young Patients: A New Perspective

42:36 Challenges in Pediatric Dental Diagnostics

43:52 Approaching Treatment for Young Children

44:40 Parental Involvement and Patient Management

46:34 The Importance of Early Intervention

48:41 Debating Traditional vs. Modern Orthodontic Practices

50:44 Evidence-Based Medicine in Dentistry

01:06:57 The Business of Orthodontics: Corporate vs. Private Practice

01:19:50 Final Thoughts and Contact Information

LINKS:

Dr. Mike’s Orthotown Article on Pediatric Sleep Disordered Breathing: https://www.nxtbook.com/farran/orthotown/orthotown-march-2025/index.php?startpage=36#/p/34

Dr. Claire Ferrari’s email: claire@ferrariortho.com
Dr. Allie Larios' email: drlarios@ferrariortho.com

Practice Website: www.FerrariOrtho.com