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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