The DOC Podcast

Don’t miss this amazing discussion with speech-language pathologist and myofunctional therapist Nicole Goldfarb! We discuss: LINKS: -D'Onofrio Article: Oral Dysfunction as the Cause of Malocclusion: https://onlinelibrary.wiley.com/doi/full/10.1111/ocr.12277#:~:text=Conclusion,bite%20and%20hard%20palate%20collapse. -To learn more about myofunctional therapy: -International Association of Orofacial Myology (IAOM): https://www.iaom.com/ -American Academy of Orofacial Myofunctional Therapy (AOMT): https://aomtinfo.org/ -Airway Circle: https://www.airwaycircle.com/ -Oro-Myofunctional Study Group (Facebook): https://www.facebook.com/groups/443131172546099 -www.TheOrthoCoach.com -DOC FB Page: https://www.facebook.com/groups/1350463785569755/

After associating with Dr. Stuart Frost for 7 years, Trevor is going to be opening his own practice in Gilbert, AZ in the upcoming months. He sat down with me for an amazing conversation where we discussed a wide range of topics, including: · What motivated Trevor to go out and start his own practice. · Trevor’s four pillars of life – family, faith, fitness, and teeth, and how he tries to balance them all. · The sacrifices our wives have made (as do many spouses!) to support our careers. · The importance of relationships and having people there to help you achieve balance. · How to manage our expectations of perfection. · What advice Trevor would give young docs regarding how to find fulfillment in their career. · The importance of defining your vision and setting goals to achieve that vision. · How to define your “why’s.” · Why learning to put yourself first allows you to better serve others. · Trevor’s three core values that bring him the most joy. · The keys to becoming an outstanding clinician and orthodontist. · The value of outstanding diagnostic records. · The importance of determining the etiology of the malocclusion and focusing on the face, not just the teeth. · When and how to adjust when a case is not progressing as hoped. · What orthodontists can learn from Koby Bryant. · The essential paradigm shift in orthodontics away from looking at just the teeth/occlusion and towards a more holistic approach to treatment. · The key to achieving superior finishes, including how to approach enamel contouring. · How to enjoy the journey of your personal and professional life! LINKS: · Vision and Goals Podcast: https://podcasts.apple.com/us/podcast/the-doc-podcast/id1689703392?i=1000621411147 · It’s Okay to be Selfish Podcast: https://podcasts.apple.com/us/podcast/the-doc-podcast/id1689703392?i=1000622923573 · AAPMD Webinar: https://aapmd.org/event/a-unique-approach-to-the-interceptive-orthodontic-treatment-of-cleft-lip-palate-patientsmichael-k-deluke-dds-mds · Trevor’s article in OrthoTown “Finishing Touches”: https://www.orthotown.com/magazine/article/9097/the-finishing-touches · Contact Trevor on Instagram: @dr.trevornichols

What a great conversation with an amazing orthodontist and person, Dr. Courtney Lavigne! We cover everything from her professional journey, to her personal struggles with Upper Airway Resistance Syndrome, to the challenges of balancing a career with the responsibilities of family and motherhood (as she is currently 38 weeks pregnant!). You’ll hear us discuss:

He’s back! In September 2023, I had Ty on to talk about CBCT imaging. Now he has a new role as a practice transition broker with Professional Transition Strategies (PTS) where he assists with pairing doctors with a DSO that best fits their needs and desires. In this episode, we do a deep dive into all things DSO (OSO, etc.), including: LINKS · To learn more about Professional Transition Strategies: https://professionaltransition.com/our-team/ · To get in touch with Ty: ty@professionaltransition.com; (469)360-1031 · To contact Ty on LinkedIn: https://www.linkedin.com/in/tyramsey/ · Link to the first episode with Ty: https://youtu.be/rPQ-P5NDj3g?si=7nFihFRb51Znx6Na · To learn more about DOC: www.TheOrthoCoach.com · To contact Dr. DeLuke: drmike@theorthocoach.com

In this episode, I interview Dr. Dan Grob. Dan has been a practicing orthodontist for 40 years, has been actively involved in academia throughout his career, has published numerous articles, and is the past Editorial Director of OrthoTown magazine. Dan recently discovered the numerous and amazing benefits of providing more early orthodontic treatment and it has transformed how he approaches patient care. We discuss: What it was like purchasing Charlie Tweed’s brother’s practice in AZ.Why Dan didn’t do much early treatment in his first 25 years of practice, and how that changed approximately 15 years ago.How self-ligating appliances have helped improve his clinical efficiency.The importance of starting the patient evaluation by looking at the patient’s face and finishing with the teeth.How being airway-aware can both change lives and grow your practice.The void in our formal orthodontic education system when it comes to early treatment and airway.The reasons why pediatric and general dentists seem to be more cognizant of the benefits of early treatment, especially as it pertains to airway.The state of affairs in higher dental education regarding the disconnect between pediatric and orthodontic departments, and what we can do about it.How doing more Phase I treatment to address the transverse early has simplified Dan’s practice and given him more control over his cases.Why spending a bit more time to treat over two phases is well worthwhile based upon the superior results you can attain.Whether dental crowding is due to large teeth or small jaws.The different techniques that Dan and I use to expand the mandibular arch.How full braces and wires during Phase I can generate amazing expansion and arch development.Dan’s thoughts on lingual frenectomy.The best way to decrease the number of impacted canines you have to manage.The importance of determining the etiology of the transverse deficiency in younger kiddos.What can be done to shift the paradigm of orthodontic treatment towards one that focuses on the value and importance of early treatment.LINKS: DOC CE Courses on Phase I Treatment:https://theorthocoach.com/ce-courses/

In this episode, I interview Matt Rej, Partner with Merchant Cost Consulting (MCC). Matt and his colleagues started MCC to help doctors save money on their credit card processing fees. He and I discuss: LINKS: -Email Matt: Matt@merchantcostconsulting.com -Partners Page on MCC website: https://merchantcostconsulting.com/partners/ -Episode with John Vento, CPA, CFP: https://youtu.be/1-EXO-IlQgs?si=2jIspKkZajqJKrXw -Episode on budgeting: https://youtu.be/d31JwW_Ucmw?si=jQHDaMmUqpKkIJtX

In this episode, I have the pleasure of speaking with a true pioneer in the area of 3D imaging, TMJ, and airway-focused orthodontics, Dr. Bill Harrell. We discuss: Growing into breathing problems: the quest for collaborative lifetime solutionsLINKS: -Dr. Jerry Simmons email to inquire about CAST/CGASP: jsimmonsmd@csma.clinic -Dr. Mike email address: drmike@theorthocoach.com

In this episode, I speak with an expert in the field of commercial real estate, Mr. Colin Carr. Colin's firm, CARR, is the nation's leading provider of commercial real estate services for healthcare tenants and buyers. They are licensed in all 50 states and represent over 5500 clients of all sizes across the US. We discuss: LINKS:

Dr. Derek Mahony is an orthodontist and educator who has practiced clinical orthodontics for 36 years. He and I engage in a fascinating conversation about early treatment, including: LINKS: -PSQ: (https://www.researchgate.net/figure/Pediatric-Sleep-Questionnaire_fig1_347054293) -SnoreLab Snoring App: (https://apps.apple.com/us/app/snorelab-record-your-snoring/id529443604) -Zoghi Fairest 6 Airway Screening Tool: https://www.zaghimd.com/_files/ugd/fd6d92_fc77ddac6e9b43ebaf6b21fd078c8789.pdf?index=true -DOC YouTube Channel: (https://www.youtube.com/@delukeorthodonticcoaching) -OrthoTown articles: Part 1 (https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54); Part 2 (https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52) -The Ortho Coach Website: www.TheOrthoCoach.com -Reach Dr. Mike by email: drmike@theorthocoach.com

In this episode, Dr. Mike interviews the amazing Dr. Rebecca Bockow – a duly trained orthodontist and periodontist, to discuss: How Becca’s background in restorative dentistry and periodontics helped her understand the critically important role that interceptive orthodontic treatment can play in redirecting growth and reducing the severity of the malocclusion.The impact Drs. Slick VanArsdall, Vince Kokich, and Jeff Rouse had on Becca’s approach to interceptive orthodontic treatment.The need to reframe our mission and the purpose of early orthodontic intervention.The possible reasons why many orthodontic residents receive little to no training in interceptive treatment.The value of CBCT in determining the etiology of the malocclusion.The importance of focusing on the transverse dimension.Why it is essential to focus on the overall health of our patients and not just their teeth.The importance of developing an interdisciplinary team of colleagues within your community.The challenges associated with obtaining a sleep study on a child and the potential flaws of the data gathered.Studies that show snoring alone (not OSA) can lead to learning deficits and decreases in gray matter.Which sleep study Becca uses for her patients and at what timepoints she has them fill it out.Possible reasons why Phase I treatment has historically received a bad rap and what can be done to reframe that image.The need to dispel the notion that orthodontists who address pediatric airway are diagnosing and treating sleep apnea.The basis for the AAO selecting 7 years old as the age at which patients should first see the orthodontist.What the future holds for the profession of orthodontics, especially as it pertains to interceptive treatment and airway.LINKS -Pediatric Sleep Questionnaire: https://www.researchgate.net/figure/Pediatric-Sleep-Questionnaire_fig1_347054293 -Ferris 6 Sleep Study: https://www.fairest.org/tools/ -Rethinking Rhinoplasty – Howard Stupak: https://www.amazon.com/Rethinking-Rhinoplasty-Facial-Surgery-Re-Analysis/dp/3030446751

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: LINKS: Dr. Singh’s new book:https://www.amazon.com/Pneumopedics-Craniofacial-Epigenetics-Biomimetic-Disordered/dp/9811225346To contact Dr. Singh directly:

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: IMPORTANT NOTE:10% offLINKS: · 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 amazing conversation with author, entrepreneur, and dental practice consultant Kirk Teachout! In this episode, we discuss: How Kirk went from building a company in the music industry to becoming a dental consultant.Kirk’s unique approach to dental practice management that helps maximize efficiency and minimize physical time in the office.The key to taking his wife’s dental practice from $300k in revenue to over $1mil in revenue in 2 years’ time – all while only seeing patients 7 hours/day, 3 days a week!The grueling nature of dentistry and how to prevent burnout.How to eliminate a day of patient hours without decreasing revenue.Building a schedule that places procedures at times that work for the doctor, the team, and the patients.The KPI that Kirk focuses on the most when he looks at dental practices.How to define the ideal patient and recruit more of them to your practice, and how to define the problem patient and dismiss them from your practice.Using the new patient call to screen patients and filter out those who are not a good fit for your practice.The challenges associated with balancing the demands of work and family, especially for female docs.The importance of delayed gratification, keeping your expenses below your income, and saving, saving, saving.The number one secret to developing wealth.How to go from being a go-getter to a go-giver and servant leader.The two things younger docs need to do to get ready for practice ownership.Strategies to help your kids develop discipline.The books that Kirk recommends all his clients read before he starts working with them.LINKS: *To Contact Kirk: Instagram: @KirkTeachout Email: Kirk@IVQuarterCoaching.com *Kirk’s Books: https://www.amazon.com/dp/B0C7NQJV95?binding=paperback&ref=dbs_dp_rwt_sb_pc_tpbk *Link to the DOC Balance Sheet: www.TheOrthoCoach.com *Link to DOC Coaching: https://michael-deluke.mykajabi.com/offers/KBUuSTLa/checkout *DOC Podcast on Delayed Gratification: https://youtu.be/AjCd3OYbJVY?si=ydou-6Gx8kDYXt11

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/

How would you rate your hiring process? Do you feel you consistently attract A-players who develop into outstanding team members? If you’re like most of us, the answer to that question is “no!” Dr. Mike Neal and his wife had the same issue and that’s why they created Build My Team – a hiring service that provides highly qualified candidates for hire in medical and dental practices throughout North America. In this episode, we discuss: · What motivated Dr. Neal and his wife to start Build My Team (BMT). · How they systematized the hiring process to take the guesswork out of hiring. · Why you should never communicate with a job applicant via email. · Why it is neither necessary nor beneficial to look at an applicant’s resume. · The “funnel approach” that BMT uses to attract dozens of applicants and narrow it down to present the practice with 2-3 outstanding candidates for the position. · The way BMT evaluates an applicant’s strengths and talents to determine what role in your practice an applicant is best suited for and how they will perform in that particular role. · The specific information that BMT gets out of the applicant to help you determine if they will be a good fit for your practice. · The fact that many of the best team members do NOT have prior experience in the field. · How a practice can hire an A-player team member while only spending approximately an hour of their time. · How practices are losing A-players by not responding to applications quickly enough. · How BMT can guarantee that the team member they help you find will remain employed in your practice for a minimum of 90 days, or they’ll find another candidate for you free of charge! · Why BMT uses a fixed-fee model for clients instead of a commission-based model. · How Dr. Neal used BMT to decrease his total number of team members by 40% and more than double his practice’s net income in 2 years. · The way you can use BMT to help you solve your hiring problems and develop a team of all A-players! LINKS · Build My Team: www.BuildMyTeam.com · The OrthoCoach: www.TheOrthoCoach.com

AT DOC, WE'RE ABOUT HELPING YOU ACHIEVE SUCCESS BOTH PERSONALLY AND PROFESSIONALLY! If you want to know how to reach financial freedom, THIS is the episode you MUST SEE!! Dr. Mike will review the steps that he and his wife took to go from zero cash flow and a negative net worth to attaining financial freedom in less than 20 years, including: You’ll also get a FREE formatted and customizable balance sheet by going to www.TheOrthoCoach.com and clicking on the popup. Just enter your email address and you’ll receive a copy of the balance sheet delivered directly to your inbox! LINKS https://youtu.be/cWIPqWPk_mo?si=LXPnlmlFSJSjXToYJohn Vento, CPA, CFP Podcasts https://youtu.be/1-EXO-IlQgs?si=Z95gfArxXffDOy8Uhttps://youtu.be/tyQTdCy2DxA?si=GlyFh1X3AAz5jALRhttps://youtu.be/Tt0yneFair0?si=TayfvAQR0rHNfAGghttps://youtu.be/QFB2DJksISg?si=tpKbjYIQJaH60F7fhttps://youtu.be/cWIPqWPk_mo?si=LXPnlmlFSJSjXToYJustin Smith CFA, CFP Podcasts https://youtu.be/swJNr52Lqe4?si=jY8Wdk5M1JlgYqNqhttps://youtu.be/2mASImQq5w8?si=XsBi5gj0Jz-85b5T

Don’t miss this amazing conversation with Dr. Shereen Lim – author of the book “Breathe, Sleep, Thrive” and practicing dentist from Perth, Australia! In this episode, we discuss: “Breathe, Sleep, Thrive” LINKS: https://www.amazon.com.au/Breathe-Sleep-Thrive-Discover-potential/dp/0645553212https://www.youtube.com/watch?v=wJFP_9NFnv0&t=7s&ab_channel=DeLukeOrthodonticCoachinghttps://michael-deluke.mykajabi.com/offers/JwPTtF2z/checkouto Part I: https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54 o Part II: https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52

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)

I had another amazing conversation with Dr. Stacy Ochoa! In this episode, we discuss: · Stacy’s lecture at the Winds of Change meeting in St. Louis (organized by Maz Moshari). · References from the early-mid 1900s that discussed the role that environmental factors play in the development of malocclusion and the value of performing arch development in the primary and/or early-mixed dentition. · The divide that exists between academia and private practice. · Reasons why research and academia so often lag behind clinical practice. · The fact that change typically comes from the fringe, not from academia. · The challenges associated with formulating and funding research on the impact of interceptive orthodontic treatment on pediatric sleep-disordered breathing. · Why it is neglectful to ignore airway issues and wait until patients are older to perform orthodontic treatment. · The reasons why many orthodontists feel threatened by general dentists and pediatric dentists who are addressing airway issues and performing interceptive treatment in preadolescent patients. · Whether it is appropriate to treat kids at 4 years old and, if so, what can be done. · Craniofacial Respiratory Complex. · The 2017 ADA Position Statement on Sleep Related Breathing Disorders (SRBDs) and the role of the dentist in the recognition and treatment of these issues. · The stance of the American Academy of Sleep Medicine regarding the role of dentists in the management of breathing disorders. · Amazing stories of patients whose lives we’ve transformed with an airway-centered approach to interceptive orthodontic treatment. LINKS/REFERENCES · Change Comes From the Fringe: https://www.facebook.com/story.php?story_fbid=pfbid0SrWRzPvHCFMebEmHHNhxLN2G1PWot9yZAnMBguNFzsuSam2eAy4LKe2LzuzY6fpql&id=100000076810084&mibextid=qC1gEa&paipv=0&eav=Afa9ouZazZsmeYFIlEaMWpdQ-aJd5pXaRxcFVQMBOP9WdBl6XW2VpYTa6ykL4TEZy38&_rdr · DeLuke OrthoTown Article Part 1 (Permission to Intercept): https://www.nxtbook.com/farran/orthotown/orthotown-june-2023/index.php?startid=54#/p/54 · DeLuke OrthoTown Article Part 2 (Expand Your Reality): https://www.nxtbook.com/farran/orthotown/orthotown-november-2023/index.php?startid=52#/p/52 · Holtzman AC. Orthodontia of Deciduous Teeth. AJO; May 1928:390-392. · Weber FN. Prophylactic Orthodontics. AJO; August 1949:611-35. · ADA Position Paper on 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