What All Dentists Should Know About Airway (w/Dr. Jeff Rouse) [Ep.115]

The DOC Podcast

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/