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 Topics02:55 Starting the Discussion: Evidence-Based Medicine03:48 Medical Perspective on Evidence-Based Medicine06:40 Ethics and Practicality in Medical Trials14:39 Orthodontic Perspective on Evidence-Based Medicine17:13 Challenges in Evidence-Based Orthodontics25:35 CBCT Imaging in Orthodontics and ENT45:01 Understanding Cancer Risks from Ionizing Radiation45:37 Unexpected Benefits of CBCT Scans46:46 Prevalence of Airway Problems in Orthodontics50:13 Orthodontic Practices and Resistance to Change55:27 Historical Perspectives on 2D vs 3D Imaging01:03:38 Early Intervention in Pediatric Orthodontics01:18:53 Health Implications of Mouth Breathing01:27:33 Impact of Mouth Breathing on Overall Health01:28:10 Negligence in Treating Mouth Breathing01:28:31 The Importance of Airway Screening01:30:28 Orthodontic Residencies and Early Treatment01:40:13 Sleep-Disordered Breathing and Orthodontics01:44:09 Challenges in Diagnosing Sleep Apnea in Children01:47:12 The Flaws in Sleep Study Metrics01:59:13 The Need for Early Orthodontic Intervention02:00:07 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:  [email protected]; https://www.facebook.com/bill.harrell.31

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