Running an Airway-Focused Orthodontic Practice (w/Dr. Svitlana Koval) [Ep.137]

Episode Overview
In this episode, I welcome Dr. Svitlana Koval, an orthodontist based in Boca Raton, Florida, renowned for her expertise in airway-focused orthodontics and the diagnosis and treatment of sleep-disordered breathing in both children and adults. The conversation explores Dr. Koval’s professional journey, her clinical protocols, and the broader implications of airway health in orthodontics.

Key Topics Discussed
Dr. Koval’s Journey:
Dr. Koval shares her path from Ukraine to the U.S., her early exposure to advanced diagnostic tools (like T-Scan and EMG), and her growing interest in TMD and airway health.

• Airway Orthodontics & Sleep-Disordered Breathing:
  The discussion covers the importance of screening for airway issues in orthodontic patients, the spectrum of sleep-disordered breathing (from snoring to obstructive sleep apnea), and the role of orthodontists in early detection and intervention.
• Diagnostic & Treatment Protocols:
  Dr. Koval details her approach to diagnosis, including the use of 3D imaging, CBCT, and comprehensive intake questionnaires (like the Pediatric Sleep Questionnaire). She emphasizes the need for individualized treatment, including expansion techniques and myofunctional therapy.
• Educational Gaps in Orthodontics:
  Dr. Koval and I discuss why airway health is underrepresented in dental and orthodontic education, and the need for curriculum reform to better prepare clinicians.
• Genetics vs. Environment:
  The conversation delves into the debate over genetic vs. environmental factors in malocclusion and airway issues, referencing key studies and the concept of epigenetics.
• Collaboration & Subspecialization:
  Dr. Koval advocates for interdisciplinary collaboration among dental and medical professionals and suggests that subspecialization within orthodontics may be beneficial for managing complex airway cases.
• Advice for Clinicians:
  Dr. Koval encourages clinicians to critically assess literature, stay open-minded, and prioritize patient well-being over dogmatic adherence to traditional protocols.

Memorable Quotes

• “We as providers are here to serve our community. What matters most is the voice of our community and the needs of our patients.”
• “It’s not just about straightening teeth—it’s about improving overall health and well-being.”
• “Screening for airway issues should be a standard part of orthodontic care, starting as early as age three.”

Resources & Links

• Dr. Koval Orthodontics: https://www.drssk.com/
• Dr. Koval on Instagram: @drsvitlanakoval
• Dr. DeLuke on Instagram: @theorthocoach
• Join The DOC Community on Facebook for more great content and discussions (https://www.facebook.com/share/g/1Cb9rkQVde/)
• Check out the DOC CE Courses: https://theorthocoach.com/ce-courses/