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The DOC Podcast

The DOC Podcast

De: DeLuke Orthodontic Coaching LLC
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The DOC Podcast brings you unique educational content taught by Dr. Mike DeLuke, a Board Certified Orthodontist with over 20 years of clinical and academic experience. Dr. DeLuke built his orthodontic practice from scratch in the early 2000s and grew it into a multimillion-dollar enterprise in less than 10 years. He was able to retire from his private practice at the age of 46 years old, and now devotes his energy to teaching his colleagues how to succeed both personally and professionally. He also provides locum tenens coverage for colleagues in South Florida. Dr. DeLuke has served as a faculty member at numerous hospitals and orthodontic residency programs around the country, including as the cleft craniofacial orthodontist at Albany Medical Center in New York, and as a clinical professor at The University of Connecticut in the Department of Orthodontics. He is presently an adjunct professor in the Department of Pediatric Dentistry at Healthcare Network and a Visiting Professor in the Department of Orthodontics at Montefiore Einstein Hospital in the Bronx. The DOC Podcast will bring you in-depth discussions and interviews with industry leaders and experts on a variety of topics, including clinical excellence, practice management, finance and wealth creation, health and wellness, taxes and accounting, fitness, and much more!2026 DeLuke Orthodontic Coaching, LLC Ciencia Economía
Episodios
  • The Good, Bad, & Ugly of the AAO White Paper Update on SDB and Orthodontics [Ep.156]

    The Good, Bad, & Ugly of the AAO White Paper Update on SDB and Orthodontics [Ep.156]
    May 14 2026
    In this episode, Dr. Mike breaks down the 2024 update to the 2019 AAO White Paper on obstructive sleep apnea and orthodontics, published in the AJODO in April. After presenting to hundreds of medical, dental, and myofunctional therapy colleagues across the country, he recorded his full presentation for listeners worldwide.Timestamps0:00 – Introduction, episode overview & why Dr. Mike recorded this presentation1:17 – Context: Presenting across the U.S. (Houston, Bronx, Long Island) — the near-universal reaction was shock at the document's flaws3:07 – THE GOOD begins3:07 – Good #1: Acknowledges the full spectrum of sleep-disordered breathing (SDB), not just OSA3:55 – Good #2 & #3: Calls on orthodontists to screen all pediatric patients for SDB, emphasizes early detection, and acknowledges multifactorial etiology requiring interdisciplinary care5:07 – THE BAD begins5:07 – Bad #1–2: Author panel was 8 orthodontists + 1 librarian (no physicians, no myofunctional therapists); document inconsistently uses "OSA" vs. "SDB" throughout8:03 – Bad #3–5: Minimal screening guidance (32 signs & symptoms largely ignored); only briefly mentions comorbidities; never discusses the importance of nasal breathing13:00 – Bad #6: Overall focus is on what not to do rather than guiding orthodontists on how to help patients14:00 – THE UGLY begins15:01 – Ugly #1: Reliance on PSG-confirmed OSA to justify intervention — challenges with pediatric sleep studies (access, sensitivity, first-night effect, lack of standardization); what Reference 34 actually says vs. how it was cited22:40 – Patient case study: Child with AHI of zero but severe signs of airway disease — the ENT said "what does the orthodontist know about sleep medicine?"26:34 – Ugly #2: "No way to determine if a patient is a mouth breather" — justified by a study of 9 adults on a cycle ergometer; Dr. Kandasamy's 2025 AJODO editorial; what the actual research shows (European OJ, AHA, ADHD literature, microbiome)36:51 – Ugly #3: "No craniofacial phenotypes can identify SDB" — directly contradicted by Reference 34 and the original 2019 white paper; Harvold primate studies, Hew et al. (2011), Principato's tongue mechanics explained43:03 – Ugly #4: "Most children with SDB will outgrow it" — both cited references (Refs 17 & 18) actually contradict this claim; cardiovascular, neurocognitive, and ADHD consequences of waiting53:03 – Ugly #5: "CBCT has no diagnostic value for SDB" — contradicted by Reference 34; what CBCT can detect; the radiation argument debunked57:29 – Ugly #6: Must refer to a physician for diagnosis before any intervention — ignores lack of access to pediatric sleep physicians; a formal diagnosis does not change the orthodontist's treatment plan for normalizing craniofacial growth1:00:00 – Ugly #7: Misleading analysis of tongue tie (ankyloglossia) and PSDB — references were miscited; what the scoping review (1,228+ patients) and 2026 systematic review actually concluded1:07:27 – The evidence-based medicine argument: what David Sackett (founder of EBM) actually said — and how Class I occlusion, ceph norms, clear aligners, and IPR are held to a different standard than airway treatment1:19:20 – Ugly #8: "Orthodontic extractions have no impact on airway" — the Larson article debunked (patients didn't even necessarily have orthodontic treatment); extractions treat the symptom and ignore the underlying etiology1:28:20 – Path forward: "Straight teeth bias," the need for a paradigm shift, and the vision for a profession that creates both beautiful smiles and healthy nasal breathersResources MentionedAAO White Paper Update: Sleep-Disordered Breathing in Orthodontics (https://www.ajodo.org/article/S0889-5406(26)00035-1/fulltext) Dr. Mike's OrthoTown article: Defining Evidence-Based Orthodontics (https://www.orthotown.com/magazine/article/9835/defining-evidence-based-orthodontics?fbclid=IwY2xjawP14fxleHRuA2FlbQIxMABicmlkETFrVWE3M3EwYWJTRWpEdENTc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHhwMNgFJyCJB6JMvVDSomu6drLwAym2SI7CDx-eXbuwrUwBxzP6NpyP7HpT8_aem_NmfJlB15aUQgioH6xWUu3A)Early Orthodontic Treatment Comprehensive – 2-day hands-on course with Dr. Mike & Dr. Daniel Camacho, Fort Lauderdale, FL, November 13–14. Save $1,000 by enrolling before May 31st. Limited to 20 docs. (https://www.earlyorthotreatment.com/)ConnectWebsite: theorthocoach.comEmail: drmike@theorthocoach.comFacebook: The DOC Community (https://www.facebook.com/share/g/1Cb9rkQVde/)Subscribe on Apple Podcasts & SpotifySubscribe to the DOC YouTube Channel (https://www.youtube.com/@theorthocoach)Please share this episode widely — with medical, dental, and myofunctional therapy colleagues, parents, and anyone invested in children's health.
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    1 h y 30 m
  • Do Kids Outgrow Their Airway Issues? An ENT's Perspective (w/Dr. David McIntosh) [Ep.155]

    Do Kids Outgrow Their Airway Issues? An ENT's Perspective (w/Dr. David McIntosh) [Ep.155]
    May 7 2026

    In this episode, I sit down again with Dr. David McIntosh, an ENT surgeon from Australia and one of the sharpest medical minds I know when it comes to pediatric airway and sleep-disordered breathing. We dig deep into the recently updated AAO white paper, including what it got right, what it got dangerously wrong, and why publishing a document about interdisciplinary care without a single interdisciplinary author is a problem we can't ignore.

    Dr. McIntosh also walks me through one of the most eye-opening breakdowns I've ever heard about Scammon's curve, and what orthodontists were never actually taught about what that data really shows. This episode is a must-listen for any dental or medical professional who works with children and cares about more than just straight teeth.

    Timestamps:
    0:02:40 — Welcome & introducing Dr. David McIntosh back to the show
    0:04:35 — The AAO white paper update: eight orthodontists, one librarian, and zero medical or myofunctional colleagues
    0:09:51 — The quote that stopped Dr. McIntosh cold: "Pre-pubertal OSA tends to resolve naturally"
    0:11:34 — Dissecting the flaws in reference #17: small sample sizes, changing scoring rules & selection bias
    0:13:01 — Reference #18 from a 2010 Journal of Pediatrics paper that actually contradicts the white paper's own conclusion
    0:22:59 — Why the CHAT study should have been their starting point
    0:23:09 — The Karen Bonuck study: 12,000 children, 7 years of data, and what early SDB really does to development
    0:27:54 — Christian Guilleminault and why he wished he'd never invented the AHI
    0:38:16 — Breaking down Scammon's curve: what it actually measures (and what it doesn't)
    0:40:25 — The original data came from the spleen and thymus — not tonsils or adenoids
    0:53:30 — "I don't care about teeth" — Dr. McIntosh on why craniofacial outcomes are the wrong finish line
    0:55:34 — Straight teeth bias: why orthodontists need to think like dentofacial orthopedists
    1:04:08 — Mouth breathing and craniofacial growth: why the debate doesn't even matter anymore
    1:20:41 — Dr. McIntosh and Bill Harrell's upcoming Airway Breathing Academy — what it is and who it's for

    I hope this episode challenges the way you think about what we're really treating when we treat children's airways, because it's never just about the teeth.

    If you found this valuable, please follow me on Instagram at @theorthocoach, join our community at The DOC Community on Facebook (link below), and subscribe on YouTube at @theorthocoach. Your support helps keep these important conversations going. See you next episode.

    LINKS

    • Register for the In-person Early Treatment Comprehensive: https://www.earlyorthotreatment.com/
    • 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/
    • Guillimenault & Huang article in Sleep Medicine Reviews, 2018: Guilleminault C, Huang YS. From oral facial dysfunction to dysmorphism and the onset of pediatric OSA. Sleep Med Rev. 2018 Aug;40:203-214.
    • Connect with Dr. McIntosh:
    • Facebook: https://www.facebook.com/david.mcintosh.180
    • Instagram: https://www.instagram.com/dr.mcintosh.ent/?hl=en
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    1 h y 22 m
  • What's Causing the Chronic Disease Epidemic in Our Children? (w/Beth Lambert)

    What's Causing the Chronic Disease Epidemic in Our Children? (w/Beth Lambert)
    Apr 30 2026

    In this episode, I sit down with Beth Lambert - bestselling author, founder of Documenting Hope, and creator of the CHIRP Study - for a deep dive into the skyrocketing rates of chronic illness in children. Beth shares her personal journey from pharmaceutical consultant to healthcare reform advocate, explains the "Total Load" theory of disease, and discusses the environmental, dietary, and systemic factors driving conditions like autism, ADHD, autoimmune disease, and allergies.

    The conversation covers vaccines, fluoride, gut health, sleep, and practical steps parents can take today, all grounded in science, and without the usual gatekeeping.

    Timestamps:

    0:23 – Introduction: Meet Beth Lambert
    8:01 – Beth gets kicked out of 3 pediatricians' offices for asking about root causes
    15:50 – How post-WWII pharmaceutical culture shaped modern medicine
    17:57 – Direct-to-consumer drug advertising: the U.S. is one of only two countries that allow it
    22:07 – The data: from 2% of kids with chronic illness in 1960 to 54%+ today
    24:23 – What's driving the epidemic? Food, air, water, antibiotics, toxins — the "Total Load"
    25:48 – Explaining the Total Load Theory and why no single cause explains it all
    30:40 – The CHIRP Study: Child Health Inventory for Resilience and Prevention
    31:15 – Preliminary findings: more health stressors = worse health outcomes
    36:32 – The vaccine-autism debate: why we need open, unbiased science
    37:59 – Antibiotics and the microbiome: the biggest signal in the CHIRP data
    43:13 – "The science is settled" — why that phrase has no place in real science
    54:38 – Fluoride: Beth hasn't used it in 20 years — here's why
    1:06:25 – Gut health: why the microbiome is foundational but not the whole picture
    1:12:22 – Is it ADHD or is it sleep deprivation? The airway-behavior connection
    1:19:57 – Biohacks (peptides, red light, vagus nerve stimulators): helpful tools, not solutions
    1:23:16 – Take-home message: clinician-parent partnership and owning your child's health
    1:25:37 – Where to find Beth & Documenting Hope: documentinghope.com

    LINKS:

    • Epidemic Answers: www.epidemicanswers.org
    • The Documenting Hope Project: www.documentinghope.com
    • A Compromised Generation: http://sentientpublications.com/shop/books/all-titles/a-compromised-generation/
    • Brain Under Attack: http://www.brainunderattack.com
    • Follow Beth on Socials: @documentinghope
    • 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/
    • REGISTER: 2026 Early Orthodontic Treatment Comprehensive: https://www.earlyorthotreatment.com/
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    1 h y 27 m
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