Airway Conversations Ep. 1: A Special for Parents and Professionals on Airway and Orthodontics

Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

Welcome to 𝐀𝐢𝐫𝐰𝐚𝐲 𝐂𝐨𝐧𝐯𝐞𝐫𝐬𝐚𝐭𝐢𝐨𝐧𝐬! In this episode, Dr. Mike Duke, Board Certified Orthodontist, and Nicole Goldfarb, Speech Language Pathologist and Certified Orofacial Myologist, 𝐝𝐢𝐯𝐞 𝐝𝐞𝐞𝐩 𝐢𝐧𝐭𝐨 𝐭𝐡𝐞 𝐰𝐨𝐫𝐥𝐝 𝐨𝐟 𝐚𝐢𝐫𝐰𝐚𝐲-𝐜𝐞𝐧𝐭𝐞𝐫𝐞𝐝 𝐨𝐫𝐭𝐡𝐨𝐝𝐨𝐧𝐭𝐢𝐜𝐬 🫁🦷.
✅ They discuss how 𝐣𝐚𝐰 𝐚𝐧𝐝 𝐭𝐞𝐞𝐭𝐡 𝐚𝐥𝐢𝐠𝐧𝐦𝐞𝐧𝐭 𝐢𝐦𝐩𝐚𝐜𝐭𝐬 𝐛𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠, 𝐬𝐥𝐞𝐞𝐩, 𝐚𝐧𝐝 𝐨𝐯𝐞𝐫𝐚𝐥𝐥 𝐡𝐞𝐚𝐥𝐭𝐡.
✅ Dr. DeLuke 𝐜𝐨𝐧𝐭𝐫𝐚𝐬𝐭𝐬 𝐭𝐫𝐚𝐝𝐢𝐭𝐢𝐨𝐧𝐚𝐥 𝐨𝐫𝐭𝐡𝐨𝐝𝐨𝐧𝐭𝐢𝐬𝐭𝐬, 𝐟𝐨𝐜𝐮𝐬𝐞𝐝 𝐨𝐧 𝐭𝐞𝐞𝐭𝐡, 𝐰𝐢𝐭𝐡 𝐚𝐢𝐫𝐰𝐚𝐲-𝐟𝐨𝐜𝐮𝐬𝐞𝐝 𝐨𝐫𝐭𝐡𝐨𝐝𝐨𝐧𝐭𝐢𝐬𝐭𝐬, 𝐰𝐡𝐨 𝐜𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐥𝐨𝐧𝐠-𝐭𝐞𝐫𝐦 𝐡𝐞𝐚𝐥𝐭𝐡 𝐚𝐧𝐝 𝐭𝐫𝐞𝐚𝐭 𝐲𝐨𝐮𝐧𝐠𝐞𝐫 𝐤𝐢𝐝𝐬 👧👦. He reviews the 𝐀𝐃𝐀'𝐬 𝐚𝐧𝐝 𝐀𝐀𝐎'𝐬 𝐝𝐢𝐟𝐟𝐞𝐫𝐢𝐧𝐠 𝐬𝐭𝐚𝐧𝐜𝐞𝐬 𝐨𝐧 𝐚𝐢𝐫𝐰𝐚𝐲 𝐢𝐬𝐬𝐮𝐞𝐬, with the ADA advocating for a broad approach and the AAO more focused on OSA.
✅ Dr. DeLuke and Nicole explore the 𝐬𝐩𝐞𝐜𝐭𝐫𝐮𝐦 𝐨𝐟 𝐬𝐥𝐞𝐞𝐩-𝐝𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐞𝐝 𝐛𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠, from mouth breathing to OSA, noting that 𝐥𝐨𝐰𝐞𝐫-𝐥𝐞𝐯𝐞𝐥 𝐢𝐬𝐬𝐮𝐞𝐬 𝐜𝐚𝐧 𝐡𝐚𝐯𝐞 𝐬𝐞𝐫𝐢𝐨𝐮𝐬 𝐡𝐞𝐚𝐥𝐭𝐡 𝐢𝐦𝐩𝐚𝐜𝐭𝐬 😫. The apnea-hypopnea index (AHI) isn't the only important measure, may not always have clinical significance, and should not be the only measure relied on!
✅ They discuss how 𝐬𝐥𝐞𝐞𝐩 𝐬𝐭𝐮𝐝𝐢𝐞𝐬 𝐚𝐫𝐞𝐧'𝐭 𝐚𝐥𝐰𝐚𝐲𝐬 𝐚𝐜𝐜𝐮𝐫𝐚𝐭𝐞, 𝐞𝐬𝐩𝐞𝐜𝐢𝐚𝐥𝐥𝐲 𝐟𝐨𝐫 𝐤𝐢𝐝𝐬 😴, and the importance of recognizing both 𝐧𝐢𝐠𝐡𝐭𝐭𝐢𝐦𝐞 𝐚𝐧𝐝 𝐝𝐚𝐲𝐭𝐢𝐦𝐞 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐨𝐟 𝐬𝐥𝐞𝐞𝐩 𝐢𝐬𝐬𝐮𝐞𝐬, as well as 𝐨𝐫𝐚𝐥 𝐚𝐧𝐝 𝐟𝐚𝐜𝐢𝐚𝐥 𝐬𝐢𝐠𝐧𝐬 𝐥𝐢𝐤𝐞 𝐨𝐩𝐞𝐧-𝐦𝐨𝐮𝐭𝐡 𝐛𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠, 𝐝𝐚𝐫𝐤 𝐜𝐢𝐫𝐜𝐥𝐞𝐬 𝐮𝐧𝐝𝐞𝐫 𝐭𝐡𝐞 𝐞𝐲𝐞𝐬 👀, 𝐚𝐧𝐝 𝐦𝐮𝐜𝐡 𝐦𝐨𝐫𝐞.
✅ Dr. DeLuke and Nicole emphasize that 𝐬𝐥𝐞𝐞𝐩-𝐝𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐞𝐝 𝐛𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠 𝐢𝐬 𝐦𝐮𝐥𝐭𝐢-𝐟𝐚𝐜𝐭𝐨𝐫𝐢𝐚𝐥 🧩 and monotherapies aren't enough!
✅ They stress the need to 𝐥𝐨𝐨𝐤 𝐚𝐭 𝐭𝐡𝐞 𝐟𝐚𝐜𝐞 𝐟𝐢𝐫𝐬𝐭 𝐛𝐞𝐟𝐨𝐫𝐞 𝐭𝐡𝐞 𝐦𝐨𝐮𝐭𝐡.
✅ They note that 𝐬𝐨𝐦𝐞 𝐨𝐫𝐭𝐡𝐨𝐝𝐨𝐧𝐭𝐢𝐬𝐭𝐬 𝐡𝐚𝐯𝐞 𝐬𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐳𝐞𝐝 𝐭𝐫𝐚𝐢𝐧𝐢𝐧𝐠 🎓, but there are 𝐦𝐚𝐧𝐲 𝐠𝐞𝐧𝐞𝐫𝐚𝐥 𝐝𝐞𝐧𝐭𝐢𝐬𝐭𝐬 𝐰𝐡𝐨 𝐚𝐫𝐞 𝐠𝐚𝐢𝐧𝐢𝐧𝐠 𝐚𝐢𝐫𝐰𝐚𝐲 𝐤𝐧𝐨𝐰𝐥𝐞𝐝𝐠𝐞 𝐚𝐧𝐝 𝐮𝐭𝐢𝐥𝐢𝐳𝐢𝐧𝐠 𝐚𝐢𝐫𝐰𝐚𝐲 𝐨𝐫𝐭𝐡𝐨𝐝𝐨𝐧𝐭𝐢𝐜 𝐭𝐞𝐜𝐡𝐧𝐢𝐪𝐮𝐞𝐬.
✅ 𝐏𝐚𝐫𝐞𝐧𝐭𝐬, 𝐭𝐫𝐮𝐬𝐭 𝐲𝐨𝐮𝐫 𝐢𝐧𝐬𝐭𝐢𝐧𝐜𝐭𝐬!💖 Seek providers who understand the airway-orthodontic connection and don't settle for providers who aren't asking about sleep 😴 and breathing 👃.
𝐒𝐨𝐦𝐞 𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐀𝐬𝐤𝐞𝐝 𝐚𝐧𝐝 𝐀𝐧𝐬𝐰𝐞𝐫𝐞𝐝:
● 𝑊ℎ𝑎𝑡'𝑠 𝑡ℎ𝑒 𝑑𝑖𝑓𝑓𝑒𝑟𝑒𝑛𝑐𝑒 𝑏𝑒𝑡𝑤𝑒𝑒𝑛 𝑡𝑟𝑎𝑑𝑖𝑡𝑖𝑜𝑛𝑎𝑙 𝑎𝑛𝑑 𝑎𝑖𝑟𝑤𝑎𝑦-𝑓𝑜𝑐𝑢𝑠𝑒𝑑 𝑜𝑟𝑡ℎ𝑜𝑑𝑜𝑛𝑡𝑖𝑠𝑡𝑠?
● 𝑊ℎ𝑎𝑡 𝑎𝑟𝑒 𝑡ℎ𝑒 𝐴𝐷𝐴 𝑎𝑛𝑑 𝐴𝐴𝑂'𝑠 𝑠𝑡𝑎𝑛𝑐𝑒𝑠 𝑜𝑛 𝑠𝑙𝑒𝑒𝑝-𝑑𝑖𝑠𝑜𝑟𝑑𝑒𝑟𝑒𝑑 𝑏𝑟𝑒𝑎𝑡ℎ𝑖𝑛𝑔?
● 𝑊ℎ𝑎𝑡 𝑖𝑠 𝑡ℎ𝑒 𝑓𝑢𝑙𝑙 𝑠𝑝𝑒𝑐𝑡𝑟𝑢𝑚 𝑜𝑓 𝑠𝑙𝑒𝑒𝑝-𝑑𝑖𝑠𝑜𝑟𝑑𝑒𝑟𝑒𝑑 𝑏𝑟𝑒𝑎𝑡ℎ𝑖𝑛𝑔?
● 𝑊ℎ𝑎𝑡 𝑎𝑟𝑒 𝑡ℎ𝑒 𝑠𝑦𝑚𝑝𝑡𝑜𝑚𝑠 𝑜𝑓 𝑠𝑙𝑒𝑒𝑝-𝑑𝑖𝑠𝑜𝑟𝑑𝑒𝑟𝑒𝑑 𝑏𝑟𝑒𝑎𝑡ℎ𝑖𝑛𝑔?
● 𝑊ℎ𝑎𝑡 𝑎𝑟𝑒 𝑡ℎ𝑒 𝑜𝑟𝑎𝑙 𝑎𝑛𝑑 𝑑𝑒𝑛𝑡𝑎𝑙 𝑠𝑖𝑔𝑛𝑠 𝑙𝑖𝑛𝑘𝑒𝑑 𝑡𝑜 𝑎𝑖𝑟𝑤𝑎𝑦 𝑖𝑠𝑠𝑢𝑒𝑠?
● 𝐻𝑜𝑤 𝑎𝑟𝑒 𝑜𝑟𝑡ℎ𝑜𝑑𝑜𝑛𝑡𝑖𝑠𝑡𝑠 𝑎𝑛𝑑 𝑑𝑒𝑛𝑡𝑖𝑠𝑡𝑠 𝑡𝑟𝑎𝑖𝑛𝑒𝑑 𝑑𝑖𝑓𝑓𝑒𝑟𝑒𝑛𝑡𝑙𝑦?
● 𝑊ℎ𝑎𝑡 𝑠ℎ𝑜𝑢𝑙𝑑 𝑝𝑎𝑟𝑒𝑛𝑡𝑠 𝑑𝑜 𝑖𝑓 𝑡ℎ𝑒𝑖𝑟 𝑝𝑟𝑜𝑣𝑖𝑑𝑒𝑟 𝑖𝑔𝑛𝑜𝑟𝑒𝑠 𝑎𝑖𝑟𝑤𝑎𝑦 𝑐𝑜𝑛𝑐𝑒𝑟𝑛𝑠?
● 𝘼𝑵𝘿 𝙈𝑶𝙍𝑬!
𝐀𝐁𝐎𝐔𝐓 𝐃𝐑. 𝐃𝐄𝐋𝐔𝐊𝐄:
Dr. Michael K. DeLuke obtained his DDS from SUNY Stony Brook, where he graduated as class valedictorian. He obtained his Certificate of Proficiency in Orthodontics and Master of Dental Science (MDS) degree from the University of Connecticut. Dr. DeLuke is a Diplomate of the American Board of Orthodontics, served as the orthodontist on the prestigious Cleft Craniofacial Team at Albany Medical Center, served as a clinical professor at both Ellis Hospital and the University of Connecticut Health Center Department of Orthodontics, and is currently an adjunct professor at the NSU College of Dental Medicine in the Department of Orthodontics. Dr. DeLuke owned and operated DeLuke Orthodontics in Upstate New York from 2005 – 2023, and launched DeLuke Orthodontic Coaching in 2022 with the mission of helping his colleagues succeed both personally and professionally. Dr. DeLuke has lectured at numerous regional and national meetings over the past 20 years, has published articles in multiple orthodontic journals, and sits on the editorial board of OrthoTown Magazine. He is also the creator and host of The DOC Podcast.
𝐀𝐁𝐎𝐔𝐓 𝐍𝐈𝐂𝐎𝐋𝐄 𝐆𝐎𝐋𝐃𝐅𝐀𝐑𝐁:
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, author, and is the host of a podcast: “Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge”. She presents internationally on OMT as it relates to SDB in both children and adults. She is the author of multiple articles and book chapters. Nicole is the owner of San Diego