{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The DOC Podcast","title":"Evidence-Based Practice, CBCT, Mouth Breathing, & Sleep Studies (w/Drs. Harrell & McIntosh) [Ep.109]","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/6ad4a9b1\"></iframe>","width":"100%","height":180,"duration":7561,"description":"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.\nDrs. 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.\nThis episode offers invaluable knowledge for medical and dental professionals, as well as lay persons.\n01:30 Episode Overview and Topics\n02:55 Starting the Discussion: Evidence-Based Medicine\n03:48 Medical Perspective on Evidence-Based Medicine\n06:40 Ethics and Practicality in Medical Trials\n14:39 Orthodontic Perspective on Evidence-Based Medicine\n17:13 Challenges in Evidence-Based Orthodontics\n25:35 CBCT Imaging in Orthodontics and ENT\n45:01 Understanding Cancer Risks from Ionizing Radiation\n45:37 Unexpected Benefits of CBCT Scans\n46:46 Prevalence of Airway Problems in Orthodontics\n50:13 Orthodontic Practices and Resistance to Change\n55:27 Historical Perspectives on 2D vs 3D Imaging\n01:03:38 Early Intervention in Pediatric Orthodontics\n01:18:53 Health Implications of Mouth Breathing\n01:27:33 Impact of Mouth Breathing on Overall Health\n01:28:10 Negligence in Treating Mouth Breathing\n01:28:31 The Importance of Airway Screening\n01:30:28 Orthodontic Residencies and Early Treatment\n01:40:13 Sleep-Disordered Breathing and Orthodontics\n01:44:09 Challenges in Diagnosing Sleep Apnea in Children\n01:47:12 The Flaws in Sleep Study Metrics\n01:59:13 The Need for Early Orthodontic Intervention\n02:00:07 Final Thoughts and Call to Action\nLINKS:...","thumbnail_url":"https://img.transistorcdn.com/Wf6VIMhB_ulpfJzsJlix0BOF0i4W9yk8xxJ6-5X1Y6E/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzQxOTI3LzE2OTg2/MzExNDktYXJ0d29y/ay5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}