{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The DOC Podcast","title":"Surviving vs. Thriving: How Tongue Ties Impact Sleep, Speech & Breathing (w/Dr. Suraj Vatish)[Ep.149]","html":"","width":"100%","height":180,"duration":4238,"description":"Episode Summary\n\nDr. Vatish shares his unexpected journey from implant dentistry to becoming a leading practitioner in tongue tie releases and airway-based dentistry. The conversation covers diagnosis across age groups, the role of CO2 laser in treatment, the critical importance of myofunctional therapy, and the ongoing debate around evidence-based medicine in this emerging field.\nKey Topics & Concepts\nTongue tie diagnosis across age groups — From infant nursing and latching difficulties to speech issues in toddlers, bruxism and sleep apnea in adults, and why posterior ties are often the most symptomatic despite being called \"mild\"\nThe three pillars of physiological health — Sleep, breathing, and eating as a diagnostic framework; the critical difference between surviving and thriving\nCO2 laser and modern release techniques — How laser technology, suturing for primary tension healing, and pre-/post-operative myofunctional therapy transformed outcomes compared to traditional scissors or diode approaches\nMyofunctional therapy is essential, not optional — Why releasing a tongue tie without concurrent therapy can make things worse; the personal trainer analogy for setting realistic patient expectations on duration and intensity\nInterdisciplinary team care — Orthodontists, myofunctional therapists, speech therapists, osteopaths, lactation consultants, and ENTs working together; why no single monotherapy solves airway problems\nEvidence-based medicine beyond RCTs — The parachute analogy; Sackett's triangular epistemology of research, clinical experience, and patient values; why absence of evidence is not evidence of absence\nLINKS\nHappy Kids Dental Chelsea: https://happykidsdental.co.uk/ \nAmerican Smile: https://www.americansmile.co.uk/ \nInstagram: @DrSVatishDDS\nJoin The DOC Community on Facebook for more great content and discussions: https://www.facebook.com/share/g/1Cb9rkQVde/\nCheck out the DOC CE Courses: https://theorthocoach.com/ce-courses/\nEnjoyed this episode?...","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}