1 00:00:00,000 --> 00:00:27,520 Hi everyone, and welcome back to Airway First, a podcast from the Children's Airway First 2 00:00:27,520 --> 00:00:34,560 Foundation. I'm your host, Rebecca St. James. My guest today is Dr. Brock Rondo, a general 3 00:00:34,560 --> 00:00:39,680 dentist who has dedicated his practice to providing orthodontic, orthopedic, snoring, 4 00:00:39,680 --> 00:00:48,160 and sleep apnea in TMJ services for his dental patients in London, Ontario, Canada. Dr. Rondo 5 00:00:48,160 --> 00:00:55,680 treats many patients with orthodontic, snoring, and sleep apnea and TMJ problems. Through his work, 6 00:00:55,680 --> 00:01:00,240 many of his patients are delighted when they are able to find a solution to their headaches, 7 00:01:00,240 --> 00:01:06,080 earaches, neck aches, dizziness, fainting, pain behind the eyes, difficulties swallowing, 8 00:01:06,080 --> 00:01:13,040 clicking, and jaw-locking issues. Dr. Rondo works closely with other healthcare providers to try and 9 00:01:13,040 --> 00:01:18,800 resolve these problems for his patients. He believes that in most cases, when several 10 00:01:18,800 --> 00:01:24,480 practitioners are working together, the results are always better for the patient. He has personally 11 00:01:24,480 --> 00:01:32,320 trained more than 24,000 dentists over the course of his career. He is also the seminar creator and 12 00:01:32,320 --> 00:01:38,720 author of Early Orthodontics, Treatment for Children. You can find out more about Dr. Rondo 13 00:01:38,720 --> 00:01:47,360 at ortho-tmj.com. Now, let's jump into my interview with today's guest, Dr. Brock Rondo. 14 00:01:48,080 --> 00:01:52,960 Okay, great. Thanks for being on the show, Dr. Rondo. I'm really excited to have you. 15 00:01:52,960 --> 00:01:57,760 I'm really excited to be with you, too, Rebecca. I love doing these podcasts. I love educating 16 00:01:57,760 --> 00:02:04,080 the public and also the dentists about what is possible and what I think they should be doing 17 00:02:04,080 --> 00:02:08,160 for their younger patients as well as their older patients. So thanks again. 18 00:02:09,520 --> 00:02:12,960 Yeah, yeah. Thank you. Yeah. And while you're pulling up the presentation, 19 00:02:13,520 --> 00:02:19,280 I'm just going to let our listeners know that you are actually referred to as mentioned by 20 00:02:19,280 --> 00:02:25,040 name during that episode with Linda Harris. And I'll make sure I link that episode in our show 21 00:02:25,040 --> 00:02:29,920 notes for people that want to check that out. So, Rebecca, again, thank you for inviting me to 22 00:02:30,480 --> 00:02:36,480 be on the program and show you a podcast. I'm very anxious to share my knowledge with mothers 23 00:02:37,040 --> 00:02:42,480 and fathers and children and dentists. And of course, the presentation is the Airway Focus 24 00:02:42,480 --> 00:02:48,720 Early Orthodontic Treatment for Children. I think dentists have to start treating the children 25 00:02:48,720 --> 00:02:54,880 early because many orthodontists are not doing it. It's not part of the program of most orthodontic 26 00:02:54,880 --> 00:03:00,560 programs and it's not taught in dental school. And when you say early, how early are you talking? 27 00:03:01,280 --> 00:03:07,760 Age five. Well, I suppose we do tongue ties at birth. So that would be if you notice the tongue 28 00:03:07,760 --> 00:03:12,880 tab and we don't normally see infants. The infants are usually seen by the pediatricians, but 29 00:03:13,520 --> 00:03:17,920 but again, the earlier, the better do the tongue ties. But the earliest I started treatment is 30 00:03:17,920 --> 00:03:23,040 usually around five years old. If I've got a patient that's fairly cooperative, I can help them with. 31 00:03:23,040 --> 00:03:27,040 I usually put a fixed appliance in there rather than rule, although they're five years old. 32 00:03:28,160 --> 00:03:32,160 Got it. It's a huge demand. Like in your practice, all these dentists have children, 33 00:03:32,800 --> 00:03:40,080 75% of them have a malocclusion and they need help. So there I get started five. So and use 34 00:03:40,080 --> 00:03:44,000 functional appliance. I'm going to show you some of the functional appliances tonight. So a lot of 35 00:03:44,000 --> 00:03:49,920 people have never seen them before. So the first thing I tell anyone that takes my course, and I've 36 00:03:49,920 --> 00:03:57,440 been teaching orthodontic course for 35 years, is when you have a constricted pallet, that the key 37 00:03:57,440 --> 00:04:03,920 to health in my opinion is to develop the upper arch to normal. And the photo below, it's wide and 38 00:04:03,920 --> 00:04:09,120 normal without surgery, just put a little appliance in there and notice how the pallet drops. See 39 00:04:09,120 --> 00:04:14,240 that in the upper picture, the pallet's lower picture drop. So you're opening the nasal airway, 40 00:04:14,240 --> 00:04:20,400 you're opening it horizontally and you're opening it vertically. And that converted many nasal 41 00:04:20,400 --> 00:04:25,680 breathers to mouth breathers. And of course, a number of your lectures have talked about the 42 00:04:25,680 --> 00:04:31,280 importance of nasal breathing over mouth breathing. Right. So functional appliance is the way we do it. 43 00:04:32,320 --> 00:04:38,720 So if you have crooked teeth, it's usually because you got an air arch. And usually got an air 44 00:04:38,720 --> 00:04:42,960 arch because you're mouth breathing. So you got to fix the cause of the problem, which is the mouth 45 00:04:42,960 --> 00:04:47,600 breathing. Try to get them to be nasal breathing. But the way to fix that is to develop the upper 46 00:04:47,600 --> 00:04:52,080 arch, expand the upper arch, and you're gonna open up the, change it from mouth breathing to nasal 47 00:04:52,080 --> 00:04:58,320 breathing. So when a patient comes to most dentists and they see crooked teeth, they think extractions. 48 00:04:59,120 --> 00:05:05,120 But someone who's been trained funxly say, no, no, use an appliance, make room for all the teeth, 49 00:05:05,120 --> 00:05:10,800 and you don't have to extract. In North America, I found a lot of the orthodontists who fix braces 50 00:05:10,800 --> 00:05:15,920 and clear liners and permanent dentition. I disagree with that completely. I want to treat 51 00:05:15,920 --> 00:05:20,320 early. So what are the detrimental effects of airwaves? We're going to be talking about this all 52 00:05:20,320 --> 00:05:28,000 night. But here are the three ways I think everybody should be thinking about expanding the airway. 53 00:05:28,720 --> 00:05:33,440 And I think dentists have a huge role to play here, because we're the only ones that can put 54 00:05:33,440 --> 00:05:39,120 appliances in and really affect the airway. Except if they're large tonsils, maybe they get the 55 00:05:39,120 --> 00:05:43,600 tonsils out. But as far as the arch is concerned, and the bite is concerned, we're the only ones 56 00:05:43,600 --> 00:05:47,600 that can do it. So the first thing, I'm going to show you a couple of arch development cases. 57 00:05:48,560 --> 00:05:54,480 Then if the lower jaw is back, which it is in most class two cases, normally the mandible is correct, 58 00:05:54,480 --> 00:05:59,200 the lower jaw is back, we have to bring it forward with a functional appliance to normal. 59 00:05:59,200 --> 00:06:03,520 And I like to do that in mixed dentition. So when all the permanent teeth are up, you're only dealing 60 00:06:03,520 --> 00:06:08,960 with crooked teeth and minor crooked teeth. The other thing that most people don't understand is 61 00:06:08,960 --> 00:06:14,560 increasing the vertical dimension. If you have a deep overbite patient, most of them have deep 62 00:06:14,560 --> 00:06:21,040 overbites and they have TMJ problems, and they also have airway problems. And the way most orthodontists 63 00:06:21,040 --> 00:06:26,640 and most Invisalign people do is they intrude the incisors. And I'll show you a case where that's not 64 00:06:26,640 --> 00:06:31,680 what you have to do. You have to extrude the posterior teeth, which most orthodontists and dentists 65 00:06:31,680 --> 00:06:36,720 are not taught in dental school. Let's show you my first case, Josh, my six year old. So there is, 66 00:06:38,000 --> 00:06:44,400 my key is you have enough room for the upper four permanent teeth, upper four permanent incisors, 67 00:06:45,360 --> 00:06:49,040 the central incisors, the middle ones, and then the lateral incisors beside those. 68 00:06:49,600 --> 00:06:54,000 If there's enough room for those, then we don't expand. If there's no room for those, 69 00:06:54,000 --> 00:06:58,560 you have to expand. Look at the lower. You got two permanent incisors crossed over, 70 00:06:59,120 --> 00:07:04,240 and the lateral incisors, baby teeth on either side. So there's no way there's room for those 71 00:07:04,240 --> 00:07:09,120 upper and lower front teeth. So we have to expand upper and lower. And this is a trick I taught 72 00:07:09,120 --> 00:07:14,080 Linda. She goes around now with all the cotton rolls, measuring everybody's palate. The cotton 73 00:07:14,080 --> 00:07:19,360 roll standard cotton roll in the dental office is 37 millimeters. You want to make sure everybody's 74 00:07:19,360 --> 00:07:24,640 at least 37 millimeters. So put that up there. It fits nicely between the motors like that. 75 00:07:24,640 --> 00:07:30,480 You don't have to expand. But over here you do picture on the left. You don't expand, 76 00:07:30,480 --> 00:07:36,000 then those side teeth or lateral incisors coming in the palate. So why would you wait till that 77 00:07:36,000 --> 00:07:40,560 happens? Why wouldn't you expand and avoid that? It doesn't make sense to me. It doesn't make sense 78 00:07:40,560 --> 00:07:45,680 to me why everyone's not trained in dental school. How to do this. And the ortho programs 79 00:07:45,680 --> 00:07:50,000 should all be teaching this in graduate school. So there's a little appliance. It's called a 80 00:07:50,000 --> 00:07:56,640 Schwartz appliance. It around says 9th, 335. And it's just a little appliance with a screw in the 81 00:07:56,640 --> 00:08:02,800 middle and some clasp on the side to hold it in. And you just turn that screw twice a week. The 82 00:08:02,800 --> 00:08:06,800 patient takes it out, turns the screw twice a week, puts it back in. They can get all kinds of 83 00:08:06,800 --> 00:08:11,120 different colors in these functional appliances from the labs. You have to deal with a lab that 84 00:08:11,120 --> 00:08:16,400 makes functional appliances. And if you go on my website, you'll see lots of labs that we work 85 00:08:16,400 --> 00:08:22,480 with across the country in Canada and the US. There's the lower one, really small. Again, 86 00:08:22,480 --> 00:08:26,960 you can see the key on the right hand side with the arrow. And you turn it towards the arrow and 87 00:08:26,960 --> 00:08:32,160 take it out. So just turn it all the way, take it out, do that twice a week. And pretty soon, 88 00:08:32,160 --> 00:08:37,760 you'll have room for the teeth. You can see in the lower now, you got lots of room. And in fact, 89 00:08:37,760 --> 00:08:41,920 the two lower teeth that were crooked have almost straightened out. Because we've been expanding 90 00:08:41,920 --> 00:08:46,720 the upper and lower painlessly, adjusting it twice a week, really easy. And you can see there's no 91 00:08:46,720 --> 00:08:49,920 plastic between the teeth. It's really easy for them to eat and chew and everything else. 92 00:08:50,480 --> 00:08:54,240 How long did that take? About five months. 93 00:08:55,760 --> 00:09:00,800 Okay. You get about, you actually get about two millimeters a month. But sometimes they forget 94 00:09:00,800 --> 00:09:07,200 to turn it. So anyway, okay. And see when you got a good strictly large like that, we have no room 95 00:09:07,200 --> 00:09:12,560 for the tongue on the palate, right? And that's our big problem. So they're expanded seven millimeters. 96 00:09:13,120 --> 00:09:18,800 So that'd be about maybe four or five months. And it's painless. I mean, and they can do it 97 00:09:18,800 --> 00:09:23,440 very easily. Just take it out, turn it, put it back in. Anybody can do this. And any dentist 98 00:09:23,440 --> 00:09:28,160 can be trained to this and any staff member can do this. So you can see now, look at the arch and 99 00:09:28,160 --> 00:09:33,040 they're beautiful. I mean, we were 26. Wow. We developed at seven millimeters. And now we have 100 00:09:33,040 --> 00:09:39,360 a beautiful arch and look, he never came back for treatment. So by making room for all the teeth, 101 00:09:39,360 --> 00:09:42,560 maybe all his permanent teeth came in perfectly, he never needed treatment. 102 00:09:43,440 --> 00:09:49,840 So that's a tremendous cough saving to the mother. Santa paid 7500 for braces. She probably paid me 103 00:09:49,840 --> 00:09:57,680 2,500 and, and was over in seven months. No problem. I mean, it's just so easy. And the kids are very 104 00:09:57,680 --> 00:10:02,080 cooperative. If they're not, we put a fixed appliance and I'll show you the next case. I used a fixed 105 00:10:02,080 --> 00:10:06,400 appliance and there's the lower look at the difference in the size of the arch as you'll see in a minute. 106 00:10:07,200 --> 00:10:13,920 So we found that if you look at the tongue, it's kind of covering over the back teeth a little bit 107 00:10:13,920 --> 00:10:20,000 on the left hand diagram. And then when we expand, there's room for the tongue in the lower. 108 00:10:21,040 --> 00:10:27,040 See the tongue is this and usually it comes farther forward than that. It's just, it makes a huge 109 00:10:27,040 --> 00:10:32,160 difference when you make room for the tongue. It can come to its proper position. Well, usually it 110 00:10:32,160 --> 00:10:37,440 should sit on the root for the mouth. Right. What a beautiful arch. Look at the difference in the 111 00:10:37,440 --> 00:10:42,160 arches. Now, who do you think is going to speak better? The guy in the right, right? Who's going 112 00:10:42,160 --> 00:10:46,000 to have, who's going to have less crowding? The guy in the right, who may not need any 113 00:10:46,000 --> 00:10:50,480 extractions? The guy in the right after the expansion. And we just expanded seven millimeters. 114 00:10:50,480 --> 00:10:54,800 It goes two millimeters a month, three or four months and we're there. Four months, I guess. 115 00:10:54,800 --> 00:11:00,800 Yeah. Again, easier to speak and painless. So that's the arch is so easy. 116 00:11:01,920 --> 00:11:06,960 And when they, when they have the ones that they can take out, do they take them out when they eat 117 00:11:06,960 --> 00:11:12,400 or anything? Or do they just take all the time? Take them out for sports, take them out to clean 118 00:11:12,400 --> 00:11:18,640 them. Okay. Got it. So they're very, very comfortable. And there we just let more teeth come in 119 00:11:18,640 --> 00:11:24,000 and he's got two front teeth. He's happy. So I wrote a book, early orthodontic treatment for 120 00:11:24,000 --> 00:11:29,440 children. You can, they can contact my office. It's actually coming up on Amazon soon too. 121 00:11:30,400 --> 00:11:36,720 So it has 19 cases in there of functional appliances start to finish in color. It's 122 00:11:36,720 --> 00:11:42,400 really a good book. We have a digitally or we have a paperback. Here's another guy who didn't 123 00:11:42,400 --> 00:11:48,080 cooperate. And the mother makes that decision. The mother knows the child more than I do. 124 00:11:48,080 --> 00:11:53,520 So I said to the mother, does he get a good cooperator or a bad cooperator? He's a bad 125 00:11:53,520 --> 00:11:58,240 cooperator. We put a fixed appliance in. He can't take it out. His lower jaw was back a little bit. 126 00:11:58,960 --> 00:12:04,640 And the neat thing is, and this happens with TMJ cases too, if you expand the upper arch 127 00:12:05,680 --> 00:12:11,280 frequently, the lower jaw comes forward on its own, which fixed a lot of TMJ problems right 128 00:12:11,280 --> 00:12:15,680 from the beginning. So these kids will never develop TMJ problems. The jaw comes forward 129 00:12:15,680 --> 00:12:20,880 without surgery, without anything. So he's got clastum older, which means his lower jaw is back 130 00:12:20,880 --> 00:12:27,120 too far, which we just showed. And there you can see there's no room for those side teeth, right? 131 00:12:27,120 --> 00:12:31,920 Remember, you have to have room for the fore front teeth, for permanent incisors, 132 00:12:31,920 --> 00:12:37,200 and there's no room. So you have to expand. So again, put the cotton roll in, see what you get, 133 00:12:37,920 --> 00:12:43,840 30 millimeters, okay? We need expansion. We're going to have to expand him and give a chance for 134 00:12:43,840 --> 00:12:48,560 all those permanent teeth to erupt. Poor cooperators. So we use a fixed appliance. It's called the 135 00:12:48,560 --> 00:12:54,480 Transverse Transverse, but it's all kinds of fixed appliances you can use. You cement the bands on 136 00:12:54,480 --> 00:13:00,240 the molars, you have the little lap springs on the side. And that four millimeters is the part you 137 00:13:00,240 --> 00:13:06,800 measure. Because the coil spring on the left of that is full of springs and just pushes the, 138 00:13:07,520 --> 00:13:10,160 pushes, pushes open and opens it up. And I'll show you. 139 00:13:10,160 --> 00:13:16,560 So it opens up eight millimeters. So it gets about a millimeter a month, 140 00:13:16,560 --> 00:13:22,000 four millimeters. You don't have any adjusting to do. The mother doesn't have to do anything. 141 00:13:22,000 --> 00:13:27,680 He doesn't have to do anything. It's pretty small. It doesn't take much room up there. He's 142 00:13:27,680 --> 00:13:33,680 teeth still touching and chew. He can talk and expands them from four to eight. So hopefully 143 00:13:33,680 --> 00:13:39,360 to make room for those four front permanent teeth. And of course, we also did the lower, 144 00:13:39,360 --> 00:13:44,080 because it was a little crowded in the lower. So if you're going to expand the upper and you haven't 145 00:13:44,080 --> 00:13:48,480 got a cross bite, you also have to expand the lower. So he starts with five, he went to nine. 146 00:13:48,480 --> 00:13:52,640 So we expanded the upper, I take four and five and the lower four or five. And pretty soon we're 147 00:13:52,640 --> 00:13:57,280 going to have enough room for those teeth as painless. And which is really nice. The mother 148 00:13:57,280 --> 00:14:02,160 hasn't do anything. She doesn't have to do anything. Just sit there and watch, watch it change, 149 00:14:02,160 --> 00:14:05,440 which is good for us too. We don't have as much work to do. The appliance says the word. 150 00:14:05,440 --> 00:14:14,800 We don't have. The other thing I read like about this is that my team, I've got nine of them, 151 00:14:15,520 --> 00:14:21,920 can do most of the work. They call me Dr. Delegator. I'm really proud of my hands because I just walk 152 00:14:21,920 --> 00:14:28,160 around and say, do this, do this, do this, do this. And they do it. It's fantastic. So here we are now, 153 00:14:28,160 --> 00:14:34,080 of course, of course, mothers all want straight teeth, right? I'm into function. I'm into creating 154 00:14:34,080 --> 00:14:40,960 a beautiful upper broad arch, opening up the airway, converting to nasal breathers. But mothers say, 155 00:14:40,960 --> 00:14:45,680 no, no, I want some straight, straight front teeth. So we put the brackets on and a wire in there. 156 00:14:46,880 --> 00:14:51,520 And we have to pinch that tube there in the middle where you see the circle. So it won't expand 157 00:14:51,520 --> 00:14:56,960 anymore because we got what we want. And in three months, the teeth are straight. Now, if you were 158 00:14:56,960 --> 00:15:00,560 into a Vizaline, you could put a Vizaline in there and straighten those teeth too if you wanted to, 159 00:15:00,560 --> 00:15:04,800 if they didn't want any braces. But when you can fix it in three months, it's pretty fast. 160 00:15:05,600 --> 00:15:12,000 So most times I'll put braces on. And we're going from 30 to 35. Now, remember, 161 00:15:12,800 --> 00:15:18,320 he's 10 years old, so he'll develop on his own if he has proper function. So if he's not a mouth 162 00:15:18,320 --> 00:15:23,440 breather, nasal breather, every time he swallows, his tongue will go on the roof of the mouth and 163 00:15:23,440 --> 00:15:31,280 spread out that upper jaw. So he'll get to 38 on his own easy once we take those off. So it's a 164 00:15:31,280 --> 00:15:36,000 great, it's so easy. I like it easy. And the mothers love this, they appreciate it. They've gone to 165 00:15:36,000 --> 00:15:41,920 an orthodontist or somebody else or their general dentist and showed them this case. And the general 166 00:15:41,920 --> 00:15:45,760 dentist said, well, I don't do ortho, go see the orthodontist. They go see the orthodontist, 167 00:15:45,760 --> 00:15:48,720 the orthodontist, and I don't do early treatment. I prefer permanent dentition. 168 00:15:48,720 --> 00:15:54,000 Well, if you leave that case on the left till the permanent teeth are up, you're going to be in a mess. 169 00:15:54,800 --> 00:15:58,240 Yeah. You're going to be in a mess. There's no way you got room for all the teeth. 170 00:15:58,880 --> 00:16:02,080 So we're fixing the airway and we're making room for all the teeth 171 00:16:02,960 --> 00:16:07,360 and giving a beautiful broad smile. I mean, how can you miss? Can see why I'm always 172 00:16:07,360 --> 00:16:13,200 excited about this. See why? Yeah. So remember, the roof of the mouth is the floor of the nose. 173 00:16:13,200 --> 00:16:18,720 When you expand the upper arch, you're opening up the nasal airway. And that's really important. 174 00:16:18,720 --> 00:16:24,320 There's no other way to do it unless you do surgery. So it's so easy to turn that screw 175 00:16:24,320 --> 00:16:29,200 or to let those coil springs work by themselves. So again, the teeth all came in straight, 176 00:16:29,200 --> 00:16:35,360 upper and lower. Easy, easy, easy. 10 months. Now, when we take those braces off, 177 00:16:36,320 --> 00:16:40,960 those teeth are pretty crooked. I'd like to put something in to make sure they don't move. 178 00:16:40,960 --> 00:16:45,600 So I put this little wire in and attach it to every single tooth and leave that in maybe for 179 00:16:45,600 --> 00:16:49,920 six months. They can't see it. Then I'm guaranteed the mother's not going to get mad at me because 180 00:16:49,920 --> 00:16:54,960 those teeth are not going to move. So everybody's happy. Now you can look at the case. Look, 181 00:16:55,680 --> 00:16:59,760 the two, look at all the permanent teeth coming in now. All the permanent teeth are coming in. 182 00:16:59,760 --> 00:17:05,280 It's beautiful. All I did was just expand upper and lower arches. There he is. Went from 30, 183 00:17:05,280 --> 00:17:12,720 35. Probably a little more than that. So there he is. He's got crooked teeth. He's got straight 184 00:17:12,720 --> 00:17:19,440 teeth. And then look, all his teeth came in almost beautifully. We did 85% of the problem 185 00:17:19,440 --> 00:17:25,120 with two appliances that the mother didn't have to turn. I didn't have to turn. It just worked 186 00:17:25,120 --> 00:17:30,080 by itself. So very, I mean, it saved their mother a lot of money and, you know, in general, 187 00:17:30,080 --> 00:17:34,000 then they can spend money on other things. That's in the book too. Now, of course, 188 00:17:34,000 --> 00:17:40,480 there's Julia Roberts. Absolutely gorgeous smile. Right. We try to have all the teeth 189 00:17:41,520 --> 00:17:47,200 go to the right to the corner of the mouth of the kit. Now you can see her. She looks great. 190 00:17:48,080 --> 00:17:53,920 Broad arch. He's not quite so broad, is he? He's got black corners at the side of his mouth. So 191 00:17:54,560 --> 00:17:59,040 I never thought I wanted to call the royal family and ask him if he had extractions. 192 00:17:59,040 --> 00:18:06,720 But his mother, Lady Di, had extractions. Lady Di, one of the most beautiful women in the world, 193 00:18:07,280 --> 00:18:13,280 had her bicuspids taken out. But I guess years ago, that's what everybody did. The trend now, 194 00:18:13,280 --> 00:18:18,960 today, is to try not to do that. But I'm still having orthodontists still do it, some of them. 195 00:18:19,520 --> 00:18:26,560 So again, beautiful smile, not so nice. So here's one of my patients. I want you to look at her. 196 00:18:26,560 --> 00:18:31,920 She's got the eye tooth on the lower left picture there is blocked right under the arch. 197 00:18:32,560 --> 00:18:37,760 And notice how the other teeth are tipped in. The lower teeth tipped in, the upper teeth tipped in. 198 00:18:38,560 --> 00:18:45,200 Okay. So I expanded her 10 millimeters on the top and the bottom 10. And that's what she ended 199 00:18:45,200 --> 00:18:49,840 up like, beautiful arches. Look how the teeth are not tipped in anymore. They're straight up and down. 200 00:18:49,840 --> 00:18:54,880 That's where they're supposed to be. And that's just an expander. That was just an expander, 201 00:18:54,880 --> 00:19:00,880 12 millimeters. I didn't show it, but I showed the other expander. But here's what I want to show 202 00:19:00,880 --> 00:19:05,200 you. It's so interesting. When you've got a constricted arch, look at that eye tooth on the 203 00:19:05,200 --> 00:19:10,880 lower left side is blocked right out. I mean, I would think that a lot of orthodontists and maybe 204 00:19:10,880 --> 00:19:16,400 general dentists would take out the first bicuspid behind the cuspid and then bring the cuspid back 205 00:19:16,400 --> 00:19:22,960 into that space. And I guess if you're just looking at teeth and not the tongue and not the arch, 206 00:19:22,960 --> 00:19:28,560 you might do that. But look what happened to me with her. I used two applies with her. This is a 207 00:19:28,560 --> 00:19:34,960 fixed one with a call spring, very similar to the one I showed you before. And I got six millimeters 208 00:19:34,960 --> 00:19:39,680 with that one. And then I got another six millimeters with this one. That's a removable 209 00:19:39,680 --> 00:19:43,280 short supply. It's like it showed you the first case. And that's what she looks like, 210 00:19:43,280 --> 00:19:49,200 look at her tongue. It actually fits in her mouth. Where that tongue doesn't. That tongue does not 211 00:19:49,200 --> 00:19:56,160 fit. So the key to health and airways and breathing is to give everybody a proper size 212 00:19:56,160 --> 00:20:01,760 upper and lower arch period. And the only ones that can do it are dentists. Card practice don't do 213 00:20:01,760 --> 00:20:06,720 that. Medical doctors don't do that. For dentists do that. Oh, we're the only ones. And you've got 214 00:20:06,720 --> 00:20:11,520 to learn functional appliances. You can't do that with braces. You can't do that with braces. 215 00:20:11,520 --> 00:20:18,000 You can't expand an arch 10 millimeters with braces. You can get about three, but you can't 216 00:20:18,000 --> 00:20:22,960 get 10. So tongue back, of course, you're closing the airway. Now what happens, this patient puts 217 00:20:22,960 --> 00:20:28,080 on a little weight, gets a little older. Let's say she's story five, and she's put on a lot of weight. 218 00:20:28,720 --> 00:20:32,720 And her tongue is back already. She lies there back. What's going to happen? She's gonna sleep 219 00:20:32,720 --> 00:20:39,120 after me and snore and snoring. All the all the things. All the bad things you don't want. Yeah. 220 00:20:39,840 --> 00:20:43,840 So if you treat her properly, you put her tongue there. That tongue's not going to go back. 221 00:20:43,840 --> 00:20:49,040 That tongue's forward. That's what you want. You want those teeth? And those teeth are not tipped. 222 00:20:49,040 --> 00:20:52,960 Everybody says, Oh, don't do this. You'll tip the teeth. Those teeth are not tipped. They're right 223 00:20:52,960 --> 00:20:58,560 over the bone. So don't tell me that. I've been doing this for 35 years. Don't tell me they tip 224 00:20:58,560 --> 00:21:03,840 because they don't. If they tipped, I know by now, wouldn't I? You would think, yeah. And I wouldn't 225 00:21:03,840 --> 00:21:10,320 keep doing it. But that's, I mean, I love the fact the airways open. They can speak better. 226 00:21:10,320 --> 00:21:16,720 They function better. They didn't have any extractions. It's just the way to go. So 227 00:21:17,440 --> 00:21:23,920 look at the smile. Wow. Wow. Yeah, you can see right down the sides. 228 00:21:24,640 --> 00:21:30,800 But look at the eyes on the left. She's smiling, but her eyes aren't smiling. It's got dark corners 229 00:21:30,800 --> 00:21:36,800 at the side of her mouth. The one on the right, her eyes are sparkling. She's just, of course, 230 00:21:36,800 --> 00:21:41,920 she fixed her hair. And of course, I got to put a picture of her wedding dress in here. I keep 231 00:21:41,920 --> 00:21:47,040 forgetting, but I got to do that because she, and I thought I should have invited the wedding 232 00:21:47,040 --> 00:21:57,040 because I think I had a part of him being found her irresistible and married her. And she's gorgeous. 233 00:21:57,040 --> 00:22:03,920 Nice person too. Yeah. Oh, there she is. Brot smile. I just love it. So the idol trim is using 234 00:22:03,920 --> 00:22:07,600 the oral appliance to move the lower jaw forward over the pharyngeal airway. So remember, if the 235 00:22:07,600 --> 00:22:12,320 lower jaw is efficient, you got to bring the lower jaw forward. So look at that patient. 236 00:22:12,880 --> 00:22:18,320 So here's how I get into this. So I took a course from an orthodontist 40 years ago, 237 00:22:18,320 --> 00:22:22,800 and he told me to take out the bicuspids. Since I didn't know any better, I took out some bicuspids 238 00:22:22,800 --> 00:22:29,200 for about three years. But then, like most of your listeners, I tried to get better and take 239 00:22:29,200 --> 00:22:34,240 courses to see if I can improve my technique. Plus, I didn't like the look of the patient's 240 00:22:34,240 --> 00:22:38,320 profile when I took out their teeth because their lips went back and their nose looked longer. 241 00:22:39,360 --> 00:22:42,880 So if you look at her face, see that little crease under her lower lip? 242 00:22:43,600 --> 00:22:49,040 That means her lower jaw is back. I also want you to look at her face how short it is. She's got a 243 00:22:49,040 --> 00:22:55,360 short face. So I moved her jaw forward with a functional appliance and I brought her back 244 00:22:55,360 --> 00:23:01,840 teeth up, which is what I told you to do to help the TMJ in the face. She's gorgeous. I mean, that 245 00:23:01,840 --> 00:23:09,040 is gorgeous. I changed her completely. Her jaw was back 10 millimeters. Her mother thought she had 246 00:23:09,040 --> 00:23:15,040 buck teeth. It wasn't buck teeth, lower jaw was back. Bring the lower jaw forward. Very simple. 247 00:23:15,600 --> 00:23:22,480 Now, here's a good example of how it worked. Have a look at the airway on the left. 248 00:23:22,480 --> 00:23:27,760 Have a look at the airway on the right. And that's what we're doing when we bring the jaw forward. 249 00:23:28,320 --> 00:23:33,280 That's what we're doing where we're splints to bring the jaw forward. That's what we're doing 250 00:23:33,280 --> 00:23:38,800 with oral appliances to prevent stories sleep apnea. That's what we're doing. We're opening the airway 251 00:23:39,520 --> 00:23:46,400 and we're the only ones that can do it. We have to use appliances to do this. It amazes me. I mean, 252 00:23:46,400 --> 00:23:52,720 dentistry should be at the top of the healthcare system. I don't want to knock medical doctors, 253 00:23:52,720 --> 00:23:58,640 but they look at a lot of problems and they look at what the temporary solution is, not what the 254 00:23:58,640 --> 00:24:04,240 cause was. And again, medical doctors are not trained at TMJ and dentists are not trained at 255 00:24:04,240 --> 00:24:10,320 TMJ and 34% of the population have it. I mean, it's amazing. I'd be happy to go on sometime and 256 00:24:10,320 --> 00:24:17,120 talk about TMJ if you want. Okay. So early treatment prevents sleep apnea. Remember, if you bring the 257 00:24:17,120 --> 00:24:21,120 jaw forward, you're going to keep it forward. You're going to keep the tongue forward. It's open 258 00:24:21,120 --> 00:24:26,480 the airway. So early orthodermic treatment prevents sleep apnea, makes the patients look 259 00:24:26,480 --> 00:24:33,120 palier, better, healthier and prevents noise sleep apnea. I mean, there's no reason not to do this. 260 00:24:33,120 --> 00:24:39,440 So I'm hoping that dentists who are not doing this will sign up for some courses because there's 261 00:24:39,440 --> 00:24:45,200 lots of clinicians giving courses on this. Make sure it's functional appliances. Don't go over just 262 00:24:45,200 --> 00:24:50,080 braces. Don't go over just the vizalign. You need to use functional appliances, but you're going to 263 00:24:50,080 --> 00:24:56,720 change the bone. They're bone movers. Look at her. Look at the lower jaw, how far back it is. 264 00:24:56,720 --> 00:25:01,200 Compare the upper jaw. She needs to have her lower jaw move forward. The bone has to come forward. 265 00:25:01,920 --> 00:25:08,000 So functional appliances are bone braces and the vizalign are tooth movers. I want everybody to 266 00:25:08,000 --> 00:25:13,360 use the bone movers in mixed dentition when the patient's act will be growing. And then when you 267 00:25:13,360 --> 00:25:18,960 get to permanent dentition, I have no objection to putting on braces or vizalign to straighten that, 268 00:25:18,960 --> 00:25:23,120 but don't try to do braces or in vizalign with the patient on the left. It will not work. 269 00:25:23,760 --> 00:25:28,240 There's another patient and move to jaw forward. She looks so much better. The other thing with 270 00:25:28,240 --> 00:25:34,560 this patient, her head uprighted. So a lot of patients have class two that have airway problems, 271 00:25:34,560 --> 00:25:38,560 have forward head posture. But the minute I brought a jaw forward, look at her ear. Look at 272 00:25:38,560 --> 00:25:43,040 the difference in the ear and the left and the right. Her head uprighted over the cervical spine, 273 00:25:43,040 --> 00:25:47,600 which got rid of her neck problems. So I should send that letter to all the chiropractors in my 274 00:25:47,600 --> 00:25:53,280 area and say, you got a problem with patients with neck problems? If they're jaws forward like that, 275 00:25:53,280 --> 00:25:58,720 maybe you should send them to me and I can fix it. All these great ideas I have. So that little guy, 276 00:25:58,720 --> 00:26:04,720 I mean, he looks great. Doesn't he? I mean, imagine if you've grown up to look like the guy on the left. 277 00:26:04,720 --> 00:26:10,400 There's no way it would be as attractive looking and unfortunately in our world today, 278 00:26:11,200 --> 00:26:15,680 having, if you're attractive, it does help. Doesn't hurt. So, and I think he looks so much 279 00:26:15,680 --> 00:26:21,360 stronger, so much more masculine on the right. They did the left big difference. His mother was 280 00:26:21,360 --> 00:26:26,160 quite happy. Now there's another patient who looks older, which patient looks older left. 281 00:26:26,160 --> 00:26:32,720 Yeah. Left. She's nine months younger. See, I brought her jaw forward and made her face longer. 282 00:26:34,960 --> 00:26:38,720 So you actually make people look younger. Maybe I should get one of these myself. 283 00:26:40,160 --> 00:26:44,080 Yeah, you can see a difference in her chin underneath that under chin. 284 00:26:45,200 --> 00:26:50,240 There's no crease under the one on the right. And so that means her whole jaws come forward 285 00:26:50,240 --> 00:26:54,960 with a functional appliance. Now there's the booker out. So you can see the one, the picture on the 286 00:26:54,960 --> 00:27:02,400 left. I'm showing that patient about a case that I've done like hers. But the one on the right, 287 00:27:02,400 --> 00:27:05,840 I'm showing her in the book. That's her in the book and she's all excited. 288 00:27:05,840 --> 00:27:13,440 She's got her picture. She's quite happy. So anyway, I've got all my certificates all over the 289 00:27:13,440 --> 00:27:18,640 walls too. I hope the dentists are paying attention and patients too should look for those certificates. 290 00:27:18,640 --> 00:27:25,760 The dentist is taking lots of continued education courses. You should get those up there. Go leave 291 00:27:25,760 --> 00:27:52,240 them in the box in the house. You're listening to Airway First with today's guest, Dr. Brock Bondo. 292 00:27:52,240 --> 00:27:57,840 You can find out more about the Children's Airway First Foundation and our mission to fix before 293 00:27:57,840 --> 00:28:05,360 six on our website at childrensairwayfirst.org. The CAF website offers tons of great resources 294 00:28:05,360 --> 00:28:11,040 for both parents and medical professionals. In our parents portal and clinicians corner areas, 295 00:28:11,040 --> 00:28:17,440 you can find educational and informational content, including videos, blogs, our recommended 296 00:28:17,440 --> 00:28:24,080 reading list, comprehensive medical research, podcasts, events, parent support, and several 297 00:28:24,080 --> 00:28:29,840 educational opportunities. Parents are also encouraged to join the Airway Huddle, our Facebook 298 00:28:29,840 --> 00:28:34,800 support group, which was created for parents of children with airway and sleep-related issues. 299 00:28:35,440 --> 00:28:42,400 You can access the Airway Huddle support group at facebook.com backslashgroups backslashairwayhuddle. 300 00:28:42,400 --> 00:28:47,840 Are you a medical professional or a parent that is interested in being a guest on the show? 301 00:28:47,840 --> 00:28:54,160 Then shoot us a note via our contact page on our website, or send us an email directly at infoat 302 00:28:54,160 --> 00:29:01,040 childrensairwayfirst.org. As a reminder, this podcast and the opinions expressed here are not 303 00:29:01,040 --> 00:29:06,560 a medical diagnosis. If you suspect your child might have an airway issue, contact your pediatric 304 00:29:06,560 --> 00:29:12,880 airway dentist or pediatrician. And now let's jump back into my interview with today's guest, 305 00:29:12,880 --> 00:29:22,480 Dr. Brock Brando. 306 00:29:22,480 --> 00:29:40,720 Okay, another case. So, as you're eight years old, it's got headaches. So, I want to ask all the 307 00:29:40,720 --> 00:29:45,440 dentists listening out there and all the mothers listening out there, what are you going to do 308 00:29:45,440 --> 00:29:50,320 if your eight-year-old girl's got headaches? Where are you going to go? Are you going to go to your 309 00:29:50,320 --> 00:29:55,360 medical doctor and get some pills? Are you going to go to chiropractorine again, adjustment? 310 00:29:55,360 --> 00:29:59,600 Are you going to go to physiotherapists and work on the muscles? Or are you going to go to a dentist 311 00:29:59,600 --> 00:30:04,640 who knows what he's doing? And remember, dentists are not trained to do this in dental school. It's 312 00:30:04,640 --> 00:30:11,280 not fair. But we need to train ourselves. I mean, I think I'd like all the dentists to look 313 00:30:11,280 --> 00:30:16,080 themselves in the mirror and say, why did I go in a dentistry? I learned to fix teeth and gums 314 00:30:16,080 --> 00:30:22,080 in dental school. That's all. I never looked at a tonsil. I never looked at an arch. If it was 315 00:30:22,080 --> 00:30:26,320 crowded, I said to the orthodontist, I didn't know what to do. The orthodontist says, take out the 316 00:30:26,320 --> 00:30:32,560 bicuspid. They took him out. It wasn't my fault. Well, now it's time to get serious and start helping 317 00:30:32,560 --> 00:30:38,000 the children near practice. Now, if you've got an orthodontist nearby that will do this the right way, 318 00:30:38,000 --> 00:30:45,120 keep sending. You're losing a lot of money, but keep sending. Anyway, I think you're going to make 319 00:30:45,120 --> 00:30:49,200 more money if you keep those kids in your practice and help them. And you'll feel better about your 320 00:30:49,200 --> 00:30:55,200 practice. I love my practice out, Rebecca, because I've got a health-oriented practice. 321 00:30:56,160 --> 00:31:02,880 But four new patients, two were referred by Linda. And it's just, I feel good about what I do. I'm 322 00:31:02,880 --> 00:31:07,920 getting people healthy. And that's how I met Linda, of course. I mean, I helped her 30 years ago. 323 00:31:07,920 --> 00:31:14,800 When she came in, she said, I got fibromyalgia. And I said, well, let me look it up. It was the 324 00:31:14,800 --> 00:31:20,400 beginning of my career. And looked up the symptoms and they were very similar to TMJ symptoms. The 325 00:31:20,400 --> 00:31:27,040 ring in the ears, the ear symptoms, the neck aches, the vertigo. Yeah. The head aches, the, 326 00:31:27,040 --> 00:31:32,960 all, everything was the same. So I said, I don't know if I can treat fibromyalgia, but I think 327 00:31:32,960 --> 00:31:38,960 I can treat your TMJ. I treated the TMJ and got rid of all her symptoms. So that's why she wrote the 328 00:31:38,960 --> 00:31:44,480 book, Fibromyalgia and TMJ Connection. The only thing I'd recommend to the dentist, make sure 329 00:31:45,760 --> 00:31:50,640 you read the book before your patient does. Because if the patient reads the book and comes 330 00:31:50,640 --> 00:31:54,640 up, they're going to be telling you what's in the book. And if you don't know what's in the book, 331 00:31:54,640 --> 00:32:01,360 you're at disadvantage. So I've read the book. That's a good book. So here's the patient with a 332 00:32:01,360 --> 00:32:08,400 retronaviric underdeveloped jaw. Lower jaw is behind the upper jaw. Okay. Why would anybody 333 00:32:08,400 --> 00:32:14,480 in their right mind want to extract teeth on the upper to fix this problem? And why would they want 334 00:32:14,480 --> 00:32:20,560 to bring the upper teeth back by taking out the bicuspids and bringing six teeth back when the 335 00:32:20,560 --> 00:32:25,280 problem is the lower jaw is the problem, not the upper jaw. So if the lower jaw is behind the upper 336 00:32:25,280 --> 00:32:30,160 jaw for heaven's sakes, don't take out teeth on the upper, bring the lower jaw with a functional 337 00:32:30,160 --> 00:32:36,240 appliance. But remember, orthodontists that aren't trained in this, when they see the patient as an 338 00:32:36,240 --> 00:32:40,640 adult, they lean, if they don't use functional supply, they only have one way to do it. 339 00:32:41,600 --> 00:32:47,360 Surgically move the jaw forward when they're 17 and put them in brace for two years or take out 340 00:32:47,360 --> 00:32:53,920 the upper bicuspids and make the money now. Not good. No, I don't like either. I don't like either. 341 00:32:53,920 --> 00:32:59,760 No. So there she is. So that so she's biting on, got a five millimeter over bite and a six millimeter 342 00:32:59,760 --> 00:33:05,840 over jet. Everybody should make note of this. Every mother watching, every dentist watching, 343 00:33:06,400 --> 00:33:14,080 that's a TMJ problem in the future. If you don't fix it, guaranteed. If that's a female over 20, 344 00:33:14,720 --> 00:33:20,240 90% chance you'll have clicking jaws and TMJ problems. Why don't you fix it now? 345 00:33:21,200 --> 00:33:27,040 Fix it now with a simple little appliance. So here she is, daily headaches. Mother brings her 346 00:33:27,040 --> 00:33:33,120 home from school due to headaches and she sits, she sits at home in a dark room, you know, trying 347 00:33:33,120 --> 00:33:37,840 to get better. Where's that mother going to go? She's going to go to a dentist in those ways doing 348 00:33:37,840 --> 00:33:40,800 or she knows what she's doing. There are lots of good female dentists out there too. 349 00:33:41,680 --> 00:33:44,800 Some dentists who knows what they're doing is going to be able to fix this patient 350 00:33:45,360 --> 00:33:49,280 and they're the only ones that can fix this patient. So again, there's the upper arch too narrow. 351 00:33:50,720 --> 00:33:54,000 The teeth are in, but if I put a cotton roll in there, it wouldn't fit. 352 00:33:54,000 --> 00:33:57,200 The lower jaw doesn't look wider. Look at the tongue. 353 00:33:57,920 --> 00:34:00,160 When it's a wide lower arch, look at the tongue sitting right there. 354 00:34:00,800 --> 00:34:06,160 Just right at there. You can see it so clearly. I'm going to show you some tongue after this case 355 00:34:06,720 --> 00:34:12,400 where we extract a T where there's no room for the tongue. Now that is called the twin block. 356 00:34:12,400 --> 00:34:16,880 It looks like a pretty bulky appliance. First time I put that in there, I said, oh my God, 357 00:34:16,880 --> 00:34:23,520 will anybody wear this? And there's a bled at the back because there's a lower block in an upper 358 00:34:23,520 --> 00:34:28,800 block. It's called the twin block because if you try to move your lower jaw back, 359 00:34:28,800 --> 00:34:34,160 it hits the block on the top and you can't go back. So they have no choice but to bite there. 360 00:34:34,720 --> 00:34:37,440 And honestly, when I put that in, I wasn't sure it was going to work. 361 00:34:38,480 --> 00:34:46,880 This is what Linda wore 30 years ago. I made her this. That's all I knew 30 years ago was to put 362 00:34:46,880 --> 00:34:52,480 this in adults and children. And I remember taking her out for dinner one night because we got to be 363 00:34:52,480 --> 00:34:58,000 friends because she was starting to send patients to me and she ate spaghetti wearing that. She 364 00:34:58,000 --> 00:35:02,320 couldn't eat a steak wearing that, but she ate spaghetti wearing that. And it worked. Brought 365 00:35:02,320 --> 00:35:07,840 her jaw forward and got rid of her problem. So there's the patient on the left with a lower jaw 366 00:35:07,840 --> 00:35:13,200 back six millimeters. Here's the patient on the right and the lower jaw came forward. So there's 367 00:35:13,200 --> 00:35:17,680 the upper part. We always have to put a screw in the upper to make the upper jaw wider because 368 00:35:17,680 --> 00:35:21,920 when the lower jaw comes forward, if you don't make the upper jaw wider, you'll have a buck 369 00:35:21,920 --> 00:35:26,960 across bite. You won't have a good bite. And there's the lower. Make sure we want the lower molars 370 00:35:26,960 --> 00:35:34,960 to come up to fix the deep overbite. The two blocks fix the lower jaw being deficient and not 371 00:35:34,960 --> 00:35:40,400 covering over the lower molars. Let's those lower molars come up and fix the deep overbite. Here's 372 00:35:40,400 --> 00:35:45,920 a little video to show how it works. Two pieces, upper block, lower block. Make sure you have a 373 00:35:45,920 --> 00:35:52,320 screw here and expand that arch. And that's how they fit together nicely. No problem. You can't 374 00:35:52,320 --> 00:35:57,760 bite any other way. She bites any other way. Her teeth don't come together. So that's what she does. 375 00:35:58,640 --> 00:36:01,760 So then the first thing you have to do is take that key that shows how to do it too, 376 00:36:01,760 --> 00:36:06,880 turn that screw twice a week. Take it out of the mouth to do it though. Don't do it in the back. 377 00:36:07,680 --> 00:36:13,840 Okay. And then grind the plastic and let the molars come up. Up they'll come. Sometimes 378 00:36:13,840 --> 00:36:18,320 they can be inelastic, bring it up. Sometimes not. And look at that. Jaw forward, gorgeous. 379 00:36:19,200 --> 00:36:23,520 Easy, easy, easy. And then put brace on it. The after is straight in the teeth. So 380 00:36:24,240 --> 00:36:29,680 it's a non-surgical way to correct the problem. I've seen patients with the lower jaw deficient 381 00:36:30,560 --> 00:36:34,320 go to an orthodontist who doesn't use these appliances or a genital dentist. I don't want 382 00:36:34,320 --> 00:36:38,880 to pick an orthodontist, genital dentist. And they have to go for surgery to bring the jaw forward. 383 00:36:38,880 --> 00:36:44,720 As I told you before, then they're in braces for two years from 17 to 19, 384 00:36:45,360 --> 00:36:50,800 when they can be fixed in seven months with a functional appliance when they're 385 00:36:51,520 --> 00:36:56,400 70, nine, 10, 11, 12. What a shame. And these functional appliances though can still be used 386 00:36:56,400 --> 00:37:03,120 on adults, correct? They can. But I've made them much smaller now. And they're a little different, 387 00:37:03,120 --> 00:37:08,400 but they can use them on adults. Yes. But the ones we have now are better. We've got some fixed ones 388 00:37:08,400 --> 00:37:14,400 now for adults because adults and they're much smaller than that. So, okay. Good question. 389 00:37:15,120 --> 00:37:21,520 So that's the twin block. Now that's what happens after three or four months. The jaw comes forward 390 00:37:21,520 --> 00:37:26,720 and you can't push it back because the jaw is comfortable there and you can't push it back 391 00:37:26,720 --> 00:37:31,360 and you got that open bite. So you have to, you have to bring those teeth up and fix that open bite. 392 00:37:32,320 --> 00:37:35,760 So I'm not showing you how to do that because I was cutting the presentation down a little bit, 393 00:37:35,760 --> 00:37:40,640 but there's a patient with an underdeveloped lower jaw and there's the patient with a straight 394 00:37:40,640 --> 00:37:42,400 profile. The big thing is, 395 00:37:42,400 --> 00:37:44,080 Look at her cheeks even. Wow. 396 00:37:45,040 --> 00:37:47,200 It changes your whole, I mean, you're moving bone here. 397 00:37:48,320 --> 00:37:53,920 You know, they're bone movers. So I just then I brought her teeth up and remember we opened the 398 00:37:53,920 --> 00:37:59,200 airway. Now this, I haven't shown you this, but this is interesting because I mean on the, 399 00:37:59,200 --> 00:38:06,720 on the photo on the left is the jaw too far back. So when the patient jaw is too far back as shown 400 00:38:06,720 --> 00:38:14,000 in the picture, the condyle, the top of the jaw bone is also too far back and behind the condyle, 401 00:38:14,000 --> 00:38:19,520 the top of the jaw bone and the ear are nerves and blood vessels. Look on the photo on the right 402 00:38:19,520 --> 00:38:24,560 and see how thick the nerves and blood vessels are over there. And then when you move the jaw 403 00:38:24,560 --> 00:38:29,360 forward, that's what you get. You get the, you're not compressing the nerves and blood vessels anymore 404 00:38:29,360 --> 00:38:36,240 and you get rid of the pain. And also if you look on the left hand photo, there's a, they're pointing 405 00:38:36,240 --> 00:38:42,320 to a disc. That's a little piece of cartilage or disc, which is in front of the jaw. So if the 406 00:38:42,320 --> 00:38:47,760 patient's jaw is too far back and they open and close, they'll click and the clicking is the 407 00:38:48,320 --> 00:38:53,440 jaw going on to the disc, but you don't want the disc to be there. You want the disc to be one of 408 00:38:53,440 --> 00:38:58,800 the right hand side. We have moved the jaw forward and the disc is in perfect position on the top 409 00:38:58,800 --> 00:39:04,160 of the condyle. And there's nerves and blood vessels are black there and there's no compression. 410 00:39:05,120 --> 00:39:09,040 Now here's the problem, Rebecca. What do you think we were taught in dental school to do? 411 00:39:09,600 --> 00:39:15,840 Push the condyle. That's right. We were taught to push it up and back under pressure and they're 412 00:39:15,840 --> 00:39:19,920 still doing that because they went to dental school and they haven't learned anything different. 413 00:39:19,920 --> 00:39:25,920 Right. If I did that, I would never practice. I wouldn't have any basis. The secret to Linda, 414 00:39:25,920 --> 00:39:29,840 the secret to everybody is getting that jaw downward and forward away from the nerves and 415 00:39:29,840 --> 00:39:35,920 blood vessels. I mean, it's so simple. It's ridiculous. That's why actual clients do that. 416 00:39:36,480 --> 00:39:41,920 When you expand the upper arch, you bring the jaw down and forward. When you move the lower 417 00:39:41,920 --> 00:39:46,800 jaw forward, you bring that jaw down and forward. When you correct the deep overbite, you bring 418 00:39:46,800 --> 00:39:50,240 the jaw down and forward. Those three things I told you read the outset, you got to do. 419 00:39:51,840 --> 00:39:55,600 So there she is at the end, all her teeth have come in. I did the functional blind, 420 00:39:55,600 --> 00:39:59,840 then I did braces and moved the jaw from there to there and look at her face. 421 00:40:01,040 --> 00:40:04,480 I mean, that's why you want to go to the office. Oh my goodness. Wow. 422 00:40:05,040 --> 00:40:08,560 That's why you want to go to the office. Look at her eyes. Look at the difference 423 00:40:08,560 --> 00:40:18,720 of headaches on the left and the bright happy little eyes on the right. I mean, no more headaches. 424 00:40:19,360 --> 00:40:25,440 What do you think the mother thinks of me now? Oh, yeah. Oh yeah. What do you think the mother 425 00:40:25,440 --> 00:40:30,000 will say if one of her friends says, we're just saying to your daughter for braces, 426 00:40:30,000 --> 00:40:34,480 then a wreck had me. So you're going to have a heart. You're going to have a, and the other thing 427 00:40:34,480 --> 00:40:40,080 that happens is that when she grows up, well, I've treated lots of, lots of mothers when they're 428 00:40:40,080 --> 00:40:44,800 like 21, then they send their kids to me. So then I'm doing, I mean, the whole family's coming. So 429 00:40:44,800 --> 00:40:49,200 it's great. But you want to feel good about what you do. I feel good. Then I helped her a lot. 430 00:40:50,320 --> 00:40:57,760 Oh yeah. No more headaches. Yeah. And who else could fix them? Only a dentist. Only a dentist 431 00:40:57,760 --> 00:41:03,360 whose functional appliances could fix that little girl. I don't know any other way to do it. Here 432 00:41:03,360 --> 00:41:07,840 guys playing video games, little girl there too. So here's some of the reasons you think about 433 00:41:07,840 --> 00:41:13,200 orthodoxy for children. Well, improve the overall health of the patient. Again, when we went to 434 00:41:13,200 --> 00:41:18,880 dental school, they didn't mention health. They mentioned teeth and gums. Well, you ask them, 435 00:41:18,880 --> 00:41:22,800 when you fix the gums, you'll improve the health of the patient. I shouldn't say that. And I guess 436 00:41:22,800 --> 00:41:27,120 if you get rid of the cavities and everything else, you're, you're making the patient healthy too. 437 00:41:27,120 --> 00:41:31,040 But this is different. This is the overall health of the whole patient. This is different. 438 00:41:31,040 --> 00:41:38,400 Right. Right. Now I feel like that patient. That's my favorite patient in the world. She came in on 439 00:41:38,400 --> 00:41:45,120 the left hand side, look at how narrow her jaw is. Look at the black corners. That's the same child. 440 00:41:45,120 --> 00:41:51,280 That's the same patient. No. On the right. Oh, I thought you were showing examples. I didn't know 441 00:41:51,280 --> 00:41:59,280 that. Wow. Same patient. Look at her smile. Yeah. Look at her smile. She came to me at 15 and said 442 00:41:59,280 --> 00:42:04,800 I'm a model. I said, wow, are you ever? And look at the confidence. Look at the confidence. I mean, 443 00:42:05,520 --> 00:42:08,960 four little girl on the left are making fun of her, calling her bucky beaver and 444 00:42:10,080 --> 00:42:16,000 all kinds of dames and bad for her self-esteem. The minute I moved her jaw forward, nobody called 445 00:42:16,000 --> 00:42:22,160 her bucky beaver. They all made, they said, wow, they just say, why, you look great. No, I mean, 446 00:42:22,160 --> 00:42:30,160 that's a buck to each showing off a new smile. Now here's a guy that had his bicuspid teeth extracted 447 00:42:30,720 --> 00:42:36,720 and memory toji ended up coming to my office for sleep apnea. Okay. So there he is. That's what 448 00:42:36,720 --> 00:42:45,200 he looks like. So I always thought when I went to school that grinding was being caused by stress. 449 00:42:45,920 --> 00:42:50,960 And I'm not saying that when you go through a divorce or a death in the family, I'm not saying 450 00:42:50,960 --> 00:42:58,720 you're not under stress, but lately they found that most patients grind because they have to open 451 00:42:58,720 --> 00:43:05,760 their airway. So they snore, they stop breathing, and then they have to take their lower jaw and 452 00:43:05,760 --> 00:43:11,920 move it forward to open up their airway. And that would cause the grinding. So the term is actually 453 00:43:11,920 --> 00:43:18,320 called sleep bruxism. So here he is. He had teeth extracted, but he had a lower jaw back too far. 454 00:43:18,320 --> 00:43:21,920 He shouldn't have had extractions. You think that profile looks as good as some of the ones I've 455 00:43:21,920 --> 00:43:28,480 been showing you? I don't think so. So when you extract bicuspids and you bring back the six front 456 00:43:28,480 --> 00:43:34,720 teeth, lower jaws does not come forward and you end up with TMJ problems and snoring sleep apnea. 457 00:43:34,720 --> 00:43:40,480 So these dentists that are paying attention to this lecture, please don't take a upper bicuspids 458 00:43:41,280 --> 00:43:46,720 if the patient has a lower jaw deficient. And they're going to find they look carefully at those 459 00:43:46,720 --> 00:43:52,880 patients, probably 95% of the patients that have the upper teeth extruding out the front 460 00:43:52,880 --> 00:43:58,880 have a deficient lower jaw and not an upper teeth. That's the problem. It's the lower jaw, the problem. 461 00:43:59,840 --> 00:44:04,320 And of course, they're grinding down. Look at the poor guy. He's 50 years old and his teeth look like he's 80. 462 00:44:06,320 --> 00:44:12,320 So when he came to see me, I filled an initial form on him. He was diagnosed with severe sleep apnea. 463 00:44:12,320 --> 00:44:17,920 I don't have time to really get into this tonight, but I'd love to spend a lot more time on it. 464 00:44:17,920 --> 00:44:22,880 But let me give you some of the short deals on this. I don't like night guards. 465 00:44:24,240 --> 00:44:29,840 Night guards are prescribed by every dentist in North America, every dentist in Europe, 466 00:44:29,840 --> 00:44:35,120 every dentist in Asia that I've ever gone to. I've lectured all over the world. Everybody gets a 467 00:44:35,120 --> 00:44:40,400 standard night guard to prevent grinding. It doesn't prevent grinding. It encourages it. So 468 00:44:40,400 --> 00:44:45,520 you take the forward by cuss words out, you bring back the 4G to 6G, end up with jaw problems. 469 00:44:46,160 --> 00:44:50,880 You retract the upper lip. The upper lip is back. His nose appears longer. Why would you want to do 470 00:44:50,880 --> 00:44:55,760 that to somebody? He's a really good looking guy from the front. He's got a beautiful wife, 471 00:44:56,240 --> 00:45:01,360 but he didn't look that good from the side. It's not a fault. He went to a really good orthodontist 472 00:45:01,360 --> 00:45:07,600 he thought who took up by cuss. But remember, I did it 40 years ago too. Depends how you're trained, 473 00:45:07,600 --> 00:45:14,400 but most of us have to retrain ourselves. We have to keep taking courses. I think your program 474 00:45:14,400 --> 00:45:19,760 is very useful. I want to watch all the videos on there. Okay. So my cosmic tractions, 475 00:45:20,400 --> 00:45:27,840 wear facets on the teeth, there's his tongue. Remember, he's had two 8 millimeter bicussments 476 00:45:27,840 --> 00:45:33,600 taken out in the bottom, which is 16 millimeters at two structures. They shrunk his lower arch 477 00:45:33,600 --> 00:45:40,800 by 16 millimeters and look at his tongue covering over the teeth. He'll also have scalping on the 478 00:45:40,800 --> 00:45:46,960 tongue. He'll have marks on the tongue, which is an indication of sleep apnea. And that poor guy 479 00:45:46,960 --> 00:45:54,320 has got severe sleep apnea. So he's running the risk of heart attacks, strokes, type two diabetes, 480 00:45:54,320 --> 00:46:04,080 kidney problems, more cancer, Alzheimer's, dementia, loss of memory, all because maybe he had to 481 00:46:04,080 --> 00:46:10,480 for a teeth taken out. That's not right. It's not right. Something's got to change. And of course, 482 00:46:10,480 --> 00:46:15,840 the same thing is that's where you want the job. But if you take out teeth and pull the upper teeth 483 00:46:15,840 --> 00:46:21,920 back and leave the lower jaw back, you end up with that. We talk again. Yeah. He was given a 484 00:46:21,920 --> 00:46:27,280 night guard. The trouble is the night guard and moves the jaw back, not forward. Every single dentist 485 00:46:27,280 --> 00:46:32,880 out there that has made a night guard, and I give you more slides normally, have the patient bite 486 00:46:32,880 --> 00:46:38,800 down on their teeth naturally and see how much the lower jaw is back. It might be one or two 487 00:46:38,800 --> 00:46:43,280 millimeters on average. Then put in the night guard and have the patient bite down again, 488 00:46:43,280 --> 00:46:50,240 it'll go back way further. And we just showed you why you don't want the lower jaw back. 489 00:46:50,240 --> 00:46:55,520 You know what the lower jaw back is? It closed the airway, causing a snoring, sleep apnea. 490 00:46:55,520 --> 00:47:00,640 Right. You know what the lower jaw back is? It pushes the upper jaw too far up and back and 491 00:47:00,640 --> 00:47:07,040 presses the nerves and blood vessels and causes TMJ problems. So you don't want to use this. 492 00:47:07,520 --> 00:47:13,840 And all the dentists use this. Choose all over the world and it makes patients worse. I now have 493 00:47:13,840 --> 00:47:20,400 350 cases documented in the last three or four years of patients that got worse wearing this night 494 00:47:20,400 --> 00:47:27,200 guard. In fact, I've got patients who have locked on that one. So please dentist, if the patient is 495 00:47:27,200 --> 00:47:31,600 clicking and you know the jaw is already too far back, don't make a night guard because the jaw 496 00:47:31,600 --> 00:47:35,840 could lock. They should teach that dental school, but they don't. Too bad. We don't learn anything 497 00:47:35,840 --> 00:47:42,880 about this dental school. Mine's blowing. That's entirely. Nothing about the TMJ. The American 498 00:47:42,880 --> 00:47:47,440 dental association says one third of the population has TMJ problems. So why don't they teach it in 499 00:47:47,440 --> 00:47:55,920 dental school then? It's ridiculous. It's nuts. Here's a study that shows the use of these splints 500 00:47:55,920 --> 00:48:01,840 made the patients worse. The H.I. means that's how many times they're stopping breathing was increased 501 00:48:01,840 --> 00:48:07,520 50% and the snoring was increased 40% more. So a patient comes in, they're not snoring. 502 00:48:07,520 --> 00:48:13,360 They give more of these night guard and they start snoring 40% worse. So I think everyone should pay 503 00:48:13,360 --> 00:48:20,640 attention to this. Every dentist listening to this should ask Lee for copies of this. My treatment 504 00:48:20,640 --> 00:48:25,040 coordinator is Lee. She's head of Rondo seminar teaching courses, but we'd be happy to send 505 00:48:25,920 --> 00:48:30,160 all the dentists, my TMJ health questionnaire. I'm going to show you in a minute and the app 506 00:48:30,160 --> 00:48:35,840 we're sleeping to scale to see whether or not the patient has a possibility of having sleep apnea. 507 00:48:35,840 --> 00:48:40,000 So I'll show you those now. There's the TMJ health questionnaire form. So it's really simple. 508 00:48:40,880 --> 00:48:47,040 Look at the top. He says, his chief concerns snoring and all the yeses are bad and all the 509 00:48:47,040 --> 00:48:52,480 no's are okay. He's saying chronic shoulder pain, back pain, grind to see the night. 510 00:48:53,520 --> 00:48:58,960 Okay. So he's got some jaw problems. He's got back pain and shoulder pain. They can come for jaws 511 00:48:58,960 --> 00:49:06,080 and he's grinding to see the night. If you look at the lower left hand corner, do you snore at night? 512 00:49:06,080 --> 00:49:11,520 He says yes. Then look at the right hand corner at the bottom and says, have you had a sleep study? 513 00:49:11,520 --> 00:49:16,800 Yes. Had been diagnosed with sleep apnea? He says yes. So this is a really good form 514 00:49:17,360 --> 00:49:23,760 to kind of screen for jaw problems and snoring sleep apnea. Now this is amazing. In the October 515 00:49:23,760 --> 00:49:31,120 of 2017, the American Dental Association, the board of whatever passed a resolution that all 516 00:49:31,120 --> 00:49:37,680 dentists should screen patients for sleep disorders as part of their regular medical dental history. 517 00:49:38,880 --> 00:49:46,400 Right. It's not being done. It's not being done. Not being taught in school. Not being followed up on. 518 00:49:47,040 --> 00:49:52,400 They just passed this resolution and then just ignored it five years ago. They were on the right 519 00:49:52,400 --> 00:49:58,400 track, but no follow through. Right. No follow. I should try and get some of my ADA members fired 520 00:49:58,400 --> 00:50:03,600 up here and tell them to do something about this. I should work on Canada. So here's another form 521 00:50:03,600 --> 00:50:09,440 which every dentist should have in his practice. Okay. Two questions I would ask the patient. 522 00:50:10,160 --> 00:50:16,080 Do you snore at night? Number one, do you wake up refreshed? Not if they had a good sleep. 523 00:50:16,080 --> 00:50:22,080 Did you wake up refreshed? And the answer will be let, no, I don't wake up refreshed. Okay. 524 00:50:22,080 --> 00:50:28,000 Then once you fill this form, so it says zero, you'd never take those off. One is a slight chance 525 00:50:28,000 --> 00:50:32,880 of dosing off to modern chance of dosing three high chance. So you ask the patient when you're 526 00:50:32,880 --> 00:50:38,800 sitting and reading zero, one, two or three, the patient says zero. How about when you watch TV, 527 00:50:38,800 --> 00:50:44,160 two, modern chance of dosing? How about sitting in a movie theater, two, modern chance of dosing? 528 00:50:44,160 --> 00:50:49,040 How about a passenger car, two, modern chance of dosing? How about lying down to rest in the 529 00:50:49,040 --> 00:50:54,640 afternoon and circumsets for a minute? You can probably tell from me, Rebecca, that I would never 530 00:50:55,680 --> 00:51:02,160 sit down in the afternoon and rest a complete waste of time. I sleep at night and that's it. 531 00:51:02,160 --> 00:51:09,920 Can you believe it, Rebecca? Sitting, talking to someone zero, but some people put down two or 532 00:51:09,920 --> 00:51:17,680 three sitting after a life without alcohol. Some patients will stop at a stoplight and it's a three 533 00:51:17,680 --> 00:51:25,040 minute stop sign or stop or light and they'll fall asleep. And the only wake up guy behind 534 00:51:25,040 --> 00:51:31,600 the blows the horn. Oh, he's now this guy's wearing his seatbelt. I'm not sure showing any 535 00:51:31,600 --> 00:51:36,400 pictures in seatbelt. It's a hose that goes over the nose, right? A big mask, right? Yeah. 536 00:51:36,400 --> 00:51:42,400 Right. Yeah. Yeah. Talks to an air compressor on the floor. He's wearing a CPAP, which is supposed 537 00:51:42,400 --> 00:51:48,880 to get rid of all sleep apnea snoring and he's still very sleepy. His neck size 18 inches. Anybody 538 00:51:48,880 --> 00:51:55,280 over 17 inches snores in large tongue. He does have a large tongue, has no room in his mouth 539 00:51:55,280 --> 00:51:59,840 for his tongue. I should change that. His tongue looks enlarged though, but it's really, it's the 540 00:51:59,840 --> 00:52:06,160 it's the job being so small. So I won't go into this much. This is just how you diagnose sleep apnea. 541 00:52:06,960 --> 00:52:10,640 But if you're stopping at the bottom there more than 30 times an hour, he gets to be 542 00:52:10,640 --> 00:52:17,600 asleep. Okay. So we're almost done. I want to show you goes to the hospital and has a sleep study 543 00:52:17,600 --> 00:52:23,280 done. And I know it's seriously bad because he's stopping breathing more than 30 times an hour. 544 00:52:23,280 --> 00:52:28,880 He's not breathing 35 times an hour. Oh, my God. Bruxing open up his airway. So we started 30. 545 00:52:28,880 --> 00:52:33,760 So he stopped breathing almost every two minutes. Every two minutes he stopped breathing 546 00:52:34,560 --> 00:52:41,360 all night for his whole life, 50 years. And you wonder why he's not doing well health 547 00:52:41,360 --> 00:52:45,520 wise. Right. I did go into his medical history. I should have put that up there. He's not doing 548 00:52:45,520 --> 00:52:52,320 that well medically. Okay. Untreaty sleep apnea, you decrease your lifespan by 10 years. You increase 549 00:52:52,320 --> 00:52:59,680 the risk of high blood pressure, heart attacks, strokes, type two diabetes, cancer, dementia, 550 00:52:59,680 --> 00:53:04,720 and all that. You don't want any of those. Nobody wants those. And this is really interesting. 551 00:53:04,720 --> 00:53:11,840 We're almost done. The risk factor for standard risk factor for getting a heart attack is one. 552 00:53:12,560 --> 00:53:18,160 If you're overweight, it's seven. If you're hypertension, it's 7.8. Smoking is 11 and 553 00:53:18,160 --> 00:53:26,320 OSA, obstructive sleep apnea is 23. Oh my gosh. I mean, this is serious. I mean, you've got to 554 00:53:26,320 --> 00:53:34,160 do your podcast. They're so important that the dentist gets this information and the parents 555 00:53:34,160 --> 00:53:39,440 get this information. And if there's anybody snoring or sleep apnea, you've got to get a sleep test 556 00:53:39,440 --> 00:53:43,840 and you got to get them fixed. That's your cases. We always try to put them on CPAP, 557 00:53:43,840 --> 00:53:48,720 but he couldn't wear a CPAP. He didn't like it. He kept taking it off. So we made an oral plan 558 00:53:48,720 --> 00:53:54,480 so we fixed them. I'll show you. Okay. We're almost done there. So we put them in oral plans. 559 00:53:54,480 --> 00:53:59,680 Now doesn't that look like the twin block? It's got that big dorsal mechanism coming up and there's 560 00:53:59,680 --> 00:54:05,840 a block behind it. So his jaw can't go back. The jaw can't go back. So it keeps the jaw forward 561 00:54:05,840 --> 00:54:09,840 and that's what prevents that. That opens the airway, right? Bring the jaw forward, 562 00:54:09,840 --> 00:54:14,800 open the airway, take the teeth and move them back, close the airway, constrict the arch, 563 00:54:14,800 --> 00:54:19,280 close the airway. We want to open the airway. That's what your whole, your whole theme is. 564 00:54:20,000 --> 00:54:26,160 That's what you're all about. So that's how the appliance works. You can see the picture in the 565 00:54:26,160 --> 00:54:31,920 top, the tongue is blocking the airway. On the bottom picture, you can see the jaw forward, 566 00:54:31,920 --> 00:54:37,280 opens up the airway, gets rid of the snoring and the sleep apnea. So you want to open the 567 00:54:37,280 --> 00:54:41,440 pharyngeal airway by bringing the jaw forward. So see what I said in the beginning, we use 568 00:54:41,440 --> 00:54:48,080 functional appliances, bring the jaw forward. And then at those, we put a lower appliance in to 569 00:54:48,080 --> 00:54:52,880 bring the jaw forward, open the airway. It's all about the airway. That's your whole, that's how 570 00:54:52,880 --> 00:55:00,160 you started your whole organization or your, yeah. Yeah. So was that your idea to start it? 571 00:55:00,800 --> 00:55:06,560 No, actually it wasn't. It was Candy and Brad Sparks idea to start it because of the journey 572 00:55:06,560 --> 00:55:11,760 they went through with their daughter. That's wonderful. That's wonderful. Well, I think it's, 573 00:55:11,760 --> 00:55:16,320 it's got to help a lot of people, a lot of Dennis and a lot of parents. That's our goal. 574 00:55:16,960 --> 00:55:21,840 Yeah. We brought the jaw forward, prevented the grinding. Now we did a home sleep study. Now that's 575 00:55:21,840 --> 00:55:26,960 my sleep study. I should have shown you the hospital sleep study. It was terrible. It was 16 576 00:55:26,960 --> 00:55:32,800 wires all of you. So I do a home sleep. They sleep in their own bed. They can sleep there at their 577 00:55:32,800 --> 00:55:39,120 own pillow. They got their own room. They got everything normal and we get a home sleep study, 578 00:55:39,120 --> 00:55:46,160 which is more, it's more accurate than the hospital one. Okay. I got them down to 7.7 with the oral 579 00:55:46,160 --> 00:55:59,360 appliance. I took them from 35 to 7.7. 7.7. I took them from severe to mild. His wife said, 580 00:55:59,360 --> 00:56:07,440 snoring is purring like a cat. His wife likes cats. No sleep apnoes sleep apnea. 581 00:56:07,440 --> 00:56:11,600 No sleep apnoe. Okay. Well, I think I better end it there. I've probably gone a little over 582 00:56:11,600 --> 00:56:18,240 to him, but I've had a great pleasure to present tonight and I'm glad you were here 583 00:56:18,240 --> 00:56:23,120 asking me, asking me lots of questions. Now I can answer questions if you want. I don't know 584 00:56:23,120 --> 00:56:29,360 if we have time, but I'd be certainly happy to answer them or they can send you the questions 585 00:56:29,360 --> 00:56:33,840 that I can answer them later, whatever you want to do. Yeah. I think that'd be phenomenal. I'll 586 00:56:33,840 --> 00:56:38,720 just invite all our listeners now. If you have any questions, you can submit them through the 587 00:56:38,720 --> 00:56:44,880 blog or email at info at childrensairingsfirst.org and I will make sure to get them to Dr. Ron 588 00:56:44,880 --> 00:56:49,440 Ngo and we'll get them answered for you. That's wonderful. Well, Rebecca, again, thank you very 589 00:56:49,440 --> 00:56:55,440 much for inviting me. Thank you for being on this was fantastic. Thank you for showing and sharing 590 00:56:55,440 --> 00:57:00,960 all this. It was wonderful. Well, I thought, you know, I'd be rather than answer questions, 591 00:57:00,960 --> 00:57:05,680 I thought they'd show you show and tell, right? Seeing is believing. There's no, you can't, 592 00:57:05,680 --> 00:57:10,880 you can't question anything when you see the patients. You know, you can see the change in 593 00:57:10,880 --> 00:57:16,000 their, in their lives, changing their self-esteem, changing their health. Basically, we're changing 594 00:57:16,000 --> 00:57:22,240 their health, which is what's so good. That's why I love my practice. And that's why I was 595 00:57:24,080 --> 00:57:28,320 I'm 81 today. Well, happy birthday. And I'm still cooking. 596 00:57:33,200 --> 00:57:37,680 Because I don't want to stop. Yeah. I like, I've got a partner now who's I've trained for a year 597 00:57:37,680 --> 00:57:43,280 and he's really good. And we might look for another partner so I can play more golf. But I work two 598 00:57:43,280 --> 00:57:48,400 weeks a month and take two weeks off and go to the floor and play golf. So that's, that's what I do 599 00:57:48,400 --> 00:57:54,960 now. So anyway, I was happy to be on and happy to talk in the future about sleep apnea or snoring 600 00:57:56,160 --> 00:58:01,440 and TMD if you want, but you had Michael Kelwell. Yeah. It was fantastic. Yeah. Well, 601 00:58:01,440 --> 00:58:06,880 thank you so much. I appreciate it. Good. Well, thank you for having me and I wish you good night. 602 00:58:06,880 --> 00:58:16,880 Thank you too. Bye everybody. Bye bye. Thanks again to today's guest, Dr. Brock Rondo, 603 00:58:16,880 --> 00:58:21,360 for sharing his medical insight and to each of you for listening to today's episode. 604 00:58:22,240 --> 00:58:26,560 If you're new to our podcasts, please don't forget to subscribe. 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And finally, thanks to all the parents and 613 00:59:14,000 --> 00:59:18,400 medical professionals out there that are working to help make the lives of kids around the globe 614 00:59:18,400 --> 00:59:41,440 just a little bit better. Take care, stay safe, and happy breathing everyone.