Airway Dentistry with Dr. Jeff Rouse from SPEAR on Humpday Happy Hour™

Fix the joint and the bite but leave the maxilla deficient, and the patient stays sick. Prosthodontist Dr. Jeffrey Rouse of Spear Education explains why every airway, TMJ and sleep treatment plan has to start with the upper jaw, and why he made zero traditional sleep appliances last year. In this episode: - Why the maxilla comes before the mandible, the joint and the bite - The biggest mistake: placing an anterior implant before the patient is healthy - A Class II div 2 case that improved with brackets on the upper teeth only - His son's story, and what the research now says about ADHD and airway - Why he tells dentists not to play the medical billing game - Why most patients need 3mm of protrusion or less Plus dental news: the No Surprises Act and good faith estimates, an NIH sealant program for middle schoolers, CAD/CAM growth, and the end of Dentacoin. Dr. Jeffrey Rouse is a prosthodontist in private practice in San Antonio, Texas, and resident faculty at Spear Education. He has practiced with Drs. Frank Spear and Gregg Kinzer in Seattle, taught prosthodontics at UT Health San Antonio from 2004 to 2019, and co-wrote Global Diagnosis with Dr. Bill Robbins. He is a past president of the Southwest Academy of Restorative Dentistry. Chapters: 0:00 Intro 1:31 Thanks to Spear Education 5:56 News 6:22 News: the No Surprises Act and good faith estimates 10:04 News: NIH funds a middle school sealant program 10:58 News: CAD/CAM growth and the WHO on oral health 13:01 News: the end of Dentacoin 14:12 Introducing Dr. Jeffrey Rouse 16:11 Tequila, Tito's and the Umstead 20:43 Why big cases need a unique patient experience 22:46 How he got into dentistry 29:05 How airway came to Spear 33:35 Bringing TMJ, sleep and occlusion together 38:10 The question everyone missed: the maxilla 41:26 Don't place that anterior implant yet 43:01 A Class II div 2 case: brackets on the upper only 45:44 Pediatric airway and his son's story 51:32 Will physicians come around? 52:47 Don't play the medical billing game 54:27 Why dental research will stay small 55:50 Fix the cause before the appliance 58:00 Night guards and 3mm of protrusion 59:04 Closing 🙌 Special shout out to Spear Education for making this episode possible! 🎧 Listen to the podcast: Apple Podcasts: https://podcasts.apple.com/us/podcast/dentists-in-the-know/id1543254763 Spotify: https://open.spotify.com/show/2Elfj6LX0hCUyp0AgdTsij 📺 Make sure you subscribe to catch new episodes live every Wednesday at 8pm ET! https://www.youtube.com/@dentistsintheknow 🌟 Stay up to date on all the latest dental trends when you follow the DINKs: https://fanflet.com/dinks/social-2