201. Drew McDonald, DDS, MS & Jim Otten, DDS - TMD, Orthodontics, the Airway and Occlusion
Dec 4, 2023
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Dr. James Otten and Dr. Drew McDonald discuss the importance of addressing foundational issues in orthodontics, such as TMJs, airway, tongue, and myofunctional issues. They explore the long-term effects of jaw surgery, the significance of imaging, and the relationship between pain in kids and adults. Evaluating soft tissues and effective communication in dental exams are also highlighted.
Addressing foundational issues with TMJs, airway, and myofunctional issues is crucial for successful orthodontic treatment.
A holistic approach considering the joint, airway, and overall well-being of the patient is essential in orthodontic cases.
Deep dives
Importance of Addressing Foundational Issues
The podcast episode emphasizes the significance of addressing foundational issues with TMJs, the airway, and tongue and myofunctional issues. These issues contribute to the orthognathic problems in patients, indicating that their foundation is off and proper development is hindered. The episode highlights the importance of not simply aligning teeth without considering the underlying foundation, as it may lead to limited success.
The Paradigm Shift in Orthodontics
The episode discusses the ongoing paradigm shift in orthodontics regarding the understanding and treatment of occlusion and TMD. There is a recognition of the need to move beyond just arranging teeth and focus on a holistic approach that considers the joint, airway, and overall well-being of the patient. The guests emphasize the importance of treating orthodontic cases from a joint-based, airway-based, and whole person-based perspective, rather than solely a cosmetic one.
The Role of Imaging in Diagnosis
The podcast highlights the significant role of imaging, particularly CBCT scans and MRIs, in diagnosing and understanding orthodontic issues related to the joints, airway, and overall structure. The guests discuss how imaging helps identify disc displacement in the jaw joints, asymmetry in facial growth, narrow maxillas, and hypoplastic mid-face growth. They emphasize that proper imaging can guide treatment plans and identify underlying issues before proceeding with orthodontic interventions.
Red Flags and Early Intervention
The episode emphasizes the importance of early intervention by identifying red flags in patients, particularly children, that may indicate airway issues, impaired nasal breathing, or other underlying problems. Red flags include inflamed turbinates, narrow maxillas, tongue posturing issues, and crowding. The guests stress the need to look beyond just teeth and to ask questions regarding sleep, behavior, and concentration to gather a comprehensive understanding of the patient's overall health and identify potential underlying causes.
Bachelor of Science in Zoology & Minor in Microbiology University of Arkansas 1977
Doctor of Dental Surgery, University of Missouri-Kansas City School of Dentistry 1981
General Practice and Hospital Dentistry Residency-Certificate, Veterans Administration Medical Center in Leavenworth, Kansas 1982
Center for Advanced Dental Studies, St Petersburg FL, Completion of Curriculum in Advanced Restorative Care and the Evaluation, Diagnosis and Treatment of Occlusal and Temporomandibular Disorders 1989-1993
The Pankey Institute, Key Biscayne FL, Completion of Curriculum, Continuum I-VI plus Advanced Studies, 1991- present
Piper Education and Research Center, St Petersburg FL, Seminars I-III, Advanced Diagnosis, Management and Treatment of TM Disorders, 1994-2013
Other: Compiled over 3500 hours of Continuing Education in the study of Occlusion, TM Disorders, Facial Pain, Esthetics, Invisalign Certification, Implant and Prosthodontic Restorative care.
Associate Professor Prosthodontics University of Missouri-Kansas City School of Dentistry 1982-83
Fellow, American College of Dentists
Visiting Faculty, L.D. Pankey Institute -1996-current
Visiting Faculty, Newport Coast Orofacial Institute, Newport Beach CA 2010- present
L.D. Pankey Institute – Associate/Lead Faculty 1999 – current
Provost, L.D. Pankey Institute 2005 -2012
L.D. Pankey Institute Board of Directors/Advisors 2005 – current
Medical Staff Lawrence Memorial Hospital Department of Surgery-current
Private Practice Lawrence Kansas 1984 – present
Drew McDonald, DDS, MS
Dr. McDonald attended dental school at the prestigious Creighton University in Omaha, Nebraska. Known for it’s rigorous academic curriculum and intense clinical training, Dr. McDonald received many academic accolades while at Creighton including inductions into Omicron Kappa Upsilon (National Dental Honor Society) and Alpha Sigma Nu (Honor Society of Jesuit Universities). He also served in leadership positions as class president and student body president and on alumni relations committees.
After graduating Cum Laude from Creighton, Dr. McDonald was accepted as one of only three residents nationwide into the University of Missouri-Kansas City Orthodontics program, a renowned two-and-a-half year, full-time residency known for its clinical excellence. Dr. McDonald graduated in December of 2016 with his certificate in orthodontics and master’s degree in Oral and Craniofacial Sciences.
When away from the office, Dr. Drew is a “girl-Dad” to two daughters, a self-proclaimed grill master, and minimally talented yet enthusiastic golfer, you can find him taking in a Lobo game, and spending time outdoors with his family.
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