Applesauce Pouches, Cognitive Deficits, and Pediatric Airways with Dr. Stacy Becker

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Applesauce Pouches, Cognitive Deficits, and Pediatric Airways with Dr. Stacy Becker

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What if that "cute" childhood snore is actually the sound of your child gasping for air, struggling to stay alive?In this high-energy, eye-opening episode, Dr. Stacy Becker—one-third of the powerhouse team behind ASAP Pathway—joins us to dismantle the myth that kids "just grow out of it." After witnessing her own father struggle with CPAP intolerance and watching her own children show the classic "red flags" despite doing everything "by the book," Stacy realized that dentistry isn't just about teeth—it’s about the very air we breathe. This isn't a lecture on complex orthodontics; it’s a playbook for becoming the "triage hero" your smallest patients desperately need.Jason Tierney and Dr. Erin Elliott sit down with Stacy to move the conversation from "niche mystery" to "everyday essential." They explore why a generation raised on applesauce pouches is facing a "melting face" epidemic and how you can start saving lives before a child even hits the first grade.The Meat of the EpisodeThe Death of the Crunch: We dive into the "Industrial Revolution" of the jaw. Learn how soft diets and "pouch culture" are causing muscles to atrophy and faces to literally melt, leaving no room for adult teeth (or oxygen).The 95% Rule: Why Dr. Steven Sheldon says nearly all ADHD is actually sleep deprivation in disguise. We discuss the heartbreaking reality of "broken brains" and why waiting until age 13 to fix an airway is often seven years too late."We Now Know": The magic script for talking to long-term parents. Stacy shares how to pivot from "just checking for cavities" to "checking for life-altering airway issues" without the guilt trip of what you might have missed in the past.Kissing Frogs & Finding Princes: Referral reality checks. Not all ENTs or Orthodontists are created equal. Stacy explains how to hunt for the "airway-aware" specialists in your town by asking the right questions and trusting your gut.Clinical Clues Hiding in Plain Sight: From chapped lips and "crusty noses" to tartar buildup on a six-year-old. Learn to spot the secret signals of mouth breathing that are sitting right in your hygiene chair.Permission to be a Dentist: Why you don’t need a "mother may I" from a physician to expand a maxilla. We talk about the courage to lead your community and the dental levers that can actually shrink tonsils and adenoids.A Note from Dr. Stacy Becker"A worried mom does better research than the FBI. If you see the craniofacial deficits and a child is struggling, you cannot stick your head in the sand. By age six or seven, the brain is mostly done. You can grow out of large tonsils by thirteen, but you might be growing into a lifetime of cognitive deficits and ADHD. We have to act now."Why This Episode MattersThis conversation is for every "Jill or Joe Dentist" who is doing "just fine" but wants to do better. Stacy reminds us that we are the front-line scouts in a pandemic of poor sleep. You don’t have to become a full-time pediatric surgeon to make a difference; you just have to stop "unseeing" the red flags. By the end of this episode, you won't just be looking at a child's bite—you'll be looking at their entire future, and you'll have the "Thunderstruck" energy to help them protect it.Would you like me to create a "Checklist for the Chair" based on the clinical signs Stacy mentioned to help your hygiene team start screening tomorrow?Resources and References MentionedHere are the links and references for the resources mentioned in the podcast:Community & DirectoriesASAP Pathway (Airway, Sleep, and Pediatric Pathway): * asappathway.comFind a Provider Map: asappathway.com/map/AAPMD (American Academy of Physiological Medicine & Dentistry):Main Site: aapmd.orgFind a Professional Directory: aapmd.org/find-aapmd-professionalClinical Research & ArticlesThe Atlantic Article: * Title referenced: "Are we cranking kids' jaws open for no reason?" (Published January 2026).Context: Discusses the controversy between "airway-focused" orthodontics and traditional evidence-based dentistry.American Academy of Pediatrics (AAP) Snoring Policy:Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea SyndromeKey Takeaway: The AAP recommends screening for snoring at every well-child visit (the "zero tolerance" approach mentioned by Dr. Becker).Dr. Audrey Yoon (Stanford University):Stanford Profile: profiles.stanford.edu/audrey-yoonResearch Focus: Her work bridges the gap between pediatric dentistry and orthodontics, focusing on how expansion affects pediatric airway volume and sleep outcomes.The CHAT Study (Childhood Adenotonsillectomy Trial):Study Overview: ClinicalTrials.gov - NCT00560859Context: This is the landmark study that evaluated "watchful waiting" vs. surgery for mild-to-moderate pediatric OSA, which Dr. Ron Mitchell helped lead.Expert ViewpointsDr. Stephen Sheldon (Lurie Children’s Hospital):ADHD & Sleep Link: Dr. Sheldon is a pioneer who famously posits that a vast majority of...

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