Dr. Zaghi graduated from Harvard Medical School, completed residency in ENT (Otolaryngology- Head and Neck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University. He now serves as medical director of The Breathe Institute where the focus of his sub-specialty training is on the comprehensive treatment of nasal obstruction, snoring, and obstructive sleep apnea in children and adults. He is very active in clinical research with over 80+ peer-reviewed research publications in the fields of neuroscience, head and neck surgery, myofunctional therapy, and sleep-disordered breathing. Dr. Zaghi is particularly interested in studying the impact of tethered-oral tissues (such as tongue-tie) and oral myofascial dysfunction on maxillofacial development, upper airway resistance syndrome, and obstructive sleep apnea, especially as it relates to pediatric populations. He is an invited lecturer, author, and journal reviewer for topics relating to the diagnosis and management of sleep-disordered breathing and tongue-tie disorders in children and adults.
Pediatric dentists are in a unique position to screen and monitor for myofunctional and upper airway function disorders that may impact long-term craniofacial and airway development in children. Indeed, chronic mouth breathing and low tongue posture in actively growing children is associated with palatal growth restriction, alterations of craniofacial development, altered head posture, attention issues, poor school performance, and increased risk for obstructive-sleep apnea later in life. This presentation will provide an overview of the spectrum of sleep-related breathing disorders ranging from mouth breathing to snoring and obstructive sleep apnea. The emphasis of the presentation will be on the importance of establishing exclusive nasal breathing as the single most important objective with take-home tips and advice on how to implement these recommendations to the children and families in your practice. Six credit hours will be earned.
To appreciate the impact of sleep-related breathing disorders on pediatric populations.
Be able to screen for and identify the clinical signs of mouth breathing and sleep-disordered breathing among patients in your practice.
Understand that comfortable nasal breathing requires the following conditions: lips pressed together, tongue resting high on the roof of the mouth, and a patent nasal passage.
Learn to manage the common causes of nose blockage: inflammation of the lining of the nose due to environmental allergies, food allergies, weather conditions, air pollution, smoking, nutritional factors, or exposure to certain chemicals. Other causes of nose blockage may include deviated septum, large turbinates, nasal polyps, or large tonsils and adenoids.
Appreciate that sometimes there are no physical blockage in the nose that contribute to the sensation of nasal obstruction or mouth breathing. For these cases, providers with advanced training may be able to identify the presence of a “high arched narrow palate”, or “restrictive lingual frenulum,” among other causes of the difficulty breathing through the nose.
Understand the role of saline rinses, nasal sprays, allergy medicines, mouth taping, myofunctional therapy, and surgery in the treatment of these issues.
Discuss a differential diagnosis for clenching and grinding among patients who present with signs of moderate to severe dental wear and learn how to optimize your treatment by addressing the underlying causes.
Recognize the role of tongue-tie and lip-tie surgery and learn how to improve the surgical outcomes of your cases.
Learn about the long-term impact you can have on craniofacial growth and development by introducing early interceptive orthodontics into your clinical practice.
Be able to discuss the peer-reviewed research literature supporting the role of myofunctional therapy, tongue-tie, and lip-tie surgery in the treatment of patients with mouth breathing, snoring, and/or obstructive sleep apnea.
TAPD Spring CE Course
Posted on August 13, 2020
“Only What You Need to Know: Distilling the Essentials of Seeing Children in Private Practice” by Dr. E. LaRee Johnson
Marriott Riverwalk Hotel Alamo Salon D,E,F, Ballroom Floor San Antonio, TX
About Dr. E. LaRee Johnson
Dr. E. LaRee Johnson graduated with honors from the University of Tennessee, College of Dentistry before completing a 3-year pediatric dentistry residency and Master of Science degree at the University of North Carolina. Dr. Johnsons was part of the American Academy of Pediatric Dentistry Kellogg Leadership Institute Cohort V and serves as adjunct faculty at the University of North Carolina. She has been inducted into the American College of Dentists and the International College of Dentists. Since opening a practice from the ground up and completing board certification, Dr. Johnson has mentored many colleagues to achieve board certification and open and/or tune-up their practices. Dr. Johnson is the current President of the American Board of Pediatric Dentistry.
Dr. Johnson has been in full-time private practice for over 20 years. She is the founder of Carolina Pediatric Dentistry, a now multi-doctor, two-location practice in Raleigh, North Carolina and speaks nationally and internationally. Professionally, Dr. Johnson foremost enjoys clinical pediatric dentistry. Her effective practice management skills are simply a byproduct of ensuring a patient-centered practice model.
Being a wife and mother of two teenagers brings Dr. Johnson her greatest joy. Her family’s hobbies include anything outside, travel, CrossFit and endurance sports. Dr. Johnson and her husband have completed multiple Ironman triathlons, the Umstead 100 Mile Endurance Run, and together have the goal to complete a marathon in each of the 50 states before age 50 (including qualifying for the Boston Marathon).
Caring for children in our dental offices should be enjoyable and rewarding. This course is divided into half practice management and half clinical pediatric dentistry to offer a knowledge foundation to promote a fluid practice flow that is predictable and accountable while reinforcing positive clinical outcomes.
We will crack the lid on the art of hiring, firing, training, and retaining. A Team Member practice model will be presented that reinforces cross training while systematically developing systems that guarantee the most efficient flow and thereby reduce overhead. Next comes spring cleaning, a system of patient management will be introduced to ensure that your patients are seeing you or they are dismissed to offer a clean accounting picture and facilitate improvements. Finally, strategies on missed and hidden opportunities will be discussed to ensure that you are optimizing your practice potential.
The afternoon will be spent learning or finessing clinical techniques. Struggling with zirconia or chairside space maintainers? Not after this course! The integration or extended care of those with special health care needs is not only rewarding but can be a tremendous practice promoter. Learn how you can integrate these children into your practice and tips to promote their oral health. A review of possible appliances in pediatric dentistry will ensure you know what, how and when to utilize them. The day will close with the little things that make a big difference in your clinical life and the oral health of the little ones that you serve.
Cultivate an eye for hiring the best employees, a strategy to make them better, and a heart to keep them.
Develop, your practice playbook and put your employees in the best position to utilize their strengths.
Generate a patient flow algorithm to account for every patient in your system.
Learn scheduling sequence to promote getting appointments in the books.
Uncover practice landmines and bring lost opportunities to light.
Acquire techniques to place zirconia crowns efficiently and predictably.
Understand how to make chairside space maintainers clinically equal to lab fabricated.
Integrate or extend your practice’s special health care needs population with these tips for success.
See how minor bilateral space maintainer appliance revisions can make a tremendous difference.
Understand how the little things can make or break you to ensure you and your practice’s sustainability.
UnitedHealthcare Dental Touch-base Webinar on June 28
Posted on July 15, 2020
UnitedHealthcare Dental is hosting a “touch-base” webinar on Tuesday, July 28, 2020 at 6:00 p.m. CDT.
The United team will cover important updates, including the dental plan’s:
• Response to the COVID-19 pandemic;
• Medicaid and CHIP program readiness review and operational activities;
• Member enrollment; and
• Marketing and outreach efforts.
Please help spread the word. Dental providers can register for the webinar at:
After registering, you will receive a confirmation email containing information about joining the webinar.
Feel free to contact me if you have questions.
Elizabeth LaMair | Deputy Managing Director | Austin, TX | Sellers Dorsey | Cell 512.796.6009
TAPD Fall Board Meeting
Posted on June 29, 2020
Our Fall Board meeting for 2020 will be on Saturday, September 12th. This will be a virtual Zoom meeting. If you would like to attend, please contact us at email@example.com.
TAPD General Assembly Meeting
Posted on May 2, 2020
With dental offices beginning to open May 1, we have changed the date of the virtual TAPD General Assembly meeting to avoid conflicting with business hours. The virtual TAPD General Assembly Meeting will now be Saturday, May 16, 2020 at 1:30 pm. We will send the Zoom link for the meeting soon.
It has been a busy and productive year for TAPD. The feedback and ideas you all have provided throughout this crisis have been critical to establishing best practices for dentistry throughout the pandemic. As the past two months have proven, it’s more important now than ever for us all to stay engaged in organized dentistry. I look forward to seeing all of you at the meeting and to TAPD continuing to work on behalf of the children and pediatric dentists of Texas.
We will send a link in the coming weeks with instructions to access the meeting. If you have any questions or concerns prior to the meeting, please feel free to email me.
Looking forward to seeing as many of you as possible next month.
Refugio Gonzalez III, DDS President, Texas Academy of Pediatric Dentistry
TAPD May Meeting
Posted on March 25, 2020
We hope you and your families are well. Given the evolving situation we are all facing with COVID-19, the TAPD Board has decided to postpone our General Meeting, Board Meeting and Continuing Education course in May.
As you may have heard, TDA has also decided to cancel its annual May meeting. The TAPD Continuing Education Committee is working on ideas to reschedule our meeting. We understand that everyone has CE requirements that will need to be met.
We are working to find a solution and will update you as soon as we have more information. We still plan to hold our Fourth Annual Fall Sedation CE on September 25 and 26, and details will be announced in May.