Ron interviews Dr. Ilya Lipkin, an orthodontist with extensive MARPE experience. They discuss the nuances of Custom MARPE versus FME, including design considerations, TAD stability, and innovations like "Lipkin Wings." The conversation also covers the role of surgical assist, strategies to address and prevent asymmetry, and the importance of jackscrew orientation. Additionally, Dr. Lipkin shares insights on Facemask protraction therapy and offers perspectives on MMA surgery and selecting a surgeon.

Connect with Dr. Lipkin

https://www.instagram.com/drlipkinsmiles

https://www.gotbraces.com/

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

Timestamps

00:00:00 - Intro

00:00:40 - Dr. Lipkin's Custom MARPE Experience & Course

00:02:33 - The FME Appliance: Dr. Lipkin's Unbiased Impressions

00:05:10 - FME Design Flaws? TAD Tipping & Force Vectors

00:10:24 - Armless Expanders: A True Skeletal Solution or Marketing Hype?

00:13:06 - MARPE Arms to Prevent Pinching of Soft Tissue

00:15:49 - FME's Locking TADs To Prevent Tissue Pinching

00:17:06 - Why Lateral TADs Are NON-NEGOTIABLE for Predictable Expansion

00:18:46 - The "High Palate" Myth & Problems with Distant Force Application

00:22:06 - The Disadvantage of Stock Appliances: Not Assessing Bone Thickness

00:24:59 - Surgical Assist (Piezo): Does It Always Guarantee a Midline Split?

00:29:44 - Revisiting Locking TADs (and 2-Piece Design): Are They the Future for All Expanders?

00:32:25 - Introducing "Lipkin Wings": A Custom Solution for TAD Locking

00:33:16 - Facegenics Cephalometric Analysis vs. Dr. Lipkin's Asymmetry Prevention Protocol

00:43:08 - Aligning the Expander to Avoid Exacerbating Asymmetries

00:45:50 - Expansion Sweet Spot: How Many Millimeters on Average?

00:47:12 - Can the Lab Catch a Orthodontist's Design Mistakes?

00:49:05 - The Imperative of MARPE Courses for Aspiring Practitioners

00:51:08 - Why MARPE Post-Jaw Surgery is NOT a Good Idea

00:54:29 - Do Different Surgical Plates Impact Post-Op MARPE Expansion?

00:56:45 - MARPE's Downward & Forward Vector: Is It to Be Expected?

00:58:21 - Is a Gummy Smile (Vertical Maxillary Excess) a Disqualifier for MARPE?

00:59:45 - Small Teeth Post-Expansion: Restorative Dentistry or Orthodontic Solution?

01:00:53 - Diastema Closure: Sliding Teeth Forward vs. Retracting Front Teeth

01:03:39 - Dr. Lipkin's Unfiltered Opinion on AGGA (Anterior Growth Guidance Appliance)

01:06:35 - SFOT Planning & Lower Dental Tipping Mechanics: A MUST for Predictability

01:12:46 - The Critical Role of a Skilled Periodontal Partner for SFOT

01:14:31 - Ron's Transformation & Traumatic Memory: From "Humpty Dumpty" to Facial Harmony

01:16:00 - Maxillary Protraction: Is it the Facemask's Merit or MARPE's Mechanics Alone?

01:17:50 - Case Studies: What Happens When You DON'T Wear Your Facemask?

01:20:04 - Facemask Indications: Is It Only for Class III Patients?

01:23:03 - Adult Facemask Use: Viable Option? How Many Hours Per Day?

01:24:45 - Facemask vs. Bollard Plates: Weighing TMJ Problems & Force Vectors

01:27:43 - The Future of Facemasks: Innovations from Partners Dental Labs & Facegenics (FMA)?

01:28:08 - Does Facemask Cause Undesirable Dental...

Orthodontist and sleep medicine specialist Dr. Joseph Yousefian explains why Maxillomandibular Advancement (MMA) doesn't always resolve sleep apnea. Drawing on case studies and clinical experience, he highlights the procedure’s limitations and the importance of addressing nasal anatomy and TMJ health. Dr. Yousefian also introduces his patented expansion techniques—MANE, DAME, and MAPES—which have shown strong results in improving airway health. This conversation explores airway dynamics, skeletal development, and the value of a personalized, multi-faceted treatment approach.

Dr. Yousefian's book: Pediatric Treatment of Sleep Apnea

https://a.co/d/aNsKjul

Hear from Dr. Yousefian's Patients

https://youtube.com/shorts/EvOC51YXxRE

https://youtu.be/fYMy1Acnlwk

https://youtu.be/uyRm7fTOF2w

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

Timestamps

00:00:00 - Intro & Airway Mechanics

00:01:10 - Why MMA Doesn’t Always Cure Sleep Apnea

00:03:40 - When MMA Surgery Isn't Enough (19.9 AHI Case Study)

00:05:35 - The Critical Role of Turbinate Reduction in Airway Health

00:07:03 - Empty Nose Syndrome Risks & Turbinate Management

00:08:24 - Why Significant Expansion (7-10mm) Outperforms Minimal Expansion

00:10:50 - Nasal Cavity Architecture: Height, Width & Airflow Dynamics

00:12:00 - When Counterclockwise Rotation Isn't Possible

00:14:20 - TMJ Complications After Surgery: Revision Challenges

00:15:25 - Challenges of MARPE After LeFort I Surgery

00:17:45 - Removing Plates for Successful Post-Surgical Expansion

00:19:34 - DOME Procedure (DANE): Preventing Unilateral Cheekbone Distraction

00:22:08 - MSDO to Expand Narrow Arch vs. Tongue Reduction Surgery

00:28:12 - 53.6 AHI & Mandibular Tori (Case Study)

00:32:10 - Tooth-Borne (with SARPE) vs. Bone-Borne Expansion Debate

00:35:05 - TMJ Health & MSDO Mandibular Expansion (Osteoarthritis Case)

00:40:34 - Why MMA Can Put Stress on the TMJ (Condylar Resorption)

00:46:40 - Airway Changes After MMA Surgery: Temporary Feeling of Constriction

00:48:28 - Distraction Technique After MMA (Unique Case Study)

00:50:01 - 38% Cure Rate from MMA vs. 92% from TTP (Teledontic-Telegnathic Protocol)

00:51:33 - MANE (Micro-implant Assisted Nasomaxillary Expansion) & DAME (Distraction Assisted Mandibular Expansion) aka MARPE & MSDO

00:53:42 - Lip Competence & Auto-Rotation of Mandible Through Orthodontic Treatment (Case Study)

00:58:52 - Protecting & Supporting Front Teeth: Importance of Arms in Expanders

01:01:00 - Managing Asymmetric Expansion & the Purpose of Molar Arms

01:05:00 - Severe Complications: Mid-Facial Asymmetry Case Study

01:09:05 - Double Vision Complication After Expansion

01:12:08 - Benefits of Tooth-Borne Combined with Bone-Borne Anchorage

01:13:10 - FME (Facegenics Mid-facial Expander) & Armless Expanders Discussion

01:19:54 - Dentoalveolar vs. Skeletal Changes & Why They Are Both Important

01:29:45 - Prof. Won Moon: The Originator of MARPE

01:31:45 - Proportional Expansion Between...

Dr. Tracey Nguyen, a cosmetic and airway-focused dentist, joins Ron for an in-depth discussion on topics ranging from chronic headaches and pediatric expansion timing to the complexities of MARPE, maxillary protraction, and digital surgical planning. Explore how personalized treatment strategies and practical goals can help optimize airway function, facial development and aesthetics.

Connect with Dr. Tracey Nguyen

https://www.instagram.com/drtraceynguyen

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

Timestamps

00:00:00 – Intro

00:01:19 – Ron’s Journey & Jaw Surgery Motivation

00:03:07 – Tongue Posture, Neck Pain & Airway Connection

00:04:31 – Anatomy, Gut Health & Chronic Inflammation

00:07:00 – Pediatric vs Adult Expansion: Why Timing Matters

00:09:47 – Bone-Borne vs Tooth-Borne Expanders Explained

00:12:08 – Why General Dentists Are Stepping In

00:15:55 – Facial Esthetics, Asymmetry & Expansion Protocols

00:19:55 – Tag Placement, Engineering & Predictability

00:24:27 – Custom Expanders: Technology & Innovation

00:28:47 – Planning Expansion with Visual Outcomes

00:34:27 – Avoiding Overexpansion & Managing Expectations

00:38:45 – Risk Factors, Disqualifiers & Patient Management

00:42:08 – Beyond MARPE: Forward Growth & Alternatives

00:45:48 – Face Mask Protraction: What Works & What Doesn’t

00:50:26 – Class I, Setbacks & Protraction in Adults

00:53:12 – How Much Expansion Improves Airway Function?

00:55:13 – Choosing a Surgical Team & Digital Planning

01:00:15 – Balancing Airway Gains with Facial Aesthetics

01:03:19 – Patient Psychology, Satisfaction & Outcomes

01:07:16 – Full Disclosure & Informed Consent

01:10:24 – Tooth Size Discrepancies & Restorative Planning

01:11:25 – TMJ, Occlusion & Bite-Based Pain

01:16:06 – Multidisciplinary Approach & Final Takeaways

NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Dr. Paulo Soares, expert in airway health, pediatric orthodontics, and facial development, breaks down the science behind jaw growth, breathing optimization, and myofunctional therapy. This episode explores how breastfeeding, nasal breathing, palatal expansion, and myofunctional therapy can prevent lifelong issues like mouth breathing, poor posture, and dental crowding.

Connect with Dr. Paulo Soares

https://www.instagram.com/drpaulosoares

https://www.drpaulosoares.com/

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

00:00:00 - Intro

00:01:00 - Genetics vs environmental factors in facial growth

00:03:27 - Nasal breathing as the foundation for optimal craniofacial development

00:04:33 - How breastfeeding and a hard diet build strong oral structure

00:05:34 - Tongue tie detection sets the stage for proper function

00:10:10 - Environmental challenges and their impact on immune adaptation

00:24:18 - Red flags in oral posture that signal the need for intervention

00:39:20 - Timing interventions for palatal expansion to achieve lasting results

00:51:22 - Myofunctional therapy to maintain treatment gains

00:55:15 - Dr. Soares daughter transformative facial development

01:03:13 - Skeletal vs dental expansion in early orthodontic treatment

01:05:30 - How maxillary constriction affects nasal breathing and airway function

01:07:43 - Balancing natural growth with artificial modifications to prevent dental compensation

01:10:23 - Case study: A 3-year-old with open bite treated with functional appliance

01:13:30 - Explaining myobrace mechanics, tongue repositioning, and compliance challenges

01:16:20 - How functional therapy redirects mandibular growth

01:22:40 - The myobrace for young patients in early intervention

01:25:56 - Case study: A 13-year-old shifting from braces to functional postural training

01:31:10 - Joint remodeling via controlled mandibular advancement

01:36:09 - The central role of proper tongue posture in airway health

01:39:41 - Weighing jaw surgery against functional training options

01:54:11 - How breastfeeding impacts jaw and facial development

02:01:07 - Future collaboration to create a breastfeeding device

NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Breathing behavior analyst Lisa Kusch shows the risks of over-breathing, hypocapnia, and airway dysfunction. Watch as Ron uses a capnometer to track his breathing in real-time, revealing surprising insights into how different breathing patterns impact CO2 levels.

https://www.sleepandbrain.com/lisa-kusch

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

00:00:00 Intro

00:01:08 What is Capnography?

00:02:56 Setting Up the Nasal Cannula

00:04:00 Inside the Capno-Trainer Device

00:05:54 Calibration and Environmental Adjustments

00:07:10 First Data Insights: CO2 Levels

00:09:00 Understanding the CO2 Graph

00:12:23 Testing Mental Tasks (Memory & Math)

00:15:03 Physical Activity: Marching Test

00:17:17 Overbreathing and Its Effects

00:20:24 Low CO2’s Impact on the Brain

00:24:20 Meditation vs. Normal Breathing

00:29:40 Breath Holds and Recovery

00:35:10 Reviewing Session Data Trends

00:38:48 Breathing and Emotional Trauma

00:44:28 Diet, Gut Health, and Breathing

00:52:20 Social Anxiety and Breathing Habits

00:58:29 Hormones (Progesterone) and Breathing

01:01:20 Pregnancy and CO2 Levels

01:04:09 Cannabis, Nicotine, and Breathing

01:07:24 Artists, Creativity, and Dissociation

01:10:00 Addiction and Breathing Patterns

01:15:25 Practical Tips for Better Breathing

01:17:11 How to Work with a Breathing Coach

01:18:43 Closing Remarks

NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Breathing behavior analyst Lisa Kusch joins JawHacks to explore the critical role of carbon dioxide in oxygen delivery and respiratory health. The discussion covers how overbreathing leads to hypocapnia, impacting sleep, energy, and cognitive function. She also examines the pros and cons of breath training methods like Wim Hof and Buteyko, the psychological and physiological factors shaping breathing habits, and practical techniques for retraining the breath to improve overall well-being.

https://www.sleepandbrain.com/lisa-kusch

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

0:00:00 - Introduction

00:02:04 - The Role of CO2 in Oxygen Delivery

00:04:37 - What Happens When CO2 is Too Low?

00:06:30 - Underdeveloped Jaws & Overbreathing

00:10:20 - The Subconscious of Dysfunctional Breathing

00:12:40 - Breath as the Bridge Between Mind and Body

00:17:42 - Deep States of Breathing: The Science of Bliss & Jhana

00:21:32 - Hypercapnia & Apnea: The Extreme Ends of Breathing

00:27:58 - How Trauma Can Shape Breathing for Life

00:36:09 - Wim Hof vs. Buteyko Breathing: Benefits & Pitfalls

00:48:11 - Mouth Breathing, Sleep Apnea & CO2 Loss

00:55:05 - Why Jaw Surgery Doesn't Always Solve Sleep Apnea

00:57:37 - Strengthening Breathing Muscles for Functional Airway Health

01:00:06 - The Three Root Causes of Dysfunctional Breathing Habits

NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Oral surgeon Dr. Kevin Coppelson delves into jaw expansion, facial aesthetics, and airway enhancement. He breaks down his MIND procedure, a minimally invasive technique for naso-maxillary expansion, and explains how PEEK implants can enhance facial symmetry while avoiding the "dogmaxxed" look. Learn the key benefits of mandibular transverse expansion for airway improvement, and how to choose between MARPE and segmental LeFort for optimal results.

D. Kevin Coppelson - Contact & Social Media

https://www.drcoppelson.com/

https://www.instagram.com/drcoppelson

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

Timestamps

00:00:00 - Introduction

00:01:05 - The effects of wildfires on breathing in Los Angeles

00:04:31 - Dr. Coppelson practice at the Breathe Institute

00:06:22 - Mandibular expansion (MSDO) and its benefits on airway

00:10:21 - Addressing both structural and functional aspects

00:13:22 - Managing TMJ during mandibular expansion

00:17:20 - Aesthetic consequences of MSDO and orbital implants

00:21:46 - Custom PEEK implants, their advantages, and infection risks

00:28:06 - Dr. Coppelson training and surgical techniques evolution

00:35:52 - Buccal fat pad removal and how bone affects facial aesthetics

00:39:06 - Impact of social media on jaw surgery outcomes

00:41:48 - Orthognathic surgery: balancing beauty, function, and breathing

00:45:27 - The importance of planning and 3D imaging

00:54:30 - Addressing patient concerns on the surgical planning

00:59:25 - Introduction to the MIND procedure and its technical aspects

01:10:27 - Demographic considerations and tooth-anchored expanders

01:16:02 - Potential benefits of armless expanders like the FME

01:18:06 - Importance of cephalometric analysis in planning MARPE

01:21:45 - Causes of asymmetries in MARPE and how to prevent them

01:25:32 - Nasal maxillary expansion vs segmental LeFort surgery

01:28:01 - Where to find Dr. Coppelson online

NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

Periodontist Dr. George Mandelaris explains Surgically Facilitated Orthodontic Therapy (SFOT) and how it enhances alveolar bone structure to safely move teeth, prevent root resorption, and improve outcomes for patients with complex orthodontic needs. He also discusses the risks of mandibular expansion, the impact of medications like steroids and weight-loss drugs on healing, and why Invisalign may not always be effective after SFOT.

Dr. Mandelaris' SFOT Course

A 2-Day Live Surgery Mentorship Course to Master SFOT

To register for the course, please compile the registration form:

https://www.papermark.io/view/cm4skwjjl000b3c0uqist00la

Once completed, email the registration to jwosik@periodontalmedicine.org

To make payment by phone, you can contact Julie Wosik at 630-627-3930

Dr. George Mandelaris - Contact & Social Media

gmandelaris@periodontalmedicine.org

https://www.periodontalmedicine.org

JawHacks Official eBook

https://substack.com/@jawhacks

1-on-1 Chat with Ron

https://jawhacks.com/chats

And More on the Website

https://jawhacks.com/

Timestamps

00:00:00 MARPE: From Hero to Villain in Orthodontics

00:05:13 SFOT Explained: How Much Expansion Is Possible?

00:10:08 CT Scans & SureSmile: Non-Negotiable for Safe Expansion

00:17:14 "Let It Rip" Expansion Gone Wrong (Real Risks)

00:27:06 SFOT + Jaw Surgery = Fewer Complications

00:37:19 Mandibular Expansion: Distraction vs. Surgery

00:50:40 Why Thin Bone Dooms Jaw Surgery (SFOT Fixes This)

01:02:09 Step-by-Step SFOT Surgery (Bone Grafting Secrets)

01:21:23 Red Flags & Green Flags When Choosing a SFOT Provider

01:43:56 Tipping vs. Bodily Movement: SFOT Myths Debunked

02:00:06 Drugs That Ruin SFOT (Testosterone, Ozempic, Steroids)

NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, “we”) does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.