JawHacks

Sleep surgeon Dr. Kasey Li returns to JawHacks three years after his first appearance for an in-depth update on nasomaxillary expansion and maxillomandibular advancement (MMA). Dr. Li developed EASE, a minimally invasive surgical split of the midpalatal suture used alongside an expander. He explains why he now uses the FME in about 95% of his EASE cases, the risks of overexpansion, how FME compares with custom MARPE, and why he sees no value in sleep endoscopy (DISE). The conversation also covers expansion after MMA, the origin of the 10 mm advancement guideline, custom plates, and how MMA affects nasal breathing and aesthetics.

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

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https://field-guide.jawhacks.com/

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TIMESTAMPS

0:00:00 - Intro

0:01:01 - Dr. Li's training and Dr. Guilleminault's legacy

0:07:34 - Misconceptions and treatments he doesn't believe in

0:13:09 - Can MMA replace nasomaxillary expansion?

0:17:06 - Why he now uses FME in 95% of EASE cases

0:23:26 - Overexpansion risks and when to stop

0:36:20 - Cheekbone changes with FME vs custom MARPE

0:40:14 - When he still uses MARPE and an FME failure case

0:47:33 - Stretching turns and the case for EASE

0:55:52 - Expansion after MMA and why to keep your plates

1:10:38 - Where the 10 mm MMA rule came from

1:14:52 - MMA success rates and long-term decline

1:17:08 - Pharyngoplasty and the only 3 surgeries he does

1:22:14 - Small advancements and why revision MMA is hard

1:26:58 - Septoplasty before MMA and the subspinal LeFort

1:36:27 - The patient who got worse after MMA

1:41:41 - Why he calls piriformplasty bogus

1:43:06 - MMA complications in 200 consecutive cases

1:47:50 - Why he doesn't believe in DISE

2:00:42 - How he diagnoses sleep apnea without DISE

2:08:40 - Sleep apnea, anxiety and hard-to-read symptoms

2:13:42 - The septum during expansion and how he performs EASE

2:26:21 - Pterygomaxillary release and adult MARPE protraction

2:29:51 - Stronger expanders and EASE after MMA

2:36:10 - How a pterygomaxillary release is done

2:41:26 - Asymmetry and rigidity with FME vs custom MARPE

2:53:28 - When one expander isn't enough and the future of FME

2:59:36 - Custom plates and mandible-first MMA

3:10:33 - How he seats the condyle and the limits of VSP

3:23:04 - Total joint replacement and condylar resorption

3:25:45 - Presurgical ortho and why he avoids segmentals

3:28:11 - How MMA changes the nose and nasal breathing

3:36:36 - Posterior maxilla downgrafting and nasal breathing

3:41:27 - Surgeons who dismiss expansion

3:44:17 - Aesthetics and expectations in MMA

DISCLAIMER

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.

Alex is a 22-year-old custom MARPE patient of Dr. Jeremy Manuele who started protracting three months after his split, wore a facemask up to 23 hours and 45 minutes a day, and pulled 5.5 to 6mm before going past the point where his bite still worked. He now has to jut his mandible forward to occlude, which makes him a live case study in why the mandible does not automatically follow the maxilla. Ron's usual asterisk applies: this is the frontier and nobody knows yet what adult protraction reliably does.

Alex's Full Protraction Protocol & Log

https://drive.google.com/file/d/1Px8fPl9Pchy4v-OFr-wGayl2doZB3twQ/view?usp=drive_link

This is for information and documentary purposes only. JawHacks does not recommend or endorse this protocol to anyone. Please consult a dental or medical professional before attempting any expansion or protraction.

Dr. Jeremy Manuele (Alex's Provider)

https://www.youtube.com/@vegasorthodoc

https://www.instagram.com/vegasorthodoc/

https://vegasorthodoc.com/

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

Get the JawHacks Field Guide

https://field-guide.jawhacks.com/

Join the JawHacks Newsletter

https://jawhacks.com/newsletter/

TIMESTAMPS

00:00:00 - Intro

00:00:48 - The Worst MARPE Reaction Dr. Manuele Had Ever Seen

00:02:11 - Urgent Care at 2AM and a Nerve Block That Made It Worse

00:05:50 - Why MARPE Wrecks Some People and Barely Touches Others

00:07:00 - One Turn a Day That Was Really Two

00:08:23 - The Split: "It Felt Like My Incisors Were Ripping Apart"

00:09:56 - Before and After: The Whole Midface Came Forward

00:11:32 - Reading the Photos: Lip Competence, Under-Eye Support, Cheek Shadow

00:13:19 - "You Were a Normal Looking Kid" - Ron vs the Black Pill

00:16:10 - The Girl Who Ignored Him, Then Messaged After MARPE

00:17:12 - Wearing a Protraction Facemask Through Whole Foods

00:19:00 - He Had the Money, the Physique, the Personality - It Still Didn't Work

00:22:31 - Direct Print Aligners vs Invisalign

00:24:38 - The Protocol: 23 Hours 45 Minutes a Day in a Facemask

00:25:12 - The Minute-by-Minute Protraction Log

00:26:40 - He Started Protracting 3 Months After the Split

00:27:30 - Stretch Turns Under 10 Pounds of Facemask Force

00:28:40 - One Pterygomaxillary Suture Split, the Other Refused

00:30:03 - Why 1 Pound of Force Did More Than 12

00:32:09 - The Scan: No Fracture, But the Left Suture Was Gone

00:33:10 - Mewing Alone Now Generates Protraction Force

00:34:19 - The Overjet on Camera: He Has to Jut to Bite

00:35:07 - Proof the Mandible Does Not Just Follow

00:36:56 - Brain Freeze From Breathing: Protraction vs Transverse Gain

00:37:24 - How Protraction Stretches the Turbinates

00:40:02 - IMDO vs BSSO vs Double Jaw: What Ron Would Do

00:42:34 - Is a Genioplasty Just a Cope?

00:48:22 - The CBCT Experiment: Facemask On vs 5 Minutes Off

00:52:08 - Hooks Behind the Second Molars and a Glued-On Overlay

00:55:34 - The Protraction Angle and an Absurd Number of Elastics

00:57:34 - Glue, a Hook, and "DIY Arts and Crafts"

01:00:03 - Pulling Down First, Then Up: An Accidental Trick?

01:02:08 - Down to One TAD, Then Re-Screwing the Dead Ones

01:03:26 - The Christian Case for Looksmaxxing

01:05:43 - Acid Reflux, PPIs, and Losing His Voice for 4 Months

01:07:00 - Cathedrals, Brutalism, and the Body as a Temple

01:10:46 - $16,000 Total, and the Friend Who Wouldn't Spend $2,000

01:11:35 - Where Looksmaxxing Crosses Into Vanity

DISCLAIMER

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.

Dr. Jay Neugarten is an oral and maxillofacial with around 3,500 jaw surgeries behind him, 100% custom since 2019. In this episode, he answers Dr. Steven Sullivan's case against custom plates, covering condylar seating, the digital surgical disconnect, and why he uses four plates instead of one. Plus MARPE complications, expansion vs advancement for the airway, and why he does more revision jaw surgery today than ever.

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

Get the JawHacks Field Guide

https://field-guide.jawhacks.com/

Join the JawHacks Newsletter

https://jawhacks.com/newsletter/

TIMESTAMPS

00:00:00 - Intro

00:00:55 - 4 jaw surgeries a week, and a practice gone international

00:03:58 - Sleep, the 8 hour rule and why oxygen matters more than hours

00:10:56 - What CBCT and sleep studies can and cannot tell you about the airway

00:19:13 - Why jaw surgery is an art, movement limits and the bullseye problem

00:22:02 - The simulated video patients see, and how soft tissue is predicted

00:27:31 - Airway versus aesthetics and the patients who struggle with the change

00:33:41 - Revision jaw surgery and why it is never the plate

00:37:15 - Why so few surgeons actually do orthognathic surgery

00:44:03 - Looksmaxxing, Reddit and orthodontic camouflage

00:46:16 - MARPE, SARPE and the complications he has to repair

00:52:43 - SFOT and the real limits of segmental expansion

00:59:48 - Wanting MARPE for nasal breathing, and why surgery does not flip a switch

01:04:44 - Expansion or advancement, what actually opens the nasal airway

01:12:16 - The MARPE smile, the soft palate and the revision LeFort

01:17:01 - Hypermobility, EDS and what it changes about recovery

01:22:32 - Inside NYCOMS, 3,500 jaw surgeries and the speed question

01:30:20 - From stone models to Gen 3 custom titanium

01:33:12 - Guides, plates and splints, where custom workflows go wrong

01:43:22 - Answering Dr. Sullivan on custom plates and condylar seating

01:55:14 - Accepting the debate and the mandible fudge nobody admits

02:02:22 - Plate companies, titanium and why plate removal is worse than you think

02:12:33 - Segmental maxilla and correcting asymmetry with custom plates

02:19:02 - Aligner based surgery, Botox and bite force monitoring

02:22:39 - Clenching, splints and morning headaches

02:28:57 - Wrapping up and what is coming in part 2

CONNECT WITH GUEST

https://www.nycoms.com/jay-neugarten-dds-md/

https://www.instagram.com/drneugarten/

DISCLAIMER

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.

Ethan (Origin Of Styx) returns 13 months after revision double jaw surgery with Dr. Michael Gunson. His first MMA rotated the occlusal plane the wrong way and coped with an oversized genioplasty. We cover the DISE findings, airway change, leftover hardware, myofunctional therapy, tongue posture, and why he's massively better but not cured.

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

Get the JawHacks Field Guide

https://field-guide.jawhacks.com/

Join the JawHacks Newsletter

https://jawhacks.com/newsletter/

TIMESTAMPS

00:00:00 - Intro

00:01:44 - Ethan 13 Months After The Revision

00:06:21 - Recovery With Dr. Gunson

00:12:47 - What Went Wrong The First Time

00:15:57 - Bite, Tooth Show And Cheekbones

00:19:51 - Before And After X Rays

00:25:06 - Why He Still Is Not Cured

00:27:05 - Didgeridoo And Circular Breathing

00:32:00 - Meditation And Life Before The Revision

00:35:24 - Work, The Body And Physical Jobs

00:38:52 - AI, Music And The Internet

00:52:56 - Attention Span After Jaw Surgery

00:54:31 - Tongue Posture And Myofunctional Therapy

01:01:21 - Goals And The Music Project (Origin Of Styx)

01:07:59 - Advice For Anyone Considering Jaw Surgery

CONNECT WITH GUEST

https://linktr.ee/originofstyx

https://originofstyx.com/

DISCLAIMER

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.

Dr. Steven Sullivan (DDS, FACS, FACD), current professor and Chair of Oral and Maxillofacial Surgery at the University of Oklahoma, with 5,000+ double jaw and TMJ surgeries, on why he refuses custom plates. Mandible-first sequencing, condylar seating, segmental LeFort, chimp lip, MIOS, genioplasty design, and his 90-90-90-10-10 rule for vetting your own surgical plan.

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

Get the JawHacks Field Guide

https://field-guide.jawhacks.com/

Join the JawHacks Newsletter

https://jawhacks.com/newsletter/

TIMESTAMPS

00:00:00 Intro

00:03:11 Who Is Dr. Steven Sullivan

00:03:56 Maxilla First or Mandible First?

00:05:06 Wire Fixation to Rigid Fixation

00:09:51 What "Seating the Condyle" Means

00:13:10 Why VSP Can't Predict Condyle Position

00:16:35 The Custom Plate Workflow Explained

00:19:14 Sullivan's Splint Workflow

00:20:29 Custom Plates Aren't More Accurate

00:21:39 "It Makes an Inadequate Surgeon Adequate"

00:23:05 The Upper Lip Drape Problem

00:25:55 When the Bite Doesn't Come Together

00:29:30 Condylar Resorption Explained

00:32:24 Plan Around the Incisor, Execute Around the Joint

00:34:48 Is Non-Custom Surgery Obsolete?

00:35:47 Why Jaw Surgery Isn't a Rolex

00:39:49 The Economics of Jaw Surgery

00:41:42 How Insurance Nearly Killed Jaw Surgery

00:45:44 DRGs and Economic Credentialing

00:52:39 The 60-Minute Double Jaw Surgery

00:56:06 "I Save 2.5 Hours on a Jaw Surgery"

00:58:02 Why 90% of His LeForts Are Segmental

01:05:23 Over-Advancing the Maxilla

01:10:11 Airway Volume: 3.5% Per Millimeter

01:13:04 The Traditional LeFort and the Wolford Step

01:17:40 Why He Calls MIOS Nonsense

01:21:17 Steroids, Speed, and Recovery

01:23:18 The Sullivan LeFort Cut

01:30:43 Jaw Surgery and the Soft Palate

01:33:06 Genioplasty and Custom Plates

01:38:51 Treatment Planning: Garbage In, Garbage Out

01:40:06 Reading Your Own Lateral Ceph

01:45:24 Advancement Without Chimp Lip

01:47:25 The 90-90-90-10-10 Rule

01:49:16 When You Need a Total Joint Replacement

01:53:17 Inverted L vs Inverted Z

CONNECT WITH GUEST

https://profilesofs.com/steven-sullivan/

DISCLAIMER

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.

Grab some popcorn, NYC orthodontist Dr. Luke Shapiro joins Ron for a technical, no-BS conversation on airway orthodontics — MARPE vs. FME, DOME Zero, choosing a jaw surgeon, the custom lower-jaw debate, and why bites come out unpredictable after surgery. 

Plus the controversies: Vivos/DNA appliances, ALF, AGGA, and the "epigenetic" growth claims that never show up on a CBCT.

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

Get the JawHacks Field Guide

https://field-guide.jawhacks.com/

Join the JawHacks Newsletter

https://jawhacks.com/newsletter/

TIMESTAMPS

00:00 – Intro:

03:15 – How an orthodontist ended up on TikTok

06:35 – Getting into airway & MARPE

11:53 – Why the term "DOME" is now so confusing

14:00 – Inside the DOME Zero / MASPE Zero story

16:22 – Is DOME Zero special, or just marketing?

18:22 – FME vs custom MARPE & bonding to teeth

24:17 – Expansion for looks vs. function

27:25 – Headaches, TMJ & psychosomatic patients

32:04 – A 14-chair multidisciplinary practice

35:03 – The Wall Street patients who don't care

38:06 – Obsessing over your own airway

40:00 – Boython, jaw surgery & the real risks

42:56 – How to actually choose a jaw surgeon

45:15 – The NYC surgeon roster

48:11 – The custom lower-jaw debate

52:50 – "Just do the MARPE first"

54:26 – Bobeck, MSDO & mandibular expansion

59:29 – Can't expand your way out of surgery

1:04:15 – What actually makes FME interesting

1:06:39 – The extraction question

1:09:38 – Raising his daughter to prevent all this

1:16:31 – Skeletal expanders in little kids?

1:23:19 – Curve of Spee & curve of Wilson 101

1:27:11 – ALF & AGGA: does any of it work?

1:29:40 – Vivos, the DNA appliance & the $50k problem

1:37:45 – "Epigenetics" & marketing sleight of hand

1:40:33 – The CBCT proof that isn't there

1:43:50 – Giving general dentists their due

1:53:29 – Jaw surgery setup: the "tripod"

1:55:18 – Decompensating a Class II, explained

1:58:39 – Segmental surgery & Gunson

2:01:03 – Why the bite is unpredictable after surgery

2:05:33 – Gunson's no-splint segmental

2:08:02 – Centric relation & seating the condyle

2:11:07 – Wrap-up & member Q&A

CONNECT WITH GUEST

https://www.instagram.com/dr_lukeshapiro/

https://www.youtube.com/@UChXHl6Rbw8V2wM3UbOpPzXg 

https://www.wallstreetortho.com/

DISCLAIMER

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.

Dr. Svitlana Koval updates us on current trends in MARPE, FME, facemask, mandibular skeletal expansion, and more.

Book a 1:1 Coaching Call with Ron

https://jawhacks.com/coaching/

Get the JawHacks Field Guide

https://field-guide.jawhacks.com/

Join the JawHacks Newsletter

https://jawhacks.com/newsletter/

TIMESTAMPS

00:00 - Introduction and the growing role of FME in orthodontics

02:21 - Addressing patient questions: Why choose FME over MARPE?

03:57 - Differences in activation and separation patterns between MARPE and FME

04:25 - Soft tissue and airway changes post-expansion

05:41 - Design elements of FME enabling deeper posterior expansion

06:46 - Use of multi-screw designs for greater rigidity in MARPE

07:40 - Patents and design innovations in MARPE technology

10:10 - Future of protraction appliances and ongoing research

12:21 - Patterns of suture separation and predictability of expansion

13:45 - Combining FME with protraction mini plates

17:17 - CBCT-based analysis of sutural response patterns

20:42 - Managing mandibular support and late-stage expansion risks

23:23 - Special considerations for downward rotated and long face syndrome cases

25:00 - Impact of septal anatomy on nasal breathing outcomes

28:18 - Techniques for septal manipulation during expansion

31:58 - Use of 3D-guided piezo corticotomy for septal preservation

34:45 - Surgical innovations: mandibular widening during orthognathic surgery

54:53 - The future of skeletal expansion in the mandibular arch

1:00:13 - Research directions and insights into sleep apnea treatment potential

1:02:52 - Advances in direct print aligners and digital orthodontics

1:05:16 - Personal interests: Horse riding and leisure in South Florida

CONNECT WITH GUEST

https://www.youtube.com/@drsvitlanakoval

https://www.instagram.com/drsvitlanakoval

https://www.facebook.com/svitlana.koval.dmd

DISCLAIMER

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.

At 25, Luke has already had a nice double jaw surgery and a nasal surgery, but is still sleeping poorly. In this episode he shares his full journey, including the diagnosis nobody expected, the medication that did nothing, and the experimental next step he's betting on.

Luke The Documentary

https://www.instagram.com/lukethedocumentary

https://www.youtube.com/@LukeTheDocumentary



1:1 Coaching with Ron (Now Inside The Joint)

https://jawhacks.com/coaching

JawHacks Newsletter (Substack)

https://substack.com/@jawhacks

And More on the Website

https://jawhacks.com/

Chapters

00:00:00 - Intro

00:00:56 - Who is Luke and why his channel stands out

00:03:12 - The jaw surgery experience and what $20K actually buys you

00:07:05 - The bombshell reveal and why he just had his plates removed

00:11:52 - When the sleep data looks fine but you still feel terrible

00:17:10 - UARS or narcolepsy and why nobody can give him a clear answer

00:22:48 - Why he is afraid to fully commit to a narcolepsy diagnosis

00:25:21 - Every medication he has tried and why almost none of it worked

00:28:00 - Taking 25mg Adderall and falling asleep four hours later

00:32:09 - Why nobody told him to do MARPE before jaw surgery

00:36:20 - Tongue scalloping dismissed by every provider until one finally looked

00:43:29 - The Lefort re-fracture risk and why post-DJS expansion is uncharted territory

00:49:42 - Before and after photos on screen including the CT cross-section that stopped Ron

00:54:11 - What Ken Hooks found when he re-scored the PSG data

00:56:27 - Why most expanders cannot reach the part of the palate that matters for his case

01:04:20 - The nasal surgery breakdown and what actually changed afterward

01:08:00 - Live Oura Ring review and what Xyrem is doing to his sleep architecture

01:12:25 - A lifetime of only dreaming in nightmares and why that is finally changing

01:17:38 - Why he almost became a Buddhist monk and what it taught him about his airway

01:24:19 - Chronic illness, Jordan Peterson, and letting go of the CEO standard

01:26:59 - Why JawHacks is basically the Viagra of airway health

01:30:31 - What separates honest creators from grifters in this space

01:33:22 - The looksmaxxer who Photoshopped his CBCT and told people to eat 500g of sugar

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.

Daniel Grafton is a public health specialist with the UN who taught himself computational fluid dynamics (CFD) after 9 soft tissue surgeries failed to fix his sleep-disordered breathing. In this episode, Daniel runs CFD on Ron's pre and post-MSE CBCTs, revealing pressure maps, velocity data, wall shear stress, and turbulence patterns a standard CBCT cannot show.

Daniel Grafton

https://www.remetrics.org/

https://www.instagram.com/rem_rebel

https://www.youtube.com/@REMRebel



1:1 Coaching with Ron (Now Inside The Joint)

https://jawhacks.com/coaching

JawHacks Newsletter (Substack)

https://substack.com/@jawhacks

And More on the Website

https://jawhacks.com/

Chapters

00:00:00 - Intro

00:00:48 - UARS since childhood, 9 surgeries: How desperation led him to CFD

00:05:25 - Why patients who shop for their own treatment often out-know their doctors

00:06:36 - What CFD actually is and what it reveals that CBCT, rhinomanometry, and DICE can't

00:13:01 - CFD origins: aerospace, nuclear reactors, and the Navier-Stokes equation

00:17:33 - How CFD entered sleep medicine and where it stands clinically today

00:20:44 - CFD variables explained: pressure, velocity, turbulence, wall shear stress, and heat flux

00:26:54 - Wall shear stress as a degenerative force: why airway soft tissue relapse after surgery

00:30:53 - Heat flux and Empty Nose Syndrome: the thermal neurons that tell your brain you're breathing

00:35:21 - Case overview: Ron's CBCT anatomy and why head posture corrupts scan data

00:47:21 - Superimposition reveal: Ron's pre vs. post-MSE skeletal changes side by side

00:55:05 - Posterior expansion: does MSE actually widen the back of the nose near the PNS?

00:58:18 - The pterygomaxillary disjunction problem: how some surgical cuts eliminate posterior expansion

01:03:02 - Nasal aperture numbers and why that single metric misleads

01:07:32 - CFD results revealed: Ron's airway pressure maps before and after MSE

01:15:19 - Nasal slice analysis: exactly where in the nose the pressure drops most

01:20:11 - Velocity findings: airspeed dropped from 3.6 to 2.7 m/s post-expansion

01:26:37 - Turbulence analysis: the tongue-off-palate dead space that mimics snoring mechanics

01:32:43 - What Ron's CFD actually prescribes: his single highest-yield remaining intervention

01:35:19 - Poiseuille's Law: airflow improves to the fourth power of tube radius (2mm)

01:41:04 - ENS risk from over-expanding: can too much nasal volume become a new problem?

01:46:01 - Options for Ron's retropalatal constriction: soft palate surgery vs. maxillary advancement

01:48:57 - Why MMA alone may not pull the soft palate forward

01:50:57 - FME + FMA protraction as the theoretically optimal path forward

01:54:04 - Facemask compliance reality and why Ron is waiting for the field to mature

01:58:31 - Physical exhaustion as underrated sleep medicine

02:00:28 - Mental health, nervous system activation, and PTSD's 80% UARS co-occurrence rate

02:06:15 - Ron's sleep wind-down routine: why prayer beats seated meditation for his anatomy

02:10:53 - Counting back from 900 by 7s: the mental arithmetic trick that slows your breathing (from Lisa Kush)

02:14:22 - Diaphragm training with IMST/EMST: is the breathing muscle itself maladapted?

02:17:33 - How to reach Daniel: Remetrics.org, @REMRebel on YouTube, and the JawHacks Joint Q&A

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.

Ron sits down live at the Winds of Change conference in Chicago with Dr. George Mandelaris (periodontist & SFOT specialist), Dr. Newaz (orthodontist & leading MARPE/FME provider), and Dr. Jaffari (GP & restorative specialist). They break down how SFOT and MARPE work together to expand both jaws, why restorative is the most overlooked step in jaw treatment, and whether MARPE + SFOT can replace jaw surgery for underbites.

Dr. Mandelaris

https://www.periodontalmedicine.org

https://www.instagram.com/periomedicine

Dr. Newaz & Dr. Jaffari

https://www.youtube.com/@airwayortho

https://www.instagram.com/airway.ortho

https://www.instagram.com/drnewazzz

https://www.instagram.com/dr.jaffari.dds

1:1 Coaching with Ron (Now Inside The Joint)

https://jawhacks.com/coaching

JawHacks Newsletter (Substack)

https://substack.com/@jawhacks

And More on the Website

https://jawhacks.com/

Chapters

0:00:00 Intro

0:00:46 Setting the Scene at Winds of Change

0:01:33 What Is SFOT

0:02:36 What Is MARPE and Nasomaxillary Expansion

0:03:46 How SFOT and MARPE Work Together

0:06:05 SFOT for Root Resorption and Implant Site Development

0:08:20 AGGA, MSDO and When SFOT Comes First

0:13:11 Dr. Newaz's MSDO Case (Two-Piece Mandible)

0:15:25 The New Mandibular Distractor Design

0:18:56 All-on-4 and Why Airway Gets Overlooked

0:21:51 Restorative Dentistry: The Overlooked Step

0:22:18 Vertical Dimension, GERD and Airway

0:23:54 Ron's Teeth Were Examined Two Days Ago

0:24:36 Why You Need to Fix Your Teeth Before Jaw Surgery

0:26:21 Provisionals, Post-Surgical Settling and a Case Study

0:29:06 Symptoms of Lost Vertical Dimension

0:30:16 Is the Field Too Lazy for Interdisciplinary Planning

0:31:23 SFOT Cuts Treatment Time in Half

0:33:40 Does Every Patient Need This and How Teams Actually Plan

0:37:23 Expanding Before Implants: The Airway Question Nobody Asks

0:40:34 Airway Arches: A New Concept (You Heard It Here First)

0:41:42 SFOT Stability, Keys to Success and What Can Go Wrong

0:44:46 Ron Did SFOT Awake and His Wife Cried Filming It

0:45:19 Wrong SFOT Technique and Why It Causes Complications

0:48:43 Is Dentistry Being Commoditized

0:50:51 The Numbers: How Much Can SFOT and MARPE Actually Do

0:52:50 No-Diastema, MASPE and the Aesthetics of Slower Expansion

0:57:55 FME vs Custom MARPE

1:00:01 The Mayo Clinic Analogy

1:01:03 Outro

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.