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Paul Coceancig is an internationally-known & very experienced jaw surgeon, famed for pioneering the IMDO Jaw procedure and authoring the book '6 Ways to Design a Face.' He is here to talk about Sleep Apnea, Jaw Surgery, IMDO, how Medical Experts are often biased by the lens of their expertise when diagnosing patients, the opioid epidemic and how it was in large part caused by wisdom teeth extractions, corporate incentives to keep patients unhealthy, and more.
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00:00:00 - Intro Clips
00:01:58 - Start of Uncut Interview
00:02:48 - Ron is a Mediator Between Doctors & Patients
00:07:43 - YouTube Discussion, Dr. Coceancig and Ron's YouTube Channels
00:13:36 - Sleep Apnea is a Big Disease
00:14:27 - Multiple False Diagnoses not getting to the Root of the Problem
00:17:04 - The Most Dangerous Treatment in Airway Orthodontics
00:19:00 - Dr. Coceancig's Headache Analogy - Every Specialist Thinks They Have the Solution to Your Problem
00:23:01 - Dr. Coceancig Says a Surgeon Should be the Quarterback of Treatment
00:24:01 - Bandaids Instead of Fixes - CPAP
00:26:54 - Dr. Coceancig Opinion on Skeletal Expanders
00:35:13 - What Can Dr. Coceancig (a Surgeon) Do That Orthodontists Cannot?
00:38:51 - You Want Well Trained Surgeons
00:41:52 - Dr. Coceancig Drops Some Game About Patients Just Wanting to be Cured of Their Small Jaw
00:42:55 - Ron's Crazy Dream About His Throat Being Slit, Caused by Sleep Apnea
00:44:12 - The Sleep Apnea Epidemic
00:47:04 - Dr. Coceancig Analyzing Ron
00:49:08 - Jaw Surgery is the Answer - Away with the Old and in with the New: Fixing Jaws Instead of Removing Teeth
00:51:04 - Ron's Wife Comes In
00:52:00 - Jaw Surgery Seen as Purely Cosmetic
00:52:56 - Jaw Surgery Stemmed From Removing Wisdom Teeth, Did it Also Stem From Making Things Worse?
00:55:35 - Comparing Wisdom Teeth to Pinky Toes - "Let's Have a Philosophical Conversation About Your Little Toe"
01:02:08 - Wisdom Teeth Removal Drove the Opioid Crisis?!
01:07:38 - Dr. Coceancig's Hilarious Long-Winded IMDO Analogy for Kids
01:11:44 - Is He Fat Because He Snores? Or Does He Snore Because He's Fat?
01:15:36 - Will There Always Be a Corporate Resistance to Better Health?
01:22:12 - Wrap-Up
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. Marianna Evans is a Renowned Airway Orthodontist & Periodontist who is coming on JawHacks for the second time to discuss whether parallel maxillary expansion, as opposed to anterior, conical maxillary expansion, can only be achieved through the Kasey Li's EASE (Endoscopically-Assisted Surgical Expansion).
How does founder Won Moon's traditional MSE measure up to the newer Custom MARPEs? Are surgical assists necessary, or even desirable? Do patients have different anatomies, and need different types of expansion? All of that and more will be discussed in this JawCast!
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0:00:00 Introduction
00:03:39 Dr. Evans Agrees There's a Decent Argument For Posterior Expansion, But Says it's Only Theory Due to Lack of Evidence
00:04:31 Differing Anatomies, Differing Types of Expansion
00:09:39 3D Modelling of Each Type of Expansion - Theoretical or Accurate?
00:12:54 The Argument For EASE
00:17:44 Dr. Evans Explains The Reality of EASE
00:20:29 What is & isn't Custom MARPE
00:23:10 Dr. Evans Prefers Screws Placed Parallel to The Midpalatal Suture
00:25:26 Why Dr. Evans Doesn't Do PIEZO
00:31:01 Significance of the Pterygomaxillary Suture?
00:32:41 Pterygomaxillary Suture Must Open in order to get Posterior Expansion
00:34:03 Releasing The Pterygomaxillary Suture
00:35:09 What is the Two Pen Approach?
00:35:58 Most Significant Resistance is Through the Vomer Bone - Using Two Pen Approach to Split it
00:40:40 Dr. Evans Achieving Parallel Splits Without Surgery
00:48:06 Dr. Evans Opinion: More Research & Knowledge is Required To Compare Expansion Techniques
00:52:14 Isn't PIEZO Minimally Invasive? Ron Practiced PIEZO With Dr. Lipkin and There Wasn't a Drop of Blood
00:53:44 Dr. Evans Says Surgical Assists Should be Avoided Unless Absolutely Necessary
00:56:59 In Defense of PIEZO
00:58:35 Dr. Evan's Beautiful Custom MARPE for Parallel Splitting
01:02:50 True Counterpoint to Anti-Custom MARPE Claims?
01:04:12 Dr. Evans REALLY Wants to Avoid the Potential Complications of Surgical Assists- She Waited 10 Years to Expand Herself Without Surgery
01:05:47 End
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.
Micah has struggled with sleep disordered breathing for most of his life, which led him to CPAP therapy. He is now looking to get jaw expansion, starting with the less invasive MSE and then if needed, moving on to jaw surgery. He's also interested in meditation and Ron's experience of living in a Buddhist monastery for 2 years.
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00:00:00 Introduction
00:03:40 Caffeine
00:04:16 Micah's backstory
00:05:32 CPAP changed Micah's life
00:08:02 Micah's Jaw Expansion Plan (MSE & possibly DJS)
00:10:11 How Much Does MSE Cost Around the U.S.?
00:12:36 MSE Providers in the Midwest?
00:14:13 Get Multiple Quotes for Big Ticket Items $$
00:15:43 Good Jaw Surgeons?
00:17:36 David Alfi's Excellent Approach to Jaw Surgery
00:20:18 Micah's Bite: Mandibular Expansion is Unnessecary & Tipping the Lower Teeth Out is Sufficient
00:26:27 Mood: Fixing the Airway, Natural Dopamine & Meditation
00:26:59 Meditation
00:28:51 Ron's Journey Through Different Mediation Styles
00:31:08 Ron Starting Meditation & Postural Impact
00:32:49 Has Ron seen anyone Enter High Levels of Jhana?
00:35:05 How is Ron Doing? (Life Update)
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. Joseph Yousefian, DMD, MS, is an orthodontist practicing in Bellevue, Washington. He is famous on my channel for being the only provider who pairs mandibular skeleton expansion (DAME or MSDO) with MSE.
Dr. Yousefian is also a pioneer in investigating the interconnection between airway and TMJ disorders.
He and his son Ryan own and operate ApnoMed, a medical device company focused on sleep apnea and TMJ health.
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1-on-1 Chat with Ron
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0:00 Beginning of abridged interview: telegnathic surgery
0:33 Patient with minor malocclusion yet bruxism, TMD & migraines
2:16 Causes sleep bruxism and why's it destructive
3:16 Bruxism is harmful though chewing tough food is healthy
5:13 If force is constant, it constricts blood flow, which destroys bone of the condyle
8:15 Animation of healthy TMJ movement during mouth opening
9:18 Animation showing how deep bite can damage the TMJ
16:29 ApnoTX to avoid TMJ damage due to anterior open bite
20:03 A maxillary expander screwed to the palate decreases airway size
22:03 Patient with OSA gets sleepy while driving
24:04 Dying condylar bone due to osteoarthritis
26:07 A displaced disc can destroy of the top of the condyle and shrink the airway
28:39 Other doctor expands the the maxilla 6 mm max to avoid the mandible being too narrow
30:26 Treatment for patient with severe sleep apnea
32:45 From severe sleep apnea to not having sleep apnea
32:52 Why expansion of the mandible reduces sleep apnea
34:45 About 1.3 billion people have sleep apnea
35:57 The danger of mandibular expansion
38:20 Nasal surgery is an alternative to MMA for some with sleep breathing disorders
38:48 Yousefian has never had a patient develop empty nose syndrome after nasal surgery
39:34 DAME fixes mandibular incisors crowding, bimaxillary protrusion, or mandibular alveolar protrusion
46:50 The purpose of the MSE arms that support the molars
49:23 Asians shouldn't have their jaws moved 10mm forward to avoid Simian Face
51:37 Recommended article with extraordinary before and after photos
52:28 Beginning of the unabridged interview with Dr. Joseph Yousefian
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.
Marianna Evans is a highly regarded, experienced, and capable Airway-Focused Orthodontist AND Periodontist.
In this JawCast episode she shares her in-depth knowledge on how to guide healthy jaw growth using both natural and orthodontic forces, discusses the placement of skeletal expanders, pre-made vs custom expanders, how facial anatomy is effected by improper facial growth, and more.
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1-on-1 Chat with Ron
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0:00:00 - Intro Clips
0:02:51 - Start of Full Interview
0:03:27 - The Impact of Wisdom Teeth Removal on the Jaws
0:05:27 - Shrinking Jaws and Lack of Space for Wisdom Teeth
0:06:40 - Should We Remove Wisdom Teeth?
0:08:23 - Is It Possible to Save Impacted Wisdom Teeth? A Look at Maxillary vs Mandibular Teeth
0:12:24 - Do Wisdom Teeth Act as Concrete Footings for the Face?
0:14:43 - The Morton Skull Collection: Did Past Skulls Always Have All 32 Teeth?
0:16:44 - The Role of Epigenetics in Jaw Growth
0:19:26 - Bone vs Tooth-borne Expanders: What's Best for Children?
0:23:41 - Do Tooth-borne Expanders Create a Diastema in Children?
0:25:45 - Can the Mandible Grow to Accommodate Maxillary Expansion in Children?
0:29:08 - Is Natural Jaw Growth Possible for Adults?
0:31:00 - MSE Placement: Anterior vs Posterior & the Discussion on Splitting Sutures
0:41:47 - Custom-made vs Pre-made MSE
0:42:48 - Are Molar Arms Necessary?
0:48:24 - Aesthetics of MSE & Skeletal Expansion
0:53:54 - Is Mandibular Expansion Necessary?
0:57:41 - Is the Maxilla Narrower Than the Mandible in Underdeveloped Faces?
0:58:22 - The Cheekbones Should Be the Widest Part of the Face
0:58:58 - How the Mandible Becomes Wider Than the Maxilla during Improper Jaw Growth
1:00:00 - Dr. Evan's Slideshow: Insights into Jaw Development
1:00:14 - When Does Facial Growth Begin to Deviate?
1:01:34 - Chart showing Jaw Growth Rate through Ages 0 to 20
1:02:25 - Dr. Evan's Son was Born With a Retruded Lower Jaw
1:05:03 - Strategies to Help a Child Grow Properly
1:05:57 - Parents Falsely Thinking Their Children Can 'Outgrow' a Jaw Deficiency
1:06:45 - The Future of Jaw Growth: Raising the Next Generation
1:08:14 - A New Era of Jaw Growth: Returning to Our Natural Roots
1:10:05 - 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. 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.
David Alfi is a very capable, experienced and innovative jaw surgeon who maintains the airway as the number one priority.
He is on the forefront of jaw surgery innovation with his invention and use of 3D custom plate technology.
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1-on-1 Chat with Ron
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0:00 Introduction
1:34 Small Airway causes Bad Neck Posture
5:02 Traditional vs Non-Traditional Reasons for Jaw Surgery?
8:20 Insurance paying for Jaw Surgery?
12:39 Jaw Surgery is the Boogeyman
16:54 ln-depth Explanation of Jaw Surgery Planning and Technological advancements
26:32 Under-advancement in Jaw Surgery & Field Goal kicking
29:42 Dr Alfi Seeing Under-Advanced Cases on Social Media
30:54 Dr Alfi's Surgical Movements Described by Colleagues
31:34 Do Jaw Surgeons Have an Inherent Understanding of Aesthetics?
33:57 Dog or Monkey-Face Effect from Advancement & Different Types of Leforts
40:59 Genioplasty Only Necessary in Cases That Are Under-Advanced?
43:46 Brief Discussion on Mouth Breathing & Myofunctional Therapy
44:38 Mandibular Distraction & Flaring Out the TMJs
48:32 SFOT, Expanding Before Surgery with Distraction (MARPE or MSE) vs Doing It Segmentally During Surgery
52:34 IMDO
53:41 Both Jaws Are Usually Recessed
55:58 ENTs Taking Furniture Out Instead of Expanding the House & Does Nasal Surgery Complicate Jaw Surgery?
59:00 High Quality Surgeons Who Dr. Alfi Respects?
1:01:30 Dr. Alfi Takes a Look at Ron's Side Profile & Is Ron a Candidate for Jaw Surgery
1:04:51 Down-Grafting vs Impaction
1:06:26 Surgeons Not Confident in Their Ability to Make Larger Movements
1:09:14 How Did Dr. Alfi Get into Jaw Surgery and Using 3D Custom Plates?
1:12:11 Myers-Briggs Personality Test
1:13:25 Recovery in Jaw Surgery
1:15:56 Dr. Alfi Has Seen Patient Positivity Makes a Huge Difference in Recovery
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.
Nicole Goldfarb is a myofunctional therapist who recently went through her own MARPE treatment and is full of insights.
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1-on-1 Chat with Ron
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Free Newsletter and Book
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1-on-1 Chat with Ron
https://jawhacks.com/chats
0:00:00 - Introduction
0:04:29 - What is Myofunctional Therapy?
0:07:31 - The importance of addressing both Function and Structure
0:12:23 - Tongue Suctioning opposed to tongue Pressing
0:16:11 - Breastfeeding and Nursing
0:20:53 - Could structure alone resolve Myofunctional Disorders?
0:23:43 - Mewing tutorials on the internet can be misleading
0:26:05 - Tongue-tie and Myofunctional progress
0:27:05 - How to Suction mew
0:28:05 - Why it's IMPOSSIBLE to breath with correct tongue posture
0:30:06 - Anterior vs Posterior tongue-tie
0:35:14 - Nicole's experience with MSE
0:39:44 - Diagnosing UARS with Pes measurement
0:41:58 - Nicole's Pes sleep study testimony with Dr. Jerald H. Simmons
0:45:33 - Sleep studies and False negatives
0:49:21 - What is the optimal sleep position?
0:56:55 - Myofunctional challenges with appliance wear
1:02:26 - "Airway Circle" group
1:03:28 - Is MSE enough?
1:05:27 - Night-time breathing and reflux
1:08:34 - Benefits of jaw surgery
1:16:09 - FME: the MSE on steroids
1:18:00 - The importance of MSE arms
1:20:29 - Compensations and bad oral habits
1:23:10 - Should teeth touch during suction
1:24:59 - How common are myofunctional disorders?
1:27:29 - Any advice for parents of newborns?
1:32:24 - Can myofunctional therapy have an effect on adult aesthetics?
1:33:55 - Could playing wind instruments be part of myofunctional therapy?
1:40:34 - What is the optimal diet for myofunctional therapy?
1:43:02 - Horace Fletcher: "The Great Masticator"
1:46:32 - Tongue-ties: fad or real concern?
1:48:10 - Myofunctional therapy after tongue-tie release
1:50:32 - Functional tongue-tie release
1:52:15 - Are tongue-ties being botched/overtreated?
1:55:41 - Buccal-tie and lip-tie releases
1:59:25 - Tongue-tie release before or after palatal expansion?
2:04:03 - Recommendations for potential guests to have on the upcoming podcast episode
2:09:22 - Myofunctional therapy and TRMR research in Brazil
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.
Ryan is the CEO of ApnoMed and the son of Dr. Joseph Yousefian.
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1-on-1 Chat with Ron
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0:00 - Intro
3:34- What Else Besides MSDO?
5:42 - TMJ Diagnosis, Condylar Resorption and Importance of the Airway
8:25 - Bruxing Causes TMJ Destruction & Mandibular Retraction
11:19 - Face Destruction Due to Environmental Factors
13:15 - The Silent Killer, Snoring
14:10 - Snoring Causes Impotence
15:00 - Incompetence in Orthodontia + Health
16:52 - How Dentistry Broke Away From Medicine/Health
21:08 - Med School is Designed to Monetize Health
23:24 - Having to Do Your Own Research to Get Treatment
26:33 - Changing the Narrative in Orthodontia
33:25 - AGGA Lawsuit Implications
35:44 - ApnoMed Appliance & Managing the TMJ Joint
39:55 - FINDING TMJ HARMONY BY JUTTING JAW FORWARD
43:41 - Facemask Forces on Chin + Reversing Headgear Effect
46:04 - Bad Providers Can Easily Misuse Good Appliances
49:01 - Beware of Overexpansion
50:09 - Benefits of Calculated Skeletal Expansion
52:10 Negatives of MSE & Handling the Mandible & Negative MSE Aesthetics
56:45 - Quality Over Quality, Have Providers Take Less Patients and Charge More
58:45 - The Corruption of Dental School
1:02:00 - Dr Yousefian Treating Patients
1:03:26 - Molding the Minds of Upcoming Dentists
1:06:41 - Ryan Yousefian’s Backstory
1:13:00 - Ron’s Backstory
1:16:06 - TMJ Issues + No Pain?? (Yet)
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.
He wants mandibular angles and cheekbone implants too!
Free Newsletter and Book
https://jawhacks.com
1-on-1 Chat with Ron
https://jawhacks.com/chats
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.
Free Newsletter and Book
https://jawhacks.com
1-on-1 Chat with Ron
https://jawhacks.com/chats
0:00 Patient Doctor Etiquette+Problematic Patients
5:30 Warning signs for Orthodontists
6:58 Importance of Records+Nickel and Diming
12:50 Patients with A Lack of Respect
13:17 Why Ting doesn't like experimenting
14:40 Execution of the treatment
18:00 Stop Asking Questions+Trust Your Ortho
24:56 Not Responding to Long Emails+Losing Trust
28:40 Rons Red Flag Tax Clients
30:53 Never Burn Bridges
32:58 Patient Red Flag
33:35 Why Ting Stopped Taking Long Distance Patients
39:23 Transfering Ortho to Ortho
42:15 Having Respect+Getting The Boot
47:16 Gen Z More Disrespectful?
49:15 Leaving Bad Reviews
52:50 Weirdo Patients
55:39 !!! NO LOOKS MAXERS !!!
58:35 Airway already enough?
1:00:09 Are JawHacks patients problematic?
1:01:00 JawHacks Revolutionized The Ortho industry
1:04:34 Why Function should be priority over “Just straightening the teeth”+Patients cause the Change
1:05:15 Should you Fixate on The Side Effects of Expansion?
1:09:00 Expanding past 4-6 mm is murky water+Asymmetry
1:11:26 Mandibular advancement+MSDO
1:17:40 Problems with the Lack of Mandibular protraction options
1:21:50 When Extractions are necessary
1:23:40 Ting’s FME
1:28:00 Ting Failing to Split personal FME
1:32:00 Digital Work Changed the Minds of many people
1:33:06 Reviews
1:35:20 How To Be a Good Patient
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.
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