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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.
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.
