#11 – Dr. Yousefian – The Man with a Plan for the Mandible

Dr. Joseph Yousefian is the only American orthodontist I know who uses mandibular distraction (~MSDO) alongside MSE expansion. 

This means that Dr. Yousefian does not simply tip teeth in order to get the mandible to match the maxilla following MSE expansion. Rather, his approach is to give the mandible skeletal expansion of its own.

A few years ago I did a video called “Don’t Do MSE Without a Plan for the Mandible.” Well, Dr. Yousefian is the man with a plan for the mandible.

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0:00 Intro

3:08 Discovering airway orthodontics

5:35 Experience with TAD-supported expanders

7:55 Hundreds of expansion cases

9:01 MSDO vs. DAME

12:06 Why MSE (MANE) alone is not enough

15:11 Supporting airway during expansion with ApnoTX

18:44 Sleep apnea discussion

19:53 Preventing upper back teeth collapse during MSE

27:40 Preventing lip support collapse during MSE

42:45 Combining MSE and DAME / MSDO

46:03 Why SFOT is not good enough for the mandible

47:23 DAME / MSDO and TMJ Problems

56:09 Limits of MSE (MANE) without DAME / MSDO

1:00:05 Airway benefits of DAME / MSDO for sleep apnea

1:05:57 MSE (MANE) surgical assist

1:07:42 Piezoelectric bone saw for MSE

1:10:32 MSE asymmetry case study

1:15:39 What causes MSE asymmetry?

1:23:20 ApnoTX combined with MSE (MANE) and MSDO (DAME)

1:27:35 Fixing MSE (MANE) asymmetry case study

1:28:50 Must wait months after MSE (MANE) before doing sleep study

1:29:59 ApnoTX deep dive

1:31:50 Appliance for maxillary advancement

1:35:25 MMA case study

1:40:25 Conclusion

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