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/
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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.
