#29 – Dr. Ilya Lipkin – Piezo Surgical Assist for MARPE

The first ever JawCast episode recorded in person, with Ron’s own orthodontist, Dr. Ilya Lipkin DDS, who has done over 500 MARPE cases and claims a much higher success rate in splitting adult males since incorporating ONE very important new technique.

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00:00 Introduction!

00:16 How many MSE cases has he done?!-

00:46 Complications/failure to split

01:31 Lipkin’s opinion on DOME 🤨

02:01 What is PIEZO? How does it work?

03:17 Lipkin’s Success rate of MSE ?🤯

03:33 How PIEZO has revolutionized MSE/MARPE

04:41 CBCT’s necessity for success

05:19 Importance of MSE placement? & Learning from failures.

06:35 Should you turn MSE slower or faster? & How frequently should you turn?

07:52 Do you need a surgeon for PIEZO?

08:38 What does PIEZO feel like😳

10:04 SARPE vs MARPE what costs more $ ???

10:53 How long until the suture splits after PIEZO?

11:38 Does PIEZO help asymmetry?

12:31 CBCT’s necessity for success pt. 2

13:00 Cause of MSE asymmetry?

15:41 How labs have helped Lipkin’s success rate

15:59 The sad absence/scarcity of MSE providers😔

16:30 PIEZO downsides? (Necrosis? Nerve damage?)

18:56 Mandibular Expansion?

19:24 Are tooth borne expanders enough to expand the lower arch?

20:19 Dr. Ting’s suture split at WHAT AGE??? & MSE on steroids

21:40 Future of MSE

22:11 Should you wait until the MSE field progresses to get MSE?

23:12 Lipkin’s PIEZO

24:18 PIEZO before or after installation

24:45 Any patient freakout stories?

26:05 Lipkin did MSE how long ago???? 👴🏻& What set him apart from the rest in dental school

27:01 Lipkin’s FIRST MSE case 👀 & trying MSE in older patients

28:36 How MSE sparked Lipkins interest in MSE’s correlation with the airway

29:38 Turning MSE backwards?

30:12 MSE + Face Mask ❤️

33:11 Determining the bite with CBCT

33:28 Bite discrepancies (jutting jaw forward) & How AGGA makes this worse

34:58 MSE + Face Mask pt. 2 ❤️

37:32 Ideal angle for Face Mask pulling is… Wait what???

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.