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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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
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https://www.youtube.com/watch?v=UR2YLs5s9rQ
Ronald narrates post #2 of his serialized ebook release on Substack. Please subscribe on Substack to access the ebook.
https://open.substack.com/pub/jawhacks/p/ii-table-of-contents-jawhacks-ebook?r=31wnmd&utm_campaign=post&utm_medium=web
0:00 Intro
0:40 Narration begins
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https://www.youtube.com/watch?v=UFa7topR3fk
The bite can get a little awkward, at least until the mandible is expanded to catch up with the maxilla.
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https://www.youtube.com/watch?v=8HYXdHT8moM
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!
NEW Discord Server
https://discord.gg/3WcG9caWAd
JawHacks Links
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Ron's Favorite Mewing Gum
https://jawhacks.com/products
Ron receives a commission if you buy through this link. Thanks for the support.
TIMESTAMPS:
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
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https://www.youtube.com/watch?v=UB6nEJee51Y