Chat #11- Dr. Yousefian, The Man with a Plan for the Mandible

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// 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

DR. YOUSEFIAN KEY TERMINOLOGY
DAME (Distraction Assisted Mandibular Expansion) = mandibular distraction similar to MSDO
MANE (Micro-implant Assisted Nasomaxillary Expansion) = maxillary distraction similar to MSE
DONE (Distraction Osteogenesis Nasomaxillary Expansion) = MSE-like expander that also does dentoalveolar advancement
ApnoMed - Dr. Yousefian’s company (which develops his proprietary appliances)
ApnoTX - sleep apnea appliance designed for use during skeletal expansion
ApnoDent - more basic sleep apnea appliance

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