Dr. Svitlana Koval is an airway orthodontist with nearly 800 MARPE and FME cases, inventor of a patented 3D guided piezocorticotomy technique, and creator of the MARPE F.A.C.E. protocol. In this episode we cover the real cosmetic effects of MARPE (and when it can hurt facial harmony), FME vs custom MARPE from a provider who does both, her extended palatine bone corticotomy technique, shape memory aligners, expansion differences between males and females, class II vs class III outcomes.

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Chapters

00:00:00 - Intro 

00:00:36 - 800 expansion cases and the looksmaxxing question 

00:06:11 - Does expansion always improve cosmetics, or can it destroy harmony? 

00:09:09 - The 3D guided piezocorticotomy - Koval's patented technique 

00:12:22 - Cosmetic lessons from 800 cases - expansion sweet spots for males vs females 

00:15:40 - What happens AFTER MARPE matters more than the expansion itself 

00:17:06 - The MARPEFACE Protocol explained 

00:20:18 - "The maxilla is a runway, the mandible is a plane landing" 

00:21:53 - Class III patients get the best results. Class II? The highest risk. 

00:28:05 - "MARPE is the easy part. Its aftermath - that's the hard part" 

00:32:35 - "A masculine profile is about moving the mandible forward, not the top" 

00:37:20 - Dr. Koval expanded her own jaw - TMJ clicking resolved 

00:40:30 - Asymmetry - what MARPE does and doesn't fix 

00:43:55 - Shape memory aligners - stronger than Invisalign, zero attachments 

00:54:43 - The zygomatic-maxillary suture - fracture risks and resistance 

00:57:09 - FME vs Custom MARPE - why Koval introduced FME to her practice 

00:59:40 - "The most challenging group is males in their 20s" 

01:03:25 - MARPE pros and cons - center of resistance, molar tipping, discomfort 

01:11:29 - FME is 4-5x more expensive - and not for every palate 

01:18:08 - Parallel vs V-shaped splits - the palatine bone breakthrough 

01:24:47 - "You literally increase the airway by moving bones apart" 

01:40:08 - Mandibular skeletal expansion - the missing piece in the field 

01:41:44 - "Sacrifice the pawn to get the queen" - the philosophical divide 

01:46:54 - Closing thoughts

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.