Airway obstruction, enlarged tonsils or adenoids, chronic mouth breathing, and sleep-disordered breathing are frequent drivers of downward and backward facial development, narrow maxillae, and persistent open bites.

See how subtle adjustments in jack screw placement can influence occlusal cant, and how combining MARPE with targeted Invisalign mechanics can address challenging open bites, asymmetries, and crossbites.

We are excited to welcome Dr. Hwang for an in-depth clinical session where he reviews three complex adult orthodontic cases, sharing his expert strategies, appliance designs and treatment planning insights.

Using real patient cases, Dr. Katwa walks through the limitations of standard scoring, why many pediatric sleep studies are misread, and how symptoms often tell a more accurate story than the AHI alone.

In this session, Dr. Audrey Yoon presents her No-Diastema MARPE Protocol, a slow, controlled maxillary expansion technique designed specifically for adult patients. She shares step-by-step activation strategies, integration with aligner therapy, pain management approaches, and real-world clinical examples where strategic skeletal expansion avoided invasive procedures.

This session focused on one of the most difficult scenarios clinicians encounter with MARPE: asymmetric expansion that alters the occlusal plane, shifts the mandible and triggers new or worsening TMJ symptoms.

This session delivered a comprehensive, clinically focused walkthrough of CBCT evaluation and its application in everyday practice. The content covered practical protocols for patient positioning, scan settings and informed consent—especially when working with children or patients with special needs.