#108 – Dr. Luke Shapiro – A Chill Convo About MARPE and Jaw Surgery

Grab some popcorn, NYC orthodontist Dr. Luke Shapiro joins Ron for a technical, no-BS conversation on airway orthodontics — MARPE vs. FME, DOME Zero, choosing a jaw surgeon, the custom lower-jaw debate, and why bites come out unpredictable after surgery. Plus the controversies: Vivos/DNA appliances, ALF, AGGA, and the "epigenetic" growth claims that never show up on a CBCT.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00 – Intro:03:15 – How an orthodontist ended up on TikTok06:35 – Getting into airway & MARPE11:53 – Why the term "DOME" is now so confusing14:00 – Inside the DOME Zero / MASPE Zero story16:22 – Is DOME Zero special, or just marketing?18:22 – FME vs custom MARPE & bonding to teeth24:17 – Expansion for looks vs. function27:25 – Headaches, TMJ & psychosomatic patients32:04 – A 14-chair multidisciplinary practice35:03 – The Wall Street patients who don't care38:06 – Obsessing over your own airway40:00 – Boython, jaw surgery & the real risks42:56 – How to actually choose a jaw surgeon45:15 – The NYC surgeon roster48:11 – The custom lower-jaw debate52:50 – "Just do the MARPE first"54:26 – Bobeck, MSDO & mandibular expansion59:29 – Can't expand your way out of surgery1:04:15 – What actually makes FME interesting1:06:39 – The extraction question1:09:38 – Raising his daughter to prevent all this1:16:31 – Skeletal expanders in little kids?1:23:19 – Curve of Spee & curve of Wilson 1011:27:11 – ALF & AGGA: does any of it work?1:29:40 – Vivos, the DNA appliance & the $50k problem1:37:45 – "Epigenetics" & marketing sleight of hand1:40:33 – The CBCT proof that isn't there1:43:50 – Giving general dentists their due1:53:29 – Jaw surgery setup: the "tripod"1:55:18 – Decompensating a Class II, explained1:58:39 – Segmental surgery & Gunson2:01:03 – Why the bite is unpredictable after surgery2:05:33 – Gunson's no-splint segmental2:08:02 – Centric relation & seating the condyle2:11:07 – Wrap-up & member Q&ACONNECT WITH GUESThttps://www.instagram.com/dr_lukeshapiro/https://www.youtube.com/@UChXHl6Rbw8V2wM3UbOpPzXg https://www.wallstreetortho.com/DISCLAIMERNO 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.