Episodios

  • #104 – Daniel Grafton – Choosing the Right Airway Treatment Without Guesswork (CFD Explained)

    #104 – Daniel Grafton – Choosing the Right Airway Treatment Without Guesswork (CFD Explained)
    Mar 23 2026
    Daniel Grafton is a public health specialist with the UN who taught himself computational fluid dynamics (CFD) after 9 soft tissue surgeries failed to fix his sleep-disordered breathing. In this episode, Daniel runs CFD on Ron's pre and post-MSE CBCTs, revealing pressure maps, velocity data, wall shear stress, and turbulence patterns a standard CBCT cannot show.Daniel Graftonhttps://www.remetrics.org/https://www.instagram.com/rem_rebelhttps://www.youtube.com/@REMRebel1:1 Coaching with Ron (Now Inside The Joint)https://jawhacks.com/coachingJawHacks Newsletter (Substack)https://substack.com/@jawhacksAnd More on the Websitehttps://jawhacks.com/Chapters00:00:00 - Intro00:00:48 - UARS since childhood, 9 surgeries: How desperation led him to CFD00:05:25 - Why patients who shop for their own treatment often out-know their doctors00:06:36 - What CFD actually is and what it reveals that CBCT, rhinomanometry, and DICE can't00:13:01 - CFD origins: aerospace, nuclear reactors, and the Navier-Stokes equation00:17:33 - How CFD entered sleep medicine and where it stands clinically today00:20:44 - CFD variables explained: pressure, velocity, turbulence, wall shear stress, and heat flux00:26:54 - Wall shear stress as a degenerative force: why airway soft tissue relapse after surgery00:30:53 - Heat flux and Empty Nose Syndrome: the thermal neurons that tell your brain you're breathing00:35:21 - Case overview: Ron's CBCT anatomy and why head posture corrupts scan data00:47:21 - Superimposition reveal: Ron's pre vs. post-MSE skeletal changes side by side00:55:05 - Posterior expansion: does MSE actually widen the back of the nose near the PNS?00:58:18 - The pterygomaxillary disjunction problem: how some surgical cuts eliminate posterior expansion01:03:02 - Nasal aperture numbers and why that single metric misleads01:07:32 - CFD results revealed: Ron's airway pressure maps before and after MSE01:15:19 - Nasal slice analysis: exactly where in the nose the pressure drops most01:20:11 - Velocity findings: airspeed dropped from 3.6 to 2.7 m/s post-expansion01:26:37 - Turbulence analysis: the tongue-off-palate dead space that mimics snoring mechanics01:32:43 - What Ron's CFD actually prescribes: his single highest-yield remaining intervention01:35:19 - Poiseuille's Law: airflow improves to the fourth power of tube radius (2mm)01:41:04 - ENS risk from over-expanding: can too much nasal volume become a new problem?01:46:01 - Options for Ron's retropalatal constriction: soft palate surgery vs. maxillary advancement01:48:57 - Why MMA alone may not pull the soft palate forward01:50:57 - FME + FMA protraction as the theoretically optimal path forward01:54:04 - Facemask compliance reality and why Ron is waiting for the field to mature01:58:31 - Physical exhaustion as underrated sleep medicine02:00:28 - Mental health, nervous system activation, and PTSD's 80% UARS co-occurrence rate02:06:15 - Ron's sleep wind-down routine: why prayer beats seated meditation for his anatomy02:10:53 - Counting back from 900 by 7s: the mental arithmetic trick that slows your breathing (from Lisa Kush)02:14:22 - Diaphragm training with IMST/EMST: is the breathing muscle itself maladapted?02:17:33 - How to reach Daniel: Remetrics.org, @REMRebel on YouTube, and the JawHacks Joint Q&ANO 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.
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    2 h y 20 m
  • #103 – Dr. Mandelaris, Dr. Newaz & Dr. Jaffari – Can SFOT + MARPE Replace Jaw Surgery?

    #103 – Dr. Mandelaris, Dr. Newaz & Dr. Jaffari – Can SFOT + MARPE Replace Jaw Surgery?
    Mar 9 2026

    Ron sits down live at the Winds of Change conference in Chicago with Dr. George Mandelaris (periodontist & SFOT specialist), Dr. Newaz (orthodontist & leading MARPE/FME provider), and Dr. Jaffari (GP & restorative specialist). They break down how SFOT and MARPE work together to expand both jaws, why restorative is the most overlooked step in jaw treatment, and whether MARPE + SFOT can replace jaw surgery for underbites.


    Dr. Mandelaris

    https://www.periodontalmedicine.org

    https://www.instagram.com/periomedicine

    Dr. Newaz & Dr. Jaffari

    https://www.youtube.com/@airwayortho

    https://www.instagram.com/airway.ortho

    https://www.instagram.com/drnewazzz

    https://www.instagram.com/dr.jaffari.dds


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching

    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks

    And More on the Website

    https://jawhacks.com/


    Chapters

    0:00:00 Intro

    0:00:46 Setting the Scene at Winds of Change

    0:01:33 What Is SFOT

    0:02:36 What Is MARPE and Nasomaxillary Expansion

    0:03:46 How SFOT and MARPE Work Together

    0:06:05 SFOT for Root Resorption and Implant Site Development

    0:08:20 AGGA, MSDO and When SFOT Comes First

    0:13:11 Dr. Newaz's MSDO Case (Two-Piece Mandible)

    0:15:25 The New Mandibular Distractor Design

    0:18:56 All-on-4 and Why Airway Gets Overlooked

    0:21:51 Restorative Dentistry: The Overlooked Step

    0:22:18 Vertical Dimension, GERD and Airway

    0:23:54 Ron's Teeth Were Examined Two Days Ago

    0:24:36 Why You Need to Fix Your Teeth Before Jaw Surgery

    0:26:21 Provisionals, Post-Surgical Settling and a Case Study

    0:29:06 Symptoms of Lost Vertical Dimension

    0:30:16 Is the Field Too Lazy for Interdisciplinary Planning

    0:31:23 SFOT Cuts Treatment Time in Half

    0:33:40 Does Every Patient Need This and How Teams Actually Plan

    0:37:23 Expanding Before Implants: The Airway Question Nobody Asks

    0:40:34 Airway Arches: A New Concept (You Heard It Here First)

    0:41:42 SFOT Stability, Keys to Success and What Can Go Wrong

    0:44:46 Ron Did SFOT Awake and His Wife Cried Filming It

    0:45:19 Wrong SFOT Technique and Why It Causes Complications

    0:48:43 Is Dentistry Being Commoditized

    0:50:51 The Numbers: How Much Can SFOT and MARPE Actually Do

    0:52:50 No-Diastema, MASPE and the Aesthetics of Slower Expansion

    0:57:55 FME vs Custom MARPE

    1:00:01 The Mayo Clinic Analogy

    1:01:03 Outro


    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.
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    1 h y 1 m
  • #102 – Johan Drumev – Looksmaxxing Explained: Mewing, Surgery, and What Actually Works

    #102 – Johan Drumev – Looksmaxxing Explained: Mewing, Surgery, and What Actually Works
    Feb 23 2026

    Ron sits down with Johan (Sthetics), a 21-year-old looksmaxxing coach from Sweden who went from casual mewer to full-on hardmaxxing. They break down the real limits of softmaxxing, why mewing won't change your bones after puberty, and Johan's full surgical ascension plan (MARPE, BiMax with maxillary rotation, rhinoplasty, orbital fat grafting, and iris depigmentation). They also get into Clavicular's surgery plans (and why he might be backing out), the problems with Giant's implant designs, how camera focal length distorts your face, choosing between Italian jaw surgeons, and what happens when looks eventually fail you. The conversation takes a turn into family, fatherhood, and whether traditional life is the real ascension.


    Johan Drumev (Sthetics)

    https://linktr.ee/sthetics0


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching

    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks

    And More on the Website

    https://jawhacks.com/


    Chapters

    0:00:00 Intro

    0:00:54 How Johan Got Into Looksmaxxing at 19

    0:04:10 Softmaxxing vs Hardmaxxing Explained

    0:08:05 Peptides, Testosterone & Pharmaceutical Looksmaxxing

    0:10:27 Recreational Drugs in the Looksmaxxing Community

    0:10:58 Johan's Transformation: From Average Kid to Coach

    0:13:22 Does Mewing Actually Work? The Honest Answer

    0:14:33 Frauded Before & Afters: Angles, Lighting & Jutting

    0:16:12 "Mewing Is Cope" - When Tongue Posture Stops Mattering

    0:17:47 Every Facial Surgery in Looksmaxxing Explained

    0:19:33 Clavicular's Jaw Surgery Plan (LeFort, BSSO, Implants)

    0:22:16 The Looksmaxxing Community & Mewing Influencer Problem

    0:25:32 Is Clavicular Backing Out of Surgery?

    0:26:53 Jaw Surgery Millimeters: How Much Movement Is Safe?

    0:30:37 Giant Implants: Genius Designer or Too Extreme?

    0:35:54 How Johan Analyzes Faces for Surgical Recommendations

    0:37:52 Facial Harmony Metrics: ESR, Canthal Tilt & Frankfort Plane

    0:40:48 Why Camera Focal Length Changes How Your Face Looks

    0:46:43 iPhone Lenses Explained for Content Creators

    0:51:49 Johan's Full Hardmaxxing Ascension Plan

    0:59:11 Iris Depigmentation: Eye Color Change Surgery

    1:01:03 Italian Jaw Surgeons: Ramieri, Pagnoni & Raffaini

    1:02:49 Ron's Honest Concerns About Italian Jaw Surgery

    1:05:21 MARPE vs FME: Which Palatal Expander to Choose

    1:08:36 10% Body Fat Physique Review

    1:09:23 Diet, Nutrition & Staying Lean

    1:11:28 Why Long Hair Is a Looksmaxxing Law

    1:14:09 Buddhist Monks, Wigs & the Psychology of Hair

    1:18:39 Death, Aging & What Happens When Looks Fade

    1:20:57 The Black Pill on Attractiveness, Status & Money

    1:23:50 What to Look for in a Partner at 21

    1:24:36 The Modern Dating Market & Traditional Values

    1:28:14 Why Stay-at-Home Moms Deserve More Respect

    1:30:11 Ron: Why Family Is the Key to Happiness

    1:30:45 The Camping Analogy - Why Harder Lives Feel Better

    1:37:20 Outro & Where to Find Johan


    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.
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    1 h y 39 m
  • #101 – Dr. Svitlana Koval – MARPE or FME? Doctor With 800 Cases Gives Her Answer

    #101 – Dr. Svitlana Koval – MARPE or FME? Doctor With 800 Cases Gives Her Answer
    Feb 16 2026

    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.


    Dr. Svitlana Koval's Social Media

    https://www.youtube.com/@drsvitlanakoval

    https://www.instagram.com/drsvitlanakoval

    https://www.facebook.com/svitlana.koval.dmd


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching

    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks

    And More on the Website

    https://jawhacks.com/


    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.
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    1 h y 48 m
  • #100 – Dr. Jeremy Manuele – World First Ever FME Pro Placed on Dr. Manuele

    #100 – Dr. Jeremy Manuele – World First Ever FME Pro Placed on Dr. Manuele
    Feb 8 2026

    The world's first FME Pro was placed on ‪@vegasorthodoc‬ by Dr. Stuart Frost. New features of the FME Pro: 1) all TADs now diagonal 2) new FMA protraction attachment 3) dimensional stability improved with added lateral flanges.


    Connect with Dr. Manuele

    https://www.youtube.com/@vegasorthodoc

    https://www.instagram.com/hm_ortho

    https://www.facebook.com/hamiltonortho/

    https://vegasorthodoc.com

    Pre-order Dr. Manuele's book

    https://amzn.to/4oQXY4e


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching

    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks

    And More on the Website

    https://jawhacks.com/


    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.
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    44 m
  • #99 – Hexumlite – Looksmaxxer Talks about His Insane Transformation

    #99 – Hexumlite – Looksmaxxer Talks about His Insane Transformation
    Feb 2 2026

    Ron interviews Hexumlite, a rising creator in the looksmaxxing space known for his dramatic physical transformation. They go deep into the reality behind his "glow up," including the use of experimental weight loss peptides (Retatrutide), hair loss protocols (Dutasteride), and the dopamine traps of modern society. Hexumlite opens up about wasting $6,000 on two failed MARPE expansion attempts, his struggle with nasal breathing due to drug use, and why Ron advises him against jaw surgery.

    Media

    Guest's Social Media

    https://www.youtube.com/@hexumlitee

    https://www.instagram.com/hexumlite


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching


    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks


    And More on the Website

    https://jawhacks.com/


    Chapters

    00:00:00 - Intro

    00:00:30 - Hexumlite’s Physical Transformation & High IQ Looksmaxxing

    00:01:23 - The Asymmetry Issue: Correcting Midline Shifts & Mandibular Shifts

    00:02:10 - The $6,000 Mistake: Deep Regret Over Failed Expansion Attempts

    00:02:55 - Two Failed MARPEs with Dr. Marianna Evans

    00:03:26 - Complications: Molar Flaring & Metal Digging into the Soft Palate

    00:05:01 - Severe Breathing Issues & Lightheadedness During Exercise

    00:05:46 - Nasal Damage: The Impact of Recreational Drug Use on Breathing

    00:06:35 - Accutane Side Effects: Destroying the Mucosal Lining

    00:08:23 - Using Retatrutide (GLP-1) for Weight Loss & Hunger Signaling

    00:09:41 - The Psychology of Gluttony: Food as a Dopamine Reward

    00:12:06 - How Retatrutide Differs from Ozempic (Appetite Suppression)

    00:14:10 - MK-677 & Growth Hormone Protocols for Height

    00:16:57 - Ron’s Natty Approach: Low Carb, Time-Restricted Eating & Fat Burning

    00:20:12 - How Drug Use Rewires the Dopamine Reward System

    00:24:18 - The Toxicity of Stimulants: Why Chronic Illness Patients Can’t Abuse Drugs

    00:29:54 - Looksmaxxing as a Reflection of Gen Z Stimulant Use

    00:34:00 - The Feedback Loop of Physical Rejection vs. Personality

    00:43:56 - Social Skills Maxxing: The Parallel Between “The Game” and Looksmaxxing

    00:51:15 - Reviewing Hexumlite’s Transformation Photos (Softmaxxing Success)

    01:09:20 - The “No Shampoo” Theory: Hair Health & Natural Oils

    01:15:40 - Hair Loss Drugs: Dutasteride/Finasteride vs. Fertility Risks

    01:30:24 - Dealing with a Lisp and Narrow Maxilla Concerns

    01:32:50 - Upcoming Surgery: Septoplasty & Permanent Turbinate Reduction

    01:45:00 - Florida Expansion Providers

    01:45:22 - Why Ron Advises Against Jaw Surgery for Hexumlite

    01:47:08 - The “Jutting” Problem in Mewing Before & Afters

    01:53:00 - The Ethics of Medical Referrals and “Selling Out”

    02:18:14 - Final Verdict: Why a Surgical Cut Was Necessary


    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.
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    2 h y 19 m
  • #98 – Karim Hachem – How Do I Get My Jaw Surgery Covered by Insurance?

    #98 – Karim Hachem – How Do I Get My Jaw Surgery Covered by Insurance?
    Jan 19 2026

    Ron sits down with Karim Hachem, co-founder of Suade Health. Karim shares his personal battle of getting reimbursed for out-of-network surgery and reveals the specific strategies patients need to use to avoid financial ruin when financing jaw surgery. They cover network gap exceptions, how to navigate denials for "experimental" airway expanders, and why an authorization letter doesn't guarantee you'll get a single penny back.


    Karim's Website (Suade Health)

    https://www.suade.health/about-us


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching


    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks


    And More on the Website

    https://jawhacks.com/


    Chapters

    00:00:00 - Intro

    00:00:30 - Can You Get Insurance for Out-of-Network Surgeons?

    00:04:23 - How Insurance Turned $7,500 Into Zero (Karim's Story)

    00:09:30 - The "Allowed Amount" Scam Explained

    00:24:03 - Timeline: When to Start Your Insurance Strategy (60-90 Days)

    00:27:57 - Network Gap Exceptions and Single Case Agreements

    00:34:50 - Does Surgeon Choice Affect Approval? (Out-of-State Benefits)

    00:37:49 - Open Enrollment Strategy: How to Pick the Right Plan

    00:42:48 - Plan Challenges: Why Medicaid/HMO Plans Are Difficult

    00:46:05 - Choosing Between PPO, EPO, and HMO Plans

    00:56:11 - How Suede Health Works With Patients and Surgeons

    01:16:24 - Medical Necessity Pathways: OSA and Malocclusion

    01:26:49 - Getting Coverage for MARPE and Nasal-Maxillary Expanders

    01:37:00 - Karim's Jaw Surgery Results: 21mm Advancement

    01:41:20 - Life After Surgery: Cortisol, Sleep, Migraines, and ADHD Gone

    01:45:50 - Final Thoughts: Is Jaw Surgery Worth It?


    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.
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    1 h y 51 m
  • #97 – Cannon Maumus – Cannon's MARPE Asymmetry Raises Critical Questions

    #97 – Cannon Maumus – Cannon's MARPE Asymmetry Raises Critical Questions
    Jan 6 2026

    A coaching call from The Joint. What comes next for ‪Cannon Maumus‬ now that he has finished expanding his Custom MARPE? Will he use braces or Invisalign? How will he deal with the maxillary cant? How does jaw surgery factor into situations like this? And more.


    1:1 Coaching with Ron (Now Inside The Joint)

    https://jawhacks.com/coaching


    JawHacks Newsletter (Substack)

    https://substack.com/@jawhacks


    And More on the Website

    https://jawhacks.com/


    Chapters

    0:00 Intro clips

    1:45 Podcast start

    6:53 Haters on social media

    10:11 MARPE Risk vs. Reward graphs

    13:41 Post-MARPE orthodontics

    14:35 Braces vs Invisalign

    19:15 Cannon’s MARPE asymmetry

    27:07 Jaw surgery and MARPE asymmetry

    34:00 Video lighting for facial aesthetics


    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.
    Más Menos
    36 m