In this episode, I reconnect with Dr. Reza Movahed, an oral and maxillofacial surgeon based in Dallas, Texas, who performs 90 to 100 total TMJ joint replacement surgeries per year, ranking among the most experienced joint surgeons worldwide. He shares his personal journey through three jaw surgeries that transformed his approach to patient care and surgical planning. We discuss idiopathic condylar resorption (ICR), why certain patients are at higher risk for double jaw surgery failure, and when total joint replacement becomes essential. Dr. Movahed details his bone grafting methods, collaboration with top orthodontists, and how counterclockwise rotation with joint replacement achieves superior esthetic and functional results. He also highlights his MCO mandibular expansion device, the role of DISE in planning, and long-term joint data proving decades of success.

Contact Dr. Reza Movahed

https://www.instagram.com/movahedoms

https://movahedoms.com/

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/

Timestamps

00:00:00 - Introduction

00:05:00 - What Is Total TMJ Joint Replacement Surgery?

00:11:42 - The Joint as Your Foundation: ICR Explained

00:15:35 - Which Patients Are at High Risk for Relapse

00:22:25 - Dr. Movahed's Personal Story: Three Jaw Surgeries for OSA

00:30:46 - Why Most Surgeons Avoid Joint Surgery

00:33:39 - Case Study: Two Failed Double Jaw Surgeries

00:40:03 - Grafting Techniques: Using the Patient's Own Bone

00:46:12 - Extreme Reconstruction: Goldenhar Syndrome Case

00:55:31 - Esthetics and Function: PEEK Implants and Facial Harmony

01:02:14 - Segmental Surgery and Counterclockwise Rotation

01:10:51 - The Critical Orthodontist-Surgeon Relationship

01:20:28 - Custom Plating and Locking Screw Technology

01:30:02 - Post-Op Protocol: Nutrition, Steroids, and Minimal Swelling

01:38:34 - History of Jaw Surgery: Dr. Wolford's Legacy

01:46:25 - The Art of Surgical Planning: Precision and Collaboration

01:54:31 - Why Counterclockwise Rotation Was Revolutionary

02:05:01 - DISE: Predicting Surgical Outcomes with Sleep Endoscopy

02:18:45 - Surgical Planning: Frankfurt Horizontal and Neck Posture

02:26:30 - Joint Longevity: 38 Years of Data and Minimal Wear

02:40:30 - Virtual Surgical Planning: From CT Scan to Custom Joint

02:51:24 - MCO Device: Patent-Pending Mandibular Expansion

03:03:29 - Patient Collaboration: Avoiding Surgical Planning Mistakes

03:20:18 - Maxillomandibular Expansion Before MMA Surgery

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. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You...

In this episode, I reconnect with Dr. Aişe Cemile, an orthodontist based in Istanbul, Turkey, who has treated between 500 and 1,000 MARPE cases over the years. She shares updates on her custom MARPE appliance designs, face mask protocols, and innovative methods for managing asymmetry. Dr. Cemile explains how she collaborates with a local lab to create fully customized devices tailored to each patient’s bone anatomy, achieving consistent split success by carefully planning TAD placement. She also discusses her use of face mask protraction, even in adult males, the role of cranial osteopathy and manual therapy in enhancing results, and practical techniques for preventing and correcting asymmetry through exercises, heat, and targeted pressure. A standout case features an 18-year-old male with severe skeletal Class III who achieved jaw-surgery-level changes through two rounds of MARPE and face mask therapy, making this episode essential viewing for anyone seeking advanced and affordable MARPE treatment outside the United State.

Contact Dr. Cemile

https://www.aisecemilecansiz.com

https://www.instagram.com/aise_cemile

aisecemilecansiz@gmail.com

(Find her in The Joint for a Q&A session on Saturday, Nov 1, 2025)

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/

Timestamps

0:00 Intro

3:41 MARPE Treatment in Children

4:56 Age Considerations for MARPE

6:15 Custom MARPE for Children

10:58 Laboratory Collaboration

17:57 Cranial Osteopathy and MARPE

27:17 Face Mask Techniques

34:33 Surgical Considerations

39:20 FME device

44:24 Innovative Approaches and Techniques

48:23 No Diastema protocol

50:58 Managing Asymmetry in Patients

51:32 Exercises and Techniques for Symmetry

52:59 Placing and Aligning the Appliance

55:17 Sharing Examples and Workflow

1:08:05 Working with International Patients

1:20:11 Case Study: MARPE and Face Mask

1:31:02 Closing

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. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

In this episode, I talk with Dr. Newaz and Dr. Jaffari — the world’s most experienced FME providers — about what really works, what fails, and the complications they’ve seen across nearly 100 cases. We look at success rates, asymmetry, and how FME compares to custom MARPE, with Dr. Newaz sharing his own 8–9mm expansion results and CBCT analysis. We also explore the new FMA Protraction device, post-surgery expansion challenges, pricing debates, and the key question: when should you expand before jaw surgery versus doing a segmental LeFort?

Dr. Newaz & Dr. Jaffari Social Media

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

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

https://www.instagram.com/drnewazzz

All GIFs courtesy of Shuikai

https://www.reddit.com/r/UARSnew/

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/

Timestamps

00:00:00 - Dr. Newaz's 9mm expansion results and facial changes

00:00:31 - Ron introduces FME technology and episode overview

00:04:10 - Defining success and failure across 98 FME cases

00:13:03 - How many failures to split?

00:21:01 - Who benefits aesthetically from midface expansion?

00:26:30 - FME vs custom MARPE clinical comparison

00:31:23 - Septum avoidance and preventing asymmetry with guide rods

00:38:19 - Lab planning process and final doctor approval

00:47:17 - Why turning protocols have slowed down dramatically

00:53:51 - How many cases had no corticotomy at all?

01:01:18 - Is pterygoid maxillary release necessary with FME?

01:06:41 - Using another MARPE to correct prior asymmetry

01:17:55 - Dr. Newaz's CBCT analysis and superimposition walkthrough

01:29:22 - True cheekbone enhancement without implants

01:33:03 - How long did 9mm expansion actually take?

01:44:35 - Nasal resistance spectrum and empty nose syndrome risk

01:57:11 - Segmental LeFort vs midface expansion

02:09:39 - Can you do MARPE after jaw surgery?

02:14:22 - Soft tissue aesthetic improvement

02:22:27 - Plan for the mandible and considerations on condyle stability

02:31:37 - Why did Dr. Newaz go this far with expansion?

02:34:48 - Pushing boundaries in the expansion space

02:42:11 - Listening to educated patients as part of the treatment team

02:47:39 - First look at the FMA protraction device

02:52:37 - MRI results show Dr. Newaz's jaw joint is healing

03:00:34 - FMA Device Deep Dive: Components and Mechanics

03:07:58 - Patients building their own DIY protraction devices

03:08:47 - Clinical potential and workflow for the FMA device

03:14:42 - A discussion on the cost of FME appliance

03:22:46 - US healthcare frustrations and goal of making treatment accessible

03:27:02 - Ron shares his personal story of being priced out of jaw surgery

03:32:45 - The major risks and challenges of expanding after jaw surgery

03:40:25 - Where to find Dr. Newaz and Dr. Jaffari online

NO...