This REAL Case Proves Orthodontists WRONG

Mothers all over the country are asking orthodontists for a lower expander, and being refused. Here is the case that settles it — a child taken from 1.9 cubic centimetres of airway to 9.8, with a lower fixed expander orthodontics says cannot work. Dr. Kevin Goles is an airway-focused dentist, my co-instructor on 3 Days to Airway, and the person I go to when a case doesn't add up. Expect to learn: → Why a Bay Area family spent four or five years in treatment, still symptomatic, and was refused a lower expander on the grounds that there's no palatal suture to open → What a third upper expander tells you about a treatment plan, and why expand-and-relapse is the pattern to watch for → Why uprighting the bottom teeth by 3mm doesn't get anyone across the finish line → Dr. Goles' full case walkthrough — a lower arch with no room for three incisors, treated with upper and lower expanders and a ToothPillow guide worn at night → How her airway went from 1.9 cubic centimetres to 9.8, when 10 to 12 is the floor at that age and 20 to 25 is the target by twelve → How the narrowest point of her airway went from 15.7 square millimetres to 135.9, measured from the top of C1 to the bottom of C3 → What changed in her head and neck posture, and why the parents said he saved her life → Why phase one didn't require a phase two, and what the alternative plan would have been — bicuspid extractions and retraction → Why Invisalign is the wrong tool for this: 150-micron printed models, plastic that loses its force within four hours, and a scalloped tray that forces attachments onto every tooth → What a high trim line past the gingival zenith does that a scalloped tray can't, and how engaging all four embrasures lets you move a tooth bodily without attachments CHAPTERS 0:00 Why orthodontists refuse to place a lower expander when mothers ask 2:49 A full lower expander case, before and after 6:50 Why Invisalign cannot do this, and what a high trim line changes FOLLOW DR. HILARY Instagram:   / hilaryfritschdmd   TikTok:   / hilaryfritsch.dmd   DR. KEVIN GOLES Instagram:   / airway_goles   TRAIN WITH ME 3 Days to Airway — the hands-on course Dr. Goles and I teach for doctors adding airway to their practice: https://www.3dayairway.com/ WORK WITH ME Book a 30-minute 1:1 consult: https://tr.ee/Sxn_v17K9G Book at Saddle Peak Dental: https://saddlepeakdental.com/contact/ Everything else: https://linktr.ee/hilaryfritschdmd LISTEN INSTEAD Spotify: https://open.spotify.com/show/033v3dz... ABOUT THE SHOW awAIR Unfiltered — Dr. Hilary Fritsch, 20 years in dentistry, Diplomate of the International Academy of Sleep, covering airway, sleep and breathing for the clinicians treating it. This channel is clinical discussion between practitioners. It isn't medical advice. #airwaydentistry #orthodontics #sleepapnea