#112 – Alex G. – Potentially an Insane Case of Protraction with MARPE

Alex is a 22-year-old custom MARPE patient of Dr. Jeremy Manuele who started protracting three months after his split, wore a facemask up to 23 hours and 45 minutes a day, and pulled 5.5 to 6mm before going past the point where his bite still worked. He now has to jut his mandible forward to occlude, which makes him a live case study in why the mandible does not automatically follow the maxilla. Ron's usual asterisk applies: this is the frontier and nobody knows yet what adult protraction reliably does.Alex's Full Protraction Protocol & Loghttps://drive.google.com/file/d/1Px8fPl9Pchy4v-OFr-wGayl2doZB3twQ/view?usp=drive_linkThis is for information and documentary purposes only. JawHacks does not recommend or endorse this protocol to anyone. Please consult a dental or medical professional before attempting any expansion or protraction.Dr. Jeremy Manuele (Alex's Provider)https://www.youtube.com/@vegasorthodochttps://www.instagram.com/vegasorthodoc/https://vegasorthodoc.com/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/TIMESTAMPS00:00:00 - Intro00:00:48 - The Worst MARPE Reaction Dr. Manuele Had Ever Seen00:02:11 - Urgent Care at 2AM and a Nerve Block That Made It Worse00:05:50 - Why MARPE Wrecks Some People and Barely Touches Others00:07:00 - One Turn a Day That Was Really Two00:08:23 - The Split: "It Felt Like My Incisors Were Ripping Apart"00:09:56 - Before and After: The Whole Midface Came Forward00:11:32 - Reading the Photos: Lip Competence, Under-Eye Support, Cheek Shadow00:13:19 - "You Were a Normal Looking Kid" - Ron vs the Black Pill00:16:10 - The Girl Who Ignored Him, Then Messaged After MARPE00:17:12 - Wearing a Protraction Facemask Through Whole Foods00:19:00 - He Had the Money, the Physique, the Personality - It Still Didn't Work00:22:31 - Direct Print Aligners vs Invisalign00:24:38 - The Protocol: 23 Hours 45 Minutes a Day in a Facemask00:25:12 - The Minute-by-Minute Protraction Log00:26:40 - He Started Protracting 3 Months After the Split00:27:30 - Stretch Turns Under 10 Pounds of Facemask Force00:28:40 - One Pterygomaxillary Suture Split, the Other Refused00:30:03 - Why 1 Pound of Force Did More Than 1200:32:09 - The Scan: No Fracture, But the Left Suture Was Gone00:33:10 - Mewing Alone Now Generates Protraction Force00:34:19 - The Overjet on Camera: He Has to Jut to Bite00:35:07 - Proof the Mandible Does Not Just Follow00:36:56 - Brain Freeze From Breathing: Protraction vs Transverse Gain00:37:24 - How Protraction Stretches the Turbinates00:40:02 - IMDO vs BSSO vs Double Jaw: What Ron Would Do00:42:34 - Is a Genioplasty Just a Cope?00:48:22 - The CBCT Experiment: Facemask On vs 5 Minutes Off00:52:08 - Hooks Behind the Second Molars and a Glued-On Overlay00:55:34 - The Protraction Angle and an Absurd Number of Elastics00:57:34 - Glue, a Hook, and "DIY Arts and Crafts"01:00:03 - Pulling Down First, Then Up: An Accidental Trick?01:02:08 - Down to One TAD, Then Re-Screwing the Dead Ones01:03:26 - The Christian Case for Looksmaxxing01:05:43 - Acid Reflux, PPIs, and Losing His Voice for 4 Months01:07:00 - Cathedrals, Brutalism, and the Body as a Temple01:10:46 - $16,000 Total, and the Friend Who Wouldn't Spend $2,00001:11:35 - Where Looksmaxxing Crosses Into VanityDISCLAIMERNO 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.