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74. Maxillary Transverse Deficiency Syndrome - The Case for Early Expansion Q&A with Dr. Tyler Rathburn
Episode 74
Tuesday, 13 January, 2026
What if the problem isn’t crooked teeth but a cramped foundation and a tired airway? We take you behind the scenes of a modern ortho playbook where CBCT, skeletal expansion, and muscle training come together to protect gums, calm the bite, and help patients breathe better day and night.We break down how to read CBCT beyond tooth tips, focusing on palatal space and buccal cortical limits that actually govern stability. You’ll hear why MARPE, designed to be bone-borne, can expand the maxilla safely while minimizing dental side effects, and how improper dental expansion seeds buccal recession that shows up in the 30s and 40s. We share practical strategies for adults with existing recession, from night guards that buy time to SFOT or PAOO that broaden the cortical housing so teeth can upright within bone instead of through it. _________________________________________________________________________________________About our Guest:Dr. Tyler Rathburn, known as Dr. Tyler, completed his DMD and orthodontics certificate at the Medical College of Georgia in 2015. He practices at Atlanta Orthodontic Specialists alongside his parents, Dr. Michael Stewart and Dr. Melisa Rathburn, and works with a multidisciplinary orthodontic team.He began lecturing in 2017 and has served as resident faculty with CDOCS and SPEAR Education. His interests include airway-focused orthodontics, CBCT analysis, interdisciplinary treatment planning, and technology-driven practice efficiency. Dr. Tyler is a Diplomate of the American Board of Orthodontics and currently serves as President of the Georgia Association of Orthodontists.Follow Dr. Tyler on Instagram: @tpayne567 Support the showABOUT OUR HOST: Renata Nehme RDH, BSDH, COM® has been a Registered Dental Hygienist since 2010. In 2016, when she was introduced to the world of "Myofunctional Therapy" she immediately knew that was her calling, especially when she learned that it encapsulated many of her passions- breastfeeding, the import of early childhood development, and airway health. In 2021 Renata founded Airway Circle with the intention of creating a collaborative and multidisciplinary group of like-minded health professionals who share the same passion for learning and giving in the dental health and airway space. Myo Moves - Become a Patient: www.myo-moves.com ______________________________________________________________________________________________________________________ At Airway Circle we offer a safe and supportive space for like-minded professionals to connect, collaborate and share information regarding airway-related issues and whole-body health. Become a Member Today and have immediate access to hundreds of lectures with world-renowned professionals. ...
