# 108 - Dr. Luke Shapiro - A Chill Convo About MARPE and Jaw Surgery

Page: https://stenobird.com/podcast/jawhacks-7095416/108-dr-luke-shapiro-a-chill-convo-about-marpe-and-jaw-surgery
Text version: https://stenobird.com/podcast/jawhacks-7095416/108-dr-luke-shapiro-a-chill-convo-about-marpe-and-jaw-surgery.md
Podcast: [JawHacks](https://stenobird.com/podcast/jawhacks-7095416)
Published: 2026-07-20T11:00:00+00:00
Episode link: http://jawhacks.local/episode/108-luke-shapiro
Audio file: https://episodes.captivate.fm/episode/872475c6-b377-491c-91a1-e9e4cc4caf31.mp3
Processing state: not_requested
JSON: https://stenobird.com/v1/public/podcasts/jawhacks-7095416/episodes/108-dr-luke-shapiro-a-chill-convo-about-marpe-and-jaw-surgery
Duration seconds: 7985

## Resource

Book a 1:1 Coaching Call with Ron https://jawhacks.com/coaching/ Get the JawHacks Field Guide https://field-guide.jawhacks.com/ Join the JawHacks Newsletter https://jawhacks.com/newsletter/ Grab some popcorn, NYC orthodontist Dr. Luke Shapiro joins Ron for a technical, no-BS conversation on airway orthodontics — MARPE vs. FME, DOME Zero, choosing a jaw surgeon, the custom lower-jaw debate, and why bites come out unpredictable after surgery.  Plus the controversies: Vivos/DNA appliances, ALF, AGGA, and the "epigenetic" growth claims that never show up on a CBCT. TIMESTAMPS 00:00 – Intro: 03:15 – How an orthodontist ended up on TikTok 06:35 – Getting into airway & MARPE 11:53 – Why the term "DOME" is now so confusing 14:00 – Inside the DOME Zero / MASPE Zero story 16:22 – Is DOME Zero special, or just marketing? 18:22 – FME vs custom MARPE & bonding to teeth 24:17 – Expansion for looks vs. function 27:25 – Headaches, TMJ & psychosomatic patients 32:04 – A 14-chair multidisciplinary practice 35:03 – The Wall Street patients who don't care 38:06 – Obsessing over your own airway 40:00 – Boython, jaw surgery & the real risks 42:56 – How to actually choose a jaw surgeon 45:15 – The NYC surgeon roster 48:11 – The custom lower-jaw debate 52:50 – "Just do the MARPE first" 54:26 – Bobeck, MSDO & mandibular expansion 59:29 – Can't expand your way out of surgery 1:04:15 – What actually makes FME interesting 1:06:39 – The extraction question 1:09:38 – Raising his daughter to prevent all this 1:16:31 – Skeletal expanders in little kids? 1:23:19 – Curve of Spee & curve of Wilson 101 1:27:11 – ALF & AGGA: does any of it work? 1:29:40 – Vivos, the DNA appliance & the $50k problem 1:37:45 – "Epigenetics" & marketing sleight of hand 1:40:33 – The C…

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