Understanding Asymmetries in Skeletal Expansion | Live Call with Dr. Svitlana Koval

In this discussion, Dr. Koval explores asymmetries — how and why they develop during skeletal expansion and facial growth, and what they reveal about underlying structural imbalances.

0:00 Intro
2:08 Guided Midpalatal Piezocorticotomy and Rationale
14:36 Desired Outcomes of Expansion
20:18 Why Asymmetries Matter
33:30 Pre-expansion Asymmetries
44:40 Intra-expansion Asymmetries
50:42 Correcting Asymmetries
55:00 Nasal Breathing Improvement
56:13 Potential Custom MARPE Limitations
58:49 When will the FMA be released?
59:25 Palatal expansion with condylar dysplasia?
1:00:55 Reversing dropdown effect from MARPE?
1:02:54 Pulling upwards vs downwards with facemask?
1:04:01 Wearing aligners to support frontal bone and teeth tipping?
1:05:38 Achieving CCW rotation of maxilla or mandible during expansion?
1:06:31 MARPE placement to maximize cheekbone widening?
1:07:56 Do you do international consultations?
1:08:31 Did expansion affect your asymmetries?
1:10:46 Can MARPE correct asymmetries?
1:13:10 Treatments for mandibular asymmetry?
1:14:09 Alt-RAMEC protocol and facemask?
1:16:22 Do most people need protraction with expansion?
1:17:58 Possible for the condyle to remodel during expansion?
1:19:58 Outro

Contact Dr. Svitlana Koval:
https://www.drssk.com/
  / drsvitlanakoval  

Disclaimer: The content shared on this channel is for educational and informational purposes only. It should not be considered medical advice. Always consult with a qualified healthcare provider before making decisions about your health or treatment options.