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When AND how to measure the force of your turns in centinewtons

When your turns start getting more tension OR you’ve reached 20 turns — whichever comes first It’s now time to measure the centinewton force of your turns. The reason we do this is because with Dr. Adams SLOW MASPE Protocol, he likes the max force of your turns to stay between 500-700 cN. If you […]

Welcome to the beginning of your MASPE journey! We’re here to support you every step of the way. If you ever have questions or concerns, don’t hesitate to reach out – we’ve got your back.

MASPE Expander – Post Delivery Instructions First 48 Hours 1. Palatal Expansion (MASPE) Follow Dr. Adams’ exact schedule. Most patients start with: 1 turn every OTHER day How to Turn NEVER turn more often than instructed. Notify Us Immediately If: 2. Starting & Changing SPARK Clear Aligners (Only begin when Dr. Adams says “GO”) Rule […]

Patient Resources

Post Op Instructions Appliance Instructions After Hours Help

Welcome to the beginning of your MASPE journey! We’re here to support you every step of the way. If you ever have questions or concerns, don’t hesitate to reach out – we’ve got your back.

Post Op Instructions TADS Placement Diet & Numbness Medications All instructions regarding medication apply, unless you have a contraindication (like drug allergy) or have been otherwise directed by Dr. Adams or another doctor. Example Schedule: 8:00 AM: Ibuprofen 600-800 mg 12:00 PM: Tylenol 500 mg 4:00 PM: Ibuprofen 600-800 mg 8:00 PM: Tylenol 500 mg […]

Tongue Tie & TMJ Pain

Connection between Tongue Tie & TMJ Pain If the tip of your tongue cannot reach the roof of your mouth while your mouth is fully open, that can be a sign of a tongue restriction, aka tongue tie. Tongue ties are often linked to TMJ pain, clenching, tension, and even airway issues. The tongue is […]

Treating Tongue Thrust & Open Bite with Myofunctional Therapy

What causes an open bite? An anterior open bite can be caused by the tongue thrusting forward against the teeth and through the teeth when swallowing. Let’s review a case, Maria, our Orofacial Myologist has worked on. When we first saw the patient, she had an anterior open bite due to tongue thrust, and her […]

Mouth Taping-Good or Bad Idea?

Is mouth taping while you sleep good or bad? Well, that depends on why you are mouth breathing and snoring. Before deciding if you should mouth tape while you sleep, it’s important to understand the root cause of why you are mouth breathing and snoring at night. When mouth taping is bad Many times, snoring […]

How Bite Splints Can Help EDS Patients With Head, Neck, and Back Instability

Ehlers-Danlos Syndrome (EDS) is a connective tissue disorder known for causing joint hypermobility, chronic pain, and widespread instability—especially in the head, neck, and spine. Many EDS patients live with constant discomfort, unexplained tension, and musculoskeletal misalignment that conventional medical and dental treatments often overlook. What many don’t realize is that jaw position and bite alignment […]

Correcting Facial Asymmetries with Bite Plane Appliances and Functional Therapy

Facial asymmetry in children and adults can often be traced back to imbalances in oral function and skeletal growth—especially when the tongue isn’t positioned correctly on the palate, or when tethered oral tissues (like tongue, lip, or buccal ties) pull unevenly on facial muscles and bones. At TMJ Sleep and Breathe Center, we use a […]

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