"Just sayin’, if you're a doctor looking to dive into miniscrew-assisted rapid palatal expansion (MARPE) in your orthodontic practice, this is an exceptional course regardless of your stage in the journey. The content is super impressive. I’ve seen a lot on this subject, and rarely do I find a course with this kind of breadth. Dr. Jeremy Manuele stands out as one of those rare instructors who not only delivers authentic content but infuses it with an authentic style. He’s really easy to listen to. Egos have been checked at the door."

"Dr Manuele’s MARPE 360 online course is an outstanding and incredibly detailed 6 series course, which will provide the clinician with all clinical protocols and equipment necessary to implement MARPEs as a treatment option into your practice or to work with an oral surgeon for the surgeries. As we all know, medical insurance coverage and reimbursement for orthognathic surgery has become a bigger challenge for us as clinicians. In addition, some patients do not want to undertake the risks or are unable to assume the costs associated with orthognathic surgery.  As a result, we need to be able to give our patients alternative treatment options to orthognathic surgery. With the advent of MARPEs, this gives us clinicians the ability to offer our patients minimally invasive in-office surgery, which as a result are more cost-efficient. For anyone interested in learning more about MARPEs, I would strongly recommend taking Dr Manuele’s course.  Dr Manuele has been researching MARPEs for several years and he will be able to pass on his learning experiences, knowledge, and expertise to help us all be successful with implementing MARPEs into our practices."

AIRWAY 360: A Dental Practitioner's Guide to Palatal Expansion Theory, Airway Physiology and Sleep Disordered Breathing

Upon course completion, participants will gain the following:

• An in-depth understanding of the rationale, benefits, and historical evolution of palatal expansion, focusing on MARPE (Micro-implant Assisted Rapid Palatal Expansion) as a key technique. 
• Learn to create detailed 3D before-and-after CBCT superimpositions, from importing and aligning volumes to seamlessly scrolling through slices and efficiently saving these superimpositions for future use.

  Understanding the Dentally Relevant Aspects of Sleep-Disordered Breathing (SDB) and Airway Physiology:
  

  • Identifying the repercussions of mouth breathing, including its symptoms and impacts on oral health.
  • Exploring the critical roles of nitric oxide and carbon dioxide in breathing and oxygenation.

  Recognizing and Screening for Signs and Symptoms of Sleep-Disordered Breathing (SDB):
  

  • Learning to identify signs and symptoms such as enlarged tonsils and adenoids, asthma, gingival inflammation, and poor facial growth.
  • Utilizing SDB/OSA screening tools and suggestions to effectively classify and understand the diagnoses of SDB/OSA in both adults and children.

  Analyzing the Causes and Effects of Sleep-Disordered Breathing (SDB) and how to Utilize CBCT Volumetric Airway Analysis:
  

  • Examining the causes and effects of SDB, including acid reflux, poor growth, obesity, bruxism, and ADHD.
  • Applying CBCT volumetric airway analysis to understand its relevance as a screening tool for SDB/OSA.

  Evaluating Treatment Options and Learn how to Collaborate with Medical Professionals on SDB/OSA Management:
  

  • Exploring the roles of ankyloglossia and myofunctional therapy, along with contemporary medical devices and procedures available for SDB/OSA treatment.
  • Assessing the 2019 American Association of Orthodontists white paper on OSA, discussing its limitations and how it can guide orthodontists in engaging with SDB treatment in collaboration with medical colleagues.

  Bonus Module: Learn how to seamlessly create 3D CBCT Superimpositions with Tx Studio (in-vivo) Software

Words from Our Course Participants:

"Awesome course.  Jeremy has a genuine willingness to share his knowledge and makes this procedure more evidence-based."
— S. Yashesh

"I just finished Dr. Manuele's course on the MARPE procedure and I am very impressed by the quality of its content.  Dr. Manuele goes through every step of the process, from diagnostic to appliance delivery and potential complications.  I recommend this course to everyone interested in learning more about this topic."
— JF Masse

Continuing Education

This training activity is designated for 3 CE for Self-Directed Learning

Background

Las Vegas native Jeremy Manuele, often referred to as "Dr. J," had a lifelong dream of becoming an orthodontist. After graduating summa cum laude with a Bachelor of Science and Doctor of Dental Medicine from UNLV, he made his dream a reality by completing a two-year Orthodontics residency at the Louisiana State University Health Sciences Center. In 2017, Dr. J officially became a partner at Hamilton & Manuele Orthodontics, where he practices today alongside Dr. R. Cree Hamilton.

Passion for Knowledge and Education

At his practice, Dr. J is a driving force for continually learning and incorporating new technology and new software to improve his patients' case outcomes. He discovered a love of teaching orthodontics to others and works as a part-time educator at the UNLV School of Dental Medicine.

Service and Personal Life

Following in the footsteps of his grandfather and step-father in the service, Dr. J joined the Army National Guard at age 17. Soon after marrying the love of his life, Nicole, he served in Ramadi, Iraq for 18 months with the 222nd field artillery unit as a gunner. After returning back home, he continued pursuing his orthodontics education and currently serves as a Major in a local medical unit.

Dr. J, his wife Nicole, and their four beautiful children Bailey, Carter, Maycee, and Weston love spending time together enjoying the Nevada outdoors.

Going Beyond Braces with Hamilton & Manuele Orthodontics