Distraction Osteogenesis Maxillary Expansion (DOME)

The DOME Course

Wider palate. Better breathing. No diastema. One timeline.

The full DOME protocol, from first turn to final aligner.

This course is built from years of treating patients with sleep-disordered breathing who are candidates for maxillary expansion. It is for dental and surgical colleagues who want to integrate sleep breathing health into the treatment plan from day one.

The Course

Two parts.

01
Webinar Series

Six lectures connecting sleep breathing physiology, dentofacial orthopedics, and orthodontics into one framework.

Foundational for VIE. Available as a standalone course.

02
Vienna Immersive Experience

Two days in Vienna. Live patient demonstrations. Hands-on session.

September 4 and 5, 2026.

What has changed

DOME is now phenotype-specific.

DOMEzero for adults. DOMEmini for growing children. Surgical DOME when bony resistance demands it.

A no-diastema workflow that synchronizes bone-anchored expansion with clear aligners on one timeline.

When the patient or the anatomy calls for it, surgical osteotomies are guided by 3D-printed surgical guides and performed under sedation.

You leave with the protocols we use in clinic and a clear path to start.

The webinar series is required for VIE

Meet the Faculty

Dr. Stanley Liu Professional Headshot. Dr. Liu is a world renowned sleep apnea surgeon. Trained as a dentist, a physician, an oral surgeon, and ENT sleep surgeon, he has written over 100 peer-reviewed texts on sleep medicine and surgery.

Dr. Stanley Liu

Dr. Claudia Pinter

Dr. Claudia Pinter

Learning Objectives

What you'll take away.

01
Integrate sleep breathing into your orthodontic practice.
02
Master the role of maxillary expansion in sleep-disordered breathing.
03
Diagnose and plan maxillary expansion for SDB patients.
04
Practice and observe live orthodontic mini-screw placement.
05
Apply expander designs and expansion protocols (no diastema, clear aligners).
Vergleich zwischen einer Nasenbogenstruktur (Arch) mit Nasenpassage und einer Nasenscheidewand mit Nasenbodenverdünnung (Dome) mit Nasenraumerweiterung.

DOME Webinar Series

(6 online lectures with Q/A)

Part 1 · Webinar Series

Six lectures that build the foundation. Sleep medicine, orthodontics, and surgical decision-making for maxillary expansion in sleep breathing care. Take Part 1 on its own, or pair it with the Vienna Immersive Experience.

01
Dr. Stanley Liu
What is Sleep-Disordered Breathing and Why Do We Treat It?
An orientation for the dental and surgical clinician. Symptoms in the chair, systemic consequences when untreated, and how diagnosis flows from chairside screening to formal sleep study.
Foundations
02
Dr. Claudia Pinter
What You Need to Know About Orthodontics in Sleep-Disordered Breathing
The shared vocabulary between sleep medicine and orthodontics. Mini-implant-assisted expansion, bone-borne appliances, the nasomaxillary complex, and surgical considerations across pediatric and adult cases.
Cross-disciplinary
03
Dr. Stanley Liu
Treatment Algorithm for Sleep-Disordered Breathing
The decision framework. Maxillary shape and sleep breathing, the evidence base, and the current algorithm for pediatric and adult patients. Maxillary expansion, nasal surgery, and patient-reported outcomes.
Decision-making
04
Dr. Claudia Pinter
Maxillary Expansion for Sleep-Disordered Breathing
The expansion toolkit. Bone-borne versus tooth-borne, pediatric versus adult, mini-implant placement, lingual root torque, myofunctional therapy, and the non-surgical no-diastema protocol for adults.
Technique
05
Dr. Stanley Liu
Outcomes of Maxillary Expansion for Sleep-Disordered Breathing
What expansion delivers and what it does not. Outcome data on nasal breathing and sleep apnea symptoms in pediatric and adult populations, the limitations, and where multilevel collaboration with ENT becomes essential.
Evidence
06
Dr. Claudia Pinter
Design Your Own Maxillary Expansion: Precision Care
The capstone. Designing a custom expander for an adult patient with guided mini-screw placement, the DOMExD protocol for synchronized expansion and aligners, anterior expansion for the internal nasal valve, and TAD-first versus TAD-last.
Precision care
Course participants observing a live patient at the Vienna Immersive Experience for DOME maxillary expansion

Vienna Immersive Experience

Two days in Vienna. Live patients. Hands-on.

Live patient demonstrations, hands-on mini-screw training, and the full maxillary expansion workflow from first turn to final aligner. September 4 and 5, 2026.

Vienna Immersive Experience, September 2026
Vienna Immersive Experience for DOME maxillary expansion

DOME with Precision from Start to Finish

DOMEzero Skeletal Maxillary Expansion without Gap

DOME Webinar Series

$750.00

Purchase

Vienna Immersive Experience September 4th-5th 2026

$4,500.00

Purchase

Please note that the DOME Webinar Series is a prerequisite for the Vienna Immersive Experience (in-person course).

After purchase, you will have access to the webinar series for 30 days. This allows you to work through the knowledge-intensive content at your own pace and ensures that our two days together in Vienna can be dedicated to what is best learned in person: building hands-on skills, watching live demonstrations, and reviewing a wide range of clinical cases.

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