Design your Own Maxillary Expansion (DOME)

for Sleep-disordered Breathing

Webinar Series & Live-patient Observation with Hands-on Practice in Vienna 

Dr. Claudia Pinter
Dr. Stanley Liu

This course is designed to share our collective experience in helping patients with sleep-disordered breathing, who are candidates for maxillary expansion. We designed the curriculum for dental and surgical colleagues who aim to optimize sleep breathing health as part of the treatment plan.

There are 2 parts to this course.

Part 1 is a webinar series of 6 lectures that builds foundational knowledge from sleep medicine and orthodontics. You can elect to take only Part 1.

For colleagues ready to move forward, we invite you to join us in Vienna for part 2 for an Immersive Experience (VIE). VIE is a 2 day in-person course that includes live patient demonstrations and a hands-on session to “design your own maxillary expansion (DOME)”. We will also share our protocols and assessment process to get you started!For colleagues joining us for the Vienna Immersive Experience, the webinar series is required.

DOME Webinar Series

$750.00

Vienna Immersive Experience (VIE)

$4500.00

Learning Objectives

Vergleich zwischen einer Nasenbogenstruktur (Arch) mit Nasenpassage und einer Nasenscheidewand mit Nasenbodenverdünnung (Dome) mit Nasenraumerweiterung.

  • Merge Airway-Focused Orthodontics into Your Practice

  • Master the Role of Maxillary Expansion in Sleep-Disordered Breathing (SDB)

  • Diagnose and Plan Maxillary Expansion for SDB Patients

  • Practice and Observe Liveo Orthodontic Mini-Screw Placement

  • Integrate Expander designs and expansion protocols (No Diastema)

DOME Webinar Series (6 online lectures with Q/A)

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Lecture live on Saturday (45 minutes lecture, 15 minutes Q/A)

8 AM PST (Los Angeles)

10 AM EST (New York)

5 PM CET (Vienna)

Lectures are recorded and available for 30 days.

  • Faculty: Dr. Stanley Liu

    1. Define SDB

    2. Define symptoms, co-morbidities

    3. Define size of total addressable market (of patients)

    4. Define General Treatment

    5. Prelude to why dentists.

  • Faculty: Dr. Claudia Pinter

    History review:

    1. Airway Orthodontics is not new

    Modern tools:

    1. Osseointegration vs mechanical retention

    2. Insertion torque for mini screw placement

    3. Anatomical considerations for mini screw placements (best insertion sites)

  • Faculty: Dr. Stanley Liu

    Improve use of CPAP and oral appliance

    1. What options are there for patients who can’t use CPAP or OAT

    2. Nasal anatomy, diagnosis of nasal obstruction, and medical treatment

    3. Introduce maxillary expansion

  • Faculty: Dr. Claudia Pinter

    How does the expansion technique change with patient age

    1. What are determining factors whether patient needs surgical assistance

    2. Latest trends in non-surgical adult maxillary expansion

  • Faculty: Dr. Stanley Liu

    From peds to adults, what is the outcome of maxillary expansion

    1. Why maxillary expansion makes all other treatments better

      1. Including surgical treatments of pharynx, tongue, hypoglossal, skeletal

    2. What is the position/role/timing of maxillary expansion 

    3. Brief history of modern maxillary expansionn text goes here

  • Faculty: Dr. Claudia Pinter

    1. Are custom made expanders worth the extra cost?

    2. Pro’s and con’s for appliance first versus bone first approach

    3. How many mini-scews are in enough?

Vienna Immersive Experience

  • Faculty: Dr. Stanley Liu

    Learn how to evaluate UARS and pediatric patients, interpret endoscopic views, and apply a nasal treatment algorithm in clinical decision-making.

  • Faculty: Dr. Stanley Liu

    Understand what limits expansion, what structures must give, and how to coordinate nasal, pharyngeal, or other procedures for optimal results.

  • Faculty: Dr. Claudia Pinter

    Practice the full clinical workflow—from anesthesia to torque settings—on phantom heads with step-by-step guidance on guided and freehand techniques

  • Faculty: Dr. Claudia Pinter

    Compare appliance-first vs. bone-first approaches, determine patient-specific expansion rates, and avoid midline diastema with strategic planning.

  • Faculty: Dr. Claudia Pinter

    Plan aligner expansion with confidence using Blue Sky Plan software, optimize screw placement, and track long-term results—soon with app support.

  • Faculty: Dr. Claudia Pinter

    Analyze real cases of screw breakage, torus palatinae challenges, and identify when surgical osteotomies are necessary.

The webinar series provides essential background for the in-person course and are registered separately.

Please note that DOME surgical osteotomies are not part of the hands-on sessions or live patient demonstrations. Its indications will be discussed during treatment planning.

Vienna, Museum with DOME shaped roof

Vienna Immersive Experience Schedule

Reception on the evening of Thursday 26th (Optional)

Friday, March 27th, 2026

Morning:

  • Lectures

  • Live patients (mini-screw placement, Expander insertion)

Lunch

  • Lectures

  • Hands on session (mini-implant placement on typodont, free handed, versus guided)

Dinner (Faculty & Participants)

Saturday, March 28th, 2026

Morning:

  • Lectures

  • Live patients (mini-screw placement, Expander insertion)

Lunch

  • Case discussions

  • Closing

Aligner used in combination with skeletal expansion
Distraction Osteogenesis Maxillary expansion
Vienna Austria

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