Integrating MARPE with Clear Aligners
On-Demand Course | 8 CE Credits | Watch On Your Schedule
Stop Watching Cases Relapse. Start Diagnosing the Real Problem.
Modern orthodontic-minded dentistry is changing. The clinicians getting the best long-term results aren't just moving teeth into a nicer-looking arch; they're diagnosing why the arch was too narrow in the first place.
Transverse deficiency affects roughly a third of the population, and it's routinely underdiagnosed. Treat it with aligners alone, and you're often just flaring teeth over a skeletal problem, which is exactly why so many "successful" cases relapse.
Recorded live and taught by Dr. Lena Sapozhnikoff, this course gives you the full clinical experience (diagnosis, appliance mechanics, lab communication, and integration with Invisalign) without blocking off a weekend.
Get Instant AccessYou've Seen This Case Before.
You Just Didn't Know What You Were Looking At.
Crowding that won't stay corrected. A narrow smile the patient hates but can't explain. A cross bite you're managing instead of fixing. An open bite that keeps creeping back open no matter how well the aligners tracked.
Dr. Lena has been there, including a case early in her own aligner journey where she closed an open bite beautifully, felt proud of the result, and only years later understood she'd never addressed the mouth breathing and airway restriction that were driving the whole problem.
A true skeletal deficiency can only be fixed with a skeletal solution. This course teaches you how to tell the difference and what to do once you know.
Meet Your Educator
Dr. Lena Sapozhnikoff
Dr. Lena Sapozhnikoff is a comprehensive, whole-body, and airway-focused general dentist based in New York City. She earned her BA/MS in Molecular and Cell Biology from Brandeis University and earned her DDS from the Columbia University College of Dental Medicine.
Her practice blends advanced orthodontics (including MARPE and Invisalign), airway function, cosmetic enhancement, and restorative dentistry. She emphasizes holistic, complete-health dentistry, focusing on the connection between oral health, sleep-disordered breathing, and overall wellness.
Dr. Sapozhnikoff teaches and mentors other dental and medical professionals on airway screening, MARPE protocols, and adult/pediatric orthodontics.
What You'll Walk Away Able to Do
This isn't theory. It's a practical, real-world framework you can implement immediately:
- Diagnose transverse deficiency clinically and on CBCT, and know when it's a true skeletal problem versus a dental compensation
- Determine candidacy for TAD-supported (bone-anchored) expansion versus traditional approaches
- Plan and place MARPE appliances with confidence, from initial CBCT measurement to lab communication
- Recognize the signs it's working, including reading the midline diastema as your confirmation the suture has opened
- Integrate expansion with Invisalign case design, so you're not fighting a skeletal problem with tooth movement alone
- Manage the small diastema that follows expansion as a normal, expected part of the clear aligner phase
- Handle complications and referrals, including when a case needs a surgical approach instead
You'll leave with a repeatable protocol, not just a list of appliance options.
Why Practices Are Investing in MARPE Education
Bone-anchored expansion isn't just a new tool. It's a meaningful shift in how many transverse cases get diagnosed and treated:
- Stop relapse before it starts by treating the skeletal cause, not just the dental symptom
- Expand your case acceptance with patients who've been told "just crowded teeth" for years
- Open up cases you'd currently refer out or manage with compromise
- Strengthen case presentation by helping patients see the connection between a narrow maxilla, their bite, and how they breathe and sleep
- Deliver outcomes that hold patients who report breathing and sleeping better, not just a straighter smile
One well-diagnosed case can offset the full cost of this course.
This Isn't Just CE.
It's a Different Way to Diagnose the Bite.
Join a growing community of providers learning to see transverse deficiency for what it is — and treat it at the source, not just the surface.
You'll get 8 CE credits and 6 months of access, so you can watch it once or come back to it whenever you need a refresher. Bring your whole team along at no extra cost, and walk away with a full library of downloadable, editable patient questionnaires ready to use in your practice.
The future of orthodontic-minded dentistry starts with the maxilla. And it starts with you.
Enroll Now — Instant Access