Airway Orthodontics and Coordinating Care Remotely With Dr. Zubad Newaz

<p>In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Zubad Newaz, an orthodontist whose airway-focused practice runs across offices in New York, Vermont, and Florida, with a large share of patients treated at a distance. He completed a radiology residency before orthodontics, and has built the practice around a centralized diagnostic role so he can follow each case closely through treatment rather than splitting his time between offices.</p><p><br></p><p>The conversation covers how remote coordination actually functions between an orthodontist and a surgeon, where skeletal expansion fits relative to jaw surgery, and how both sides of that referral relationship see the same patient differently.</p><p><br></p><p>Topics covered in this episode:</p><p>- Running one treatment plan across four locations, and why a local orthodontist doing the orthodontics often works best</p><p>- Aligners, fixed appliances, and which long distance patients need a provider on the ground</p><p>- Monitoring expansion remotely with local CBCT and intraoral scans, and where the touch points fall</p><p>- Why airway-aware orthodontic practice has moved close to mainstream in the last few years</p><p>- Dr. Wasson revisiting his assumption about patients who expand with one provider and finish with another</p><p>- The three groups now offering expansion, and who is best positioned to oversee it</p><p>- Using space from expansion as currency for later segmental osteotomies</p><p>- The asymmetries that show up with expansion, including yaw from uneven pterygomaxillary release and septal base drag</p><p>- Why diagnosing what is still tethered during expansion is harder than it looks</p><p>- Device choice between FME and custom MARPE, and why the field is trending toward smaller expansions than in 2022</p><p>- Mandibular midline distraction, bone loss around the lower centrals, and mitigating it with SFOT</p><p>- Expanding the mandible during surgery instead of staging a separate distraction</p><p>- A tiered way of framing options for patients: teeth only, skeletal expansion, then jaw surgery</p><p>- How often expansion patients go on to need jaw surgery, and how often a case could be made for it</p><p>- What counts as a small, moderate, and large expansion when measured as skeletal yield rather than device activation</p><p>- Why skeletal relapse is lower than expected once expansion is held through re-ossification</p><p>- Whether to expand before MMA when a patient will have both,