Breathe, Sleep, Look and Feel Better without Teeth Gaps! Synchronized Palatal Expansion with Clear Aligners for Adults and Kids. Optimize your Airway and Fix your Bite at the same time.

Synchronized Palatal Expansion and Clear Aligners

DOMEzero/DOMEmini are airway-focused treatment protocols designed to expand the palate, improve nasal breathing, and create a healthy, DOME-shaped palate - without large gaps or bulky appliances. Better and Faster results can be achieved when maxillary expansion and bite correction and done at the same time.

• Improves Nasal Breathing
• Enhances Sleep Quality
• Creates a DOME-Shaped Palate
• Alternative to Bicuspid Extractions
• Synchronized Expansion & Clear Aligner Treatment
• Creates a Beautiful Smile
• Balanced Bite & TMJ Harmony
• Can Improve Facial Development/Balance

Orthodontics That Improves Breathing, Sleep, and Facial Balance

DOMEzero/DOMEmini are designed for adults and kids with narrow, high-vaulted palates who struggle with nasal breathing, sleep quality, clenching, or crowding. By creating a DOME-shaped palate and aligning the teeth at the same time, DOMEzero/DOMEmini improve airway function, support proper tongue posture, and deliver a healthier, more comfortable smile — all in one coordinated treatment.

How DOMEzero / DOMEmini Work

DOMEzero/DOMEmini create a larger “DOME-shaped” space in the palate. The DOME concept was invented by Dr. Stanley Liu who recognized that people with a “DOME-shaped” palate (vs a high-vaulted palate) have larger nasal airways, more tongue space and that they breathe better and sleep better.

DOMEzero/DOMEmini use Dr. Claudia Pinter’s protocol in planning and synchronizing bone-level palatal expansion and clear aligner orthodontics. DOMEzero/DOMEmini are the first airway focused treatments to deliver synchronized expansion and orthodontic results into a complete patient solution without getting large teeth gaps.

The DOMEzero/DOMEmini protocol involves identifying myofunctional problems such as tongue, lip and cheek ties (aka tethered oral tissues). DOMEzero/DOMEmini incorporates Dr. Gary Adams’ understanding about how orofacial myofunctional problems can contribute to breathing problems, facial asymmetries and cranial-facial underdevelopment. Diagnosing and treating tethered oral tissues is critical to achieving balanced cranial-facial development, optimal head and tongue posture and preventing orthodontic relapse.

DOMEzero/DOMEmini creates a DOME-shaped palate, delivers a beautiful smile, and aligns the teeth at the same time. But more than that, DOMEzero/DOMEmini are protocols that help adults and kids breathe better, sleep better, feel better and smile better. DOMEzero/DOMEmini involves:

• “Screws-first” customized bandless DOMEzero/DOMEmini expander. Bandless expanders are small and usually allow for tongue suction and palatal posture.
• Clear aligners move the teeth at the same time the expansion is getting done. Large Palate and No Large Gaps.
• Myofunctional Therapy to strengthen and train the muscles in the airway and tongue. Tongue posture needs to be lightly suctioned onto the palate or the airway will still obstruct.
• Diagnosis and release of tethered oral tissues, including tongue ties, lip ties and buccal ties. The musculature can be the root cause of why our jaws, teeth and faces did not grow correctly to begin with and why we are not breathing properly and clenching our teeth now. TOTs can also contribute to facial asymmetries and head, neck and jaw tension.
• Neutral bite alignment in harmony with the TMJ.

DOMEzero Before & After + Patient Interview