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Dr Won Moon

Dr Won Moon

Dr Won Moon

USA



Listen to Dr Won Moon at the 2024 ASLO Congress.

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The New Age of Orthodontics Using AI and Digital Technologies: Overcoming the Limitations, and Charting the Unknown Territories with MSE, New Generation of Aligner Systems and Novel Lingual Appliances

LECTURE

The discipline of orthodontics is going through drastic changes with the advent of new concepts and technologies. Among these, the non-surgical maxillary expansion in mature patients and clear aligner treatment have taken the center stages of the clinical interests. Although numerous research data and successful clinical cases were presented in recent years, there are many unanswered questions, shortcomings, and challenges we must overcome as we learn to adapt these novel treatment concepts. The shortcomings associated with the maxillary expansion and the current aligner systems will be discussed in detail, and potential solutions by the use of bone-borne expander and novel aligner systems will be proposed. The Maxillary Skeletal Expander (MSE) has evolved since 2004, and overcoming its shortcomings will be illustrated through a trouble shooting exercise. Despite the continuous improvements with various aligner systems, there exist many limitations of their applications. A novel aligner concepts designed to overcome these shortcomings will be introduced, and combining these two devices for optimal treatments of difficult cases will be discussed.

 

Furthermore, many other novel products have been introduced in the market place, with claims of certain advantages over the existing systems. As these new innovations flood the orthodontic world, the obvious question becomes the relevance of the existing system, including the lingual appliances. The world of orthodontics is evolving at a furious speed, and it is easy to lose sight of the fundamental concepts of orthodontic biomechanics. This presentation will shed some light into incorporating the common-sense biomechanics and fundamental principles of orthodontics as we embrace the changes. 

 

Learning Objectives: 

  • Overall concept of MSE; differentiating craniofacial and dentoalveolar changes 
  • Proper use, fabrication, protocols, and management of MSE cases based on mechanical and biological considerations
  • Shortcomings with current aligner systems
  • Novel concepts and future directions (Aligner vs Lingual System vs Labial System)


WORKSHOP: THURSDAY  01 AUGUST

Course Title:

How to Incorporate Maxillary Skeletal Expander (MSE) in Your Practice Immediately:

The Nuts and Bolts of MSE Application 

Course Detail: 

The non-surgical Maxillary Skeletal Expander (MSE) has evolved since 2004, and its application has steadily been growing globally. With the proliferation of MSE-related publications by multiple authors, there is clear evidence to support its impact. The essential nuts and bolts of the diagnosis, treatment planning, appliance selection, fabrication, digital workflow, expansion protocols, patient management, and troubleshooting process related to MSE will be highlighted. Some recent discoveries will be explored with research data. The aim of this presentation is to relay the most practical information for immediate implementation of this novel technique in everyone’s clinical practice.  

Learning Objectives: 

  • Overall concept of MSE, Dx and Tx planning, and patient selection
  • MSE vs Other MARPE: Resistance vs Bone Driven Systems
  • Craniofacial vs dentoalveolar changes with MSE 
  • Proper appliance selection and fabrication
  • Digital MSE placement
  • Optimal activation protocol based on mechanical and biological considerations
  • Solution for patients with narrow palates
  • Solution for patients requiring multiple MSEs
  • Asymmetric patients and asymmetric expansion
  • Cortopuncture and MSE for challenging cases
  • Combining minor surgical procedure with MSE for even more challenging cases
  • MSE and airway changes
  • Troubleshooting 

Biography

Won Moon, DMD, MS

Professor, Department of Orthodontics, Ajou University School of Medicine

Adjunct Professor, The Forsyth Institute

Adjunct Professor, Kyung Hee University

Former Thomas R. Bales Endowed Chair in Orthodontics, UCLA (2013-2020)

Founder, the Moon Principles International Research Institute 

Co-Founder, BioTech Innovations

Diplomate of the American Board of Orthodontics, since 2002

 

 

Dr. Won Moon is the Founder/CEO of the Moon Principles Institute (“the MoonLab”) and a Co-founder/Chief Innovations Officer of BioTech Innovations. He served as the Thomas R. Bales Endowed Chair in Orthodontics for the orthodontic residency program at UCLA School of Dentistry (2013-2020), and he currently holds three academic positions: Full-Professorship at Ajou University School of Medicine, and Adjunct Professorship at the Forsyth Institute and Kyung Hee University. He has been a Diplomate of the American Board of Orthodontics since 2002. 

 

He completed his dental education at Harvard and orthodontic education at UCLA. He studied mathematics prior to dentistry. His work has been published in various journals, not necessarily limited to orthodontics because of his physical science background, and he is a co-author of seven textbooks, including the Graber’s 7th Edition. He has presented these findings in over 55 countries, totaling over 600 presentations. He received multiple research grants during his tenure at UCLA, including the Groundbreaking Research Project Grant Award in 2014. Besides the numerous research and presentation awards over the years, he has received the “Faculty of the Year Award” multiple times, and he was the recipient of the “Lifetime Achievement and Faculty Dedication/Excellence Award” in 2019 and the “Best Mentor Award” in 2022. His current focus has been establishing protocols for orthopedic corrections with MI, improving the airway for patients with nasal obstruction, creating virtual patients utilizing image analysis and FEM, and developing a novel Aligner System.

 

His interest in mid-facial expansion began in 2004 as micro-implant became available in the USA, and he is responsible for developing Maxillary Skeletal Expander (MSE), a unique micro-implant assisted rapid palatal expander (MARPE). He has been active in advocating non-surgical skeletal expansion in both children and adult patients, especially for those who may suffer from airway restrictions. His presentation in MSE has been widely accepted internationally, and numerous peer-reviewed publications are available.

 

 

His interest in aligner systems began in 2010 as the aligner systems became popular, but they had countless shortcomings and could not achieve optimal orthodontic results. He has won the Center Award Grant from the American Association of Orthodontic Foundation (AAOF) in 2018 as a Co-PI of the research project, “Standard Characterization of Clear Orthodontic Aligner”, and the goal of the project was to develop protocols that can be used to evaluate the mechanical properties of clear aligners. He was also invited as a keynote speaker for the Congress of the Spanish Society of Aligners (SEDA) and National Congress of Italian Aligner Society (SIALIGN) in 2021. He is currently involved in multiple aligner research projects in collaboration with national and international colleagues.


MSE Related References

 

  1. Combs A, Paredes NA, Ramon DM, Maroto MR, Zhang B, Elkenawy I, Sfogliano L, Fijany L, Colak O, Moon W. Long-Term Effects of Maxillary Skeletal Expander Treatment on Functional Breathing. Korean J Orthod. Accepted for Publication (KJO 23-090), 2023

 

  1. Mompell RD, Zhang B, Paredes N, Combs A, Elkenawy I, Sfogliano L, Fijany L, Colak O, Maroto MR, Moon W. Objective and Subjective Functional Breathing Changes Following Treatment with a Mini-implant-supported Maxillary Skeletal Expander (MSE) in Late Adolescent or Adult Patients. J Orofacial Orthopedics. Accepted for Publication (JOOF-D-22-00172), 2022

 

  1. Hsu LF, Moon W, Chen SC, Chang KW. Digital workflow for mini-implant-assisted rapid palatal expander fabrication-a case report. BMC Oral Health. 2023 Nov 20;23(1):887. doi: 10.1186/s12903-023-03589-5. PMID: 37985987

 

  1. Paredes NA, Gargoum A, Ramon DM, Colak O, Bui J, Duong T, Giannetti M, Silva F, Brooks K, Moon W. Microimplant (MI) displacement pattern of the Maxillary Skeletal Expander (MSE) studied with Cone-beam computed tomography (CBCT). Korean J Orthod. 2023 Sep 25;53(5):289-297. doi: 10.4041/kjod23.056. Epub 2023 Sep 5. PMID: 37666573

 

  1. Paredes N, Sfogliano L, Elkenawy I, Fijany L, Fraser A, Zhang B, Torres MC, Moon W. Methodology Paper: Defining fulcrums for craniofacial structures with midfacial skeletal expander (MSE) treatment and applying novel angular measurement system for accurate assessments. Clinical Case Reports International, 2022 Dec. Vol 6, Article 1448.

 

  1. Rossi D, Cantarella D, Karanxha L, Mancini EG, Cullati F, Moon W. Single-incision mini-invasive surgery for miniscrew assisted rapid palatal expansion. Advances in Oral and Maxillofacial Surgery, 2022 Dec. https://doi.org/10.1016/j.adoms.2022.100380

 

  1. Karanxha L, Cantarella D, Paredes NA, Hamanaka R, Del Fabbro M, Moon W. Premolar and molar inclination changes following micro-implant assisted maxillary skeletal expander (MSE): a three-dimensional analysis and visualization, Applied Sciences. 2022 Aug 12, 8742. https://doi.org/10.3390/App12178742

 

  1. Hollander Z, Fraser A, Paredes N, Bui J, Chen Y, Moon W. Nonsurgical maxillary orthopedic protraction of a hyperdivergent class III malocclusion with bilateral crossbite in an adult.  Am J Orthod Dentofacial Orthop. 2022 Aug;162(2):264-278. doi: 10.1016/j.ajodo.2021.02.027. Epub 2022 May 6. PMID: 35534400

 

  1. Brunetto DP, Moschik CE, Dominguez-Mompell R, Jaria E, Sant'Anna EF, Moon W. Mini-implant assisted rapid palatal expansion (MARPE) effects on adult obstructive sleep apnea and quality of life: preliminary results of a multi-center prospective controlled trial. Prog Orthod. 2022 Feb 1;23(1):3. doi: 10.1186/s40510-021-00397-x. PMID: 35102477

 

  1. Fukawa R, Moon W, Aga M, Deguchi T. Posterior crossbite with mandibular asymmetry treated with lingual appliances, maxillary skeletal expanders, and alveolar bone miniscrews. Am J Orthod Dentofacial Orthop. 2021 Dec 4:S0889-5406(21)00662-4. doi: 10.1016/j.ajodo.2021.09.007. PMID: 34876313

 

  1. Cho AR, Park JH, Moon W, Chae JM, Kang KH. Short-term effects of microimplant-assisted rapid palatal expansion on the circummaxillary sutures in skeletally mature patients: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2021 Dec 3:S0889-5406(21)00552-7. doi: 10.1016/j.ajodo.2021.01.023. PMID: 34872829

 

  1. Tome W, Moon W. The prevalence of posterior tongue tie in patients with transverse maxillary deficiency. Australian Orthod J 2021; 37(2):294-300.

 

  1. Cantarella D, Karanxha L, Zanata P, Moschik C, Torres A, Savio G, Fabbro MD, Moon W. Digital Planning and Manufacturing of Maxillary Skeletal Expander for Patients with Thin Palatal Bone. Medical Devices: Evidence and Research 2021:14 299–311.

 

  1. Lee DW, Park JH, Moon W, Seo HY, Chae JM. Effects of bicortical anchorage on pterygopalatine suture opening with microimplant-assisted maxillary skeletal expansion. Am J Orthod Dentofacial Orthop. 2021 Jan 22:S0889-5406(20)30844-1. doi: 10.1016/j.ajodo.2020.02.013. Online ahead of print.

 

  1. Elkenawy I, Fijany L, Colak O, Paredes NA, Gargoum A, Abedini S, Cantarella D, Mompell R, Sfogliano L, Moon W. An assessment of the magnitude, parallelism, and asymmetry of micro-implant assisted rapid maxillary expansion in non-growing patients. Progr Orthod. 2020 Dec 23;21(1):42. doi: 10.1186/s40510-020-00342-4. PMID: 33225406

 

  1. Colak O, Paredes NA, Elkenawy I, Torres M, Bui J, Jahangiri S, Moon W. Tomographic Assessment of Palatal Suture Opening Pattern and Pterygopalatine Suture Disarticulation in the Axial Plane After Midfacial Skeletal Expansion. Progr Orthod. 2020 Jul 20;21(1):21. doi: 10.1186/s40510-020-00321-9. PMID: 32686018

 

  1. Paredes N, Colak O, Sfogliano L, Elkenawy I, Fijany L, Fraser A, Zhang B, Moon W. Differential assessment of skeletal, alveolar, and dental components induced by microimplant-supported midfacial skeletal expander (MSE), utilizing novel angular measurements from the fulcrum. Prog Orthod. 2020 Jul 13;21(1):18. doi: 10.1186/s40510-020-00320-w. PMID: 32656601

 

  1. Cantarella D, Savio G, Grigolato L, Zanata P, Berveglieri C, Giudice A, Isola G, Fabbro M, Moon W. A new methodology for the digital planning of micro-implant-supported maxillary skeletal expansion. Med Devices (Auckl). 2020 Mar 18;13:93-106. doi: 10.2147/MDER.S247751. eCollection 2020. PMID: 32256130

 

  1. Song KT, Park JH, Moon W, Chae JM. Three-dimensional changes of the zygomaticomaxillary complex after mini-implant assisted rapid maxillary expansion (MARME). Am J Orthod Dentofacial Orthop. 2019 Nov;156(5):653-662. doi: 10.1016/j.ajodo.2018.11.019. PMID: 31677674

 

  1. Storto CJ, Garcez AS, Suzuki H, Cusmanich KG, Elkenawy S, Moon W, Suzuki SS. Assessment of respiratory muscle strength and airflow before and after microimplant-assisted rapid palatal expansion. Angle Orthod. 2019 Mar DOI: 10.2319/070518-504.1

 

  1. Garcez AS, Suzuki SS, Storto CJ, Cusmanich KG, Elkenawy I, Moon W. Effects of Maxillary Skeletal Expansion on respiratory function and sport performance in a Para-athlete – a case report. Phys Ther Sport. 2019 Mar;36:70-77. doi: 10.1016/j.ptsp.2019.01.005. Epub 2019 Jan 14. PMID: 30677598

 

  1. Suzuki SS, Braga LS, Fujii D, Moon W, Suzuki H. Corticopuncture facilitated Micro-implant Assisted Rapid Palatal Expansion. Case Rep Dent. 2018 Dec 6;2018:1392895. doi: 10.1155/2018/1392895. eCollection 2018. PMID: 30627452

 

  1. Abedini S, Elkenawy I, Kim E, Moon W. Three-dimensional soft tissue analysis of the face following micro-implant supported maxillary skeletal expansion. Prog Orthod. 2018 Nov 19;19(1):46. doi: 10.1186/s40510-018-0243-z. PMID: 30450504

 

  1. Cantarella D, Dominguez-Mompell R, Moschik C, Sfogliano L, Elkenawy I, Pan HC, Mallya SM, Moon W. Zygomaticomaxillary modifications in the horizontal plane induced by micro-implant-supported skeletal expander, analyzed with CBCT images. Prog Orthod. 2018 Oct 22;19(1):41. doi: 10.1186/s40510-018-0240-2. PMID: 30345476

 

  1. Cantarella D, Dominguez-Mompell R, Moschik C, Mallya SM, Pan HC, Alkahtani MR, Elkenawy I, Moon W. Midfacial changes in the coronal plane induced by micro-implant-supported skeletal expander, studied with CBCT images. Am J Orthod Dentofacial Orthop. 2018 Sep;154(3):337-345. doi: 10.1016/j.ajodo.2017.11.033. PMID: 30173836

 

  1. Moon W. Class III Treatment by Combining Facemask (FM) and Maxillary Skeletal Expander (MSE). Seminars in Orthodontics. 2018 Mar;24(1):95-107 (Ref: YSODO524; ISSN 1037-8746). DOI: 10.1053/j.sodo.2018.01.009

 

  1. Muelas L, Moon W. Interview with Dr. Leinor Muelas and Dr. Moon. Modern Dentist. 2017 Dec;31:20-25.

 

  1. Moon W. Non-Surgical Orthopedic Correction with Micro-Implants: Breaking the Rules and Expanding the Boundaries. J Kinki: Special Lecture. 2017 Nov;52:8-13

 

  1. Cantarella D, Dominguez-Mompell R, Mallya SM, Moschik C, Pan HC, Miller J, Moon W. Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging. Prog Orthod. 2017 Nov 1;18(1):34. doi: 10.1186/s40510-017-0188-7. PMID: 29090368

 

  1. Lee RJ, Moon W, Hong C. Effects of monocortical and bicortical mini-implant anchorage on bone-borne palatal expansion using finite element analysis. Am J Orthod Dentofacial Orthop. 2017 May;151(5):887-897. doi: 10.1016/j.ajodo.2016.10.025. PMID: 28457266

 

  1. Brunetto DP, Sant'Anna EF, Machado AW, Moon W. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental Press J Orthod. 2017 Feb;22(1):110-125. doi: 10.1590/2177-6709.22.1.110-125.sar. PMID: 28444019

 

  1. Carlson C, Sung J, McComb RW, Machado AW, Moon W. Authors' response. Am J Orthod Dentofacial Orthop. 2017 Jan;151(1):4-6. doi: 10.1016/j.ajodo.2016.10.011. PMID: 28024781

 

  1. Suzuki H, Moon W, Previdente LH, Suzuki SS, Garcez AS, Consolaro A. Miniscrew-assisted rapid palatal expander (MARPE): the quest for pure orthopedic movement. Dental Press J Orthod. 2016 Jul-Aug;21(4):17-23. doi: 10.1590/2177-6709.21.4.017-023.oin. PMID: 27653260

 

  1. Carlson C, Sung J, McComb RW, Machado AW, Moon W. Micro-implant Assisted Rapid Palatal Expansion (MARPE) Appliance to Orthopedically Correct Transverse Maxillary Deficiency in an Adult Patient. Am J Orthod Dentofacial Orthop. 2016 May;149(5):716-28. doi: 10.1016/j.ajodo.2015.04.043. PMID: 27131254 “2017 CDABO Case Report of the Year Award”

 

  1. Moon W. Using Micro-Implant Assisted Maxillary Skeletal Expanders (MSEs) in Nonsurgical Orthopedic Correction. Summary of the Presentation by Won Moon at the PCSO Annual Session, Oct 22, 2015. PCSO Bulletin. 2016 Summer; 53-55. Edited by Hong C.

 

  1. Ngan P, Moon W. Evolution of Class III treatment in orthodontics. Am J Orthod Dentofacial Orthop. 2015 Jul;148(1):22-36. doi: 10.1016/j.ajodo.2015.04.012. PMID: 26124025

 

  1. Moon W, Wu KW, MacGinnis M, Sung J, Chu H, Youssef G, Machado A. The Efficacy of Maxillary Protraction Protocols With the Micro-Implant Assisted Rapid Palatal Expander (MARPE) and the novel N2 Mini-Implant - A Finite Element Study. Prog Orthod. 2015;16:16. doi: 10.1186/s40510-015-0083-z. Epub 2015 Jun 4. PMID: 26061987

 

  1. MacGinnis M, Chu H, Youssef G, Wu KW, Machado AW, Moon W. The Effects of Micro-Implant Assisted Rapid Palatal Expansion (MARPE) on the Nasomaxillary Complex - A Finite Element Method (FEM) Analysis. Prog Orthod. 2014 Aug 29;15(1):52. doi: 10.1186/s40510-014-0052-y. PMID: 25242527

 

  1. Moon W. An Interview with Won Moon by Andre Wilson Machado, Barry Briss, Greg J Huang, Richard Kulbersh and Sergei Godeiro Fernandes Rabelo Caldas. Dental Press J Orthod. 2013 May-Jun;18(3):12-28. doi: 10.1590/s2176-94512013000300005. PMID: 24228299

 

MSE Related Book Chapters:

  1. Moon W, Khullar R. “Class III Orthopedic Treatment with Skeletal Anchorage” (DOI: 10.2174/9781608054916114010008) Chapter 5: 116-150 (35). Orthodontic Treatment of Class III Malocclusion (DOI: 10.2174/97816080549161140101 eISBN: 978-1-60805-491-6, ISBN: 978-1-60805-686-6), Bentham eBooks, June/July 2014.

 

  1. San’Anna EF; Caneiro da Cunha A; Marquezan M; Brunetto DP; Moon W. “Expansao Dentoalveolar Em Pacientes Adultos Utilizando Disjuntores” Chapter 16: 228-238. Capitulo Livro Arbor (Book from Brazilian Association of Orthodontics), June 2016.

 

 

  1. Moon W: “Maxillary Expansion in Skeletally Mature Patients with TADs” Chapter 24: 223-232 (35). Temporary Anchorage Devices in Clinical Orthodontics (ISBN: 978-1-119-51347-6; e ISBN: 978-1-119-51362-9), Wiley, April 2020.

 

  1. Moon W: “Maxillary Expansion in Adults” Chapter 25. Graber: Orthodontics, Seventh Edition, Elsevier, to be out in 2022.



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