Feel and Look Better in Your Own Smile
Breathe, Sleep, Look and Feel Better without Teeth Gaps! Synchronized Palatal Expansion with Clear Aligners for Adults and Kids. Novel orthodontic treatment that mimicks natural bite and facial development like never before.



Breathe Better
The DOME protocol expands the palate, improves nasal breathing and creates a beautiful smile without ever getting large teeth gaps.

Sleep Better
Improved nasal breathing and airway performance means more deep restorative sleep and less tossing, turning and snoring.

Feel Better
People who sleep better, feel better. The DOME protocols result in a more comfortable bite with less teeth clenching and jaw tension.
Synchronized Palatal Expansion and Clear Aligners
DOME has age appropriate treatments for the entire family. DOMEzero, DOMEteen and DOMEmini are treatment protocols designed to expand the palate, improve nasal breathing, and create a healthy, DOME-shaped palate - without large teeth gaps or bulky appliances. Better and Faster results can be achieved when maxillary expansion and bite correction are done at the same time. DOME more closely mimicks natural growth patterns by developing the face and bite 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

How DOMEzero/DOMEmini Work

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Orthodontics That Improves Breathing, Beauty, and the Bite.
DOMEzero, DOMEteen and 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, DOMEteen and DOMEmini improve airway function, support proper tongue posture, and deliver a healthier, more comfortable smile. The DOME family of orthodontic treatments are novel and mimick natural growth more closely than ever before.
What is DOMEzero?
Dr. Stanley Liu Discusses "DOME"
The DOME Concept
The DOME concept was pioneered 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.
Synchronized Naso-Maxillary Expansion and Clear Aligners
DOMEzero, DOMEteen and DOMEmini use Dr. Claudia Pinter’s protocol in planning and synchronizing bone-anchored maxillary expansion and clear aligner orthodontics. The DOME family of orthodontic treatments are the first to deliver synchronized expansion and orthodontic results into a complete patient solution without getting large teeth gaps.
Tethered Oral Tissue Release and Myofunctional Therapy
The DOME protocol involves identifying myofunctional problems such as tongue, lip and cheek ties (aka tethered oral tissues). The DOME protocol 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.
DOME Protocols and Therapy
The DOME protocols create a DOME-shaped palate, deliver a beautiful smile, and align the teeth at the same time. But more than that, DOME helps us breathe better, sleep better, feel better and smile better. DOME 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.
