DOMEzero - Upper Jaw Expansion Without a Gap
Modern orthodontics therefore goes far beyond simply straightening teeth—it takes into account the entire nasomaxillary complex and its function, thereby returning to its roots.
One of the most innovative developments in this field isDOMEzero.
Before and after DOMEzero: a wider smile, improved nasal breathing, improved breathing during sleep
What does DOME stand for?
DOME stands forDistraction Osteogenesis Maxillary Expansionand describes the process of lengthening both halves of the jaw to promote new bone formation.
The goal of this treatment is:
to improve nasal breathing
to make breathing easier while sleeping
to functionally optimize the bite
to create a broader, more harmonious smile
Why were the limitations of traditional maxillary expansion?
Previous methods had significant limitations.
Since the anchoring was mainly achieved through the teeth:
the teeth were used as anchors
unwanted tooth movement often occurred
often had to be expanded quickly to minimize side effects
In many cases, surgical intervention was necessary
A common problem in this context:
A visible gap developed between the front teeth (diastema)
This was not only aesthetically jarring, but could also:
influence the debate
make social interactions uncomfortable
The Paradigm Shift: Modern Mini-Implants
Today, we have access to entirely new possibilities.
The use of mini-implants (TADs) allows for the expansion:
be anchored directly into the bone
without putting pressure on the teeth
can be performed using smaller, more comfortable devices
This offers significant advantages:
In many cases, surgery is not necessary
more controlled and safer expansion
significantly reduced risk of side effects
Maximum precision in placing mini-implants makes it possible, in some cases, to expand the upper jaw without additional bone incisions
What is DOME ZERO?
The "ZERO" stands for a key difference: no gap (zero gap)
Expansion without an unsightly gap between the front teeth
How is that possible?
Through a slow, patient-specific titration protocol, combined with:
Aligners (clear aligners)
These ensure that:
the front teeth remain properly aligned
no visible gap is created
the treatment remains suitable for everyday use
The benefits of DOME ZERO at a glance
No visible gaps between the teeth during treatment
Improved nasal and sleep breathing
Gentle, bone-supported expansion
Lower risk of complications
Can be combined with aligners
Greater comfort and improved aesthetics during treatment
DOMEzero is a method for expanding the nasomaxillary complex that uses a patient-specific expansion protocol in combination with aligners to prevent gaps from forming between the front teeth and preserve the natural appearance of the smile.
Who is DOME ZERO suitable for?
This method is particularly useful for:
For ages 11 and up
People withimpaired nasal breathing
Patients withsleep-related breathing disorders
anyone who wants atreatment that is aesthetically unobtrusive
Patients who wish to avoid surgery (osteotomies)