Listed DOMEzero provider · Utah

Adult expansion for the structure behind your breathing.

DOMEzero and a no-diastema MASPE/MARPE protocol for adults whose narrow palate is part of the reason nasal breathing and sleep are hard. Expansion and clear aligners are planned together, so the goal is a wider palate without a large gap between the front teeth.

Book a consult Call 801-893-0234

Virtual consult $250 · In-office consult $350 · Credited to treatment if you proceed.

No large front gap Bone-anchored expansion coordinated with clear aligners.

Root cause

Tired sleep and mouth breathing often start with a jaw that never had enough room.

A high, narrow palate is the floor of the nose and the ceiling of the tongue. When that space is small, nasal airflow is tighter, the tongue sits low, and sleep can stay fragmented even after a full night in bed. Masks and mouthpieces can manage the symptom. This consult is about whether the structure itself can be widened.

Hard to breathe through the nose, or a mouth-breathing habit

Sleep that does not feel restorative, snoring, or CPAP you cannot live with

A vaulted palate, crowding, or a tongue that feels like it has nowhere to go

Clenching, bite discomfort, or a smile you want wider without a visible gap

The protocol

DOMEzero, or MASPE/MARPE, with a no-diastema plan.

This page is only about bone-anchored adult expansion finished with clear aligners at the same time. It is not a removable appliance and it is not a generic lab expander. Cases in the DOMEzero protocol are coordinated with the DOME planning team. The point of the “zero” plan is skeletal widening without the large space between the front teeth that traditional expanders leave.

01 · Structure

A larger palate

Miniscrew-anchored expansion aimed at the maxilla itself, to create more nasal floor and more tongue space.

02 · No gap

Aligners in parallel

Clear aligners move with the expansion so the bite is finished while the jaw is widening, instead of waiting for a second phase and a visible diastema.

03 · Function

The rest of the airway

When the exam calls for it, the plan can include myofunctional therapy, a tongue or lip-tie release, and QuietNite soft-tissue treatment for snoring and airway resistance.

Who this is for

Adults who already know the name, and adults who only know the problem.

01 You have read about DOMEzero, MARPE, or MASPE and want the Utah provider who uses a no-gap protocol.

02 You cannot rely on your nose, and a sleep study, CPAP, or snoring has already told you something is narrow.

03 You want the smile and the bite handled in the same plan, not after months of a front-tooth gap.

04 You are willing to be told if you are not a candidate. Suture maturity and anatomy decide that, not the ad.

Investment

Plain numbers, before the consult.

Skeletal expansion, DOMEzero or no-diastema MASPE/MARPE$4,500–$6,500

Clear aligners run concurrently with expansion$5,500

Myofunctional therapy, when indicatedIncluded in the full plan

Tongue or lip-tie release, when indicatedIncluded in the full plan

QuietNite soft-tissue treatment for snoring and airway resistance, when indicatedIncluded in the full plan

Consult fees are separate, and are applied as a down payment if you accept treatment.

Start

Two ways to find out if this is your case.

Zoom

$250

A virtual consult to review your history, photos, and whether a no-diastema expansion consult is even the right next step.

Book the Zoom consult

In office · Draper

$350

Records, CBCT, and an in-person look at the palate, nose, tongue space, and bite. 14203 Minuteman Drive, Draper, UT 84020.

Book the in-office consult

If you start treatment, the consult fee is credited to the case. Prefer the phone? Call or text 801-893-0234. Financing applications go through Cherry.

The provider

Dr. Jeff Buxton, DMD

Airway-focused dentist in Draper and the listed Utah DOMEzero provider. The practice is built around sleep-disordered breathing, adult skeletal expansion, and the function around the bite — not a one-visit whitening offer.

Utah DOMEzero provider Diplomate, American Sleep and Breathing Academy Breathe Institute Ambassador Vivos VIP provider AADSM member

Toothpillow Breathing and Sleep Center · 14203 Minuteman Drive, Draper, Utah 84020

Questions

Before you book.

Is this the same as surgical DOME?

No. Classic DOME is a surgically assisted expansion associated with Dr. Stanley Liu’s work. DOMEzero is a bone-anchored protocol coordinated with clear aligners and a no-diastema plan. The consult is where we say which one, if either, fits your sutures and your airway.

Will I get a gap between my front teeth?

The protocol on this page is planned to avoid the large diastema people associate with older expanders. Aligners run at the same time as expansion. Small transitional spaces can still happen. A guaranteed invisible course is not something any honest office can promise.

Will this cure sleep apnea?

No. Widening the maxilla can increase nasal volume and, in selected adults, improve sleep-disordered breathing. It is not a cure, and it does not replace a physician’s diagnosis. Some patients still need medical therapy after expansion.

Why is the full plan about $16,000?

Expansion alone is $4,500 to $6,500. Concurrent aligners are $5,500. A complete breathing plan often also includes myofunctional therapy, a tie release if the exam shows one, and QuietNite soft-tissue treatment. Added together, that complete plan is about $16,000. You are not billed for pieces you do not need.