Jason presented with a number of common TMD symptoms, not limited to symptoms in his inner ear and neck pain. His main complaint had to do with his airway. He often choked on his food, felt fatigued from exerted breathing while sleeping. Because he couldn’t sleep for more than a few hours a night he struggled with dizziness and brain fog. As a scientist and researcher these side effects were affecting his career. Despite already being subject to several airway related surgeries, he continued to struggle day to day. After a thorough clinical exam and review of his CBCT we saw that he was a candidate for arch expansion. Jason began sleeping better within weeks of beginning to develop his dental architecture and that sleep quality and ability to breathe day and night continued to improve over the following year as his other symptoms also resolved. Notice the dramatic change in his facial structure. He is now planning on having the chin implant removed that he had placed many years prior to mask his underdeveloped jaws.