76. My Airway Wake Up Call: What Adult Expansion (MARPE) Taught Me About Breath, Sleep, and Resilience with Ms. Margaret Stoch

March 31
50 mins

Episode Description

Your “teeth problem” might actually be a breathing problem, and the clues can show up as TMJ pain, clenching, headaches, chronic fatigue, nosebleeds, or sleep that never feels restorative. I sit down with Margaret Stoch, a speech language pathologist and founder of Advanced Therapy and Wellness Center in Illinois, to share her airway wake up call and the surprisingly emotional path that started with her son and ended with her becoming the patient.

We get real about adult palatal expansion with MARPE: what the appliance is, why the screws scare people, what placement day feels like, and why discomfort often comes from facial change during turning rather than the device itself. Margaret explains why customization and CBCT imaging matter, how bone-borne and hybrid expanders differ from tooth-borne expansion, and how to think about acronyms like MARPE, MSE, MSC, and SARPE without getting lost in brand names. If you have questions about adult airway orthodontics, this will give you clearer language and smarter questions for consults.

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About our Guest:
Margaret Stoch, MHS, CCC-SLP, a speech-language pathologist and founder of Advanced Therapy & Wellness Center in Illinois. She specializes in feeding and swallowing, orofacial myofunctional disorders, and airway-centered care linking oral function with breathing, sleep, and overall health.

Using a whole-body, root-cause approach, she addresses patterns such as mouth breathing, low tongue posture, and oral motor dysfunction. She is also a myofunctional therapist and certified nutrition coach who collaborates with multidisciplinary teams to support lasting functional outcomes.

Follow Margaret on Instagram:  @advanced_therapy_wellness and @margaret.stoch
Website: mytherapywellness.com

Support the show

ABOUT OUR HOST:

Renata Nehme RDH, BSDH, COM® has been a Registered Dental Hygienist since 2010. In 2016, when she was introduced to the world of "Myofunctional Therapy" she immediately knew that was her calling, especially when she learned that it encapsulated many of her passions- breastfeeding, the import of early childhood development, and airway health. 

In 2021 Renata founded Airway Circle with the intention of creating a collaborative and multidisciplinary group of like-minded health professionals who share the same passion for learning and giving in the dental health and airway space. 

Myo Moves - Become a Patient: www.myo-moves.com


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