There is a new trend in orthodontics starting at 2.5 years of age. Many patients are looking for a more permanent method of managing their airway and TMJ Disorders. Adults up to 70 years of age are being treated with a variety of techniques to reverse the changes to our skulls that have exacerbated over the last 200 years. Long narrow faces with high narrow palates have become more common. There is rarely room for all four third molars today and crowding has become increasingly common. Five or more successful techniques will be discussed.