In this case report, a 19-year-old male patient with maxillary transverse deficiency, concave profile, and facial asymmetry is presented. In the case of transversal insufficiency, nonsurgical maxillary expansion was performed with the miniscrew-assisted rapid palatal expansion (MARPE) appliance to reduce the number of surgeries and provide both dentoalveolar and skeletal expansion. The periodontal soundness and short-term stability of the maxillary expansion were confirmed both clinically and radiologically. Mandibular prognathism was later corrected with orthognathic surgery. MARPE is an effective approach to the treatment of maxillary transverse deficiencies in adult patients.
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http://dx.doi.org/10.1097/SCS.0000000000010758 | DOI Listing |
J Craniofac Surg
October 2024
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.
In this case report, a 19-year-old male patient with maxillary transverse deficiency, concave profile, and facial asymmetry is presented. In the case of transversal insufficiency, nonsurgical maxillary expansion was performed with the miniscrew-assisted rapid palatal expansion (MARPE) appliance to reduce the number of surgeries and provide both dentoalveolar and skeletal expansion. The periodontal soundness and short-term stability of the maxillary expansion were confirmed both clinically and radiologically.
View Article and Find Full Text PDFJ World Fed Orthod
December 2024
Division of Sleep Medicine, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California. Electronic address:
Objective: To evaluate whether rapid palatal expansion (RPE) or miniscrew-assisted rapid palatal expansion (MARPE) affects nasal septum deviation (NSD).
Materials And Methods: The study population includes 22 RPE patients ages 9.62 ± 1.
Am J Orthod Dentofacial Orthop
December 2024
Department of Orthodontics, Texas A&M University College of Dentistry, Dallas, Tex. Electronic address:
Introduction: This study aimed to evaluate the short-term and long-term skeletal and dental asymmetry with miniscrew-assisted rapid palatal expansion (MARPE), rapid palatal expansion (RPE), and control group using cone-beam computed tomography (CBCT) analysis.
Methods: A total of 180 CBCT scans were analyzed for 60 patients divided into 3 groups: MARPE (mean age 13.7 ± 1.
Medicine (Baltimore)
December 2024
Private Practice, Viet Anh Orthodontic Clinic, Hanoi, Vietnam.
Rationale: Current literature describes only 2 cases combining miniscrew-assisted rapid palatal expansion (MARPE) with lingual appliances. These cases require 2 impressions, 1 before and 1 after palatal expansion, to ensure accurate lingual appliance placement, potentially increasing treatment time and cost. This case report aimed to demonstrate a modified workflow of combining MARPE and lingual appliances in managing an adult patient with anteroposterior and transversal discrepancies, requiring only a single digital impression for both fabrication and positioning.
View Article and Find Full Text PDFJ Craniomaxillofac Surg
November 2024
Institute of Maxillofacial Surgery, Teknon Medical Center Barcelona, Barcelona, Spain; Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
The authors aim to propose combination of Surgically Assisted Miniscrew-Assisted Rapid Palatal Expansion (SAMARPE) with orthopedic traction miniplates placement in cases where a sagittal deficiency coexists with the necessity of carrying out a surgical maxillary expansion. Unlike the conventional orthopedic traction technique, where the miniplates are placed bilaterally in the infrazygomatic crest of the maxillary buttress, in this scenario the upper miniplates should be placed below the LeFort I osteotomy, and therefore a little bit angulated.
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