Abstract

Maxillary deficiency is among the huge culprits in orthodontic patients seeking treatment. Multiple treatment modalities are there to tackle this problem. The most common treatment approaches are rapid maxillary expansion (RME) and miniscrew/surgical assisted rapid palatal expansion (MARPE/SARPE). In this article we reviewed two different approaches of treatment, side effects of RME and also the non-surgical mini screw assisted expansion in both older and younger patients. The stability of expansion, skeletal and dentoalveolar effects in both treatment approaches were reviewed.

Keywords: Maxillary Deficiency; RME; MARPE; Palatal Expansion; Non-Surgical Expansion; Expansion Stability; Dentoalveolar Effects; Skeletal Effects

References

1. McNamara JA. “Maxillary transverse deficiency”. American Journal of Orthodontics and Dentofacial Orthopedics 117.5 (2000): 567-570.
2. Bishara SE and Staley RN. “Maxillary expansion: clinical implications”. American Journal of Orthodontics and Dentofacial Orthopedics 91.1 (1987): 3-14.
3. Quinzi V., et al. “Paediatric Orthodontics Part 2: Periodontal effects of maxillary expansion”. European Journal of Paediatric Dentistry: EJPD 20.2 (2019): 164-166.
4. Choi SH., et al. “Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults”. The Angle Orthodontist 86.5 (2016): 713-720.
5. Lee KJ., et al. “Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism”. American Journal of Orthodontics and Dentofacial Orthopedics 137.6 (2010): 830-839.
6. Cunha AC., et al. “Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient”. Dental Press Journal of Orthodontics 22.3 (2017): 97-108.
7. Hakan Ela., et al. “Three-dimensional evaluation of upper airway following rapid maxillary expansion Angle Orthodontics 84.2 (2014): 265-273. 
8. ShiYao Liu., et al. “Effects of rapid maxillary expansion on the midpalatal suture” (2015).
9. Macario Camacho., et al. “Rapid Maxillary Expansion for Pediatric Obstructive Sleep Apnea: A systematic review and meta-analysis”. Laryngoscope 127.7 (2017): 1712-1719. 
10. Pubmed Cochrane., et al. “Transverse Skeletal Effects of Rapid Maxillary Expansion in Pre and Post Pubertal Subjects” (2018).
11. Ana Julia Guerra., et al. “Systematic review of major considerations of rapid maxillary expansion”. Journal of Dental Health, Oral Disorders and Therapy 9.4 (2018): 284-288.
12. Hyerin Shin., et al.  “Predictors of midpalatal suture expansion by miniscrew-assisted rapid palatal expansion in young adults: A preliminary study”. Korean Journal of Orthodontics 49.6 (2019): 360-371.
13. Chen Zong., et al. “Skeletal and dentoalveolar changes in the transverse dimension using microimplant-assisted rapid palatal expansion (MARPE) appliances”. Seminars in Orthodontics 25.1 (2019): 46-59.
14. Hideo Suzuki., et al. “Miniscrew-assisted rapid palatal expander (MARPE): the quest for pure orthopedic movement”. Dental Press Journal of Orthodontics 21.4 (2016): 17-23.

Citation

Citation: P S Viswapurna., et al. “Different Approach to Transverse Palatal Expansion: MARPE (Miniscrew Assisted Rapid Expander) Over RME (Rapid Maxillary Expander)”. Acta Scientific Dental Sciences 4.9 (2020): 56-58.

Copyright

Copyright: © 2020 P S Viswapurna., et al This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.