Image above is an example of failure in MARPE. Why to MARPE failure occur? How and what can we do to prevent these kinds of failure.
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Clinical Cases Reported
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Clinical Cases Reported
Median palatal suture are well separated.
So how does the separation in the maxillary jaw have a 3 dimentional position change in its relation with the skull? How might this separation affect the entire skull?
The separation of the maxillary jaw has been found to have a direct effect on the pterygoid plate, SOS and ST. In other words, the expansion of the maxillary sinuses acts as a force that can affect the entire skull. What should a dentist consider when expanding the maxillary sinuses?
MRI studies have shown that splint therapy in TMJ patients affects the structure and function of the brain. It can be thought that the separation of the maxillary sinuses affects the head more than effect of a splint treatment. This means that during splint treatment and maxillary dilation, skulls that can be facilitated will encounter movements.
Evaluation of factors related to the success of miniscrew-assisted rapid palatal expansion
Cibele B Oliveira, Priscila Ayub, Fernanda Angelieri, Wilson H Murata, Selly S Suzuki, Dirceu B Ravelli, Ary Santos-Pinto
출처: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8028491/
The success rate of MARPE has nothing to do with sex, bicortical anchorage and MPS maturatio, but with one's age. So what are the factors that leads to your success? Wouldn't the twisted position of the upper and lower jaws of the skull have an impact?
Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging
Daniele Cantarella,1 Ramon Dominguez-Mompell,2 Sanjay M. Mallya,3 Christoph Moschik,2 Hsin Chuan Pan,2 Joseph Miller,4 and Won Moon
출처: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663987/
Three-dimensional craniofacial changes with maxillary expansion in young adult patients with different craniofacial morphology
Bushra Sufyan Almaqrami1, Peter Ngan2, Maged Sultan Alhammadi3, Majedh Abdo Ali Al-Somairi4, Hui Xiong1, H. Hong1
출처: https://apospublications.com/three-dimensional-craniofacial-changes-with-maxillary-expansion-in-young-adult-patients-with-different-craniofacial-morphology/
Unlike the separation of the left and right ANS in the front, the differences in before and after in the PNS of the rear were greatly widened. What could be the reason for an asymmetrical result like this?
Short-term impact of microimplant-assisted rapid palatal expansion on the nasal soft tissues in adults: A three-dimensional stereophotogrammetry study
Seung-Ryeol Lee, Jin-woo Lee, Dong-Hwa Chung, and Sang-min Lee
출처: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093666/
Then after the expansion of MARPE is the nasal volume expanding equally with balance.
Miniscrew-assisted rapid palatal expansion (MARPE): how to achieve greater stability. In vitro study
Flávio Mendonça Copello Daniel Paludo Brunetto
https://www.scielo.br/j/dpjo/a/R5hp3K8NPvZVtjRgK5VtvFn/?format=pdf&lang=en
It is a document regarding that after MARPE planting, greater stability can be achieved in bicortical anchorage compared to Monocortical anchorage. What is the B plan if I don't get Bicortical anchorage?
Tomographic assessment of palatal suture opening pattern and pterygopalatine suture disarticulation in
the axial plane after midfacial skeletal expansion
Ozge Colak, Ney Alberto Paredes, Islam Elkenawy, Martha Torres, Joseph Bui, Sara Jahangiri & Won Moon
출처:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370251/
