Abstract

Introduction: One of the highly prevalent malocclusions includes transverse deficiencies of the maxilla seen in both growing individuals and adults. If maxillary constrictions are not treated on time, they can develop into more complicated malocclusions or may even cause respiratory issues associated with nasal constriction. The treatment options in pre-pubertal children are more and easier as compared to that of adults. Rapid palatal/maxillary expansion is a commonly used treatment modality in growing children. In adults, invasive procedures like Surgically assisted rapid palatal expansion (SARPE) are the alternative. However, in the recent past micro implant-assisted rapid palatal expansion (MARPE) has been gaining popularity because of its increased success rates in terms of skeletal changes and lack of need to perform osteotomies.

The Aim of Work: The study aimed to evaluate the efficiency, assess the success rate, study the dental and skeletal effects and side effects of the MARPE Technique.

Methodology: The review is a comprehensive research of PUBMED from the year 1997 to 2021.

Conclusion: In the majority of the non-growing patients, MARPE can be seen as an effective alternative to SARPE to correct a maxillary transverse deficiency. Clinically acceptable skeletal and dental changes have been seen, which makes MARPE an acceptable alternative to surgically invasive procedures. The expansion shows stable results and favorable periodontal support in clinical and radiological follow-ups. The incorporation of miniscrews to correct transverse deficiencies can be adapted as an alternative to reduce multiple surgeries in craniofacial discrepancies. Significant respiratory and occlusal improvement has also been noted in cases.

Keywords: MARPE; Miniscrews; Midpalatal Suture; Rapid Palatal Expansion; SARPE; Transverse Discrepancies

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