Case Series
Volume 20 Issue 11 - 2021
MARPE in Non-Growing Individuals

Osama Adel Basri1*, Burair Muhammed Alameer2, Jenan Hassan Alawami2, Hanin Abdullah Alahmadi2, Maha Ali Albukairi2, Nasser Ali Nasser Almosallam2, Moayad Adnan Dewan2, Yara Mohammed Bukhari2, Ahmed Abdullah Bahamid3, Abdulmajeed Ibrahim Alsayari3, Mohamad Kamal Altwijry3, Reem Sami Aldharrab4, Zainab Mohammed Alabdulmohsin5, Abdulrahman Humaid Alahhmadi6 and Njood Abdullah Alangari7

1King Faisal Specialist Hospital and Research Center, Saudi Arabia
2Ministry of Health, Saudi Arabia
3Riyadh Elm University, Saudi Arabia
4King Abdulaziz University, Saudi Arabia
5Kingdom Vision College, Saudi Arabia
6Taibah University, Saudi Arabia
7Umm Al-Qura University, Saudi Arabia
*Corresponding Author: Osama Adel Basri, King Faisal Specialist Hospital and Research Center, Saudi Arabia.
Received: October 09, 2021; Published: October 29, 2021


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


  1. Brunetto D P., et al. “Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE)”. Dental Press Journal of Orthodontics1 (2017): 110-125.
  2. McNamara J A., et al. “The role of rapid maxillary expansion in the promotion of oral and general health”. Progress in Orthodontics1 (2015): 33.
  3. Vidya V S and Sumathi F A. “Rapid maxillary expansion as a standard treatment for obstructive sleep apnea syndrome: a systematic review”. IOSR Journal of Dental and Medical Sciences 2 (2015): 51-55.
  4. Garrett B J., et al. “Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography”. American Journal of Orthodontics and Dentofacial Orthopedics1 (2008): 8-e1.
  5. Northway W M and Meade Jr J B. “Surgically assisted rapid maxillary expansion: a comparison of technique, response, and stability”. The Angle Orthodontist4 (1997): 309-320.
  6. Lee K J., et al. “Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism”. American Journal of Orthodontics and Dentofacial Orthopedics6 (2010): 830-839.
  7. Berry R B., et al. “Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events: deliberations of the sleep apnea definitions task force of the American Academy of Sleep Medicine”. Journal of Clinical Sleep Medicine5 (2012): 597-619.
  8. Lee H K., et al. “Stress distribution and displacement by different bone-borne palatal expanders with micro-implants: a three-dimensional finite-element analysis”. European Journal of Orthodontics5 (2014): 531-540.
  9. MacGinnis M., et al. “The effects of micro-implant assisted rapid palatal expansion (MARPE) on the nasomaxillary complex—a finite element method (FEM) analysis”. Progress in Orthodontics1 (2014): 52.
  10. Buschang P H., et al. “An interview with Peter H. Buschang”. Dental Press Journal of Orthodontics6 (2014): 26-36.
  11. Buschang P H., et al. “Orthopedic correction of growing hyperdivergent, retrognathic patients with miniscrew implants”. Journal of Oral and Maxillofacial Surgery3 (2011): 754-762.
  12. Minervino B L., et al. “MARPE guide: A case report”. The Journal of Contemporary Dental Practice9 (2019): 1103.
  13. Melsen B. “Palatal growth studied on human autopsy material: a histologic microradiographic study”. American Journal of Orthodontics1 (1975): 42-54.
  14. N’Guyen T, et al. “Radiographic and microscopic anatomy of the mid-palatal suture in the elderly”. Surgical and Radiologic Anatomy1 (2008): 65-68.
  15. Choi S H., et al. “Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults”. The Angle Orthodontist5 (2016): 713-720.
  16. Lin L., et al. “Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence”. The Angle Orthodontist2 (2015): 253-262.
  17. Garrett B J., et al. “Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography”. American Journal of Orthodontics and Dentofacial Orthopedics1 (2008): 8-e1.
  18. Handelman C S., et al. “Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander”. The Angle Orthodontist2 (2000): 129-144.
  19. Kapetanović A., et al. “Efficacy of Miniscrew-Assisted Rapid Palatal Expansion (MARPE) in late adolescents and adults: a systematic review and meta-analysis”. European Journal of Orthodontics 3 (2021): 313-323.
Citation: Osama Adel Basri., et al.“MARPE in Non-Growing Individuals”. EC Dental Science 20.11 (2021): 161-170.

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