The role of micro-implant-assisted rapid palatal expansion (MARPE) in clinical orthodontics — a literature review

IF 0.5 4区医学 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Australasian Orthodontic Journal Pub Date : 2021-07-01 DOI:10.21307/aoj-2021-018

Y. Chuang, Jen-Hsuan Chen, K. Ho, Kai-Long Wang, S. Hsieh, Heng-Ming Chang

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引用次数: 4

Abstract

Abstract A maxillary transverse deficiency is a common craniofacial problem. Rapid palatal expansion (RPE) has been traditionally considered for the treatment of children and young adolescents, but this is not applicable in late adolescents or adults due to the ossification of facial sutures. A surgically assisted rapid palatal expansion (SARPE) was initially advocated for this group of patients, but the surgical procedure is associated with morbidity. As temporary anchorage devices (TADs) have been recently and popularly applied in clinical orthodontics, micro-implant-assisted rapid palatal expansion (MARPE) has been employed to facilitate maxillary expansion in skeletally mature patients. There have been various proposed MARPE designs and the outcomes appear promising. The aim of the present article is to discuss the role of MARPE in clinical orthodontics by reviewing its background, design, indications, treatment effects, stability, and limitations in the current literature. The treatment effects of two types of MARPE, bone-borne and tooth-bone-borne (hybrid), will be individually assessed.

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微种植体辅助腭快速扩张(MARPE)在临床正畸中的作用——文献综述

摘要上颌骨横向缺损是一种常见的颅面问题。快速腭扩张（RPE）传统上被认为是治疗儿童和青少年的方法，但由于面部缝线骨化，这不适用于晚期青少年或成人。手术辅助快速腭扩张（SARPE）最初被提倡用于这组患者，但手术过程与发病率有关。由于临时固定器（TADs）最近在临床正畸中得到了广泛的应用，微型种植体辅助快速腭扩张（MARPE）已被用于促进骨骼成熟患者的上颌扩张。已经提出了各种MARPE设计，结果似乎很有希望。本文的目的是通过回顾MARPE的背景、设计、适应症、治疗效果、稳定性和现有文献中的局限性来讨论MARPE在临床正畸中的作用。将单独评估两种类型的MARPE（骨载和牙骨载（杂交））的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Orthodontic Journal Dentistry-Orthodontics

CiteScore

0.80

自引率

25.00%

发文量

期刊介绍： The Australasian Orthodontic Journal (AOJ) is the official scientific publication of the Australian Society of Orthodontists. Previously titled the Australian Orthodontic Journal, the name of the publication was changed in 2017 to provide the region with additional representation because of a substantial increase in the number of submitted overseas'' manuscripts. The volume and issue numbers continue in sequence and only the ISSN numbers have been updated. The AOJ publishes original research papers, clinical reports, book reviews, abstracts from other journals, and other material which is of interest to orthodontists and is in the interest of their continuing education. It is published twice a year in November and May. The AOJ is indexed and abstracted by Science Citation Index Expanded (SciSearch) and Journal Citation Reports/Science Edition.