Orion Luiz Haas Júnior, Paulo Ricardo Baccarin Matje, Bibiana Mello da Rosa, Vicente Dias Piccoli, Susana Maria Deon Rizzatto, Rogério Belle de Oliveira, Luciane Macedo de Menezes
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MISMARPE protocol: minimally invasive surgical and miniscrew-assisted rapid palatal expansion.
Objective: The purpose of this article is to present the MISMARPE technique, a new minimally invasive surgical procedure to treat maxillary transverse atresia in adult patients under local anesthesia and on an outpatient basis.
Technique description: The technique consists of miniscrew-assisted rapid palatal expansion (MARPE) associated with a minimally invasive approach using maxillary osteotomies, latency and activation periods until the desired expansion is achieved. The present MISMARPE technique was performed in 25 consecutive cases with a success rate of 96%, yielding good skeletal outcomes with minimal trauma. The expander appliances, with their anchorage types, and a description of the surgical steps of the MISMARPE technique are presented.
Conclusion: MISMARPE is a new and effective alternative for less invasive treatment of maxillary transverse deficiency in adults, compared to conventional surgery. Emphasis is placed on the importance of systematic and well-established protocols, for executing the procedures safely and predictably.
期刊介绍：
The Dental Press Journal of Orthodontics publishes scientific research articles, significant reviews, clinical and technical case reports, brief communications, and other materials related to Orthodontics and Facial Orthopedics.
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