MARPE / MSE

What is MARPE / MSE?

MARPE and MSE are innovative expansion techniques that utilize mini-implants anchored into the bone (also known as TADs or Temporary anchorage devices) to achieve more precise skeletal widening of the upper jaw. Unlike traditional expanders, MARPE/MSE offer highly predictable results, especially beneficial for teens and adults whose palatal bones are already fused, minimizing unwanted tooth movement. Nasal volume may also increase by up to 30%, allowing patients to breathe and metabolize more oxygen.

Dr. Parsaei offers advanced orthodontic treatments using MARPE (Miniscrew-Assisted Rapid Palatal Expansion). A type of MARPE, MSE (Maxillary Skeletal Expander), specialized techniques that provide significant occlusal, functional, and aesthetic improvements, along with potential airway benefits.

Benefits of MARPE / MSE Treatment

Predictable Skeletal Expansion: Minimizes dental tipping and provides stable long-term results by expanding bone directly. This can address posterior crossbites, narrow upper arches, crowding and space deficiencies.

Enhanced Occlusal Function: Corrects crossbites and improves the functional harmony between upper and lower jaws.

Aesthetic Improvements: Broadens the smile, enhancing facial harmony and balance.

Potential Airway Enhancement: Often leads to improved nasal airflow and breathing, though not always the primary goal of treatment.

MARPE Appliances

MARPE appliances use miniature screws known as Temporary Anchorage Devices (TADs) to anchor the expander securely to the palate, allowing for precise and stable skeletal expansion.

These TADs offer a reliable solution for widening the upper jaw in patients with fused palatal sutures, enabling effective correction without depending solely on dental anchorage. MARPE TAD appliances are especially effective in treating crossbites and crowded teeth, while also enhancing the overall aesthetics of the smile.

Each MARPE appliance is fully customized to the patient’s unique arch and palate anatomy, ensuring optimal fit, comfort, and treatment outcomes.

MSE Appliances

Certain cases, particularly in younger patients, MSE TAD appliances may be a better option. Developed by Dr. Won Moon, a UCLA faculty member and recognized researcher, MSE appliances utilize strategically placed mini-implants for precise skeletal expansion of the maxilla. This advanced technique helps resolve complex skeletal constriction, offering predictable, stable results with minimal discomfort. MSE TAD appliances are especially beneficial for patients needing robust expansion for occlusal corrections, improving dental arch symmetry, bite function, and facial harmony. Additionally, this method often contributes positively to airway space and breathing function.

Surgically Assisted MARPE / MSE

In cases of severe skeletal constriction or maxillary discrepancies, the resistance in the upper jaw may limit the effectiveness of standard MARPE or MSE techniques. Traditionally, patients requiring significant expansion had to undergo more invasive procedures, such as SARPE or full surgical expansion.

At YP Orthodontics, Dr. Parsaei offers a minimally invasive, microsurgical alternative known as Surgically-Assisted MARPE/MSE. This approach may involve minor incisions or precise scoring of the midpalatal suture to help separate the fused bone and facilitate expansion. It is especially advantageous for older patients or those with dense maxillary bone, providing effective skeletal widening without extensive surgery.

Dr. Parsaei will conduct a comprehensive review, including advanced imaging, to determine whether standard MARPE/MSE or a surgically assisted approach is the most suitable option for your unique treatment needs.

Discover if MARPE / MSE is Right for You

At YP Orthodontics, your MARPE/MSE experience includes:

Comprehensive Evaluation: Utilizing advanced 3D-imaging to plan precise and personalized care.
Custom Appliance Design: Tailored specifically to your anatomical needs for maximum comfort and efficiency.
Guided Treatment Process: Clear instructions and consistent monitoring throughout your activation and stabilization phases.
Retention and Final Alignment: Ensuring lasting results through detailed finishing orthodontics post-expansion.

Whether you're looking to correct a crossbite, achieve a broader, more balanced smile, or improve your airway function, MARPE/MSE could be the ideal solution for you. Schedule your consultation today to learn more about this transformative orthodontic technique!

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