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Management of Treatment Results with Miniscrew Assisted Rapid Palatal Expansion, Challenges and Solutions: A Case Report


Authors : Dr. Swapnil Kadam; Dr. Sumeet Mishra; Dr. Shubhang Mani; Dr. N.G. Toshniwal; Dr. Sayali Kolhe; Dr. Ragini Ogale; Dr. Aishwarya Sonawane

Volume/Issue : Volume 11 - 2026, Issue 5 - May


Google Scholar : https://tinyurl.com/3udc9hhw

Scribd : https://tinyurl.com/3ac45u6j

DOI : https://doi.org/10.38124/ijisrt/26May167

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Miniscrew-assisted rapid palatal expansion (MARPE) has revolutionized the treatment of maxillary transverse deficiency in non-growing patients. By utilizing temporary anchorage devices (TADs), MARPE achieves skeletal expansion while minimizing the dental side effects seen in traditional RPE. However, the proximity to the mid-palatal suture and nasal floor introduces specific post-operative challenges. This review categorizes common complications and provides evidencebased management protocols for the orthodontic clinician.

Keywords : MARPE (Mini-screw-Assisted Rapid Palatal Expansion), Maxillary Transverse Deficiency, Orthodontic Mini-screws, Temporary Anchorage Devices (TADs), Skeletal Expansion, Peri-implantitis.

References :

  1. Brunetto, D. P., et al. (2017). Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental Press Journal of Orthodontics.
  2. Moon, W. (2020). The evolution of maxillary expansion: from tooth-borne to bone-borne. Journal of Clinical Orthodontics.
  3. Manente, S., et al. (2019). Success rate and complications of miniscrew-assisted rapid palatal expansion in adults: A retrospective study. International Orthodontics.
  4. Almuzian, M., et al. (2018). Rapid Maxillary Expansion: A Review of Soft and Hard Tissue Effects and Complications. Journal of Orthodontics.
  5. Jia, H., et al. (2021). Evaluation of periodontal health and miniscrew stability during MARPE: A prospective study. American Journal of Orthodontics and Dentofacial Orthopedics.
  6. Lee, R. J., et al. (2016). Starting age for maxillary expansion: A CBCT based study. Progress in Orthodontics.
  7. Cantarella, D., et al. (2017). Changes in the midpalatal and pterygopalatine sutures with maxillary skeletal expander (MSE). Progress in Orthodontics.
  8. Zeng, J., et al. (2020). Effects of Microimplant-Assisted Rapid Palatal Expansion on the Upper Airway: A Systematic Review. The Angle Orthodontist

Miniscrew-assisted rapid palatal expansion (MARPE) has revolutionized the treatment of maxillary transverse deficiency in non-growing patients. By utilizing temporary anchorage devices (TADs), MARPE achieves skeletal expansion while minimizing the dental side effects seen in traditional RPE. However, the proximity to the mid-palatal suture and nasal floor introduces specific post-operative challenges. This review categorizes common complications and provides evidencebased management protocols for the orthodontic clinician.

Keywords : MARPE (Mini-screw-Assisted Rapid Palatal Expansion), Maxillary Transverse Deficiency, Orthodontic Mini-screws, Temporary Anchorage Devices (TADs), Skeletal Expansion, Peri-implantitis.

Paper Submission Last Date
30 - June - 2026

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