Factors Affecting the Design of MARPE Appliance: A Scoping Review
Priyank Rai1* and Veenita Gupta2
1Senior Professor, Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi, India
2Post-Graduate Student, Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi, India
*Corresponding Author: Priyank Rai, Senior Professor, Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi, India.
February 08, 2023; Published: March 01, 2023
Background: Treatment of transverse maxillary deficiency is of paramount importance. Though Rapid Palatal Expansion (RPE) and Surgically Assisted Palatal Expansion (SARPE) are established treatment modalities, treatment in adolescents and young adults can be accomplished using a more conservative approach like Mini-Implant Assisted Rapid Palatal Expansion (MARPE). Various factors affect the success of MARPE. This scoping review aims to list down the various factors affecting the success of MARPE appliance in treatment of transverse maxillary deficiency.
Methodology: The literature search was carried out on MEDLINE via Pubmed, Cochrane Library (Cochrane database of systematic reviews), Cochrane central register of controlled trials (CENTRAL), Google Scholar and ScienceDirect, for articles from 2010 to January 2023. Pertinent articles were selected based on inclusion and exclusion criteria. The results were tabulated based on number of cortices used as anchorage, number of implants used in the appliance, type of anchor support used, placement site of implant and positioning of the expander.
Results: The literature search resulted in 9 relevant articles. Among all the studies, two studies discussed monocortical versus bicortical placement of implants, one study assessed for positioning of the expander. Only one study compared for number of implants used whereas two studies assessed for site of implant placement. Three studies assessed for anchor support.
Conclusion: Due to heterogeneity in the literature, it is difficult to arrive at a definitive conclusion as to which design is the best for the treatment of transverse deficiency in adolescents and young adult patients. Design has to be customized as per the needs and requirements of the case.
Keywords: MARPE, Miniscrew Assisted Palatal Expansion; Bone Borne Expansion; Tooth-bone Borne Expansion; Palatal Expansion
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