SARPE vs Segmental Osteotomies for Maxillary Skeletal Expansion

Misleading rules of thumb and common misperceptions exist regarding guidelines for maxillary skeletal expansion in nongrowing patients. The choice of a SARPE or a segmental osteotomy should be foremost a diagnostic decision. This lecture will present clear principles for choosing the appropriate method for skeletal expansion of the maxilla.

Learning Objectives:

• Describe the surgical similarities and differences between a SARPE procedure and a segmental osteotomy for maxillary skeletal expansion.
• Recognize how analysis of maxillary intra-arch discrepancies, and objectives for the transverse dimension influence the appropriate choice.
• Manage the presurgical and postsurgical orthodontics of both methods for skeletal expansion.