To MARPE, or Not to MARPE, That is the Question

In recent years, mini-implant assisted rapid palatal expansions (MARPE) in children have been identified as a treatment alternative to traditional RME. However, not all patients need MARPE, and among those who possibly do, not all accept the placement of mini-implants. This lecture shows some relevant misinterpretation of results of studies on the subject, which lead to the over-prescription of MARPE. We will contrast MARPE with the solid alternative of traditional RME. We will present a treatment algorithm to help pediatric patients to breathe better which includes the two techniques of maxillary expansion.

Learning Objectives:

• Outline the differences between MARPE and traditional RPE.
• Identify the obstacles to prescribe MARPE as a treatment option.
• Understand the role of maxillary expansion in the treatment of breathing disorders.