1      0

AS23IT39 - How to Minimize MARPE Failures: What We Have Learned After Two Decades of Traveling Uncharted Territory

‐ Apr 24, 2023 9:00am

The success of MSE/MARPE was not always predictable, especially for mature male patients. Over the last two decades, enormous efforts have taken place in attempts to further understand determining factors. During the two decades of journeying through the uncharted territory of non-surgical midfacial expansion in mature patients, not only have traditional paradigms been defied, but many initial MARPE concepts have also required adjustment. In this presentation, various ways to accommodate patients with extremely thick or thin palatal bones, narrow palatal vault, massive zygoma, palatal torus, skeletal asymmetry, etc. will be discussed. Application of digital workflow in MSE fabrication and MSE modification could also enhance the success of MSE treatment in difficult cases. Furthermore, for extremely difficult cases, various minor surgical procedures that could aid MSE will be discussed. Through clinical studies, computer simulations, and innovative treatment modifications, many of those challenging cases now can be safely treated without significant complications, and the traditional SARPE can be largely eliminated.

Learning Objectives:

  • Understand the fundamental concepts of the appliance and learn how to use MSE correctly by proper appliance fabrication and positioning, utilizing radiographic information and digital workflow.
  • Assess the difficulty level of cases, and modify procedures (such as applying cortipunctures, altering the expansion protocol, etc.) and/or appliance designs (utilizing digital workflow) for better outcomes.
  • Apply minor surgical procedures for extremely difficult cases in order to avoid more invasive SARPE procedures.




You must be logged in and own this session in order to post comments.