The Use of MARPE Apparatus in the Treatment of Maxillary Atresia of Adult Patients: Literature Review

Gabriela Alessandra da Cruz Galhardo Camargo^1*, Diana de Souza Millan², Rogério Tupinambá³, José Alexandre Alambert Kozel³ & Celestino José Prudente da Nobrega³

¹Pos Graduation Student of Faculty of Sete Lagoas, Facsete, Ortogeo, São José dos Campos, São Paulo & Post-Graduation Program in Dentistry, Health Institute of Nova Friburgo, PPGO - ISNF, Specific Formation Department, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
²Pos Graduation Student of Faculty of Sete Lagoas, Facsete, Ortogeo, São José dos Campos, São Paulo, Brazil
³Professor of Orthodontics of Faculty of Sete Lagoas, Facsete, Ortogeo, São José dos Campos, São Paulo, Brazil

Dr. Gabriela Alessandra da Cruz Galhardo Camargo, Pos Graduation Student of Faculty of Sete Lagoas, Facsete, Ortogeo, São José dos Campos, São Paulo & PG Program in Dentistry, Health Institute of Nova Friburgo, Brazil.

Keywords: Orthodontic Appliance; Maxilla; MARPE

Abstract

Maxillary atresia is a common developmental problem among children and adults, and rapid maxillary expansion is the treatment of choice for atresia correction through bone remodeling. However, the expansion devices apply force to the teeth and the alveolar bone, with a resulting dental buccal inclination, which increases in magnitude as the palatal suture reaches more advanced degrees of skeletal maturation. In order, to avoid these effects, orthodontic miniscrews assisted rapid palatal expansion (MARPE) aims to concentrate forces in the region of the medial palatal suture and provides the opening of other facial sutures. Based on these purposes, this study reviews the literature about of the use of MARPE in Orthodontics between 2016 and February 2021. Twenty articles were selected through the MEDLINE (Medical Literature Analysis and Retrieval System online databases), CINAHL (Cumulative Index to Nursing and Allied Health Literature) and Dentistry & Oral Sciences Source, using as keywords: Orthodontic appliance, Miniscrew- Assisted Rapid Palatal Expansion, MARPE. The results obtained showed us that the MARPE appliance is an effective technique to correct transverse maxillary discrepancies in patients without growth, providing suture expansion with reduction of side effects because of the device for palatal disjunction is supported by orthodontic miniscrews.

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