difference between SARPE MARPE MSE?

[toolateforme]

i heard MARPE is not efficient to adults. but how MSE is working?

 

[Deleted member 1973]

i heard MARPE is not efficient to adults. but how MSE is working?

Mirin' signature.

 

[toolateforme]

Mirin' signature.

make your one too man

 

[Deleted member 1973]

 

[Golden Glass]

All 3 of these are different methods to widen the palate, each one being a successor to the other in terms of improvement.

Surgically
Assisted
Rapid
Palatal
Expansion

SARPE’s involve a surgical procedure splitting your maxilla (or palate/upper jaw) in half (imagine it being cut between your two front teeth, cut straight to the back of the palate).
With your maxilla sliced in half, an expander is placed to slowly expand the upper arch, for a few months
SARPE had some drawbacks (it’s still widely used but is clearly inferior in the vast majority of cases), which led to the creation of MARPE



Micro-implant
Assisted
Rapid
Palatal
Expansion

The online Dentofacial Orthopedic/ Mewing/ Looksmaxing Communities all regard Dr. Won Moon from UCLA as the main pioneer behind MARPE, whether he really was, I don’t know.
MARPE is different from SARPE because the initial surgery isn’t as traumatic—the maxilla is not split in half. Instead, Micro/Mini Implants are drilled into each half of the upper palate (think of them like screws drilled into each half of your upper arch).
The Maxillary Expander is then installed onto these Mini-Implants—leading to a far more “bone-anchored” system that makes it a far better option than SARPE, among other reasons (no traumatic surgery, or constantly expanding to keep a broken bone—the maxilla broken while it is trying to heal itself).



Maxillary
Skeletal
Expander

There’s no doubt about MSE—It’s Won Moon’s creation and as of now his biggest achievement, and he will be credited for it in any future orthodontics textbooks.
MSE is what Won Moon decides to label a modified form of MARPE with a different implantation method and expander. He decided to call it the Maxillary Skeletal Expanded, because with this special MARPE, the Palate/Maxilla wasn’t all that expanded—the skeletal structure of the mid face expanded as well, including the nasal base (means your nasal passageways widen which really improves nose-breathing), zygomatic complex (think cheekbones) and iirc even the sides of the browbone saw some horizontal expansion.
These new Mini-Implant based expansion systems are the pinnacle of Palatal Expansion, and because everything is bone anchored, there have been attempts to try to protract the maxilla in adults by using the mini-implants as anchor points (to try to grow the maxilla forward). These results haven’t been too satisfactory, but in children and young adults, if you were to imagine one with a bad bite and a face that was developing poorly, combining MSE and a Face Mask would be like Mewing on Steroids. MSE is still the very best method for expanding the upper arch nonetheless, as either SARPE or just plain maxillary expansion without any surgery in adults doesn’t produce nearly as good results.
MSE in general is still in its infancy and every year you find new research papers in journals from orthos all over the world coming up with alternative implantation methods, expanders, or expansion regimens to try to fine tune MSE more and more, and discover different use cases, as well as alternative designs to the implants and expanders—plenty of this research is done into adults as well.

 

[OldRooster]

Who preforms MSE, Orthodontists or Dentists?

 

[everythingmatters]

All 3 of these are different methods to widen the palate, each one being a successor to the other in terms of improvement.

Surgically
Assisted
Rapid
Palatal
Expansion

SARPE’s involve a surgical procedure splitting your maxilla (or palate/upper jaw) in half (imagine it being cut between your two front teeth, cut straight to the back of the palate).
With your maxilla sliced in half, an expander is placed to slowly expand the upper arch, for a few months
SARPE had some drawbacks (it’s still widely used but is clearly inferior in the vast majority of cases), which led to the creation of MARPE



Micro-implant
Assisted
Rapid
Palatal
Expansion

The online Dentofacial Orthopedic/ Mewing/ Looksmaxing Communities all regard Dr. Won Moon from UCLA as the main pioneer behind MARPE, whether he really was, I don’t know.
MARPE is different from SARPE because the initial surgery isn’t as traumatic—the maxilla is not split in half. Instead, Micro/Mini Implants are drilled into each half of the upper palate (think of them like screws drilled into each half of your upper arch).
The Maxillary Expander is then installed onto these Mini-Implants—leading to a far more “bone-anchored” system that makes it a far better option than SARPE, among other reasons (no traumatic surgery, or constantly expanding to keep a broken bone—the maxilla broken while it is trying to heal itself).



Maxillary
Skeletal
Expander

There’s no doubt about MSE—It’s Won Moon’s creation and as of now his biggest achievement, and he will be credited for it in any future orthodontics textbooks.
MSE is what Won Moon decides to label a modified form of MARPE with a different implantation method and expander. He decided to call it the Maxillary Skeletal Expanded, because with this special MARPE, the Palate/Maxilla wasn’t all that expanded—the skeletal structure of the mid face expanded as well, including the nasal base (means your nasal passageways widen which really improves nose-breathing), zygomatic complex (think cheekbones) and iirc even the sides of the browbone saw some horizontal expansion.
These new Mini-Implant based expansion systems are the pinnacle of Palatal Expansion, and because everything is bone anchored, there have been attempts to try to protract the maxilla in adults by using the mini-implants as anchor points (to try to grow the maxilla forward). These results haven’t been too satisfactory, but in children and young adults, if you were to imagine one with a bad bite and a face that was developing poorly, combining MSE and a Face Mask would be like Mewing on Steroids. MSE is still the very best method for expanding the upper arch nonetheless, as either SARPE or just plain maxillary expansion without any surgery in adults doesn’t produce nearly as good results.
MSE in general is still in its infancy and every year you find new research papers in journals from orthos all over the world coming up with alternative implantation methods, expanders, or expansion regimens to try to fine tune MSE more and more, and discover different use cases, as well as alternative designs to the implants and expanders—plenty of this research is done into adults as well.

what about SARME?

 

[RealSurgerymax]

MSE is MARPE but MARPE is not necessarily MSE. Think of MSE as a name-brand MARPE - in my opinion the most superior by far.

SARPE is a maxillary osteotomy which weakens the points of resistance to expansion so you can have expand with a palate expander as an adult.

I recommend trying MSE over SARPE not just because you avoid surgery but for the higher expansion. While some rare modifications of SARPE osteotomies allow forces to be transferred to the zygomas, standard SARPE and segmented LeFort I do not and rely on a tooth-borne hyrax expander.

A skeletally anchored expanders (MARPE/MSE) is superior.

The buccal area of the face should be more hollow than the malar/zygomatic area above. A standard SARPE procedure - expanding the teeth laterally which give support to the lower cheeks - will worsen this relationship.

 

[Deleted member 23558]

All 3 of these are different methods to widen the palate, each one being a successor to the other in terms of improvement.

Surgically
Assisted
Rapid
Palatal
Expansion

SARPE’s involve a surgical procedure splitting your maxilla (or palate/upper jaw) in half (imagine it being cut between your two front teeth, cut straight to the back of the palate).
With your maxilla sliced in half, an expander is placed to slowly expand the upper arch, for a few months
SARPE had some drawbacks (it’s still widely used but is clearly inferior in the vast majority of cases), which led to the creation of MARPE



Micro-implant
Assisted
Rapid
Palatal
Expansion

The online Dentofacial Orthopedic/ Mewing/ Looksmaxing Communities all regard Dr. Won Moon from UCLA as the main pioneer behind MARPE, whether he really was, I don’t know.
MARPE is different from SARPE because the initial surgery isn’t as traumatic—the maxilla is not split in half. Instead, Micro/Mini Implants are drilled into each half of the upper palate (think of them like screws drilled into each half of your upper arch).
The Maxillary Expander is then installed onto these Mini-Implants—leading to a far more “bone-anchored” system that makes it a far better option than SARPE, among other reasons (no traumatic surgery, or constantly expanding to keep a broken bone—the maxilla broken while it is trying to heal itself).



Maxillary
Skeletal
Expander

There’s no doubt about MSE—It’s Won Moon’s creation and as of now his biggest achievement, and he will be credited for it in any future orthodontics textbooks.
MSE is what Won Moon decides to label a modified form of MARPE with a different implantation method and expander. He decided to call it the Maxillary Skeletal Expanded, because with this special MARPE, the Palate/Maxilla wasn’t all that expanded—the skeletal structure of the mid face expanded as well, including the nasal base (means your nasal passageways widen which really improves nose-breathing), zygomatic complex (think cheekbones) and iirc even the sides of the browbone saw some horizontal expansion.
These new Mini-Implant based expansion systems are the pinnacle of Palatal Expansion, and because everything is bone anchored, there have been attempts to try to protract the maxilla in adults by using the mini-implants as anchor points (to try to grow the maxilla forward). These results haven’t been too satisfactory, but in children and young adults, if you were to imagine one with a bad bite and a face that was developing poorly, combining MSE and a Face Mask would be like Mewing on Steroids. MSE is still the very best method for expanding the upper arch nonetheless, as either SARPE or just plain maxillary expansion without any surgery in adults doesn’t produce nearly as good results.
MSE in general is still in its infancy and every year you find new research papers in journals from orthos all over the world coming up with alternative implantation methods, expanders, or expansion regimens to try to fine tune MSE more and more, and discover different use cases, as well as alternative designs to the implants and expanders—plenty of this research is done into adults as well.

Ive heard MSE increase the nasal base. Is this true? My nose is already on the edge of being bulbous