My Problem with MARPE

miriniqontiktok

miriniqontiktok

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I see alot of people talking about MARPE,
But imo i think it would more harm than good in the vast majority of people

But first of all what is MARPE?

MARPE (short for Miniscrew-Assisted Rapid Palatal Expansion.) is a orthodonic technique used to widen the upper jaw (maxilla) by applying expansion forces through bone-anchored screws to separate the midpalatal suture.

I could see MARPE as a good option if you have a very narrow maxilla resulting in posterior crossbite, dental crowding, and airway compromise.

But i belive it isn’t beneficial aesthetically in most people and here is why

1.
MARPE isn't really beneficial aesthetically for most people, because it only expands the upper jaw, not the lower jaw. The lower jaw can't be widened with expansion since it has no suture (widening it would require implants). Expanding only the upper jaw increases bizygomatic width while bigonial width stays the same, lowering the bigonial-to-bizygomatic ratio. For most people, this makes the jaw look too narrow, especially if it already is.


The only time this could look good is if your bigonial-to-bizygomatic ratio is already too high (= >1.0).

It can also disrupt facial harmony by widening the nasal bridge and altering the ESR (eye separation ratio).

Also, if FWHR is already high (ideal for males = 1.85-2.0), expanding to the point where FWHR exceeds 2.0 can make the face look too wide, hurting overall aesthetics rather than improving them.

The only time I could see MARPE being aesthetically useful is in a case with a very narrow maxilla, low FWHR, and very wide bigonial width.

If anyone can refute or challenge these points, feel free to do so, open to discussion.
 
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@Yani @Idontknow-
 
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I see alot of people talking about MARPE,
But imo i think it would more harm than good in the vast majority of people

But first of all what is MARPE?

MARPE (short for Miniscrew-Assisted Rapid Palatal Expansion.) is a orthodonic technique used to widen the upper jaw (maxilla) by applying expansion forces through bone-anchored screws to separate the midpalatal suture.

I could see MARPE as a good option if you have a very narrow maxilla resulting in posterior crossbite, dental crowding, and airway compromise.

But i belive it isn’t beneficial aesthetically in most people and here is why

1.
MARPE isn't really beneficial aesthetically for most people, because it only expands the upper jaw, not the lower jaw. The lower jaw can't be widened with expansion since it has no suture (widening it would require implants). Expanding only the upper jaw increases bizygomatic width while bigonial width stays the same, lowering the bigonial-to-bizygomatic ratio. For most people, this makes the jaw look too narrow, especially if it already is.


The only time this could look good is if your bigonial-to-bizygomatic ratio is already too high (= >1.0).

It can also disrupt facial harmony by widening the nasal bridge and altering the ESR (eye separation ratio).

Also, if FWHR is already high (ideal for males = 1.85-2.0), expanding to the point where FWHR exceeds 2.0 can make the face look too wide, hurting overall aesthetics rather than improving them.

The only time I could see MARPE being aesthetically useful is in a case with a very narrow maxilla, low FWHR, and very wide bigonial width.

If anyone can refute or challenge these points, feel free to do so, open to discussion.
im gonna be talking to my ortho about marpe and mse im 14 so it might be differn but i am mainly doing it to widen the maxilla
 
im gonna be talking to my ortho about marpe and mse im 14 so it might be differn but i am mainly doing it to widen the maxilla
What is your bigonial to byzogomatic width ratio?
 
Lol it allows your orthodontist to improve your teeth if needed. MARPE will only be used by orthodontists for people who need it. Palate expansion for bone structure is bullshit, because it's hard to be candidate for a palate expander through an orthodontist, and most people are too old for it anyways.
 
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my pallete is very narrow or too wide i did braces when i was 8 years old though so it looks a bit narrow
«Very narrow or to wide» those are polar opposites lmao, but if your bigonial to byzgomatic width is low (narrow lower jaw) then widening the upper jaw would make the lower jaw look more narrow due to a lower bigonial to byzogomatic width, but if your palate is narrow to the point where it causes everyday health issues then you will have to but if thats not the case i would refrain from expansion imo (if your lower jaw is already very narrow compared to upper that is).
 
no clue lol
Like how narrow is your lower jaw compared to the width of your cheekbones? I explained in detail in other reply
 
I see alot of people talking about MARPE,
But imo i think it would more harm than good in the vast majority of people

But first of all what is MARPE?

MARPE (short for Miniscrew-Assisted Rapid Palatal Expansion.) is a orthodonic technique used to widen the upper jaw (maxilla) by applying expansion forces through bone-anchored screws to separate the midpalatal suture.

I could see MARPE as a good option if you have a very narrow maxilla resulting in posterior crossbite, dental crowding, and airway compromise.

But i belive it isn’t beneficial aesthetically in most people and here is why

1.
MARPE isn't really beneficial aesthetically for most people, because it only expands the upper jaw, not the lower jaw. The lower jaw can't be widened with expansion since it has no suture (widening it would require implants). Expanding only the upper jaw increases bizygomatic width while bigonial width stays the same, lowering the bigonial-to-bizygomatic ratio. For most people, this makes the jaw look too narrow, especially if it already is.


The only time this could look good is if your bigonial-to-bizygomatic ratio is already too high (= >1.0).

It can also disrupt facial harmony by widening the nasal bridge and altering the ESR (eye separation ratio).

Also, if FWHR is already high (ideal for males = 1.85-2.0), expanding to the point where FWHR exceeds 2.0 can make the face look too wide, hurting overall aesthetics rather than improving them.

The only time I could see MARPE being aesthetically useful is in a case with a very narrow maxilla, low FWHR, and very wide bigonial width.

If anyone can refute or challenge these points, feel free to do so, open to discussion.
i got a appoitment at my ortho in a month, my palate is not that narrow but its definitely not very wide but im really unsure ifi should get it or no
 
i got a appoitment at my ortho in a month, my palate is not that narrow but its definitely not very wide but im really unsure ifi should get it or no
What is your bigonial to byzogomatic width?
 
Snmka obrazovky 2026 01 06 231238

slightly frauded - clenching my teeth forgive me for that, but im too insecure to take a photo without doing it
also i kinda feel like my zygos look much better in this photo then they actually are
 
View attachment 4629109
slightly frauded - clenching my teeth forgive me for that, but im too insecure to take a photo without doing it
also i kinda feel like my zygos look much better in this photo then they actually are
You look to have a good high FWHR pretty wide lower jaw, you dont need palate expansion trust me it would do more harm than good.
 

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