Dental Medicine and Orthodontics

To exhibit some of the effects, changes and corrections attained with Miniscrew-Assisted Rapid Palatal Expansion (MARPE) in orthodontics, dentofacial orthopedics and airway. The documentations as well as the results were gathered from current patients of A. Kawaiah Orthodontics, in the cases where significant skeletal effects took place surgery-free and also in cases of the elderly patients where conventional therapy was not enough (Due to limited skeletal effect). MARPE as orthopedic anchorage device shows positive results in treating class-111 malocclusions and promoting guided facial growth. Images obtained from cone beam computed tomography from before treatment, during treatment and after treatment in teenagers and adults. The volumes of the airway are measured from various planes in nasal cavity, pharynx and were set to be measured. Changes in the total volume in CC and minimum area in MM were compared at each plane. The cross-sectional areas in the upper airway, nasal cavity and upper half of the pharynx showed substantial increase since the MARPE activation. One patient suffering from severe obstructive sleep apnea syndrome reported that his apnea has decreased, to the point, where CPAP machine wasn't necessary. All the results were observed through 3D digital imaging analysis, polysomnography, patient's observations, as well as their interviews. By changing the vectors of force, the maxilla can be displaced differentially in varying degrees. It is recommended for patients with midfacial deficiency, inappropriate bites and patients with poor breathing (breathing through the mouth) as treatment. The treatment is customized for each unique case and patient