Edition V18N05 | Year 2019 | Editorial Clinical case | Pages 110 to 117
There is a consensus in the literature about the importance of orthodontic intervention in cases of maxillary atresia, since this condition is not self-corrected. The therapy usually involves the use of expanders to increase the transverse dimensions of the maxillary arch and, consequently, its perimeter. However, bone maturity with advancing age represents a limitation to the success of rapid maxillary expansion without surgical intervention. The present article aims to describe, by means of a clinical case, the protocol of rapid maxillary expansion (RME) in adults using miniscrew- assisted rapid palatal expander (MARPE), associated with perforation in the medial palatine suture region, in a 26-years-old female patient, with bilateral posterior crossbite and atresic maxilla.
Santos AM, Esper ABM, Rocha AD, Lima CCC, Batista ME, Holz IS. Expansão rápida da maxila assistida com mini-implantes (MARPE) em adultos. Parte I – aspectos gerais. Rev Clín Ortod Dental Press. 2019 Out-Nov;18(5):110-7.