title: Miniscrew-assisted rapid palatal expander (MARPE): the quest for pure orthopedic movement.
abstract: The midpalatal suture has bone margins with thick connective tissue interposed between them, and it does not represent the fusion of maxillary palatal processes only, but also the fusion of palatal processes of the jaws and horizontal osseous laminae of palatal bones. Changing it implies affecting neighboring areas. It has got three segments that should be considered by all clinical analyses, whether therapeutic or experimental: the anterior segment (before the incisive foramen, or intermaxillary segment), the middle segment (from the incisive foramen to the suture transversal to the palatal bone ) and the posterior segment (after the suture transversal to the palatal bone ). Rapid palatal expansion might be recommended for patients at the final pubertal growth stage, in addition to adult patients with maxillary constriction. It represents a treatment solution that can potentially avoid surgical intervention. When performed in association with rapid palatal expanders, it might enhance the skeletal effects of the latter. Of the various designs of expansion appliances, MARPE (miniscrew-assisted rapid palatal expander) has been modified in order to allow its operational advantages and outcomes to become familiar in the clinical practice.
authors.affiliation: Professor, responsible for the Masters Program in Orthodontics, São Leopoldo Mandic, School of Dentistry, Campinas, São Paulo, Brazil.
authors.forename: Hideo
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Associate clinical professor and director of the Residency Program of Orthodontics, University of California, Los Angeles, USA.
authors.forename: Won
authors.initials: W
authors.lastname: Moon
authors.affiliation: Professor, São Leopoldo Mandic, School of Dentistry, Graduate Program, Campinas, São Paulo, Brazil.
authors.forename: Luiz Henrique
authors.initials: LH
authors.lastname: Previdente
authors.affiliation: Professor, São Leopoldo Mandic, School of Dentistry, Masters Program in Orthodontics, Campinas, São Paulo, Brazil.
authors.forename: Selly Sayuri
authors.initials: SS
authors.lastname: Suzuki
authors.affiliation: Professor of Microbiology, São Leopoldo Mandic, School of Dentistry, Campinas, São Paulo, Brazil.
authors.forename: Aguinaldo Silva
authors.initials: AS
authors.lastname: Garcez
authors.affiliation: Full professor, Universidade de São Paulo (USP), School of Dentistry, Department of Orthodontics, Bauru, São Paulo, Brazil. Professor, Universidade de São Paulo (USP), School of Dentistry, Graduate Program, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Alberto
authors.initials: A
authors.lastname: Consolaro
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D016382:Orthodontic Appliance Design; D010155:Palatal Expansion Technique / Q000295:instrumentation*; D010159:Palate / Q000033:anatomy & histology; D055815:Young Adult