MARPE- A Literature Review on various designs for Clinical Orthodontics

Abstract

Maxillary arch constriction has been a major issue attributing to occlusal effects, a narrow nasal cavity: the deficit can cause major pulmonary issues, dental crowding, an excessive buccal corridor, and non-carious cervical wear. Forceful separation of mid palatine suture using expanders are desired for transverse correction. Incorporation of mini screws in RME appliance to take the advantage of the bone support for parallel disarticulation of sutures in individuals. Various designs have been recommended by authors around the globe; exclusively bone borne, teeth-bone borne, and tissue-bone borne with two/ four mini screws in the assembly. This work aims to provide an overview of the history of MARPE, suture morphology, and a detailed analysis of the design and application of the procedure for treating transverse discrepancy