Labunet Anca, Iosif Cristina, Kui Andreea, Vigu Alexandra, Sava Sorina
Dental Materials and Ergonomics Discipline, Faculty of Dental Medicine, "Iuliu Hatieganu" Medicine and Pharmacy University, Avram Iancu 31 Street, 400083 Cluj-Napoca, Romania.
Prosthetic Dentistry Discipline, Faculty of Dental Medicine, "Iuliu Hatieganu" Medicine and Pharmacy University, Clinicilor 32 Street, 400006 Cluj-Napoca, Romania.
Biomedicines. 2024 Oct 24;12(11):2438. doi: 10.3390/biomedicines12112438.
: Miniscrew-assisted rapid palatal expansion (MARPE) has gained attention as an effective alternative to traditional rapid palatal expansion, particularly in adult patients. This scoping review synthesizes recent evidence to assess the clinical efficacy and safety of MARPE, addressing a gap in comprehensive, up-to-date analyses in this area. : To present the recent assessments concerning MARPE influencing factors, side effects, soft tissue alterations, and airway changes, focusing on comparisons with conventional devices. : Using PRISMA guidelines, we conducted a search of the literature published in 2018-2023 using Medline, Scopus, and Embase databases. This review focused on randomized controlled trials, cohort studies, and other reviews that evaluated the outcomes of MARPE. : Our analysis included 75 studies and revealed that MARPE significantly improves suture expansion with fewer dental and skeletal side effects compared to traditional methods. The technique shows high efficacy in subjects up to 25 years of age, with reduced incidence of complications and improved stability of expansion. : The results support MARPE as a viable and superior alternative for maxillary expansion in late adolescents and adults. Given its advantages over traditional methods, MARPE should be considered a standard procedure in orthodontic treatment plans. Future research should focus on long-term outcomes and optimization of patient-specific treatment protocols.
微型螺钉辅助快速腭扩展（MARPE）作为传统快速腭扩展的一种有效替代方法，尤其在成年患者中受到了关注。本范围综述综合了近期证据，以评估MARPE的临床疗效和安全性，填补该领域全面、最新分析的空白。
阐述近期关于MARPE影响因素、副作用、软组织改变和气道变化的评估，重点是与传统装置的比较。
我们按照PRISMA指南，使用Medline、Scopus和Embase数据库检索了2018 - 2023年发表的文献。本综述聚焦于评估MARPE结果的随机对照试验、队列研究及其他综述。
我们的分析纳入了75项研究，结果显示与传统方法相比，MARPE能显著提高缝扩展，且牙齿和骨骼副作用更少。该技术在25岁及以下受试者中显示出高效性，并发症发生率降低，扩展稳定性提高。
结果支持MARPE作为青少年晚期和成年人上颌扩展的一种可行且更优的替代方法。鉴于其相对于传统方法的优势，MARPE应被视为正畸治疗计划中的标准程序。未来研究应聚焦于长期结果及针对患者的治疗方案优化。
