Lázaro-Abdulkarim A, Hernández-Alfaro F, Puigdollers-Pérez A, Giralt-Hernando M, Elnayef B, Valls-Ontañón A
Department of Oral and Maxillofacial Surgery International University of Catalonia Josep Trueta s/n, Sant Cugat del Vallès CP 08195, Barcelona, Spain
Med Oral Patol Oral Cir Bucal. 2025 Mar 1;30(2):e271-e281. doi: 10.4317/medoral.26935.
Transverse maxillary deficiency is a relatively common type of malocclusion, that if left untreated will probably affect the permanent dentition. Recent investigations have proposed the use of bone-supported miniscrews around the midpalatal suture to expand the palate in late adolescents. The aim of this systematic review was to assess the efficacy of the Miniscrew Assisted Rapid Palatal Expansion (MARPE) technique in young adult patients, by quantifying skeletal expansion in relation to the age of the patient, as well as the impact upon other craniofacial sutures, and to describe the possible dental side effects.
An electronic and manual search was conducted, in which 17 were included in the study.
The estimated mean palatal opening width and nasal cavity width was 2.99 ± 0.33 mm and 2.24 ± 0.17 mm, respectively. A significant association was observed between midpalatal and pterygoid suture opening (p=0.010). No association was found between age and the MARPE technique (p=0.701).
The results of this study show that the MARPE technique produces significant opening width in young adults at both at midpalatal suture and nasal cavity level, and apparently only significantly widens the pterygoid suture. Greater dental side effects are directly associated to a reduced midpalatal suture opening width.
上颌横向发育不足是一种相对常见的错牙合类型，若不治疗可能会影响恒牙列。最近的研究提出在青少年晚期使用腭中缝周围的骨支持微型螺钉来扩展腭部。本系统评价的目的是通过量化与患者年龄相关的骨骼扩展以及对其他颅面骨缝的影响，评估微型螺钉辅助快速腭扩展（MARPE）技术在年轻成年患者中的疗效，并描述可能的牙齿副作用。
进行了电子和手动检索，17项研究被纳入本研究。
估计腭部开口宽度和鼻腔宽度的平均值分别为2.99±0.33毫米和2.24±0.17毫米。观察到腭中缝和翼突骨缝开口之间存在显著关联（p = 0.010）。年龄与MARPE技术之间未发现关联（p = 0.701）。
本研究结果表明，MARPE技术在年轻成年人的腭中缝和鼻腔水平均产生显著的开口宽度，并且显然仅使翼突骨缝显著增宽。更大的牙齿副作用与腭中缝开口宽度减小直接相关。
