Korean J Orthod.  2022 Sep;52(5):334-344. 10.4041/kjod21.324.

Effect and stability of miniscrew-assisted rapid palatal expansion: A systematic review and meta-analysis

• Huang X
• Han Y
• Yang S

• KMID: 2533258
• DOI: http://doi.org/10.4041/kjod21.324

Abstract

Objective
This study aimed to systematically analyze the effect and stability of miniscrew-assisted rapid palatal expansion (MARPE) to provide a reference for the clinical treatment of patients with maxillary transverse deficiency (MTD).
Methods
We searched PubMed, Science Direct, Web of Science, Embase, Cochrane Library, CNKI, and Wanfang Database for relevant studies published before February 18, 2021 and selected them according to the eligibility criteria. The Cochrane Handbook for Systematic Reviews (version 5.1.0) criteria were used for the quality assessment of randomized controlled trials, while the scoring protocol of the methodological index for non-randomized studies was used for non-randomized controlled trials. Statistical analysis was performed using the RevMan5.3 software.
Results
All the included studies showed a relatively high success rate of expansion. The changes in both the intermolar and alveolar widths after MARPE were statistically significant. MARPE exhibited greater skeletal expansion effects than did conventional RPE. The midpalatal suture was opened in parallel after MARPE. A small amount of relapse was observed 1 year after expansion. MARPE caused tooth inclination and a decrease in alveolar height, but it was less significant than in conventional RPE.
Conclusions
MARPE may be an effective treatment modality for patients with MTD. It causes great transverse skeletal expansion in late adolescence. In comparison to conventional RPE, MARPE has lower detrimental periodontal effects and has certain clinical advantages.

Keyword

Expansion; Tooth movement; Orthodontic mini-implant

Figure

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  Figure 1 Flow diagram showing the study selection.

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  Figure 2 Forest plot of the effects and stability of miniscrew-assisted rapid palatal expansion (MARPE). The outcomes assessed are: (A) intermolar width before and after MARPE; (B) alveolar width before and after MARPE; (C) intermolar width immediately after and 1 year after MARPE; (D) alveolar width immediately after and 1 year after MARPE; (E) tooth inclination of the right and left maxillary first molars after MARPE; and (F) buccal alveolar height of the right and left maxillary first molars before and after MARPE. CI, confidence interval; IV, inverse variance; SD, standard deviation.

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