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Review
. 2022 Feb 26;11(5):1287.
doi: 10.3390/jcm11051287.

Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review

Vanda Ventura  1   2 , João Botelho  2   3 , Vanessa Machado  2   3 , Paulo Mascarenhas  2   3 , François Durand Pereira  1   2 , José João Mendes  2   3 , Ana Sintra Delgado  1   2 , Pedro Mariano Pereira  1   2
Affiliations
Review

Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review

Vanda Ventura et al. J Clin Med. .

Abstract

In postpubertal patients, maxillary transverse discrepancy is a common condition often requiring surgical approaches. To overcome the excess morbidity and discomfort, maxillary expansion through miniscrew-assisted rapid palatal expansion (MARPE) was proposed and studied in the last few years. This umbrella review aims to critically appraise the quality of evidence and the main clinical outcomes of available systematic reviews (SRs) on MARPE. An extensive search was carried out in five electronic databases (PubMed-Medline, Cochrane Database of SRs, Scielo, Web of Science, and LILACS) until December 2021. The methodological quality was appraised using the A Measurement Tool to Assess SRs criteria 2 (AMSTAR2). The primary outcome was the methodological quality of SRs. Overall, four SRs were included and analyzed, one of high methodological quality, one of low and two of critically low. Despite the verified methodological constraints, MARPE seems to present significant clinical changes when compared to conventional RPE, SARPE or controls and less adverse clinical outcomes. The quality of evidence produced by the available SRs was not favorable. Future high standard SRs and well-designed clinical trials are warranted to better clarify the clinical protocols and outcomes success of MARPE.

Keywords: MARPE; maxillary expansion; miniscrew-assisted rapid palatal expansion; orthodontics; orthopedics; umbrella review.

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Conflict of interest statement

The authors declare no conflict of interest.

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References

    1. Kutin G., Hawes R.R. Posterior Cross-Bites in the Deciduous and Mixed Dentitions. Am. J. Orthod. 1969;56:491–504. doi: 10.1016/0002-9416(69)90210-3. - DOI - PubMed
    1. Haas A.J. Palatal Expansion: Just the Beginning of Dentofacial Orthopedics. Am. J. Orthod. 1970;57:219–255. doi: 10.1016/0002-9416(70)90241-1. - DOI - PubMed
    1. McNamaraa J.A. Maxillary Transverse Deficiency. Am. J. Orthod. Dentofac. Orthop. 2000;117:567–570. doi: 10.1016/S0889-5406(00)70202-2. - DOI - PubMed
    1. Egermark-Eriksson I., Carlsson G.E., Magnusson T., Thilander B. A Longitudinal Study on Malocclusion in Relation to Signs and Symptoms of Cranio-Mandibular Disorders in Children and Adolescents. Eur. J. Orthod. 1990;12:399–407. doi: 10.1093/ejo/12.4.399. - DOI - PubMed
    1. Brunelle J.A., Bhat M., Lipton J.A. Prevalence and Distribution of Selected Occlusal Characteristics in the US Population, 1988–1991. J. Dent. Res. 1996;75:706–713. doi: 10.1177/002203459607502S10. - DOI - PubMed

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