Orthotown November 2023 - 43

Case 3: 43-year, 6-month-old man,
custom MARPE expansion appliance
+ full braces
Th is patient presented with concerns
of spacing, open bite, tooth
wear and wanting a dental implant
to replace his missing maxillary
left lateral incisor (Figs. 11a-c). Our
treatment plan included a custom
MARPE appliance with eight TADS
(Fig. 12a-d), designed by Partners
Dental Lab using the patient's initial
CBCT to identify the areas with the
most adequate bone for TAD placement,
with piezotome palatal midline
Fig. 11a
osteotomy and braces on all the
teeth (Figs. 13a-13d).
Th e patient was instructed to turn
Check out the
case superimposition
videos online!
the expander two times per day for
the fi rst fi ve days, then once per day
for 10 days. CBCT images were made
before and at his three-week recall
visit (the latter to rule out complications,
but later used for analysis).
At three weeks, the patient's expansion
was not yet complete.
Our intent is to show the skeletal
changes in all three dimensions following
sutural expansion in an adult
male at this earlier time point.
Fig. 12a
Fig. 13a
Dr. Jeremy Manuele provided
coronal superimposition
videos to help better illustrate
the progress made in Cases 2
and 3. To view them, head to
orthotown.com/magazine
and click the links inside this
article.
Fig. 12b
Fig. 11b
Fig. 11c
Fig. 12c
Fig. 13b
Fig. 13c
Fig. 13d
Orthodontics
and dentofacial
orthopedics are
constantly evolving
fields, and we must
continue to embrace
new ideas and
techniques to advance
our specialty.
NOVEMBER 2023 | 43 | ORTHOTOWN.COM
Fig. 12d

http://www.orthotown.com/magazine http://www.ORTHOTOWN.COM

Orthotown November 2023

Table of Contents for the Digital Edition of Orthotown November 2023

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