Dr. Luke Shapiro
@drshap • 61,600 subscribers
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When we talk about MARPE, I am referring to the actual palatal expansion device with the screws. MASPE refers to the turning protocol using the same device. I would say most providers that are up to date are doing this slow turning protocol. You avoid the diastema and it’s better for the bone/tissue. FME is a type of noncustom MARPE. Each patient is different and some may require cuts, some may need 4 screws, some made need 6. There is no single best way. At the end of the day, you just need to choose a good provider that you trust.
Dr. Luke Shapiro526,400 Aufrufe • vor 8 Monaten
The herbst looks like a medieval torture device, but it can work. In this patient while the soft tissue looks good over time, the Overjet increased due to what seems to be a clockwise and downwards rotation. The condyle now looks to be more posterior as to centered in the fossa. It would be interested to see if class 2 elastics could help this adult get more forward movement or if the condyle is in its spot now and the only way to fix is with surgery if wanting to correct the overjet
Dr. Luke Shapiro23,900 Aufrufe • vor 18 Tagen
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