Hi, I've overbite and crowding in my lower jaw can it be corrected without extraction and will marpe help to get desired result? Does marpe will work in my case? I'm 20F. Pls let me know I'll be grateful to you!
thanks for sharing the detail - ive been offered SARPE on the NHS but I'd rather try MARPE first (im a 33 year old male) just to avoid surgery - im happy if it doesn't work because I can just try SARPE after. Not sure NHS will do it though so may need to go external for MARPE.
Excellent Presentation Dr. I am very amazed with your result. And I really would love to use it for palatal expansion in adult patients. May I know where do you get the screw expander with hole for TADs insertion, like in your Case number 3? Thank you for sharing your knowledge.
Hi Professor, Thank you for your very helpful videos. I really enjoy watching. I just wanted to say that at 5:41 in SARPE surgeon should not touch the mid-palatal suture.
Thank you for the excellent lecture, Dr.! 24 yo Male here, I have a narrow upper palate with a mild cross bite, would you recommend getting Damon braces for palate widening, SARPE or MARPE? Thanks
@@alhuwaizi i am a 23 year old female with a very narrow pallet, my ortho recommends DOME procedure, i do NOT want to get surgery. any recommendations?
So I got this done with the MSE II. My surgeon told me to turn once a day. After a month my orthodontist said I can stop turning. I didn’t get a gap and my molars are extruded. Does that mean it didn’t work? Great presentation also.
This is a helpful video. What is the earliest age you would do MSE vs RPE with a hyrax? I have a 12.5 year old daughter and trying to decide the best option. She does suffer with nasal congestion, that was the reason the MSE peeked my interest, but can you see nasal cavity widening with a hyrax too?
I have read all the studies and seen it with my own eyes and only the MSE expander offers skeletal expansion. RPE offers expansion but it is a V- shaped expansion where is more anteriorly than posteriorly
Very well done and helpful. Thanks! I'm interested in helping a 7 year old with palatal expansion and pull the maxilla forward using these miniscrews. What length/size miniscrews would you recommend for a 7 year old? Would 10mm be enough/too much (in general)?
@@alhuwaizi Any ideas for reverse pull headgear for 7 year old? I'd like to minimize dental effects and just pull maxilla forward. I thought a TAD would help but I guess not.
it's excellent presentation than you for share your experience, good bless you, can i visit the lab where fabricate your MARPE to get more experience ?
دكتور عمري 39 سنة وكنت عاملة تقويم قبل عشر سنوات وسببلي ضمور للوجنتين واعطاني ملامح حزينة رغم ان العظة تبع الاسنان مافيها مشكل لكن احس ماعندي مكان كافي للسان + عندي كم سن تغليف هل اذا وسعت ال maxilla يتغير شكل وجهي للاحسن؟وشكرا مقدما دكتور
@@QuoteKingYt there was a study showing how force application would be predicted to change the maxilla. That showed greater change than 3mm however, which is what won moon said is the upper end of movement in adults. Also, idk if that study would translate into real life, but I'm gonna try it
Sorry dr Akram If get another look at the 5 apical radiograpgh at the 23:40 min in the lecture there is a horizontal fructure in left incisors 21 between the icisal third and middle third how could you manged that
hello dear professor. Thank you for the video on CZcams, I admire your cases. After what time do you recommend to start closing distema after marpe? Is it necessary to wear a face mask for maxillary mesializations? the patient is 16 years old.
Couple questions .. what about class 1 bites? Does de jaw spontaneously rotates forward ccw? What about marpe for lateral open bite with upper jaw canting? Thank you in advance
Hi doc! I had a question. I recently got a marpe with an orthodontist and I expanded asymmetrically where one side moved so far out it fell and my breathing only improved on that side. My ortho wants me to expand again once he fixes my bite and closes my gap in a few months. Is that possible later down the line? Once we begin expanding again to get the under expanded side to move it will be 8 months since expansion . I now realize I got a triangular expansion with the marpe and should have got a mse is it possible to get a mse to fix this issue? What are your thoughts?
It is possible to use MSE now. Repeating expansion is Ok. The problem is how are you going to make the unexpanded side more liable to move? I prefer to do some bone cuts (osteotomy) to weaken that site
@@alhuwaizi Hello doc! Thank u for the reply! I know you said repeating expansion is ok, but is it ok that it’s been 8 months since initial expansion? And how does the missing bone fill in? Does a new suture form as the new bone builds between the two halves or is it just one solid bone with no suture in between ? Also where would the cuts be made to help the unexpanded side loosen? My ortho told me the side that over expanded has denser bone, could that explain anything? Lastly I’m concerned the over expanded side will move again once we start expansion. Is there a way to install the mse so that only one side expands. And can the mse be limited to just posterior expansion because my marpe already expanded the anterior portion of my upper jaw giving me a triangular expansion.
I got my expander in 5 days ago. And after watching your video, I am wondering why my screws are left so long…The expander is tight to my palate but the screws are ~2mm too long it seems like Is there a reason for my orthodontist to have done that?
Dear Prof Alhuwaisi, where else than Iraq do you practise? Do you ever go to Jordan or Turkey or any other close country? I may be in the area starting from September (InshaAllah) and I will need someone to place my MSE or check on the one I would have.
Selam Dr. Akram. Do you know about an orthodontist that does the same in Europe? I a have been visiting several dentist and a few orthodontist, but nobody mention this method. Actually only a few mention skeletal expansion at all here. This have affected my life very negatively and I have not been able work for 2 years now. How much will this cost, with braces afterwards or without braces? Thank you for sharing this information and for your honesty. It seems like you are genuinely interested in your profession and dare to try out new technologies. God bless you.
Thank for your reply sir.I mentioned about is thier is any chance of relapse of the expanded bone in the future or the result is permanent, and also is thier is any side effects for MSE?
@@alhuwaizi sir, I am a bit broken-hearted since I am unable to find an ortho in the Philippines that practices MARPE, it seems that almost everyone here believes that Maxilla cannot be expanded for adults.
@@alhuwaizi scarry, i’m about to have this procedure. The doctor recomended surgery. I have big oclusion. Maybe i can send you a CT scan to give a look? I’m male, 31.
just finished watching the video and i have a question: after expanding the maxilla upto 10-12 mm will the lower teeth face bite issues due to it not being wide enough?
@@alhuwaizi doctor, and can this be achieved also with removable expanders? Or is it excusively worth to be tried by rapid expanders only (which are fixed)?
Finally found something about my case
Thank you from the USA for your lecture!
You are extremely knowledgeable. Thank You for sharing your experience Professor. Peace be with You.
You are welcome
Thank you a lot, professor! Greetings from Ukraine!
My brother was born in Ukraine
Excellent webinar . You cover a lot and precise information in one hour. Thanks from Panamá
You are welcome
@@alhuwaizi dr where are you working now ??
@@yahyaelmi8435 Baghdad
excellent excellent excellent! thank you so much doctor.
really appreciate what you are doing.
You are welcome
what an amazing lecture!. thank you Pr Alhuwaizi. cheers from algeria
You're welcome
Good evening sir I just finish watching ur video and amazing work u have been doing 👍😍
Welcone
Thank you Dr. A. Very well presented.
Thank you so much for sharing your knowledge ! I am very grateful !
thank you very much , i will try it :) and iam happy to listening all information.
Thank you very much for the proper information and knowlege, God bless
Thank you very much, it was very useful information!
very nice presentation .Thank you so much from Morocco
Welcome
Thank you professor. From Azerbaijan
More than welcome
Amazing!!!! Thank you doctor
ماشاء الله دكتور متمكن ،احتاج هذا التركيب لكن سألت في الجزائر قالو غير متوفر أو لا يعرفونه أصلا
جزاكم الله خيرا دكتورنا
شكرا دكتور على علمك المنتفع منه
اتمنى لك التوفيق الدائم
شكرا جزيلا
دكتور اكرم انت إنسان رائع الله يجزيك الخير
Thank you so much Sir.
Hi doctor thanks for sharing the ideas, dental technician here in uae👊
Welcome
Hi, I've overbite and crowding in my lower jaw can it be corrected without extraction and will marpe help to get desired result? Does marpe will work in my case? I'm 20F. Pls let me know I'll be grateful to you!
@@falguniparmar2151 It expands the upper jaw, so I don't think it will work for you
Great session sir
thanks for sharing the detail - ive been offered SARPE on the NHS but I'd rather try MARPE first (im a 33 year old male) just to avoid surgery - im happy if it doesn't work because I can just try SARPE after. Not sure NHS will do it though so may need to go external for MARPE.
عاشت ايدك استاذ أكرم محاضره بديعه
تدللون
Excellent Presentation Dr. I am very amazed with your result. And I really would love to use it for palatal expansion in adult patients. May I know where do you get the screw expander with hole for TADs insertion, like in your Case number 3? Thank you for sharing your knowledge.
A Korean company shown in the presentation
Hi Professor,
Thank you for your very helpful videos. I really enjoy watching. I just wanted to say that at 5:41 in SARPE surgeon should not touch the mid-palatal suture.
راقي د اكرم ..
Superb lecture Doctor ❤💓
Great. Thank you so much
Great lecture thank you
An excellent presentation. Have you had any experience with tads first or bone first technique prior to installing the appliance?
Thank you for the excellent lecture, Dr.!
24 yo Male here, I have a narrow upper palate with a mild cross bite, would you recommend getting Damon braces for palate widening, SARPE or MARPE?
Thanks
I think MARPE is the better way to go
@@alhuwaizi I'm looking to get this done in UK. Is it available here?
@@grzegorz16100 I think so
@@alhuwaizi i am a 23 year old female with a very narrow pallet, my ortho recommends DOME procedure, i do NOT want to get surgery. any recommendations?
Thank you very much Prof. For the valuable video. I want to ask you if MARPE is useful for cleft patients?
You are welcome. I don't think they work with cleft patients
@@alhuwaizi even if the cleft is closed??
جزاكم الله كل خير
الله يعطيك العافيه بروفيسور ❤
سعيد بكم
@@alhuwaizi بروفيسور تعرف اي طبيب تقويم فالامارات يستعمل MSE؟ او اذا عندك فرع عندنا
للاسف لا اعرف
شكرا دكتور يعطيك الف عافيه
So I got this done with the MSE II. My surgeon told me to turn once a day. After a month my orthodontist said I can stop turning. I didn’t get a gap and my molars are extruded. Does that mean it didn’t work? Great presentation also.
بارك الله فيك🙏🏼🧡
الله يسلمك
Thanks doctor you are the best.🥰🥰
Thank you 🙏
الله يوفقك دكتور 🌺🙏🙏❤
عاشت ايدك 👍 بالتوفيق إن شاء الله
This is a helpful video. What is the earliest age you would do MSE vs RPE with a hyrax? I have a 12.5 year old daughter and trying to decide the best option. She does suffer with nasal congestion, that was the reason the MSE peeked my interest, but can you see nasal cavity widening with a hyrax too?
I would use MARPE for maximum skeletal effect
I have read all the studies and seen it with my own eyes and only the MSE expander offers skeletal expansion. RPE offers expansion but it is a V- shaped expansion where is more anteriorly than posteriorly
Very well done and helpful. Thanks! I'm interested in helping a 7 year old with palatal expansion and pull the maxilla forward using these miniscrews. What length/size miniscrews would you recommend for a 7 year old? Would 10mm be enough/too much (in general)?
I wouldn't use a MARPE on q child that small because of the thin palate and poor quality bone. A hyrax with bands or cemented acrylic caps would do
@@alhuwaizi Any ideas for reverse pull headgear for 7 year old? I'd like to minimize dental effects and just pull maxilla forward. I thought a TAD would help but I guess not.
@@jeffreylylemason I think capping the posterior teeth by cemented acrylic gives the least dental effect
Thank you so much 🙏
What is the difference between DNA,ALF and AGGA?
it's excellent presentation than you for share your experience, good bless you, can i visit the lab where fabricate your MARPE to get more experience ?
Amazing
what's brand of laser machine uses for welding in lab ,please?
Can a removable appliance widen the palate? I mean a brace worn at night, for like children
دكتور عمري 39 سنة وكنت عاملة تقويم قبل عشر سنوات وسببلي ضمور للوجنتين واعطاني ملامح حزينة رغم ان العظة تبع الاسنان مافيها مشكل لكن احس ماعندي مكان كافي للسان + عندي كم سن تغليف هل اذا وسعت ال maxilla يتغير شكل وجهي للاحسن؟وشكرا مقدما دكتور
السلام عليكم ورحمة الله وبركاته...
دكتور هل هذا مؤلم
وعادي الشخص يمارس حياته اليوميه؟
What if you first open the palatine suture surgically and soon after apply the MSE?
That would be SARPE - surgically assisted. In that case there is little benefit to use a MSE, you can use a regular Hyrax
السلام،عليكم
جزاك الله،الف،خير ياحكيم وجعله في ميزان حسناتك
ممكن تخبرني كيف اتواصل مع الشركة او اي حد يرسلي الاكسباند
انا في دبي
Thanks, this was super helpful. Any overjet and so on is treated simply with braces and permanent retainers afterwards, right?
Exactly
Is it possible to decrease nose (midface) height with Marpe /MSE in downward growth face?
No, for that you need CCW of the lower third (upturns the nose tip)
That is outside the scope of MARPE
@@alhuwaizi What about Facemask and MSE im sure won moon proved this was possible
@@QuoteKingYt there was a study showing how force application would be predicted to change the maxilla. That showed greater change than 3mm however, which is what won moon said is the upper end of movement in adults. Also, idk if that study would translate into real life, but I'm gonna try it
Thanksss
Sorry dr Akram
If get another look at the 5 apical radiograpgh at the 23:40 min in the lecture there is a horizontal fructure in left incisors 21 between the icisal third and middle third
how could you manged that
Thank you Mohammed. I saw the horizontal line repeated in almost all the x-rays but that is a paper and not my work
hello dear professor. Thank you for the video on CZcams, I admire your cases. After what time do you recommend to start closing distema after marpe? Is it necessary to wear a face mask for maxillary mesializations? the patient is 16 years old.
It is better to leave the incisors a few months to close spontaneously first. Yes use the facemask
Hi, 27 year old male here with deep bite and a slightly smaller recessed lower jaw. Could I get it fixed without surgery and tooth extraction?
Can an adult at the age of 23 achieve the same or similar results by using a hyrax appliance only and then tad to attach rubber bands to?
No, the Hyrax can not open suture in adults. Use TAD supported expander
thank u dr.alot , but please i want to ask you what we can do if we failed to gain any expansion after 1 month of using the MARPE
See whats the problem and probably try again with a double MARPE
Couple questions .. what about class 1 bites? Does de jaw spontaneously rotates forward ccw? What about marpe for lateral open bite with upper jaw canting? Thank you in advance
Hi doc! I had a question. I recently got a marpe with an orthodontist and I expanded asymmetrically where one side moved so far out it fell and my breathing only improved on that side. My ortho wants me to expand again once he fixes my bite and closes my gap in a few months. Is that possible later down the line? Once we begin expanding again to get the under expanded side to move it will be 8 months since expansion . I now realize I got a triangular expansion with the marpe and should have got a mse is it possible to get a mse to fix this issue? What are your thoughts?
It is possible to use MSE now. Repeating expansion is Ok.
The problem is how are you going to make the unexpanded side more liable to move? I prefer to do some bone cuts (osteotomy) to weaken that site
@@alhuwaizi Hello doc! Thank u for the reply! I know you said repeating expansion is ok, but is it ok that it’s been 8 months since initial expansion? And how does the missing bone fill in? Does a new suture form as the new bone builds between the two halves or is it just one solid bone with no suture in between ? Also where would the cuts be made to help the unexpanded side loosen? My ortho told me the side that over expanded has denser bone, could that explain anything? Lastly I’m concerned the over expanded side will move again once we start expansion. Is there a way to install the mse so that only one side expands. And can the mse be limited to just posterior expansion because my marpe already expanded the anterior portion of my upper jaw giving me a triangular expansion.
Where do you do these procedures and how much is cost for MSE? Thank you
Скільки коштує зубний імплантат, будь ласка
Thoughts on DNA appliance?
56:54 Reduce, reuse, recycle
Reuse
I got my expander in 5 days ago. And after watching your video, I am wondering why my screws are left so long…The expander is tight to my palate but the screws are ~2mm too long it seems like
Is there a reason for my orthodontist to have done that?
Sometimes they jam and you are forced to leave them poking out
Dear Prof Alhuwaisi, where else than Iraq do you practise? Do you ever go to Jordan or Turkey or any other close country? I may be in the area starting from September (InshaAllah) and I will need someone to place my MSE or check on the one I would have.
Sorry I just practice in Iraq
@@alhuwaizi Ok. I am sure the people of Iraq who had enough suffering need you much.
Selam Dr. Akram. Do you know about an orthodontist that does the same in Europe? I a have been visiting several dentist and a few orthodontist, but nobody mention this method. Actually only a few mention skeletal expansion at all here. This have affected my life very negatively and I have not been able work for 2 years now.
How much will this cost, with braces afterwards or without braces? Thank you for sharing this information and for your honesty. It seems like you are genuinely interested in your profession and dare to try out new technologies.
God bless you.
did you find anything in Europe at the end?
The gap created post treatment will it go permanently using clear alinger?
It will close spontaneously as the transseptal gingival fibers pull the centrals together but a fixed appliance is needed to upright them
Sir,So it’s likely not possible with clear alingers right? And once expansion is done is thier is any chance of relapse in the future?
@@joejacob9299 it can be closed with clear aligners, but difficult. There is always a chance of relapse so we must overexpand and wear a retainer
Thank for your reply sir.I mentioned about is thier is any chance of relapse of the expanded bone in the future or the result is permanent, and also is thier is any side effects for MSE?
Sir expecting your reply!
Sir, how many turns for day do you suggest to an adult male who is 31 years old?
Two or three a day, but I prefer a buccal corticotomy to weeken the resistance
@@alhuwaizi sir, I am a bit broken-hearted since I am unable to find an ortho in the Philippines that practices MARPE, it seems that almost everyone here believes that Maxilla cannot be expanded for adults.
@@RalphKennetdeLara It is a difficult procedure
Where I find a supplier for MSE I the middle east
Crack!!!!!!
What do you mean losing a screw ? What is you swallow it ?
It becomes loose and falls. Sometimes, it can be swallowed. It will come out. No worries.
@@alhuwaizi scarry, i’m about to have this procedure. The doctor recomended surgery. I have big oclusion. Maybe i can send you a CT scan to give a look? I’m male, 31.
@Another One The success rate for a 31 year old male is low
@@alhuwaizi sad news! Thanx doc
Cost of the treatment?
is DOME procedure the same thing?
Similar
just finished watching the video and i have a question:
after expanding the maxilla upto 10-12 mm will the lower teeth face bite issues due to it not being wide enough?
Do you have a website where I can see more of these cases?
I publish on my Instagram
Hi Doctor. Can a palate be expanded in 47 male without a surgery?
Hello, it will be difficult but possible. Success rate may be 30%
@@alhuwaizi how long we should try and conclude if it is successful or not?
@@arbcoll one or two months
@@alhuwaizi Thans a lot!
@@alhuwaizi doctor, and can this be achieved also with removable expanders? Or is it excusively worth to be tried by rapid expanders only (which are fixed)?
Where r u located?
Where are you sir
Iraq
Am having something like that in my mouth
Thank you very much Prof. For the valuable video. I want to ask you if MARPE is useful for cleft patients?
Thank you very much Prof. For the valuable video. I want to ask you if MARPE is useful for cleft patients?
Thank you very much Prof. For the valuable video. I want to ask you if MARPE is useful for cleft patients?