{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:58:26Z","timestamp":1786363106399,"version":"build-2736575974"},"reference-count":52,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify the rotational fulcrum (RF) and to evaluate the skeletal and dentoalveolar effects after rapid palatal expansion (RPE) with tooth-borne and tooth-bone-borne (MARPE) appliances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>31 patients were selected (MARPE group: n = 14, age 16.2 \u00b1 2 years; hyrax group: n = 17, age 14.7 \u00b1 0.8 years) with RPE indication and having cone-beam computed tomography before (T1) and after RPE (T2) and after 6 months of retention (T3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the MARPE group, the RF was at or above the frontozygomatic suture (FZS), whereas in the hyrax group, it was at or below the FZS. The skeletal response rates were 70% (2\u00b0) and 33% (1.09\u00b0); alveolar response rates, 18% (0.52\u00b0) and 20% (0.68\u00b0); and dental response rates, 12% (0.35\u00b0) and 47% (1.54\u00b0) in the MARPE and hyrax groups, respectively, with a significant difference between groups in skeletal (\n                      <jats:italic>P<\/jats:italic>\n                      = .005) and dental (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) regions. After retention, no significant difference was found between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although MARPE resulted in a higher RF in the coronal view, both techniques effectively corrected transverse discrepancies with similar stability. Considering the between-group differences in relation to skeletal and dentoalveolar response, MARPE should be used for cases in which minimal compensatory tooth movement is desired.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/111224-931.1","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T05:08:03Z","timestamp":1744866483000},"page":"412-419","source":"Crossref","is-referenced-by-count":1,"title":["Rotational fulcrum and dentoskeletal changes after rapid palatal expansion with tooth-bone-borne (MARPE) and tooth-borne appliances in post-pubertal patients"],"prefix":"10.2319","volume":"95","author":[{"given":"Luciana Quintanilha Pires","family":"Fernandes","sequence":"first","affiliation":[{"name":"PhD Student, Department of Orthodontics, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle Naback Lemes","family":"Vilani","sequence":"additional","affiliation":[{"name":"Adjunct Professor, Graduate Program in Orthodontics, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno de Paula Machado","family":"Pasqua","sequence":"additional","affiliation":[{"name":"PhD Student, Department of Oral Biology, School of Dental Medicine, University at Buffalo, The State University of New York, Buffalo, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiane Barros","family":"Andr\u00e9","sequence":"additional","affiliation":[{"name":"Researcher, Technology Research Center, University of Mogi das Cruzes, Mogi das Cruzes, Sao Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Capelli","sequence":"additional","affiliation":[{"name":"Professor and Chair, Department of Orthodontics, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i1945-7103-95-4-412-b01","series-title":"Eur J Orthod","first-page":"651","article-title":"Effects of rapid maxillary expansion on the midpalatal suture: a systematic review","volume":"37","author":"Liu","year":"2015","unstructured":"Liu S,Xu T,Zou W. Effects of rapid maxillary expansion on the midpalatal suture: a systematic review. Eur J Orthod. 2015;37:651\u2013655."},{"key":"i1945-7103-95-4-412-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"S75","article-title":"Maxillomandibular expansion: short-term relapse potential and long-term stability","volume":"129","author":"Buschang","year":"2006","unstructured":"Buschang PH. Maxillomandibular expansion: short-term relapse potential and long-term stability. Am J Orthod Dentofacial Orthop. 2006;129:S75\u2013S79."},{"key":"i1945-7103-95-4-412-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"633","article-title":"Nasal cavity volume changes after rapid maxillary expansion in adolescents evaluated with 3-dimensional simulation and modeling programs","volume":"140","author":"Gorgulu","year":"2011","unstructured":"Gorgulu S,Gokce SM,Olmez H,Sagdic D,Ors F. Nasal cavity volume changes after rapid maxillary expansion in adolescents evaluated with 3-dimensional simulation and modeling programs. Am J Orthod Dentofacial Orthop. 2011;140:633\u201340."},{"key":"i1945-7103-95-4-412-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"S71","article-title":"Long-term adaptations to changes in the transverse dimension in children and adolescents: an overview","volume":"129","author":"Mcnamara","year":"2006","unstructured":"Mcnamara JA Jr. Long-term adaptations to changes in the transverse dimension in children and adolescents: an overview. Am J Orthod Dentofacial Orthop. 2006;129:S71\u2013S74."},{"key":"i1945-7103-95-4-412-b05","series-title":"Dental Press J Orthod","first-page":"26","article-title":"An assessment of the maxilla after rapid maxillary expansion using cone beam computed tomography in growing children","volume":"19","author":"Woller","year":"2014","unstructured":"Woller JL,Kim K-B,Behrents RG,Buschang PH. An assessment of the maxilla after rapid maxillary expansion using cone beam computed tomography in growing children. Dental Press J Orthod. 2014;19:26\u201335."},{"key":"i1945-7103-95-4-412-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"1125","article-title":"Comparison of the treatment effects of different rapid maxillary expansion devices on the maxilla and the mandible. Part 1: evaluation of dentoalveolar changes","volume":"151","author":"Canan","year":"2017","unstructured":"Canan S,Senisik NE. Comparison of the treatment effects of different rapid maxillary expansion devices on the maxilla and the mandible. Part 1: evaluation of dentoalveolar changes. Am J Orthod Dentofacial Orthop. 2017;151:1125\u20131138."},{"key":"i1945-7103-95-4-412-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e336","article-title":"Comparison of changes in skeletal, dentoalveolar, periodontal, and nasal structures after tooth-borne or boneborne rapid maxillary expansion: a parallel cohort study","volume":"161","author":"Altieri","year":"2022","unstructured":"Altieri F,Cassetta M. Comparison of changes in skeletal, dentoalveolar, periodontal, and nasal structures after tooth-borne or boneborne rapid maxillary expansion: a parallel cohort study. Am J Orthod Dentofacial Orthop. 2022;161:e336\u2013e344."},{"key":"i1945-7103-95-4-412-b08","series-title":"Int Orthod","first-page":"96","article-title":"Rapid maxillary expansion assisted by palatal mini-implants in adolescents \u2013 Preliminary study","volume":"13","author":"Chane-Fane","year":"2015","unstructured":"Chane-Fane C,Darqu\u00e9 F. Rapid maxillary expansion assisted by palatal mini-implants in adolescents \u2013 Preliminary study. Int Orthod. 2015;13:96\u2013111."},{"key":"i1945-7103-95-4-412-b09","series-title":"Angle Orthod","first-page":"36","article-title":"Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage: a prospective cone beam computed tomography study","volume":"91","author":"Jia","year":"2021","unstructured":"Jia H,Zhuang L,Zhang N,Bian Y,Li S. Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage: a prospective cone beam computed tomography study. 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Long-term effects on alveolar bone with bone-anchored and tooth-anchored rapid palatal expansion. Am J Orthod Dentofacial Orthop. 2022;161:519\u2013528."},{"key":"i1945-7103-95-4-412-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"830","article-title":"Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism","volume":"137","author":"Lee","year":"2010","unstructured":"Lee K,Park Y-C,Park J-Y,Hwang W-S. Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. 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Dental Press J Orthod. 2014;19:26\u201335."},{"key":"i1945-7103-95-4-412-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"1125","article-title":"Comparison of the treatment effects of different rapid maxillary expansion devices on the maxilla and the mandible. Part 1: evaluation of dentoalveolar changes","volume":"151","author":"Canan","year":"2017","unstructured":"Canan S,Senisik NE. Comparison of the treatment effects of different rapid maxillary expansion devices on the maxilla and the mandible. Part 1: evaluation of dentoalveolar changes. Am J Orthod Dentofacial Orthop. 2017;151:1125\u20131138."},{"key":"i1945-7103-95-4-412-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e336","article-title":"Comparison of changes in skeletal, dentoalveolar, periodontal, and nasal structures after tooth-borne or boneborne rapid maxillary expansion: a parallel cohort study","volume":"161","author":"Altieri","year":"2022","unstructured":"Altieri F,Cassetta M. Comparison of changes in skeletal, dentoalveolar, periodontal, and nasal structures after tooth-borne or boneborne rapid maxillary expansion: a parallel cohort study. Am J Orthod Dentofacial Orthop. 2022;161:e336\u2013e344."},{"key":"i1945-7103-95-4-412-b08","series-title":"Int Orthod","first-page":"96","article-title":"Rapid maxillary expansion assisted by palatal mini-implants in adolescents \u2013 Preliminary study","volume":"13","author":"Chane-Fane","year":"2015","unstructured":"Chane-Fane C,Darqu\u00e9 F. Rapid maxillary expansion assisted by palatal mini-implants in adolescents \u2013 Preliminary study. Int Orthod. 2015;13:96\u2013111."},{"key":"i1945-7103-95-4-412-b09","series-title":"Angle Orthod","first-page":"36","article-title":"Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage: a prospective cone beam computed tomography study","volume":"91","author":"Jia","year":"2021","unstructured":"Jia H,Zhuang L,Zhang N,Bian Y,Li S. Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage: a prospective cone beam computed tomography study. 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Long-term effects on alveolar bone with bone-anchored and tooth-anchored rapid palatal expansion. Am J Orthod Dentofacial Orthop. 2022;161:519\u2013528."},{"key":"i1945-7103-95-4-412-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"830","article-title":"Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism","volume":"137","author":"Lee","year":"2010","unstructured":"Lee K,Park Y-C,Park J-Y,Hwang W-S. Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. 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