{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:15Z","timestamp":1787071275085,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rapid palatal expansion (RPE) effectively corrects transverse maxillary deficiencies. For adults, MARPE (Mini-Screw\u2013Assisted RPE) and SARPE (Surgically Assisted RPE) are two methods that can be used. However, their impact on periodontal health is not well known. Knowing these differential effects can help optimize treatment. The goal of the research was to assess gingival recession, alveolar bone loss, root resorption, and other periodontal health outcomes in patients undergoing MARPE and SARPE procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This prospective comparative study included 40 adult patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 20 per group) treated with either MARPE or SARPE. Clinical parameters (gingival recession, probing depth, clinical attachment level) and CBCT-derived radiographic parameters (buccal alveolar bone thickness\/height, root resorption) were assessed at baseline (T0), postexpansion (T1), and 6 months postretention (T2). Statistical analysis used independent t-tests and repeated-measures ANOVA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both groups achieved comparable maxillary expansion (MARPE 6.2 \u00b1 0.8 mm; SARPE 6.5 \u00b1 0.7 mm;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.45). However, the SARPE group showed significantly greater gingival recession (mean change at T2: SARPE 1.1 \u00b1 0.3 mm vs. MARPE 0.3 \u00b1 0.1 mm;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and more reduction in buccal alveolar bone thickness\/height (mean change at T2: MARPE \u22120.2 \u00b1 0.1 mm vs. SARPE \u22120.8 \u00b1 0.2 mm;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Root resorption was numerically higher in SARPE but not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.09). Probing depth and clinical attachment levels showed no significant differences between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>MARPE is associated with more favorable periodontal health outcomes, specifically less gingival recession and better buccal alveolar bone preservation, compared with SARPE in adult maxillary expansion. MARPE may offer a biologically gentler approach with reduced periodontal risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1191_25","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T07:00:38Z","timestamp":1758524438000},"page":"S2715-S2717","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Periodontal Health Outcomes Following Mini-Screw\u2013Assisted Rapid Palatal Expansion Versus Surgically Assisted Rapid Palatal Expansion: A Comparative Analysis"],"prefix":"10.4103","volume":"17","author":[{"given":"Anuj Singh","family":"Parihar","sequence":"first","affiliation":[{"name":"Department of Periodontology, People\u2019s Dental Academy, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Beverly Hills Medical Center, Abu Dhabi, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hardik","family":"Ajmera","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Government Dental College and Hospital, Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naman","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijender","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashim","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Dento Derma Multispeciality Clinic, Silchar, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,20]]},"reference":[{"key":"R1-20250930","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.ajodo.2007.01.021","article-title":"Surgically assisted rapid palatal expansion: A literature review","volume":"133","author":"Suri","year":"2008","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R2-20250930","first-page":"778","article-title":"[Advance and review: Miniscrew-assisted rapid palatal expansion","volume":"54","author":"Lyu","year":"2019","journal-title":"Zhonghua Kou Qiang Yi Xue Za Zhi"},{"key":"R3-20250930","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.3390\/jcm11051287","article-title":"Miniscrew-assisted rapid palatal expansion (MARPE): An umbrella review","volume":"11","author":"Ventura","year":"2022","journal-title":"J Clin Med"},{"key":"R4-20250930","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1093\/ejo\/cjab005","article-title":"Efficacy of miniscrew-assisted rapid palatal expansion (MARPE) in late adolescents and adults: A systematic review and meta-analysis","volume":"43","author":"Kapetanovi\u0107","year":"2021","journal-title":"Eur J Orthod"},{"key":"R5-20250930","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s13005-024-00474-6","article-title":"Adult maxillary expansion: CBCT Evaluation of skeletal changes and determining an efficiency factor between force-controlled polycyclic slow activation and continuous rapid activation for mini-screw-assisted palatal expansion \u2013Maspe vs. marpe","volume":"20","author":"Walter","year":"2024","journal-title":"Head Face Med"},{"key":"R6-20250930","doi-asserted-by":"crossref","first-page":"315","DOI":"10.2319\/021221-122.1","article-title":"Long-term assessment of conventional and mini-screw-assisted rapid palatal expansion on the nasal cavity","volume":"92","author":"Mehta","year":"2022","journal-title":"Angle Orthod"},{"key":"R7-20250930","doi-asserted-by":"crossref","first-page":"12","DOI":"10.4103\/jos.jos_56_22","article-title":"Effect of injectable platelet-rich fibrin (i-PRF) on new bone formation in surgical expansion with mini-screw assisted rapid palatal expander: A dog model study","volume":"12","author":"Awni","year":"2023","journal-title":"J Orthod Sci"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1191_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:01Z","timestamp":1787067841000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1191_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":7,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1191_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-07-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}