Maxillary Skeletal Expanders (MSE): Designing and Treatment Protocols from A to Z
Maxillary Skeletal Expanders (MSE): Designing and Treatment Protocols from A to Z
Course overview
Big course on design, insertion, activation, and treatment workflow of surgical and miniscrew-assisted maxillary skeletal expanders (MSE)!
Aimed at orthodontic professionals, this course offers evidence-based approaches and all the clinical tips and protocols for both non-surgical and surgical maxillary expansion.
What you will learn
Diagnosing maxillary deficiencies and developing an effective treatment plan
Analysis of CBCT and integration of its data with intraoral scans
Step-by-step protocols for digital design of MSE appliances
Appliance placement and activation protocols
Protocols for managing complications that may arise during treatment.
Course lessons
Lesson 1. Maxillary Skeletal Expansion: Design and Troubleshooting
Diagnosis for predictable treatment outcome
Indications for maxillary skeletal expansion
Radiographic analysis of maxillary skeletal expansion cases
Expander design based on suture and patient’s age
Expander design based on malocclusion
Skeletal expander troubleshooting
Aligner treatment planning for skeletal expanded cases
Analysis of clinical cases.
Lesson 2. Maxillary Expansion: Diagnosis and Treatment Planning
Anatomy of the maxillary bone and palatine bone
Indications for maxillary expansion
Etiology of maxillary constriction
Differentiating between skeletal and dental crossbites
Treatment philosophies:
Slow maxillary expansion
Semi-rapid maxillary expansion
Rapid maxillary expansion
Surgically assisted maxillary expansion.
Treatment appliances:
Tooth-anchored maxillary expander (TAME)
Bone-anchored maxillary expander (BAME and MARPE)
Full fixed appliances
Clear aligners.
Classification of the types of expansion and their indications
Palatal expansion in primary and mixed dentitions
Palatal expansion in adults
Side effects of palatal expansion and periodontal considerations
Relapse and protocols for managing it.
Lesson 3. Maxillary Expansion: Evidence-Based Approaches and Clinical Management
Clinical management of maxillary expansion
Retention of maxillary expansion
Available evidence on dental and skeletal changes after slow maxillary expansion (SME) treatment
Available evidence on dental and skeletal changes after rapid maxillary expansion (RME) treatment
Advantages and disadvantages of surgically assisted rapid maxillary expansion (SARME)
Clinical solutions to common side effects and errors that could occur during maxillary expansion
Analysis of various expansion appliances and their protocols of application
Radiographic analysis of before and after maxillary expansion
Step-by-step analysis of clinical cases.
Lesson 4. Digital Workflow of MSE Appliance Design
Surgical and non-surgical maxillary skeletal expansion (MSE) and its clinical applications
Benefits of MSE in addressing maxillary deficiencies
Benefits of digital workflows in orthodontics
Key considerations for successful MSE treatment
Integrating CBCT and intraoral scans for precise planning
Workflow for data merging and analysis
Techniques to ensure accurate alignment of digital data
Protocols for integrating clinical data into design
Step-by-step process for designing maxillary skeletal expansion devices using OrthoAnalyzer software.
Lesson 5. MSE Appliance Placement and Activation
Step-by-step appliance insertion protocols
Expansion protocols for children, adolescents, and adults
Failures and complications: protocols for management and prevention
Troubleshooting maxillary resistance to expansion
Evaluation of the treatment process and radiographic assessment protocols.
Lesson 6. Clinical Application of MSE Appliances and Case Selection
Case selection, diagnosis, and treatment planning
Indications, clinical findings, and contraindications for maxillary skeletal expansion
Step-by-step analysis of clinical cases: from diagnosis to post-treatment retention.
Lesson 7. RPE: From Diagnosis to a Predictable and Successful Result
Diagnosis of transverse maxillary discrepancy
Evaluation of midpalatal suture maturation
Protocols for planning and placing miniscrews
Hybrid vs. bone-borne appliances
Limitations of the MARPE appliance and how to overcome them
MARPE vs. SARPE: Clinical indications and evaluation of treatment outcomes.
