CAD/CAM design and 3D printing of a personalised rapid palatal expander for maxillary transverse deficiency

J Pak Med Assoc. 2024 Jan;74(1):153-157. doi: 10.47391/JPMA.8363.

Abstract

Bone -borne ra pid ma xilla ry expansion appliances can achieve skeletal expansion while avoiding the undesirable dental side effec ts caused by a conventional rapid palatal expansion appliance. Typically, t hese (bone-bo rne appliances) included prefabricated devices, which can have limitations such as inadequate palatal adaptation leading to anch orage los s. In addit ion, a s bone thickness is not accounted for, prefabricated expanders cannot ensure the primary stability of the mini-implants. These disadvantages can be overcom e by customisation. This repor t aims to describe the digital design and three-dimensional printing workflow for constructing a personali sed M iniscrewassisted rapid palatal expansion (pMARPE) and present a case depicting its application in a 27-year-old female with 5.0 mm t ransverse discrepancy b etween the maxilla and the mandible. The result demonstrated that the pMARPE could be manufactured without the need for conventional impre s sion or laborator y p rocedures and effec tively e xpanded the palate of an ad ult pat ient with maxillar y transverse deficiency.

Keywords: Bone-borne rapid maxillary e xpansion, Maxillary transverse deficiency, Personalised, Miniimplants..

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Maxilla*
  • Palatal Expansion Technique
  • Palate
  • Printing, Three-Dimensional
  • Tooth*