Orthodontic Treatment
Miniscrew-Assisted Rapid Palatal Expansion — custom-fitted skeletal expansion for adults and teens.
A custom MARPE expander is precision-engineered to your unique palatal anatomy using digital impressions and CBCT imaging. Four titanium mini-implants (TADs) anchor the device directly to bone, delivering true skeletal expansion with minimal dental side effects — no surgery required.
Book Your MARPE ConsultationCBCT scans and digital impressions map your palatal bone thickness and anatomy. Your custom MARPE is designed for optimal fit and force distribution.
Your MARPE device is precision-manufactured to your exact measurements, ensuring a perfect fit that maximizes skeletal expansion and minimizes dental side effects.
Four titanium mini-implants are placed under local anesthesia in approximately 15 minutes. Daily activation with a key gradually expands the palatal suture over several weeks.
After reaching target expansion, the MARPE remains in place for 9-12 months while new bone fills the expanded suture. Orthodontic finishing aligns teeth into the wider arch.
Unlike generic expanders, a custom MARPE is designed from your 3D anatomy. This ensures optimal TAD positioning, better force distribution, and fewer complications.
MARPE eliminates the need for SARPE surgery. No general anesthesia, no surgical bone cuts, and recovery takes just 1-2 days instead of weeks.
Expanding the maxilla widens the nasal floor, increasing nasal airway volume. Patients often report significant relief from mouth breathing, snoring, and obstructive sleep apnea symptoms.
Bone-borne TAD anchorage applies forces directly to the palatal bone rather than teeth. This produces true skeletal expansion with less tooth tipping than traditional expanders.
Adults whose palatal sutures have fused (typically after age 16-18) are ideal MARPE candidates. Traditional expanders cannot achieve skeletal expansion in adults.
Patients with dental crowding, posterior crossbites, or arch width discrepancies caused by a constricted maxilla benefit from skeletal-level widening.
Patients with chronic mouth breathing, nasal obstruction, snoring, or obstructive sleep apnea related to a narrow maxilla and restricted nasal airway.
Patients who want to avoid SARPE surgery or who are not candidates for surgical intervention can achieve comparable skeletal expansion with custom MARPE.
SARPE requires surgery under general anesthesia with longer recovery. MARPE achieves similar skeletal expansion non-surgically with greater parallel expansion and a V-shaped opening pattern more similar to natural growth.
Traditional RPE (Rapid Palatal Expansion) relies on teeth for anchorage and only works in children. MARPE uses bone-borne TADs for true skeletal expansion in adults.
Both are TAD-anchored skeletal expanders. A custom MARPE is fabricated to your exact anatomy for optimal fit, while standard MSE devices use a more universal design.
The Facegenics Midface Expander (FME) is Team Dental's flagship device using 6-10 TADs for maximum stability. Your doctor will recommend the best expander for your case.
A custom MARPE is a miniscrew-assisted palatal expander tailored to your unique anatomy. It uses 4 TADs (mini-implants) to widen the upper jaw without surgery, producing true skeletal expansion in adults and teens.
Custom MARPE treatment typically costs between $5,000 and $12,000 depending on case complexity. We accept 40+ insurance plans and offer flexible financing options.
Most patients experience mild pressure during daily activations. TAD placement takes about 15 minutes under local anesthesia. Some tenderness at screw sites is normal and resolves within days.
Yes. MARPE was specifically designed for adults with fused palatal sutures who cannot use traditional expanders. There is no upper age limit for MARPE treatment.
MARPE is non-surgical — it uses mini-implants to expand the palate with 1-2 days recovery. SARPE requires surgery under general anesthesia to cut the bone, with a longer recovery period.
MARPE creates the skeletal foundation for a wider arch. Most patients also need braces or Invisalign after expansion to align teeth into the newly widened jaw.
Team Dental offers custom MARPE expander treatment across 5 locations — New York City, Philadelphia, Swedesboro, Ponte Vedra Beach, and Vermont. Our doctors specialize in airway-centered orthodontics with over 1,000 expander installs.
We accept 40+ insurance plans including Aetna, Cigna, Delta Dental, MetLife, and United Healthcare. Flexible financing available.