In almost every case report or research about MARPE(miniscrew assisted rapid palatal expansion, the design of MSE (maxillary skeletal expander) includes banding at first molars.
Is there any article comparing MSE with and without banding?
Force would be applied to maxillary bone directly, then why there's need to be banding for first molars?
Hope many advices from orthodontists and master of orthodontics
I don’t find it necessary to band the molars. It depends on the design of the MARPE. Not banding the molars reduces the hassles of loose bands and also I have found no tipping of the molars - I have used the MSE Screw developed by Won Moon - attaches are some photographs of a patient before expansion and during expansion- note the diastema.
Since the appliance needs continuous force to get desired results,it has to cement or fixed with the help of bands.moreover it also holds separated parts in balance.
There are different types of mini-screw supported expander designs. Tooth-Bone borne expander is anchored to mini-screws and teeth where as, a Bone-borne expander is anchored only to mini-screws.
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