The UK’s leading authority in Orthodontic bone anchorage and creator of the Infinitas system, Dr Richard Cousley, presents a Hybrid RME (MARPE) case using a 3D Printed Palatal Expander. This case, alongside others, will be discussed in the upcoming Advanced Mini Implants Course led by Dr Cousley.
Mini implant single visit protocol for Hybrid RME
Mini-implant assisted rapid palatal expansion (MARPE) is a successful non-surgical and non-extraction method for widening the maxilla (upper jaw), also known as the maxilla. A constricted maxilla is linked to issues such as crowded teeth, buccal crossbites, facial asymmetry, and nasal obstruction.
Hybrid RME case treated by Dr Richard Cousley
This patient is a mature female teenager who activated the appliance twice daily over 16 days. The MARPE single visit protocol incorporates four simple steps and immediate activation.
- LA (using RME eyelets as guides).
- Cortical perforations (using the OMI stent).
- RME fitting.
- Insertion of Infinitas OMIs (again using the Infinitas stent).
In addition, the Hybrid RME appliance, designed and 3D printed by DB Digital Solutions, offers a precise fit and eliminates the need to for separators/try-in appointments and then implant abutment screws.
Fig 1: Pre-expansion with Hybrid RME fitted.
Fig 2: Pre-expansion radiograph.
Fig 3: Pre-expansion CBCT image.
Fig 4: Radiograph with Hybrid RME fitted.
Fig 5: Post-expansion with Hybrid RME fitted.
Fig 6: Post-expansion with Hybrid RME fitted.
Fig 7: Post-expansion CBCT image.
Fig 8: Post-expansion radiograph.
Take your mini implants to the next level
The advanced course is the perfect way to explore the next steps in Orthodontic Mini Implants. The day will focus on 3D planning, complex biomechanics and palatal appliances including 3D printed metal expanders using the Infinitas mini implant single visit protocol for Hybrid RME appliances as shown in the clinical case above.