Maxillary Skeletal Expander (MSE): Everything You Need to Know

Designed in 2004, Dr. Won Moon recognized the need for skeletal expansion, aimed for adults, as the use of tooth borne expanders, typically used for children, did not generate the force required to split the mid-palatal suture of the maxilla. In 2010, the Maxillary Skeletal Expander (MSE) was introduced to the public, offering a non surgical approach to permanent airway improvement.

Around 2018, Dr. Newaz installed his first MSE on an adult patient with a narrow palate. As an Orthodontist, & Oral Radiologist, Dr. Newaz immediately recognized the significance of MARPE’s benefits for the airway, facial aesthetics, and improved bite functionality. As both Dr. Newaz and Dr. Jaffari are victims of premolar extractions due to the still-practiced and controversial Extractive & Retractive Orthodontics, they have become leading advocates for Anti-Extractive & Protractive Orthodontics. This approach utilizes MARPE’s ability to reverse the effects of extractive orthodontics, improving the bite and airway for many patients suffering from Sleep-Related Breathing Disorders (SRBD), Upper Airway Resistance Syndrome (UARS), and Obstructive Sleep Apnea (OSA)

Whether you’re considering this procedure for yourself or your child, this comprehensive guide will answer all your questions about MSE, including results, and comparisons with other expanders!

What is the Maxillary Skeletal Expander (MSE)?

The Maxillary Skeletal Expander (MSE) is an orthodontic device designed to widen the upper jaw, or maxilla, by using temporary anchorage devices (TADs), which are small implants strategically placed into the palate. This is not a tooth borne expander you’d typically see used with children. The MSE applies force directly to the bone, which splits the fused mid palatal suture, resulting in transverse expansion of the nasal airway. This device offers a mild alternative to jaw surgery, particularly for adults seeking solutions other than CPAP, or sleep aid devices that only offer temporary band-aid solutions. 

At Team Dental, we have been at the forefront of this breakthrough. With the combination of specialties ranging from oral radiology & orthodontics, to dental cosmetics of implants & restoration, Dr. Newaz & Dr. Jaffari are recognized among the few leading experts in the world performing this procedure successfully. By taking a multidisciplinary approach, our patients benefit from the combined experience and knowledge, ensuring safety, and longevity of your smile and aesthetics.

MSE Expander vs. MARPE

A common question from patients is the difference between MSE and MARPE. MARPE are Miniscrew Assisted Rapid Palatal Expanders. The MSE (Maxillary Skeletal Expander), is a type of MARPE, similar to an iphone being a smartphone, but not all smartphones are iphones.

When comparing MARPE vs. SARPE, MARPE is a less invasive option for adults as it avoids surgery, whereas SARPE requires surgical assistance for expansion. At Team Dental, we will help you understand which option is best for you, based on your individual needs.

Maxillary Skeletal Expansion in Adults

Traditionally, palatal expanders were most effective in children and teens because their bones were still malleable. However, maxillary skeletal expansion in adults is now possible thanks to devices like MSE. This is crucial for adult patients with narrow palates, cross bites, or airway issues like obstructive sleep apnea.

Adult patients can expect transformative results, both functionally and aesthetically. The expansion not only improves the dental arch but also often results in defined cheekbones and improved facial symmetry. This makes the MSE an attractive option for adults looking to improve both their oral health and appearance.

MSE Expander: Before and After Results

Many patients seek out MSE expander before and after photos to understand the procedure's potential impact. The results can be remarkable, especially in adults, with a significant improvement in both bite alignment and facial aesthetics. Patients often notice a wider, more harmonious smile and better breathing due to the increased airway space following the procedure.

At Team Dental, we encourage patients to review maxillary skeletal expansion before and after images during their consultation so they can visualize how this life-changing procedure might benefit them.

MSE Expander Near Me

If you’re searching for a MSE expander near me, look no further than Team Dental. As leaders in this field, Dr. Jaffari and his team have extensive experience with MSE procedures, ensuring that patients get the best care available. We also provide consultations to ensure this procedure is the best option for your unique needs.

Is the MSE Expander Painful?

The MSE expander is generally well-tolerated by most patients. While some discomfort is normal during the activation phase, such as mild pressure in the upper jaw or headaches, these symptoms typically subside within a few days. Many patients find that the discomfort from the MSE is less severe than that associated with traditional expanders, as the pressure is distributed more evenly across the skeletal structure, not just the teeth.

Compared to other expanders, like MARPE, patients often report similar levels of discomfort, but the benefits of skeletal expansion with the MSE far outweigh the temporary discomfort.

MSE Expander Success Rate

The MSE expander success rate is incredibly high, particularly when it is used in the right patient with proper activation protocols. Studies show that maxillary skeletal expansion is stable and permanent, with minimal relapse if performed correctly​

MDPI

. At Team Dental, we take great care to ensure our patients receive the highest level of care, contributing to consistently high success rates for MSE procedures.

FAQs About MSE Expanders

1. How long does the MSE expander process take?

• The expansion phase lasts about 2-3 weeks, but the device typically stays in place for 3-6 months to allow the bone to stabilize and for permanent results to take hold.

2. Can the MSE expander be used on adults?

• Absolutely! Maxillary skeletal expansion in adults is one of the key benefits of the MSE. The device can successfully treat patients who previously had limited options.

3. Does the MSE cause any facial changes?

• Yes, patients often notice a wider smile and improved facial symmetry following the MSE procedure. Some patients also report improved nasal breathing as their airway expands.

4. Is the MSE expander painful?

• While some discomfort is normal, it is usually mild and subsides within a few days. Most patients find the process tolerable, and the long-term benefits far outweigh the temporary discomfort.

Resources and Studies on MSE Expanders

For those interested in learning more about the scientific background of the MSE procedure, here are some studies:

• "Premolar and Molar Inclination Changes Following MSE Expansion": A study examining how teeth are affected during maxillary skeletal expansion​
  MDPI
  

• "Management of Class III Malocclusion with MSE": A case study exploring the successful treatment of complex orthodontic cases using MSE​
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At Team Dental, we are committed to providing our patients with the best in orthodontic care, and the MSE expander is one of our most effective treatments. If you're considering maxillary expansion, schedule a consultation with Dr. Newaz & Dr. Jaffari’s team today to discuss how this advanced technology can help you achieve a healthier, more beautiful smile.