If you haven’t heard about SARPE, it is an acronym for surgically assisted rapid particle expansion. This orthognathic curative method helps correct crowding, overbites, and widen narrow palates. If you are experiencing crowding besides an overbite, you may be a candidate for SARPE if you are a fully developed adult. Surgical palatal expansion delivers successful results in adults because they have a fully developed palate. Younger patients are not considered suitable for SARPE as their palates haven’t fully fused.
A surgically assisted rapid palatal expander is performed under general anesthesia. Suppose you are undergoing a palatal expander near you. In that case, the surgeon operating on you performs a vertical osteotomy in the maxilla with a Le Fort osteotomy to preserve the expansion of the palate.
You undergo SARPE to address the transverse dimension changes you require in your mouth. On occasion, the surgery is followed by Le Fort 1 to address changes in the vertical and anterior-posterior regions. Between the two operational methods, your compressed maxillary arch bears expansion with the rapid maxillary extender tool fixed in your maxilla. Palatal expander in Stafford, VA, also performs the mid-palatal osteotomy to permit a break in the inter-maxillary suture. When performing the Le Fort 1 osteotomy simultaneously, the surgeon may separate the pterygoid plates in a process called pterygomaxillary disjunction or PMD. However, many interventionists are traditional in their approach when separating the pterygoid because of the risks of injury to the pterygoid plexus.
After having SARPE, you receive instructions to gradually open the expander until you reach the measurements required to start your orthodontic process. You are required to wait for approximately three months for your bones to integrate into position and recover. The palatal expander must remain in place during the three months to stabilize your bones in their healed position.
While expanding the palate, you notice gaps between your front two teeth. The opening is a space created by SARPE, and when you begin orthodontic treatment, your orthodontist corrects it. The SARPE procedure corrects crowding, misaligned bites to balance the overall arrangement of your upper and lower arches.
You benefit from the SARPE process if you are an adult with skeletal maturity. For example, suppose you have a fused maxillary suture, transverse maxillary hypoplasia, or bilateral shifts posterior crossbite and have experienced earlier failure when using other expander devices. In that case, you may benefit from the SARPE process. SARPE addresses dental crowding due to the lack of space in your jaw to accommodate all the teeth in the upper arch. SARPE is also beneficial for people affected by obstructive sleep apnea.
Surgically assisted rapid palatal expansion is considered a technique combining oral and maxillofacial surgery besides orthodontics. The procedure is primarily beneficial for adults with fused maxillary sutures that cannot be expanded using other techniques. Therefore if you are affected by any of the complications described above, you help yourself by consulting your orthodontist about which procedure is best suited to correct the deficiencies in your mouth.
Do not hesitate to question your orthodontist about procedures you think were discovered lately because orthodontic expansion was found nearly 145 years ago and described by Emerson Angell. However, in 1959, Kole was the first person to speak about corticotomy in adults having maxillary constriction, although the surgical technique SARPE was discovered by Brown in 1938. However, it was Steinhauser who originally reported the SARPE system comprising the segmental split of the maxilla on the left and right along with placement of the graft in 1972.
If you are recommended a surgically assisted rapid palatal expander to create space in your upper arch, please do not hesitate to undergo the procedure because it helps you generate more space in the jaw to start orthodontic treatments to correct crowding and overbites.
Orthodontic issues create various problems in your mouth, resulting in tooth decay and gum disease requiring treatments from your dentist frequently. However, the SARPE process helps you achieve the straighter teeth you desire to end the dental problems you encounter and help you to achieve a better smile with orthodontic treatment. Therefore aim to put your dental deficiencies behind you and accept the recommendation of your orthodontist to have the SARPE process if recommended.
Should you need a palatal expander, Lupi Orthodontics can perform SARPE on you, subject to the conditions mentioned in this article. Please schedule your appointment with the facility to correct your orthodontic deficiencies.