703-712-1053 
MSE stands for maxillary skeletal expander. MARPE is micro-implant assisted rapid palatal expander. MSE and MARPE are forms of palatal expansion that happens by putting rapid expansion force directly on the the upper jaw bone. MSE is really good at making the upper jaw wider. And it does so quickly by rapid palatal expansion (RPE). The MSE does not do anything to the lower jaw and it does not get any forward growth. MSE does not correct facial asymmetry. In fact MSE has been accused of making facial asymmetries worse, but that is not true. When a facial asymmetry is present it gets bigger and more noticeable as the upper jaw gets bigger. In other words, it gets more noticeable and appears worse, so in a way facial asymmetry is a bigger problem with MARPE and MSE.
MSE consists of prefabricated parts and is usually installed with not customization. MARPE is customized and usually made to fit the patients mouth. MSE is for the most part out dated and most dentists are using customized MARPE appliances.
Braces or Invisalign after MSE and MARPE
Once MSE and MARPE treatment is complete, braces will be necessary and something will be done to improve the relationship between the upper and lower jaw. Obviously if the upper jaw grows to be a lot bigger something will need to be done to the lower jaw. One big jaw and one small is a bad match. RPE or rapid palatal expansion causes large spaces to develop between the front teeth. It does not look good for a short period of time you will look like Michael Strahan. The large spaces can be closed by braces or Invisalign.
We now offer a new novel treatment called MASPE zero where we use MASPE Expanders and clear braces at the same time. The service expands the jaw at the same time it aligns the teeth. The treatment approach prevents the large space from developing between the front teeth improves the bite and positions of the teeth all at once. The treatment times are cut in 1/2 and the results are sometimes even better than performing MARPE and Invisalign in sequence. Treatment times of 6-12 months vs 2 years in some cases.
