If you've been told you need palate expansion as a teen or adult, you might have come across two terms: MARPE (Minimally Invasive Rapid Palatal Expansion) and SARPE (Surgically Assisted Rapid Palatal Expansion). Both treatments are designed to widen the upper jaw, but they differ in approach, invasiveness, and who they are best suited for.
In this guide, we’ll break down the key differences between MARPE and SARPE, their benefits, and how to determine which option might be right for you.
Why Is Palatal Expansion Needed?
The upper jaw (maxilla) plays a crucial role in dental alignment, bite function, and airway health. In many cases, a narrow palate can cause:
- Crowded teeth — Not enough space for teeth to align properly.
- Crossbite — The upper teeth sit inside the lower teeth rather than outside.
- Breathing issues — A small or constricted palate can contribute to mouth breathing, snoring, and even sleep apnea.
- Impacted teeth — Permanent teeth may not erupt properly due to lack of space.
For children, a traditional palate expander works well because their jaw is still developing. However, by the late teens or adulthood, the upper jaw fuses into a single bone, making traditional expansion more difficult. That’s where MARPE and SARPE come in—both are designed to widen the jaw in older patients whose bones have matured.
What Is MARPE (Minimally Invasive Rapid Palatal Expansion)?
How MARPE Works
MARPE is a non-surgical, minimally invasive alternative to traditional palate expanders. It uses a special expander that is anchored to the jawbone with temporary mini-implants (TADs). These implants provide additional support, allowing for successful expansion even in patients whose jaw has already fused.
Who Is MARPE Best For?
- Older teens and young adults (ages 16-25) whose jawbones are fused but still somewhat adaptable.
- Patients with mild to moderate palatal constriction (narrow upper jaw).
- Those looking for a non-surgical alternative to SARPE.
- Individuals experiencing breathing or airway issues related to a narrow palate.
Benefits of MARPE
- Minimally invasive — No major surgery required.
- Faster recovery — Most patients experience mild discomfort but can resume normal activities quickly.
- Improves airway function — Can help reduce breathing issues, snoring, and mild sleep apnea.
- Cost-effective — Generally less expensive than SARPE.
Limitations of MARPE
- May not work for all adults — If the jaw is too rigid, SARPE may be necessary.
- Mild discomfort — Some patients report temporary pressure or soreness.
- Not suitable for severe jaw discrepancies — Patients with extreme narrowing may need surgery.
What Is SARPE (Surgically Assisted Rapid Palatal Expansion)?
How SARPE Works
SARPE is a surgical procedure combined with a palate expander to widen the upper jaw. During the procedure, an oral surgeon makes small cuts in the bone to create a separation in the fused maxilla. This allows the expander to gradually widen the jaw over time.
Who Is SARPE Best For?
- Adults with fully developed, rigid jawbones (ages 18+) who cannot benefit from MARPE.
- Patients with severe palatal constriction or crossbite.
- Those needing significant expansion beyond what MARPE can achieve.
- Individuals preparing for jaw surgery or orthodontic treatment that requires additional space.
Benefits of SARPE
- Effective for severe cases — Works when MARPE is not an option.
- Long-term stability — Since the bone is surgically adjusted, expansion is more predictable.
- Improves both function and aesthetics — Can significantly improve bite alignment and smile appearance.
Limitations of SARPE
- Involves surgery — Requires an oral surgeon and a longer recovery period.
- Longer downtime — Patients may need a few weeks of recovery before returning to normal activities.
- More expensive — Costs are higher due to the surgical component.
MARPE vs. SARPE: Key Differences
Invasiveness:
- MARPE – Minimally invasive, uses temporary mini-implants (TADs) for expansion.
- SARPE – Requires surgery to cut the jawbone before expansion can begin.
Best for:
- MARPE – Older teens & young adults (16-25) with mild to moderate palatal constriction.
- SARPE – Adults (18+) with a fully fused jawbone and severe palatal constriction.
Surgical Requirement:
- MARPE – No surgery needed, making it a great non-invasive option.
- SARPE – Requires minor oral surgery to create expansion space.
Recovery Time:
- MARPE – Shorter recovery, mild discomfort for a few days.
- SARPE – Longer healing time, usually requiring a few weeks of recovery.
Effectiveness:
- MARPE – Works well for moderate expansion in younger patients.
- SARPE – Best for severe jaw constriction that requires significant widening.
Cost:
- MARPE – More affordable, as it does not require surgery.
- SARPE – Higher cost due to the surgical component
Which One Is Right for You?
Choosing between MARPE and SARPE depends on factors like your age, jawbone development, and the severity of your palatal constriction.
- If you're a teen or young adult (16-25) and need moderate expansion, MARPE is likely the best option. It’s minimally invasive, highly effective, and can help improve both dental alignment and breathing function.
- If you're an older adult (18+) with severe jaw constriction, you may need to consult an oral surgeon to explore alternative treatments, as MARPE is most effective for younger patients whose bones are still somewhat adaptable.
At Bergen Orthodontics, we specialize in MARPE as a non-surgical, effective solution for teens and young adults who need palate expansion. Our team will assess your unique needs and determine whether MARPE is the right treatment for you
Get Expert Guidance at Bergen Orthodontics in Bergen County, NJ
If you’re considering palate expansion, Bergen Orthodontics is your trusted expert in MARPE treatment. Our team has extensive experience in helping teens and adults achieve a healthier bite, improved breathing, and a more balanced smile—without the need for invasive surgery.
Why Choose Bergen Orthodontics for MARPE?
- Advanced orthodontic technology – We use 3D imaging and digital scans for precise treatment planning.
- Expertise in MARPE – Our team specializes in this minimally invasive, highly effective technique.
- Personalized consultations – We assess your specific needs to determine the best course of action.
- Flexible financing options – We offer affordable payment plans to fit your budget.
Schedule your consultation today! Visit Bergen Orthodontics or call us to learn more about how MARPE can transform your smile and improve your airway health.
