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MARPE and Surgical Wires.

Temporary anchorage devices (TADs) add anchorage and control, for quicker tooth movement. Surgical wires retain the dentition after oral surgery.

Skeletal anchorage and surgical wires.

This category covers appliances built on skeletal anchorage, plus surgical wires. Custom MARPE, the MSE Expander and the Dentaurum Expander expand the maxilla on palatal miniscrews, and the T-Bar takes anterior anchorage from TADs. SurgiArch™ is a 3D printed arch bar bonded to each tooth, for surgical cases.

  • TADs placed through the appliance or around existing ones
  • Skeletal expanders for the upper or lower arch
  • 3D printed surgical arch bars in cobalt chromium
SurgiArch™

What do MARPE and surgical wires solve?

Miniscrew-assisted expanders treat transverse maxillary deficiency after the midpalatal suture has matured, where tooth-borne expansion would tip the molars. The T-Bar holds the anterior teeth against skeletal anchorage for retraction or intrusion mechanics, and surgical wires hold the planned occlusion while the patient heals.

  • Transverse deficiency after suture maturation
  • Anterior anchorage for retraction or intrusion
  • Holding the planned occlusion after oral surgery

Which appliance fits the case?

Anchorage
Miniscrews plus two printed bands
Patient age
Late adolescents and adults
Correction
Skeletal transverse
Compliance
Screw turns at home
Anchorage
Bonded to each tooth
Patient age
After oral surgery
Correction
Post-surgical occlusion
Compliance
None, bonded
Anchorage
Two TADs plus banded molars
Patient age
Adolescents and adults
Correction
Skeletal transverse
Compliance
Screw turns at home
Anchorage
Four miniscrews, two molar bands
Patient age
Late adolescents and adults
Correction
Skeletal transverse
Compliance
Screw turns at home
Anchorage
TADs, anterior teeth
Patient age
Adolescents and adults
Correction
Anterior skeletal anchorage
Compliance
None, fixed
Haas, top view Distal Jet, top view MARPE 4 eyelet, front view

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next case.

Appliances that fit the first time and arrive on time.

FAQ

Questions about MARPE and surgical wires.

Custom MARPE is designed to the palate from your scan, with the eyelet count and screw position you prefer. The MSE places four posterior miniscrews that engage the palatal and nasal floor cortex, and the Dentaurum Expander takes two anterior TADs through tomas® eyelets. Our MSE vs MARPE guide covers when each fits.

For a Custom MARPE, send a CBCT for planning. It’s optional for the MSE and the Dentaurum tomas® expander, where you can add CBCT planning to check the miniscrew sites.

After, for the MSE and the Dentaurum Expander. You seat the appliance first and it acts as the surgical stent, so the TADs and the eyelets both land in the ideal position.

Upper and lower digital scans with the TAD positions, or a scan taken with the TADs placed. If the TADs aren’t in yet, we can build the T-Bar with tomas® eyelets instead.

Yes. Order SurgiArch™ as a single arch when braces are on the opposite arch, or dual arch otherwise.

Yes. Ball hooks are traditionally placed between each tooth so the surgeon can tie the arches together, and we can leave them out of any area the surgeon doesn’t want them.