SARME is often an important component of a complete jaw surgery plan

 Procedures IMDO and LeFort IMDO-LeFort-Surgery

A broader smile and improved nasal breathing

SARME is designed to widen a small and narrow upper jaw. Widening the upper jaw creates the room for complete dental alignment without needing to remove teeth.

SARME is highly effective in widening the nasal airway and stretching out the soft palate to help prevent upper airway collapse when sleeping as well as eliminating sleep apnea.

Since the purpose of SARME is to widen the upper dental arch, the treatment process creates a broader, more aesthetically pleasing smile that shows off all of your beautiful teeth when smiling.

It's important to note a SARME doesn't widen the upper jaw symmetrically. A secondary LeFort surgery usually forms part of a comprehensive BiMax procedure.

This is often required to bring the upper jaw forward to ensure it is symmetrified and proportional with the rest of the face, as well as positioning it to produce the ideally functioning bite. 

 Procedures SARME SARME-16

Why can't orthodontic expansion be performed in adults?

Expansion of the upper jaw is commonly used to relieve dental crowding in teenagers. Once facial bones have stopped growing at 16-18 years of age, widening the upper jaw becomes a little bit harder.  

Expanding the upper arch is achieved by widening the palatal growth suture in the middle of the roof of the mouth with an orthodontic expander.

This highly effective in children and teenagers to open the suture and widen the upper jaw. At about 16-18 years of age the palatal suture is almost fused and not easily opened.

Using a simple orthodontic expander when the suture has fused may have the catastrophic effect of pushing teeth out of jaw bone without widening the jaw. 

When the patalal suture is partially fused, a MARME (Mini-Implant Assisted Maxillary Expansion) can be used. Since the device is secured to bone rather than teeth, the vast majority of expansion is skeletal.

If the suture is fused then a MARME won't work. Using a MSE isn't guaranteed, but may be a good option in the 18-25 year olds. It's more conservative than a SARME and can be done under local anaesthetic. 

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