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Comprehensive workshop in Micro-Implants Supported Midfacial Skeletal Expander (MSE) with Retrospective Overview, the Latest Developments, and Prospective Advanced Applications

The non-surgical Maxillary Skeletal Expander (MSE) has evolved since early 2000, and its application has been growing globally. With the proliferation of MSE-related publications by multiple authors, there is clear evidence to support its impact. However, the success of MSE was not always predictable, especially for mature male patients. Over the last two decades, enormous efforts have taken place in attempts to further understand determining factors. Through clinical studies, computer simulations, and innovative treatment modifications, many of those challenging cases now can be safely treated without significant complications. During the two decades of journeying through the uncharted territory of non-surgical midfacial expansion in mature patients, not only have traditional paradigms been defied, but many initial MSE concepts have also required adjustment. Often, failures would result from misusing the appliance. Although it is easy to dismiss the value of MSE after a few unsuccessful cases, a true pioneer would try to understand the reasons for the failures. In this presentation, various ways to accommodate patients with extremely thick or thin palatal bones, narrow palatal vault, massive zygoma, palatal torus, skeletal asymmetry, etc. will be discussed. Application of digital workflow in MSE fabrication and MSE modification could also enhance the success of MSE treatment in difficult cases. Furthermore, for extremely difficult cases, various minor surgical procedures that could aid MSE will be discussed. By applying these innovative protocols, the traditional SARPE can be largely eliminated. Although the outcomes of MSE treatment may not always be predictable at this point in time, significant progress has been made by forward-thinking investigators, and the MSE technique will continue to evolve.

Clinical cases involving non-surgical midfacial expansion in both adolescent and adult patients will be examined in detail. Through these clinical examples, a proper MSE fabrication and updated expansion protocols will be illustrated. Secondly, other advantages of utilizing MSE will be demonstrated. Clinical cases and research findings illustrating the profound enlargement of nasal airways and functional improvements after MSE in both adolescent and adult patients will be closely evaluated. Furthermore, the airflow improvements will be illustrated by the dynamic airflow measurements directly from the patients and also by the computational fluid dynamics model simulations. The airway obstruction and the Obstructive Sleep Apnea Syndrome (OSAS) are related but the true impact of MSE for OSAS has not been clearly defined. The latest findings regarding the impact of MSE on OSAS will be presented. MSE can also aid in orthopedic correction of Class III cases when combined with a protraction device. Clinical cases combining MSE and facemask (FM) in both growing and mature patients will be discussed, and orthopedic effects will be illustrated. The use of growth modification for young patients and distraction-like protraction techniques for mature patients, in conjunction with this new device, open the door to many new possibilities.

Event Sessions
Title Time Type Speaker Price
Comprehensive Seminar in Micro-Implants Supported Midfacial Skeletal Expander (MSE) with Retrospective Overview, the Latest Developments, and Prospective Advanced Applications 18/12/2022 09:00 - 17:00
Intercontinental, Riyadh
Dr. Won Moon
Venue Price Sar. 1700

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