Orthopedic Treatment

MAPA Approach for Absolute Bone Borne Adult Maxillary Expansion

Giuliano B. Maino

Dr. Giuliano B. Maino received the degree of Medical Doctor at the University of Padua.
After that he specialized in Dentistry at the same University of Padua.
Dr Maino has been working for 3 years in the department of Maxillo Facial Surgery in Vicenza.
Afterwards he completed a Postgraduate Program in Orthodontics at Boston University.
He specialized in Orthodontics at the University of Cagliari where he also served as an Adjunct professor for 6 years.
He is currently Adjunct professor at the University of Ferrara.
He is actually (2020) President of SIDO (Italian Society of Orthodontics)
President Elected of WIOA (World Implant Orthodontic Association)
Past President and Active member of the Angle Society of Europe (ASE).
Past president of AIDOr (Italian Academy of Orthodontics)
Active member of Italian Society of Periodontology (SIdP)
He is Diplomate of the European Board of Orthodontics and of the Italian Board of Orthodontics.
He is author of more than 100 articles in orthodontics and several textbook chapters.
Dr Giuliano B. Maino received the AJODO Helen E. Dewel Award for the Best Clinical Research in 2009
He is maintaining a private practice in Orthodontics in Vicenza, Italy.
E-mail: vicenza@mainog.com

Lecture Description

The availability of increasingly advanced digital technologies and the development of new methods allow us to investigate more accurately the areas of resistance of the maxilla and to perform in a predictable and safe way the Miniscrews Assisted Palatal Application (MAPA).
This will allow us to take full advantage of bone availability and ensure precise engagement of the miniscrews in the cortical bone of the palate, the floor of the nose, and if necessary the maxillary sinus.
This presentation will illustrate the advantages of guided miniscrew insertion (MAPA) for the correction of any type of malocclusion and the possibility of planning appliances for the maxillary expansion without using the dental support.
In this way it is possible to avoid possible periodontal damage but at the same time to exploit at best the anchorage areas making the success of the therapy more predictable.
In addition, a new type of palatal expander will be presented that improves the biomechanics of the expansion of narrow palates and overcomes the drawbacks of the activation.

Learning objective

Apply mini-screws in the palate and deliver orthodontic appliances in a single visit
Plan and design an efficient and easy-to-activate palate expander for adults (TSE)