*The images in this post have all been achieved without using MARPE and braces alone.
What Is MARPE?
MARPE, or Mini screw-Assisted Rapid Palatal Expansion, is a specialist orthodontic technique used to widen the upper jaw using a palatal expander supported by temporary mini screws placed in the palate. The aim is skeletal expansion, rather than expansion driven mainly by tooth movement.
This approach is most often considered for older teenager sand adults, where the upper jaw bones are more resistant to change.
Does Aligned Orthodontics Offer MARPE in Manchester?
Yes. Aligned Orthodontics offers MARPE as part of a private, specialist orthodontic treatment plan. Because MARPE involves mini screws, advanced xray imaging, and careful monitoring, it is not offered as a standalone or short-term solution.
Does Everyone With a Narrow Smile Need MARPE?
No. This is a crucial point.
At Aligned Orthodontics, MARPE is only recommended when it is genuinely necessary. In many cases, sufficient expansion can be achieved using modern aligner systems or braces alone, without the need for a palatal expander or mini screws.
Mild to moderate arch width issues can often be corrected through:
Arch development with fixed braces
Transverse expansion using clear aligners
Careful orthodontic planning without skeletal expansion
MARPE is typically reserved for cases where tooth-based expansion would be unstable, insufficient, or potentially harmful.
Why Does Aligned Orthodontics Not Automatically Recommend MARPE?
Because MARPE is not a one-size-fits-all solution.
Aligned Orthodontics follows an evidence-based, conservative-first approach, meaning simpler and less invasive options are explored before recommending MARPE. This helps protect patients from unnecessary treatment and supports better long-term outcomes.
MARPE may be considered only when:
Skeletal constriction is significant
Tooth-based expansion alone would risk gum damage or instability
Crossbite or airway issues are clearly skeletal in origin
Is MARPE Available on the NHS at Aligned Orthodontics?
No. MARPE is provided privately only at Aligned Orthodontics. NHS orthodontic treatment does not typically cover MARPE, particularly for adults, due to the complexity of the procedure and there sources required.
Private treatment allows for:
Advanced 3D imaging
Detailed case planning
Careful monitoring of expansion
Integration with full orthodontic treatment
Why Is MARPE Combined With Braces or Aligners?
MARPE is not a complete treatment on its own. Expanding the upper jaw is usually just one stage of orthodontic care.
At Aligned Orthodontics, MARPE is followed by:
Braces or clear aligners to align the teeth
Bite correction and stabilisation
Retention to help maintain expansion long term
This comprehensive approach improves predictability and reduces the risk of relapse.
How Does Aligned Orthodontics Decide Between MARPE and Aligners or Braces?
During a private consultation, the orthodontist carries out a detailed assessment that may include:
A clinical examination
Bite and facial analysis
3D imaging such as CBCT, where appropriate
Based on this information, they determine whether:
Aligner or brace-based expansion is sufficient, or MARPE is required to achieve safe and stable skeletal change
This ensures treatment is tailored to the individual, not driven by trends.
What Makes Aligned Orthodontics a Trusted Provider for MARPE in Manchester?
Aligned Orthodontics is a specialist orthodontic practice with experience in both conventional and advanced treatment techniques. Their strength lies not just in offering MARPE, but in knowing when not to use it.
Patients benefit from:
Honest discussions about alternatives
Clear explanations of risks and limitations
Thoughtful long-term planning
A focus on stability and function, not just expansion
Is Aligned Orthodontics a Good Choice for MARPE in Manchester?
For patients who genuinely need MARPE, Aligned Orthodontics is one of the most reliable providers in the Manchester area. Equally important, for patients who do not need MARPE, the practice is committed to delivering effective results using aligners or braces alone whenever possible.
This balanced, patient-first approach is what sets Aligned Orthodontics apart.
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