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Related Experiment Video

Updated: Aug 19, 2025

Author Spotlight: Development of a Novel Finite Element Analysis Model for Improved Orthognathic Surgical Techniques
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The 'Powerbite' and surgical rapid expansion.

Ellen Louise Johnson1, Gavin Power2

  • 1Oral and Maxillofacial Department, William Harvey Hospital, Ashford, Kent, UK.

Journal of Orthodontics
|December 5, 2022
PubMed
Summary

Managing complex maxillomandibular discrepancies in adults requires a multidisciplinary approach. This study discusses the

Keywords:
Powerbiteexpansionmultidisciplinarysurgicalsurgically assisted rapid palatal expansion

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Area of Science:

  • Orthodontics and Maxillofacial Surgery
  • Dental Device Innovation

Background:

  • Adults with Class III skeletal patterns, asymmetries, and anterior open bites present complex treatment challenges.
  • Accurate assessment of maxillary expansion after surgically assisted rapid palatal expansion (SARPE) is difficult due to occlusal limitations.

Purpose of the Study:

  • To discuss the utility of the 'Powerbite' device for intra-oral assessment of maxillary expansion post-SARPE.
  • To determine when sufficient maxillary expansion has been achieved to accommodate the mandibular arch.

Main Methods:

  • Utilizing the 'Powerbite' device intra-orally to evaluate maxillary expansion.
  • Assessing the adequacy of expansion for mandibular arch accommodation.

Main Results:

  • The 'Powerbite' device provides a method for assessing maxillary expansion in challenging cases.
  • It aids in determining the endpoint for expansion to ensure proper mandibular arch fit.

Conclusions:

  • The 'Powerbite' device, previously described in 1986, offers a valuable tool for managing complex maxillomandibular discrepancies.
  • This intra-oral device assists clinicians in achieving optimal outcomes after SARPE in adult patients.