Office-based Surgically Assisted Rapid Maxillary Expansion Under Simple Local Anesthesia (LIGHT SARPE)

This study evaluates a novel technique for surgically assisted rapid maxillary expansion (SARPE) performed under local anesthesia, termed LIGHT SARPE, with the aim of minimizing morbidity and improving patient comfort. Traditional SARPE methods, involving chisels and general anesthesia, can cause significant postoperative discomfort and complications. The LIGHT SARPE technique, performed in an office setting, uses a minimally invasive approach involving piezoelectric surgery for osteotomies and a temporary anchorage device for maxillary expansion.

A retrospective analysis of 30 patients who underwent this procedure at the Face Surgery Center in Parma, Italy, between 2020 and 2023 was conducted.

The average surgery time was 21 minutes, and postoperative complications were minimal. Key outcomes showed a mean maxillary expansion of 7.2 mm in the anterior maxillary distance, with no significant correlation between expansion degree and complications. The procedure was well tolerated, with most complications, such as palatal mucosa dehiscence and temporary sensory impairment, resolving without further intervention. LIGHT SARPE demonstrated advantages over conventional SARPE, including reduced discomfort, shorter operative times, and fewer complications, while preserving periodontal integrity. The technique's effectiveness, minimal invasiveness, and adaptability for diverse clinical cases suggest its potential as a preferred treatment option for maxillary transverse deficiency in skeletally mature patients.

The study concludes that LIGHT SARPE is a promising evolution of SARPE, offering significant improvements in predictability, efficacy, and patient outcomes with lower morbidity and costs.