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Maxillary Expansion in the Management of Obstructive Sleep Apnea: A Comprehensive Review.

Roqaya Alrumaih1, Ali Alterki1, Mohammad Qali2

  • 1Ministry of Health, Kuwait City 13001, Kuwait.

Dentistry Journal
|September 26, 2025
PubMed
Summary

Maxillary expansion, a treatment for obstructive sleep apnea (OSA), widens the airway to improve breathing. Various techniques like RME, MARPE, SARPE, and DOME offer options for different age groups and severity of OSA.

Keywords:
DOMEMARPERMESARPEmaxillary expansionobstructive sleep apnea

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Area of Science:

  • Sleep Medicine
  • Orthodontics
  • Otolaryngology

Background:

  • Obstructive sleep apnea (OSA) is a common sleep disorder caused by upper airway blockage.
  • Maxillary expansion increases nasal airway volume, improving airflow and sleep quality.
  • Several maxillary expansion techniques exist for different patient demographics.

Purpose of the Study:

  • To review the role of maxillary expansion in managing obstructive sleep apnea.
  • To examine the clinical applications and effectiveness of various maxillary expansion methods for OSA.

Main Methods:

  • Comprehensive literature review of maxillary expansion techniques for OSA.
  • Analysis of treatment options including RME, MARPE, SARPE, and DOME.
  • Evaluation of clinical evidence on efficacy in improving airflow and reducing OSA severity.

Main Results:

  • Maxillary expansion effectively increases nasal airway volume and improves airflow in OSA patients.
  • Different expansion techniques (RME, MARPE, SARPE, DOME) cater to specific age groups and anatomical needs.
  • Evidence suggests maxillary expansion is a viable therapeutic intervention for OSA management.

Conclusions:

  • Maxillary expansion is a significant treatment modality for obstructive sleep apnea.
  • The choice of technique depends on patient age, skeletal maturity, and severity of maxillary constriction.
  • Further research can optimize maxillary expansion protocols for enhanced OSA treatment outcomes.