Corticopuncture Facilitated Microimplant-Assisted Rapid Palatal Expansion

Figure 4

MARPE in place and minimally invasive surgical procedure to reduce suture resistance: (a) day of installation; (b) after corticopuncture procedure (8 perforations); (c) corticopuncture method—first stage: shallow predrilling using lance; and (d) corticopuncture method—second stage: insertion and removal of the miniscrew (4–5 mm depth).

(a)

(b)

(c)

(d)