Various terms such as MARPE, MSE, MASPE or DOME essentially describe the same goal: the skeletal expansion of the upper jaw, not just the widening of the dental arch. Whereas in the past such extensions were only possible in children, today mini implants also allow adolescents and adults to have an effective palatal opening - usually slowly and gently (MASPE).

If expansion using mini implants alone is not successful, surgical support techniques such as SARPE or DOME can help to reduce the resistance of the upper jaw. Which method is suitable depends heavily on the individual patient.

DOME focuses on the result: transforming a high, narrow palate into a functional dome shape - for more space for the tongue and better nasal breathing. The latest further development, DOMExD, allows the gap between the teeth to be widened and closed at the same time.

Keyan struggled for years with nasal obstruction, mouth breathing, bronchitis, snoring, and restless sleep. After many unsuccessful treatments, the underlying cause was finally identified: a narrow upper jaw that could not support healthy nasal breathing or proper tongue posture.

Through myofunctional therapy, Keyan learned to position his tongue correctly. Together with maxillary expansion and aligner treatment, his airway and facial development improved dramatically.

Today he sleeps quietly, breathes through his nose, has more energy, and his facial features look healthier and more balanced. His journey shows how powerful the combination of expansion and myofunctional therapy can be for a child's breathing and overall wellbeing.

Jaw joint clicking - harmless or a warning sign?
A clicking sound in the jaw joint when chewing or yawning indicates that the masticatory system is out of balance. Common causes are teeth grinding, an upper jaw that is too narrow, an incorrect bite or incorrect loading. If left untreated, it can lead to damage to the joints, muscles and teeth.
Treatment is individualized, often initially with bite splints. In the long term, the bite is adjusted and the jaw position is harmonized - if necessary also by orthodontic measures. The aim is a permanently pain-free, stable masticatory system.

Snoring - harmless or a health risk?

Occasional snoring is usually harmless. It becomes problematic if it is regular, very loud or accompanied by daytime sleepiness and breathing interruptions - then the oxygen supply during sleep can be disturbed. The causes are often narrowed airways, for example due to a tongue that falls back, narrow nasal passages, slack throat muscles, enlarged tonsils or a backward position of the lower jaw.

Treatment options range from snoring splints and muscle training to upper jaw expansion and ENT surgery to surgical measures or mouth taping.

Conclusion: Targeted clarification helps to find the cause and improve sleep.