Treated cases
Treated cases
These are intraoral photographs from Dr. Pacha's own MARPE cases, showing the palatal arch before treatment and after miniscrew-assisted expansion.
MARPE expansion — before and after
What these images show
Each pair shows the upper arch viewed from below, before and after expansion. What is visible is the change in arch width and the relationship of the posterior teeth. What is not visible — and what actually determined whether the treatment was appropriate — is the CBCT assessment of the mid-palatal suture that preceded it.
Photographs are also not the whole result. Skeletal expansion creates a platform; the alignment and finishing that follow are a separate phase, and retention continues indefinitely afterwards.
Frequently asked questions
Will my result look like these?
There is no way to answer that from a photograph. Outcome depends on your suture anatomy, bone quality, the amount of expansion needed and how your tissues respond. What can be discussed after an assessment is what is realistic for you specifically.
Are these patients of Dr. Pacha?
Yes. These are intraoral photographs from cases treated by Dr. Pacha, used with consent and anonymised.
Page last reviewed: 2026-09-10. This page is general health information about orthodontic care and is not a diagnosis, a treatment plan, or a substitute for an in-person clinical examination. Suitability for any treatment described here can only be established after a consultation, clinical assessment and the appropriate records. If you have symptoms that concern you, seek advice from a qualified clinician.
Continue reading
MARPE and skeletal expansion
Widening the upper jaw is straightforward in a growing child and difficult in an adult, because the mid-palatal suture…
MARPE treatment in Dubai
Miniscrew-assisted rapid palatal expansion widens the upper jaw at bone level, without surgery, in patients whose palatal…
Narrow upper jaw
Maxillary transverse deficiency means the upper jaw is narrower than the lower jaw requires. It is one of the few orthodontic…
Appointments
Arrange a specialist orthodontic assessment in Dubai
Consultations take place at Manhal Medical Center, Al Safa 1, Dubai, in English or Arabic. Every assessment begins with a full clinical examination and, where indicated, 3D imaging — not a treatment quote.