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In modern orthodontic practice, a narrow upper jaw is often corrected using teeth-anchored expanders. As a result of skeletal expansion, dental orthodontic appliances have an adverse effect both on the teeth and on the supporting tissues. An analysis of the issues associated with dental fixation devices, as well as the results of combined orthodontic & surgical treatment with Surgically Assisted Rapid Palatal Expansion (SARPE), has allowed us to develop a palatal expander anchored ondoi:10.35630/2199-885x/2022/12/1.19 fatcat:im4lsetuvjg6tbb6rgmwp6554y