ASO International, Inc. — Orthodontic Laboratory Services
MARPE · MSE

Bone-anchored maxillary expansion, built digitally.

True skeletal widening for adolescents and adults — designed from CBCT, anchored to bone, and metal 3D-printed for a precise, repeatable fit.

CBCT-guided designMetal 3D-printed frames
Bone-borne MSE expander on a maxillary model
CBCT lateral view — MSE mini-implants engaging the palatal bone
Metal 3D-printed MSE frame on a digital model
Bone-borne MSE expander, occlusal view
57–77%
Skeletal share — bone-borne
Surgery-sparing
Adult skeletal expansion
Metal 3D-printed
CBCT-guided titanium frames
2–4
Mini-implants per case (Hybrid / MSE)
Choosing an expander

Three ways to expand — by how force reaches the bone

The right appliance depends on the patient's age and the maturity of the midpalatal suture, assessed from CBCT. We make all three and help you choose.

RPE / Hyrax tooth-borne expander on a maxillary model
Tooth-borne (TB)

RPE / Hyrax

Anchored entirely to the teeth. Force runs through the dentition, so expansion comes with more dental tipping and buccal bone strain.

Best for children & young teens with an open suture.
Hybrid Hyrax tooth-and-bone-borne expander (CBCT-rendered)
Tooth-bone-borne (TBB)

Hybrid Hyrax

Two anterior mini-implants and molar bands share the load, for a balanced split of skeletal and dental movement with moderate control over tipping.

Best for late adolescents and borderline cases.
MSE bone-borne expander on a maxillary model
Bone-borne (BB)

MSE

Anchored primarily to bone through four mini-implants set in the dense posterior palate, engaging both cortices for true skeletal separation with minimal tipping — with molar caps for added stability.

Best for adults & fused sutures — often surgery-sparing.
ASO standard
The MSE difference

Anchored to bone, across both cortices

Our MARPE is the Maxillary Skeletal Expander (MSE) anchored with BioMaterials Korea (BMK) TADs. Placing four screws bicortically — through the palatal and nasal-floor cortices — drives parallel suture opening rather than dental tipping. Screw type and length are selected from each patient's CBCT.

MSE Type 1
Original MSE screw
Ø 1.5 mm · 11 / 13 mm · 4 / case
MSE Type 2 (ACR)
Wider core, deeper engagement
Ø 1.8 mm · 11 / 12 / 13 mm · 4 / case

Material: Ti-6Al-4V (grade V titanium). Accessories: MSE handle driver, starter kit. Springs / FM hooks on request.

left maxillaright maxillamidpalatal suture
Four bicortical TADs transfer force directly to bone, opening the suture in parallel.
CBCT lateral view showing a bone-anchored expander in the posterior palate
CBCT lateral — screw position and length planned from the patient's scan.
Metal 3D-printed MSE expander seated on a stone model
Metal 3D-printed frame, fitted to the digital model before delivery.
Why bone-borne

More true expansion, fewer side effects

Real skeletal change

Direct bone loading separates the suture instead of tipping teeth outward.

Works in adults

Bicortical anchorage expands mature, fused sutures — often avoiding surgery.

Protects the dentition

Less buccal tipping and reduced buccal bone loss versus tooth-borne devices.

Airway benefit

Widening the maxilla can increase nasal-cavity dimensions.

Our workflow

From CBCT to a printed appliance

A fully digital pipeline keeps placement precise and turnaround fast.

Send a scan

Upload CBCT and an intraoral scan or impression through EasyRx.

Plan the TADs

We position screws in the densest posterior palate and design the frame to match.

Metal 3D print

The expander is metal 3D-printed for a rigid, hygienic, repeatable fit.

Deliver & place

A surgical guide seats the appliance at the planned position chairside.

Appliance line-up

SHU-lider metal-print family

Digitally designed, skeletally anchored appliances for molar movement and expansion — configurable to the case.

SHU-lider seated on a maxillary working model
SHU-lider

SHU-lider is a skeletally anchored, metal-printed appliance for controlled molar movement. Fixed to palatal mini-implants rather than to other teeth, it repositions upper molars without headgear, patient compliance, or anchorage loss. Open-coil springs deliver continuous force along a rigid printed guide, so molars translate bodily — with less tipping than wire-based distalizers.

The platform is configured per case: distalization to unlock Class II and create space, mesialization to close spaces, or heavy-duty skeletal expansion. Shown here seated on the working model with bilateral coil springs.

The family

SHU-lider
SHU-lider

Molar distalization. Drives upper molars distally to unlock Class II, create space, or relieve crowding — skeletal anchorage, no compliance needed.

Lingual Mesializer
Lingual Mesializer

Molar mesialization. Moves molars forward to close spaces from missing or extracted teeth; self-adjusting lingual mechanism.

SHU-lider-EX Type 1
SHU-lider-EX Type 1

Extended, more rigid frame for greater anchorage and control in demanding movements.

EX Type 2 SuperScrew
EX Type 2 SuperScrew

Heavy-duty SuperScrew configuration for skeletal expansion (MARPE / MSE).

Bring MARPE / MSE to your practice

Request turnaround and details, or start a case today through EasyRx — free for connected clinics.

Order via EasyRx
  1. Log in to EasyRx and choose Submit Rx.
  2. Select ASO Hawaii from your labs.
  3. Attach the CBCT and STL / photos.
  4. Submit — we reply within 1 business day.
Submit a case online