Dr. Mary on Expanders
A palatal expander is an amazing tool that we have in orthodontics. We’re able to widen the upper jaw and create space for teeth that maybe didn’t have space. When I first see a child for a consultation, first thing I look for is does that child have enough room for their adult teeth to come in.
If they don’t, a palatal expander will really help out with that. So the way it works is when you place it in, it’s going to widen their upper jaw. That widening is going to create space for additional teeth to come in.
And I’m able to use that space with braces to kind of consolidate spaces and make sure those teeth come in nicely. When a child doesn’t have enough room in their mouth for all their adult teeth to come in, there could be a lot of consequences in the future. One of those being your teeth might come in a little funky.
They might come in really crowded. And a really serious consequence is they might need extraction in the future. So we might need to take a couple teeth out in the future in order to create that space to move teeth.
So one thing that we try to do nowadays is we try to do expanders a little bit earlier on because we’re able to actually widen the jaw with an expander when they’re young enough so that would minimize the risk of needing possible extraction in the future or something a little bit more severe. If you’re a parent and I tell you your child needs an expander and you’re a little bit worried, I really try to answer all your questions, make sure you’re well informed about why, we sit down, we’ll talk about everything. And that all happens in the initial consultation.
So whenever I have a parent that’s a little bit confused or a little bit worried like why does my child need an expander, I go over everything with them. We go over the x-ray, the scan, and I lay out reasons why this would be the best treatment option. When a kid first gets their expander on, they might feel a little bit nervous, they might be embarrassed to go to school, but I find it that if the parents are on board with it too, the patients will feel a lot more comfortable with their expander.
So I always let patients know this is needed, this is necessary. So try to help your kids feel more comfortable. And I always also let kids know too that they’re going to get really used to their expander in only just a couple days.
Once an expander is in place, it might take your child a couple of days just to get used to it, to get comfortable, especially when talking, when eating food. But really it’s not too bad. We turn the expander one turn a day, so we do very slow movements, and your child doesn’t have to experience a lot of pain with that.
So really after a week, I see kids, it’s just a part of their mouth now. Kids are very resilient, so they really do get used to it very fast.
- Correct crowding & alignment issues
- Widen a narrow airway
- Set your child up for success
