Treatment FAQ

how long is typical treatment with palatal expander

by Octavia Fay Published 2 years ago Updated 2 years ago

Typically, a palatal expander only needs to be worn for one to three weeks. Some patients with more severe cases may require six months of treatment time with a palatal expander.

Full Answer

What are palatal expander treatments?

Palatal expander treatments can be the sole treatment in a Phase I interceptive treatment or it can be a feature of your comprehensive treatment plan with braces. There will be two significant differences in treatment costs.

How often should a palatal expander be turned?

Because the expander is removable (as opposed to glued in), it exerts less force and not worn full time. It is also usually turned once or twice a week as opposed to on a daily schedule. As mentioned above, a palatal expander is traditionally used between the ages of 7-14.

How long does it take for a palate expander to work?

In most cases, palate expansion treatment takes 3 to 6 months. RPEs can widen the upper jaw at a rate of 0.5mm per day. Slow palate expansion can also be achieved by widening the upper jaw at a rate of 0.2mm per week. An orthodontist typically indicates a removable expander when a patient only needs minor jaw widening.

How long do you typically wear a palate expander?

Typically, an expander will be in place for about 9 months total time.

How long does it take to insert a palate expander?

The expansion of the palate is usually completed in 1-3 weeks. However, the appliance remains in the mouth for a longer period, generally 5-6 months to allow the new bone that has formed to mature.

How many times do you have to turn a palate expander?

Turn your palatal expander twice a day, once in the morning and once at night. At each turn you will see a new keyhole appear. If you do not see the keyhole, the turn is not complete. Since the palatal expander is moving the bone, you will feel some pressure below the eyes and at the top of your nose between the eyes.

How long do you have to turn an expander?

A turn is completed when you cannot push the key any further backward and you can see a new hole appear in the front. Remove the key carefully toward the throat and you've completed one turn. The expander will be activated ONLY one time a day, for approximately 28-42 turns.

How painful is a palate expander?

Do Palatal Expanders Hurt? For the first few days after receiving the palatal expander, your child may experience some discomfort and difficulty speaking and eating. However, the expander should not cause pain.

What age is best for palate expander?

At what age should my child get palate expander braces? A child should get a palate expander at the age of 7-8 years. At this age, their jawbones are in the formation stage. Thus it becomes easier for the expander to do its job.

What can you not eat with expanders?

Avoid Sticky and Hard Foods Chewy or sticky candy like chewing gum, taffy, licorice, and caramels should be avoided. Hard and crunchy foods like popcorn, nuts, and ice are also not recommended with a palate expander.

Do palatal expanders widen the nose?

Rapid maxillary expansion produces a significant skeletal transverse expansion of nasal region in growing patients. No significant differences in nasal effects are expected when the appliance is anchored onto deciduous teeth, with or without the palatal acrylic coverage.

Does an expander change face shape?

Does Palatal Expander Change Face Shape? Palate expander will not make your face wider. However, if you have a facial asymmetry associated with posterior dental cross bite, then palatal expander can improve your facial asymmetry.

Do you need braces after a palate expander?

Depending on your orthodontic needs, you may or may not require braces after wearing an expander. This is because braces correct the alignment of teeth that are already grown into place, which may not be necessary if an expander creates more space between teeth so teeth can straighten themselves.

How do they take expanders off?

0:251:34Expander Removal - YouTubeYouTubeStart of suggested clipEnd of suggested clipFirst we take a peek at the expander to make sure no tissues are teether irritated and to ensure anMoreFirst we take a peek at the expander to make sure no tissues are teether irritated and to ensure an easy removal before removal we explain what to expect I use a polisher to loosen the glue up.

How much does a palate expander cost?

Cost. Traditionally the price range of a palate expander treatment plan falls around $2,000 – $3,000 minimum. Nevertheless, the total cost varies according to where you live, who your orthodontist is, and whether or not you're covered by insurance.

What is a palatal expander?

Palate (palatal) expanders are orthodontic appliances that create more space in a child's mouth by widening the palate (roof of the mouth) over time. The goal of palatal expansion is to widen narrow palates in children and correctly align the upper teeth and jaw. This treatment can only be completed before the jaw fully develops.

How much does a palate expander cost?

The cost of treatment depends on your location and the orthodontist you visit. In most cases, a palate expander costs anywhere between $2000 and $3000. Since palatal expansion is medically necessary, most insurance plans cover most or all of the treatment costs.

How long does it take for a palatal appliance to expand?

In most cases, palate expansion treatment takes 3 to 6 months. RPEs can widen the upper jaw at a rate of 0.5mm per day.

Why is palatal expansion not possible?

As an adolescent’s growth spurt ends, palatal expansion may not be possible because the jaw is almost fully developed. Implant-supported or surgically assisted palatal expansion is typically the only treatment option at this stage because heavier force is needed to expand the jaw. Expansion is more likely to be successful in young children rather than those who have reached mid or late adolescence.

What to do if your child's teeth are too narrow?

If the jaw seems too narrow, palate expansion may be necessary to prevent dental crowding as the permanent teeth grow in.

What is the best treatment for a mature adolescent?

Mature adolescents typically require implant-supported expanders. Once the jaw is almost fully developed, heavier forces are necessary to successfully widen the jaw and palate. This expansion treatment consists of four mini-implants that apply force directly to the maxillary bone, instead of the teeth.

When do permanent teeth erupt?

As baby teeth fall out, permanent teeth start to erupt around the same time (age 6). When the mouth consists of some primary teeth and permanent teeth, it is called the “mixed dentition phase.”. If a child has a crossbite or crowded teeth during this phase, palate expansion may be necessary.

How long does it take to replace a palate expander?

This bone replacement takes about a full year to complete. Most orthodontists will leave a palate expander in for at least 6 months. Some doctors will remove the expander at 6 months and replace it with a smaller appliance to hold the expansion such as trans-palatal arch or a removable acrylic retainer.

How long does a palatal expander stay in your mouth?

A palatal expander will remain in the mouth for at least 6 months and as long as 1 full year. Early removal can cause an immediate relapse of the expansion. Your orthodontist will leave a palatal expander in even after the expansion of the palate is complete.

How to avoid breaking a palate expander?

The best way to avoid breaking a palate expander is to follow the food guidelines given to you by your orthodontic team. Hard, crunchy, sticky and gooey foods can break your palate expander.

What is the best treatment for a cross bite in a child?

When a child has a cross-bite that can lead to problems later in life, a palate expander should be the treatment option of choice for your child. Expanders help the bite fit together properly and can widen the smile to give your child the best smile esthetics.

Why do you need palatal expanders?

Palatal expanders are necessary to correct skeletal jaw discrepancies. When the upper jaw is more narrow than the lower jaw, your child will have a bite problem. This includes a crossbite on one side or both sides in the most extreme cases. There are legitimate reasons to start your child’s orthodontic treatment early.

What is a palate expander?

A palate expander is an orthodontic appliance that is used to correct a width problem or discrepancy between the upper and lower jaws. In the most simple terms, it is used to widen the upper jaw. Palate expanders are used when your orthodontist detects a width issue with your upper jaw.

Why do orthodontic expanders work?

With that being said, the primary reason that orthodontic expanders are used is to correct crossbites.

How long do palate expanders last?

There are several types of palate expanders. Some are removable, and others are designed to remain fixed in the mouth for several months. You and your orthodontist can decide which type is best for you, based on the type of correction required.

How long does it take to get used to an expander?

Getting used to your expander will take about a week. During that time, it may help to eat soft, easy to swallow foods that require a minimal amount of chewing. Smoothies, scrambled eggs, tofu, and yogurt are all good choices. Avoid chewing gum, hard candies, and sticky or chewy foods such as steak, taffy, or apples.

What is a palate expander?

Palate expanders are dental devices used to correct several conditions, including crossbite and overcrowded teeth. They’re most effective when used before puberty. There are several different types of palate expanders. Some can be removed and others are fixed into the mouth.

What is a hyrax rapid expander?

Hyrax rapid palatal expander. This fixed palate expander has bands that are designed to fit snugly around individual back molars. These bands are glued into place on the teeth, securing the expander in place. The hyrax has a screw situated in its middle, under the roof of the mouth.

Why is it important to keep expander clean?

In addition to potentially causing tooth decay, plaque buildup can cause inflammation and swollen gums, which may make your expander hard to adjust.

Where are the two halves of the jaw expander?

Palate expanders have two halves that are attached to the top back molars on both sides of the jaw. The halves are typically connected together by a screw, which sits high up in the middle of the mouth. You’ll be given a key to turn the screw, rotating it, on a specified schedule.

Why do dentists remove eye molars?

In some instances, your dentist may recommend that impacted eye teeth be surgically removed to avoid overcrowded or overlapping teeth. Tooth extraction may also be recommended for molars that don’t have room to erupt through the gums.

Why use a palatal expander?

Why Consider A Palatal Expander. Palatal expanders are recommended when the upper jaw (also called the maxilla) is too narrow relative to the lower jaw. For functional reasons, the upper jaw is supposed to fit outside the lower jaw. When one’s upper jaw is too narrow, their lower jaw does not fit inside it and it subsequently tends to shift ...

What happens to the lower jaw after expansion?

After expansion, the lower jaw swings back to a more central position. If the functional crossbite is not corrected early, the lower jaw grows into the asymmetric position and cannot be fixed later. Before and After.

What is Haas expander?

Haas – similar to a Hyrax expander but there are acrylic pads bonded to the metal framework that pushes on the palatal vault. Bonded Acrylic – instead of molar bands, an acrylic framework is fabricated around the chewing (occlusal) surfaces of all the posterior teeth and connected to the jackscrew.

What is the jackscrew in dental?

It usually consists of a component glued to the upper teeth (usually orthodontic bands) and a jackscrew. With the repeated turning of the jackscrew, force is transmitted to the teeth and to the suture, thereby theoretically getting both dental and skeletal expansion.

What is the term for teeth moving inside the bones?

Dental expansion. Dental expansion refers to teeth moving inside the bones with the bones not moving. This is permissible to a certain extent but there is a limit to how much a tooth can move before it is in an unhealthy position outside of the bone. This results in gum recession and periodontal issues.

Does palatal expansion increase tongue space?

Further, normalizing the upper jaw through palatal expansion can have a positive effect on opening up the nasal and pharyngeal airway passages, as well as allowing for increased tongue space and room for the erupting dentition. A bigger upper jaw means more room for the teeth growing underneath the gum tissue in the bone.

Can you do palatal expansion at 7?

While palatal expansion can be done before the age of 7, it needs to be done very slowly. Rapid palatal expansion which is done before the age of 7 can possibly lead to some adverse nasal issues. Palatal expanders before the age of 7 are often done with a removable expander that also doubles as a retainer. Because the expander is removable (as ...

What is a Palatal Expander?

A palate expander used in orthodontics helps widen the upper jaw or the roof of the mouth. Though this orthodontic treatment is common in children, some do not need the device. In short, the treatment plan will depend on your child’s mouth condition.

Types of Palate Expanders

Palate expanders come in various forms. They can be removable or remain fixed in the mouth for several months. Your child and the orthodontist will work together to determine which type is best for them.

When Does Your Child Need a Palate Expander?

Remember that not every child needs this type of orthodontic treatment. But if you think your kid may require one or other treatments to improve their teeth, visit your orthodontist. They will help you identify whether an expander is essential during treatment.

How Much Does A Palatal Expander Cost?

The expense of palatal expander treatment may depend on your child’s condition, location, and orthodontist’s proficiency. Most of the time, a palate expander costs somewhere between $2000 and $3000. Just verify what’s included in the fees before starting any treatment.

How Palate Expanders Work

Palatal expanders work by applying tension to the maxillary bones sufficiently able to separate the bones at the stitch. This process widens the entire upper jaw and enlarges the palate.

What to Expect

After turning the key, your child may encounter some soreness or a feeling of pressure. However, adjusting an expander actually causes less distress than having braces fixed. Your kid might find that talking and eating feel distinctive at first as the tongue adjusts to the device’s presence in the mouth.

Cleaning and Care

Dealing with the palate expander is relatively simple. Help your child brush their teeth at least thrice a day or after eating a meal. A syringe with water can eliminate any extra food particles when brushing and rinsing does not get the job done.

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