What’s a Palatal Expander and Who Should Get One?

What’s a Palatal Expander | Who Should Get One | Palate Expander | Removable Palatal Expander | Bubbly Moments

If you’re exploring braces for your growing child, you may have heard the term palatal expander. Orthodontists recommend using a mouth expander before starting braces. But what is a palatal expander? Are there different types of orthodontic expanders? And who should use these appliances? We’ll answer all these questions (and more) in today’s post.

What’s a Palatal Expander?

What’s a Palatal Expander | Who Should Get One | Palate Expander | Removable Palatal Expander | Bubbly Moments

This is a type of orthodontic expander that widens the roof of the mouth. These devices rest along the roof of the mouth, and are custom-fitted to sit flush in your child’s palate.

Many children need a palatal expander. But whether your child uses a mouth expander or not will depend on his or her anatomy. That’s because this appliance creates more mouth room for kids with crowded teeth. In some cases, an orthodontic expander can also correct jaw alignment issues. Ultimately, this treatment will pre-treat certain orthodontic issues. Afterwards, it’s easier to achieve your child’s teeth straightening goals.

The American Association of Orthodontists says palatal expanders can prevent other complications. For that reason, if you use an expander for 7-to-10-year-old children, you may avoid tooth extractions, gingival recessions, and bite issues. Your child may even spend less time in braces after we remove his or her palatal expander.

How do Palatal Expanders Work?

What’s a Palatal Expander | Who Should Get One | Palate Expander | Removable Palatal Expander | Bubbly Moments

These appliances create room in your child’s mouth by applying gentle pressure. The appliance stays in place until we reach the desired larger size of the palate. Treatment times vary, but range from three months to one year, depending on the patient’s needs.

Even after the desired expansion, patients will probably need to keep his or her palate expander in place. That’s the best way to make sure the palate doesn’t revert during the next stage of orthodontic treatment.

Options for Children’s Palatal Expanders

What’s a Palatal Expander | Who Should Get One | Palate Expander | Removable Palatal Expander | Bubbly Moments

There are two main categories of palatal expanders. Some can be removed, and others stay in place all the time. And, between these two types of expanders, you still have options. These include:

  • Removable Palatal Expander

    Children who only need minor palate adjustments may use a removable palatal expander. This orthodontic expander looks more like a retainer, but it has a center screw. You’ll get a key to turn this screw a few times per week. And this process will expand your child’s palate over a course of up to several months.

  • Rapid Palatal Expander

    Also called a RPE, this is the most common type of mouth expander. A RPE has a center screw, and four branches that attach to the back teeth on your child’s upper jaw. After your child gets a rapid palatal expander, you’ll get a small key.

    Every day or several times per week, you will use that key and turn the center screw. This turning activates the RPE by widening it. In turn, this puts indirect pressure on your child’s palatal bones. After several weeks of treatment with a RPE, your child’s palatal expansion should be complete.

  • Mini-Implant Assisted Rapid Palatal Expander

    If your child misses the optimal window for palatal expansion, he or she may need a mini-implant assisted rapid palatal expander (MARPE). This expander puts more pressure on the roof of the mouth. And that’s often necessary for older patients with more settled mouths.

    Unlike an RPE, a MARPE includes two to four mini-implants. They’re placed on parallel points of your child’s palatal bones, joining them by a center screw. You still turn a key to expand your MARPE. But the pressure is directly applied to the bones of the palate instead of to your child’s teeth.

  • Surgically Assisted Rapid Palatal Expansion

    Surgically Assisted Rapid Palatal Expansion, or SARPE, combines surgery and orthodontic appliances. Orthodontists might suggest SARPE for adults or older children who need to widen a small palate. This treatment can also correct a bilateral crossbite, or deal with crowded teeth in the upper arch.

    Older patients will likely need to choose SARPE. That’s because the palate is formed by two bones that join in the dome of the upper jaw. These bones typically fuse during puberty. And that’s why it’s recommended to get a palatal expander in earlier years.

    Of course, moms know that kids grow and change rapidly. So, sometimes, we miss the optimal window for certain treatments. If that’s the case for your child, we can still offer mouth expansion. But it might have to include surgical intervention.

    The SARPE procedure involves local anesthesia and sedation. First, your orthodontist places an RPE in your mouth. Then, your surgeon will cut the bone in the middle of your palate. You might also need a Lefort 1 osteotomy, a procedure that will allow your fused palate to expand.

    Following surgery, you or your child will need several days of recovery period. After that, you can begin to expand your device. Even after you’ve achieved your desired expansion, the RPE must stay in place for several months. During this period of stabilization, your bones can fuse in their new position.

Who Needs a Palatal Expander?

What’s a Palatal Expander | Who Should Get One | Palate Expander | Removable Palatal Expander | Bubbly Moments

Every person is different, but any of these signs mean you or your child may need a palatal expander:

1. Teeth That Don’t Descend

If the adult teeth are stuck in the gums, it might be because they have no room to grow in. In this case, expanding the palate can help prevent future problems.

2. Crowded Teeth

When the teeth are crowded, a small mouth could be the issue. In that way, a palatal expander could make it easier to achieve teeth straightening.

3. Crossbites

If the upper back teeth bite inside the bottom back teeth, a small palate could be responsible. A narrow palate can misshapen your upper jaw. And that prevents the two jaws from lining up. In this case, palate expansion is the best way to correct a crossbite.

If you notice any of these warning signs, be sure to ask your orthodontist about a palatal expander.

What’s a Palatal Expander | Who Should Get One | Palate Expander | Removable Palatal Expander | Bubbly Moments

Did you or your child use a palatal expander? How was the experience? Comment below!

2022-04-15T00:19:46-05:00

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