Palate Expanders: When & Why Your Child May Need One

Palate expanders have become an increasingly common orthodontic treatment for children and teens in recent years because of their ability to provide highly effective results with minimal discomfort. Many parents are surprised to learn that palate expanders are often recommended before or alongside traditional braces, making them a key component in comprehensive orthodontic care for young patients. 

However, as with any medical treatment, parents often have questions and concerns about palate expanders — and some may have heard unsettling stories about discomfort or lengthy treatment times. 

Continue reading to learn how modern palate expanders are designed with patient comfort in mind, offering a more pleasant experience for patients of the best orthodontists in Sheboygan and Manitowoc. 

What is a Palatal Expander? 

A palatal expander, also known as an orthodontic expander, is a custom-made orthodontic appliance designed to widen the upper jaw and hard palate. The expander is fixed to the upper molars on both sides of the mouth, spanning across the roof of the mouth. 

When activated, usually by turning a small key, the expander gradually pushes the two halves of the upper jaw apart, creating more space in the dental arch. This process, known as palatal expansion, takes advantage of a child's natural growth process, as the bone and cartilage in the upper jaw are still malleable. 

Palatal expanders can be removable or fixed, depending on the patient's specific needs and the orthodontist's recommendation. This treatment aims to address issues such as crowding, crossbites, or narrow dental arches. Ultimately, expanding the upper jaw works to improve bite alignment and create space for proper tooth alignment.

How do Expanders Work?

Palatal expanders work by gradually widening the upper jaw through a process called orthopedic expansion. The device is custom-fitted to the patient's mouth and anchored to the upper molars on both sides. At the center of the expander is a small screw mechanism. Parents or patients are typically instructed to turn this screw with a special key, usually once or twice daily, according to the orthodontist's prescribed schedule. 

Each turn slightly increases the width of the expander, applying gentle pressure to the two halves of the upper jaw. This consistent pressure stimulates the growth of new bone in the center of the palate, where the two halves of the maxilla meet. In children and young adults, the two halves of the maxilla haven’t yet fused, allowing for easier expansion.

Over time, usually a few weeks to a few months, the upper jaw widens, creating more space in the dental arch. This expansion not only addresses crowding and alignment issues but can also improve breathing and the overall shape of the palate. Once the desired width is achieved, the expander remains in place for a period to allow the new bone to solidify and stabilize the expansion.

The Pros and Cons of Palatal Expanders

Palatal expanders offer several benefits but also come with some potential drawbacks. On the positive side, they can effectively create more space in the upper jaw, addressing issues like:

• Crowded teeth
• Crossbites and open bites 
• Narrow dental arches
• Bite alignment
• Better breathing, especially during sleep 
• More balanced facial structure

Expanders also reduce the need for tooth extractions and can shorten overall orthodontic treatment time. They're particularly effective when used early, taking advantage of a child's natural growth. 

Like most orthodontic treatments, there are some cons to consider. Initially, patients may experience discomfort or soreness, and speaking or eating might be challenging for the first few days. There is also a potential for temporary gaps to form between the front teeth, which can be concerning for some patients. These gaps typically close on their own or during the next stage of orthodontic treatment. Additionally, in rare cases, expanders may cause temporary changes in speech patterns or lead to minor gum irritation. 

Regular adjustments and proper oral hygiene are both important when an expander is in place — this requires commitment from both the patient and parents. Despite these potential drawbacks, most orthodontists and patients find that the long-term benefits of palatal expanders outweigh the temporary inconveniences, making them a valuable tool in orthodontic treatment.

Does my Child Really Need a Palatal Expander? 

The need for an expander depends on various factors, including your child's specific dental and skeletal structure, age, and overall orthodontic needs. Common indications for palatal expansion include:

• A narrow upper jaw
• Crossbites 
• Crowded teeth
• Impacted teeth
• Sleep apnea or other breathing difficulties related to a narrow palate

Orthodontists typically recommend expanders for children and young adolescents, ideally before the mid-palatal suture fuses, usually in the mid-teen years. However, each case is unique, and what's necessary for one child may not be for another. Your orthodontist will conduct a thorough examination, which may include dental X-rays and dental impressions, to assess whether a palatal expander is the most appropriate treatment option. 

Finding the Best Orthodontist in Sheboygan and Manitowoc

At Just Orthodontics, we understand that each smile is unique, and so is each patient's orthodontic journey. Our team, led by Dr. Ethan and Dr. Jeff, brings a wealth of experience and a patient-centered approach to every treatment plan. Their combined expertise creates customized solutions that address each patient's specific needs and goals. 

What sets us apart is our dedication to creating a positive orthodontic experience for children and teens. We've designed our office to be a place where young patients actually look forward to their appointments. From engaging waiting areas to kid-friendly treatment rooms, every aspect of our practice is geared toward making orthodontic care an enjoyable adventure.

Our commitment to excellence extends beyond our welcoming atmosphere. We stay at the forefront of orthodontic technology, offering advanced treatment options that ensure optimal results with maximum comfort. Our team is continuously trained in the latest techniques, allowing us to provide the most effective and efficient care possible.