Sometimes, children develop a narrow upper jaw. Unfortunately, narrowed jaws
can lead to dental problems down the road. Children may develop crowded, crooked, or impacted teeth.
They might experience bite problems or tooth decay too. A palate expander may help treat or prevent
these issues. Palatal expansion uses a dental appliance to widen the upper jaw gently.
Palatal expansion is available at Paramount Dental Care & Specialty in Long
Beach and the surrounding area. Our team can adjust the size and shape of your child's jaw. We offer
a range of orthodontic services, including braces and permanent appliances. Call us at (562) 450-1261 to learn more.
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Palate Expansion and Oral Health
A child's upper jaw develops as two separate halves. During
puberty, these halves fuse — making it important to visit an orthodontist during
childhood. Younger patients can receive noninvasive treatments for their jaw
problems. But if parents wait too long, surgery may be the only option.
During an orthodontic assessment, the team measures the child's jaws. Sometimes, the
orthodontist may decide that the upper jaw is too narrow. A narrow upper jaw can
lead to bite problems and crowding. Without treatment, the child's permanent teeth
may become crooked. In some cases, the child may need an extraction.
Palate expanders can help a child avoid dental problems in adulthood. Expanders
gently widen the upper jaw, creating more room for adult teeth. A wider jaw may
repair some bite problems. It can also broaden a child's smile. Expanders may
shorten orthodontic treatment time or eliminate the need for further orthodontics.
“Expanders gently widen the upper jaw, creating more room for adult teeth.”
How Expanders Work
Expanders are custom-made to fit along the roof of the child's mouth. These
appliances might be removable, or they might be fixed in place. Fixed appliances are
glued to the back teeth, but removable expanders work like a retainer. Children can
take their expander out to eat, brush or floss. Afterward, they put their expander
back in place.
Each expander is equipped with a center screw. Once the expander is fixed in place,
patients receive a key. Each day, patients turn the screw to
widen the expander. The expander pushes against the jawbones and widens the
child's upper jaw. As the child reaches puberty, the bone fuses and solidifies into
the correct shape.
“The expander pushes against the jawbones and widens the child’s upper jaw.”
Receiving a Palate Expander
If a child needs an expander, the team begins by taking an impression. They discuss
what type of expander the child will need. The orthodontist may also discuss other
treatments, like braces.
Often, the team uses an expander to prepare the patient for braces. An expander may
shorten the amount of time the child spends in braces. But if the child has only
mild bite problems or crowding, an expander may resolve the issue. Braces might not
be necessary for all patients. The orthodontist can explain whether the child will
need further care.
After taking impressions of the child's mouth, a dental lab creates the expander. The
team fits the appliance and explains how to make adjustments at home. In most cases,
the patient will need to adjust their expander several times a week. Young children
may need help with this process. Parents can oversee the process of daily expander
adjustments.
“Often, the team uses an expander to prepare the patient for braces.”
Removable palate expanders are a popular option. Many families prepare to take the
appliance out for eating and cleaning. But removable expanders may not be the right
choice for some patients. Removable appliances work well for patients who need small adjustments. If a child's jaw needs
significant changes, a fixed appliance may be better.
Several types of fixed appliances are available. Each appliance works in a similar
way. First, the expander is attached to the back molars. Parents or patients make
regular adjustments with a key. The orthodontist performs regular checkups to make
sure treatment is progressing as planned.
“If your child’s jaw needs significant changes, a fixed appliance may be better.”
After your child receives their expander, the team explains how to keep the appliance
clean. Oral hygiene is essential for patients
who have an expander. Plaque can build up around the appliance. Over time,
plaque buildup may lead to gum disease or other dental problems. Parents should plan
to supervise daily brushing and flossing.
Children with removable expanders can take it out to brush and floss. Children with
fixed appliances can brush and floss around the expander. Sometimes, it can be
tricky to keep a fixed appliance clean. A mouth wash can help sweep away debris from
hard-to-reach areas.
Patients should avoid chewy, sticky, or hard foods. Cut up foods like apples and
carrots into small pieces. Avoid sticky foods like taffy or caramel. Sticky foods
can damage the appliance or get stuck in small crevices.
“Sticky foods can damage the appliance or get stuck in small crevices.”
Q.How can I determine if my child
needs an expander?
A. During a checkup, the orthodontist looks for signs of
crowding or impacted teeth. They also check the patient's bite and jaw alignment. If
the orthodontist spots a problem, they may recommend an expander. Our team can
provide more details about your child's prognosis and treatment options.
Q.How long will my child need to
wear their expander?
A. Treatment times can vary. Most children wear their
expander for up to six months. Occasionally, the orthodontist may recommend keeping
the appliance in place for up to a year. Parents and patients are often eager to
finish palate expansions. But early removal may cause a relapse. It is important to
follow up with the orthodontist's prescribed treatment plan.
Q.What alternate treatments are
available?
A. Palate expansion is a good option for many young
patients. But other treatments may also help widen your child's jaw. Some children
might be eligible for braces, retainers, or headgear. If your child's jawbone has
already fused, a palate expander will not work well. They might need braces, clear
aligners, or jaw surgery. The team can help you review your options.
Q.At what age will my child receive
their expander?
A. Palate expansion treatment provides optimal results
when used at a young age. Around age 14-16, the upper jaw fuses. Palate expanders do
not work well on older patients. Most children receive their expander around age
7-8. Our orthodontic team can let you know when your child is ready for treatment.
Definition of Orthodontic Terminology
Active Appliance
Orthodontic appliances that apply force to change the position of teeth.
Fixed Palatal Expander
A fixed palatal expander remains fixed in the mouth and is suitable for patients who need more complex adjustments.
Medical Device
A medical device is a broad term meaning any tool, implement, machine, implant or accessory used for diagnosis, treatment or alteration in humans or animals for medical purposes.
Occlusion
Occlusion is the way the teeth meet when the upper and lower jaw come together.
Orthodontic Appliance
Orthodontic appliances have multiple forms that can help treat malocclusions, irregularity with the teeth, and disproportionate jaw issues.
Orthodontics
Orthodontics is the specialty branch of dentistry that deals with preventing and correcting teeth and jaw irregularities.
Orthodontist
An orthodontist is a dentist who is specially qualified to diagnose, prevent, and treat any irregularities of the teeth and jaw.
Palatal Expanders
Palatal expanders are devices that gradually widen the upper jaw to create more space in a child’s mouth.
Removable Palatal Expander
A removable palatal expander can be removed for eating and cleaning and is suitable for patients who need minor adjustments.
Tooth Alignment
Tooth alignment refers to how closely or widely spread apart the teeth are from each other.
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Palate expansion help ensures that your child's jaw develops into the proper shape. These
appliances can reduce crowding and shift teeth into the correct position. Additionally, an
expander may also fix bite problems and speech difficulties. Our orthodontic team can help
you choose an expander that meets your child's needs.
If you are ready to discuss palatal expansion for your child, let Paramount Dental Care &
Specialty in Long Beach help. Call us at 562-450-1261 to learn more about our services.
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