Orthodontic Palatal Expander: Your Questions Answered

If you find out that your child may need an orthodontic palatal expander as part of their orthodontic treatment, you both will most likely have some questions. Following is some basic information about expanders and why they’re used.

Are Palatal Expanders Necessary?

If our doctor recommends for your child to receive one, it’s most likely necessary so they can maintain straight teeth and a beautiful, healthy smile for a lifetime. A child may need one because they don’t have enough room in their mouth for future teeth that will grow in, they don’t have enough room for current adult teeth that are growing in, or they have a front or back crossbite that needs to be corrected.

The palatal expander gently widens the upper jaw and ensures that it grows correctly so the upper and lower teeth can be aligned properly.

Do Palatal Expanders Hurt?

Your child’s expander may hurt a little bit the first few days after getting it as they get used to having it in their mouth. It may also feel slightly uncomfortable to eat and speak at the beginning, but once they get used to it, there shouldn’t be any discomfort anymore. When the expander is adjusted, they may feel some pressure during and for a bit afterwards, but should start to go away after they get used to the pressure.

How Does Turning the Expander Key Work?

It’s best to have the child lay flat down or with their head back so a parent or adult can turn it for them. The key, which has a long handle for you to hold, should be placed directly in the hole of the expander, which is on the roof of their mouth. You may find it helpful to use a flashlight to see inside their mouths more clearly. The key should be turned, and as you turn it, the new hole appears. Once it has fully appeared, that means a full turn has been completed, and the key can be taken straight out.

Your child’s orthodontist will thoroughly explain to you how many times a day it should be turned.

Are There Any Food Restrictions?

It’s possible for an expander to break, so it’s vital to avoid certain foods that can cause that to happen. Any hard foods like apples, carrots, or nuts should be cut into super small pieces or avoided altogether. Your child should also avoid sticky candies or gums, as they can get stuck in the expander.

Contact Us Today

Our team is dedicated to ensuring your orthodontic journey is as comfortable, effective, and efficient as possible. If your child is starting to show signs of orthodontic issues such as a crossbite, overcrowded teeth, contact our affordable orthodontist in Oak Creek, WI to set up a consultation.

Frequently Asked Questions

Answers to common questions related to this article.

Most patients feel a brief sensation of pressure across the bridge of the nose or teeth for about 5–10 minutes after a turn, but it is rarely described as “pain.”

Milwaukee Steps to Tighten a Palatal Expander, Jaw Expander, or Palate Expander

This is a common concern for parents when deciding between Spark™ Clear Aligners and fixed braces. Because aligners are removable for eating and sports, they can occasionally be misplaced in a school cafeteria or locker room. If your child struggles with organization or is prone to losing track of their belongings, traditional or LightForce™ 3D-printed braces might be the better choice. These “fixed” options remain bonded to the teeth throughout treatment, removing the responsibility of tracking removable trays and ensuring the process stays on schedule without the added cost or delay of ordering replacement aligners.

Absolutely. We work with many local Milwaukee schools to find appointment times that minimize time away from the classroom. Many parents prefer starting treatment during a school break so their child has a few days to get used to the feel of braces, but we successfully start new smiles all year round.

Yes! This is often referred to as Phase 1 treatment. We sometimes place braces on just a few permanent teeth while baby teeth are still present to correct a specific issue, like a crossbite or severe crowding, that could cause bigger problems later. Once those baby teeth fall out, we typically take a “rest” period before starting Phase 2 when all permanent teeth are in.

The cost of clear aligners is often covered by insurance. Ask your insurance provider or employment benefits administrator if aligner therapy is covered under your dental insurance plan and what your coverage provides. Also, ask the orthodontic practices you are considering if they offer payment plans to make your aligner treatment easier to pay.

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