Alternatives depend on the specific orthodontic issue, age, and severity:
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- Tooth Extraction: In some cases of crowding, removing teeth might be an option, though often less ideal than expansion for arch development.
- Braces or Aligners Alone: For very mild cases of narrowing or crowding, traditional braces or clear aligners might achieve some expansion, but typically not to the same degree as a dedicated expander.
- Surgical Expansion (SARPE): For adults, this is often the primary alternative if significant expansion is needed.
- Observation/Waiting: In some borderline cases in young children, an orthodontist might monitor growth and development before recommending an expander.