Orthodontics isn’t just about straightening teeth; it’s also about creating a healthy foundation for life long dental and facial health. For children with a narrow upper jaw, a common orthodontic treatment is a maxillary palatal expander.

A palatal expander is a small, custom-fabricated appliance that fits over several top teeth toward the back of the mouth. It has two halves connected with a screw system in the middle. The expander is activated by turning the screw with a special key, applying gentle pressure on the jaw, gradually widening it. Expanders work best in children ages 7-10, as their jawbones are still developing and more responsive to gradual expansion. Palatal expansion creates additional room in the upper jaw resulting in a wider, more balanced smile.

Drs. Nakisher, Herman and Rizk may recommend an expander for treatment of these common orthodontic problems:

1. Crowding: Before a child’s adult teeth grow in, the orthodontist can determine if there will be enough space to accommodate them. By widening the upper jaw, space is created for the permanent teeth, allowing them to grow into more natural alignment. This can prevent the need for tooth extractions in the future.
2. Impacted Teeth: A tooth that has not erupted and is blocked by other teeth can become impacted. We see this most commonly with canine (eye) teeth. Widening the upper jaw can make room for a tooth to erupt into the proper position on its own, avoiding more difficult procedures later on.
3. Crossbite: A crossbite occurs when the upper teeth sit inside the lower teeth when biting. An expander widens the upper jaw to fit properly outside of the lower jaw, creating a more balanced growth pattern. Correcting crossbites early can prevent crowding, tooth impaction, jaw asymmetry, gum recession, and abnormal tooth wear.
4. Improved Breathing: In some cases, a narrow upper jaw can restrict nasal airflow, contributing to breathing difficulties, especially while sleeping. By widening the jaw, a palatal expander can open the airway, improving breathing and helping prevent issues like mouth breathing and even obstructive sleep apnea in the future.

Treatment with a palatal expander is generally smooth and painless. Patients typically feel slight pressure during each adjustment, but it’s mild and temporary. An over-the-counter pain reliever can be taken if necessary. Once the expansion phase is complete, the expander is left in for three-to-six months to allow the widened jaw structure to stabilize.

The impact of treatment with a palatal expander can last a lifetime. For children who need it, a maxillary palatal expander can make a huge difference in their smile, their comfort and their overall health. If you think your child might benefit from orthodontic treatment, call our office to schedule a complimentary exam and see how we can start your child on their journey to a healthier, happier smile. At Nakisher Orthodontics we offer complimentary consultations to address your individual needs. If you’re considering orthodontic treatment or have questions about how these advanced options can help you achieve the smile you deserve, please call our office to set up your appointment with Drs. Nakisher, Herman and Rizk to start your smile journey today. Visit us at www.nakisherorthodontics.com or call our office at (248) 855-4142 Farmington Hills or (248) 363-2011 Commerce Township.