There are certain orthodontic problems that are caused when the maxilla, or upper jaw, has not grown wide enough.  Some examples are:

1. Crossbites
2. Crowded and impacted teeth
3. Speech problems
4. Impaired nasal breathing

The maxilla (upper jaw) is joined in the center by a bony suture, or joint.  This allows it to be painlessly separated and widened.  By widening the upper jaw you can make more room for crowded teeth, correct crossbites, help improve speech problems, and improve nasal breathing.  Once the upper jaw has been expanded new bone fills the space and maintains the increased width.

How to turn the expander:

1.  Have the child lay on the bed or couch with their mouth wide open.
2.  Insert the key into the hole in the middle of the appliance.
3.  Push the key towards the back of the mouth until you are able to see the next
     hole.
4.  You are ready for the next turn!

You will be given a schedule for turning the appliance with a key.  Please follow the suggested schedule.  Too many turns may cause discomfort. Too few turns will not produce the desired result.

If you feel discomfort, pain, or dizziness, stop turning the appliance and call the office.

A space will open between the upper front teeth as the appliance widens the arch.  Do not get alarmed as this is an expected change.  The space will disappear as the front teeth come back together after the desired expansion has occurred.

Please use your toothbrush to clean the teeth and appliance.  With good oral hygiene, you will protect against cavities and gum disease.

If you have any questions about the appliance, please contact the office.