When it comes to early orthodontic treatment, one of the most effective tools for guiding proper jaw development is the palatal expander. While many parents associate orthodontics with braces, expanders play a crucial role in correcting bite issues, improving airway function, and creating space for incoming permanent teeth.
At Robert Stoner Orthodontics, we often recommend palatal expanders for children who have narrow dental arches, crossbites, or crowding. If your child’s orthodontist has suggested an expander, here’s everything you need to know about how it works and why it’s an essential part of early orthodontic care.
What Is a Palatal Expander?
A palatal expander is a custom-made orthodontic appliance designed to widen the upper jaw (palate) gradually. It consists of a metal framework that fits against the upper teeth and connects in the middle with a small adjustable screw.
Over time, this appliance gently pushes the two halves of the upper jaw apart, encouraging new bone growth in the expanded space. Since children’s palates are still developing, expanders work best during early childhood or preteen years when the jaw is more adaptable.
Why Might a Child Need a Palatal Expander?
Expanders are used for several important orthodontic corrections, including:
1. Correcting a Crossbite
A crossbite occurs when the upper teeth fit inside the lower teeth instead of slightly overlapping them. This can cause:
- Uneven wear on the teeth
- Jaw misalignment
- Long-term bite issues
Expanding the palate corrects the bite by aligning the upper and lower jaws properly.
2. Creating Space for Crowded Teeth
If a child’s upper jaw is too narrow, there may not be enough room for permanent teeth to come in correctly. A palatal expander helps create space, potentially preventing the need for tooth extractions later.
3. Improving Breathing and Airway Function
A narrow palate can contribute to mouth breathing, snoring, and even sleep-disordered breathing in children. Expanding the upper jaw can help improve airflow through the nasal passages, leading to better breathing and sleep quality.
4. Guiding Proper Jaw Growth
Palatal expanders are part of phase one orthodontic treatment, which focuses on early intervention to guide jaw development before more extensive treatment (such as braces) is needed.
How Does a Palatal Expander Work?
The expander is attached to the upper molars and includes a small screw in the center. Parents or guardians will be instructed to turn the screw at home using a special key, typically once or twice a day.
Each turn applies gentle pressure, gradually widening the palate over a period of a few weeks or months. Once the desired expansion is achieved, the expander stays in place for a few more months to allow the new bone to solidify.
What to Expect with a Palatal Expander
1. Mild Pressure or Tightness
After each adjustment, your child may feel slight pressure or tightness in the upper jaw, similar to the feeling of braces being adjusted. This usually subsides within a few minutes to hours.
2. Temporary Speech Changes
Because the expander sits on the roof of the mouth, some children may experience minor speech adjustments at first. Most kids adapt quickly within a few days.
3. A Small Gap Between Front Teeth
As the palate expands, a temporary gap may form between the front teeth. This is normal and expected—it often closes on its own or with later orthodontic treatment.
4. Eating and Oral Hygiene Adjustments
Certain foods (like sticky or hard snacks) should be avoided to prevent damage to the expander. Your child should also rinse their mouth and clean around the expander carefully to prevent food buildup.
How Long Does a Palatal Expander Stay In?
The total treatment time varies, but most children wear a palatal expander for 4 to 6 months—this includes both the expansion phase and the stabilization phase.
Once the palate has been widened and the jaw has adapted, the expander is removed, and further orthodontic treatment (such as braces or retainers) may be recommended to fine-tune the alignment.
Does Every Child Need a Palatal Expander?
Not all children require a palatal expander, but early orthodontic evaluations help determine if one is beneficial. The American Association of Orthodontists (AAO) recommends that children have their first orthodontic checkup by age 7 to assess jaw growth and tooth development.
If your child has:
- A crossbite
- Severe crowding
- Mouth breathing habits
- Speech difficulties due to a narrow palate
… an expander may be recommended as part of early orthodontic treatment.
The Benefits of Early Palatal Expansion
Starting orthodontic treatment at the right time can prevent more complicated issues in the future. The benefits of a palatal expander include:
- Less invasive treatment later – Expanding the palate while the jaw is still growing can reduce the need for extractions or jaw surgery in the future.
- Better bite alignment – Correcting a crossbite or narrow palate ensures a healthier bite, reducing wear on teeth.
- Improved breathing and speech – A properly developed upper jaw can help improve airflow and articulation.
- Smoother transition to braces – By creating space early, braces later in life are often more efficient and effective.
Palatal expanders are an important tool in guiding healthy jaw development and preventing long-term orthodontic issues. If you think your child may benefit from an expander, our team at Robert Stoner Orthodontics is here to help.
We offer expert orthodontic evaluations and personalized treatment plans to ensure every child has the best foundation for a lifetime of healthy smiles.