Palatal Expanders

HOW TO CARE FOR YOUR EXPANDERS

By following these home care instructions and being aware of potential problems, patients can ensure optimal comfort and effectiveness of orthodontic palatal expanders throughout the treatment process. Regular communication with the orthodontist is essential for addressing any concerns or issues that may arise.

Cleaning

Brush the expander and teeth thoroughly after each meal and before bedtime using a soft-bristled toothbrush and fluoride toothpaste.
Use a proxy brush or floss threader to clean between the expander and teeth, removing any food particles or plaque buildup.

Dietary Restrictions

Avoid sticky, hard, or chewy foods that can damage the expander or get trapped around it.
Cut food into small pieces and chew with the back teeth to minimize pressure on the expander.

Turning the Key

Follow the instructions we gave you for turning the key of the expander, usually once or twice daily.
Turn the key gently and evenly to activate the expansion mechanism, gradually widening the expander as prescribed.

Discomfort Management

Expect some initial discomfort or pressure after turning the key, which should subside within a few days.
Take over-the-counter pain relievers as needed to alleviate discomfort.

Speech Adjustments

Practice speaking slowly and enunciating words clearly as the mouth adjusts to the presence of the expander.
Reading aloud or practicing speech exercises can help improve speech clarity over time.

Regular Orthodontic Appointments

Attend scheduled orthodontic appointments for adjustments and progress checks.
Communicate any concerns or discomfort with your orthodontist promptly.

Potential Problems and Corresponding Solutions

DON’T WORRY, WE’VE GOT YOU.

Discomfort or Soreness

Problem: Patients may experience discomfort or soreness, especially after turning the key or during the initial adjustment period.
Solution: Take over-the-counter pain relievers as directed by your orthodontist. Apply orthodontic wax to any areas of irritation on the expander.

Difficulty Turning the Key

Problem: Patients may have difficulty turning the key of the expander, leading to incomplete activation.
Solution: Use the provided key or tool to turn the expander key gently and evenly. If you encounter resistance, contact your orthodontist for assistance.

Food Impaction

Problem: Food particles may become trapped around the expander, leading to discomfort or hygiene issues.
Solution: Use a proxy brush or floss threader to clean between the expander and teeth after each meal. Rinse with water or mouthwash to remove any remaining debris.

Loose or Broken Components

Problem: Components of the expander, such as bands or wires, may become loose or break.
Solution: Contact your orthodontist immediately for an appointment to repair or replace the damaged components. Avoid manipulating or adjusting the expander yourself.

Speech Impediments

Problem: Patients may experience temporary changes in speech or difficulty pronouncing certain sounds with the expander in place.
Solution: Practice speaking slowly and enunciating words clearly. Reading aloud or practicing speech exercises can help improve speech clarity over time.

Allergic Reactions

Problem: Rarely, patients may develop allergic reactions to the materials used in the expander.
Solution: If you experience symptoms such as itching, swelling, or rash, discontinue the use of the expander and consult your orthodontist immediately.

Unsatisfactory Expansion

Problem: The desired amount of expansion may not be achieved or may occur unevenly.
Solution: Communicate any concerns about the expansion progress with your orthodontist. They may need to adjust the treatment plan or provide additional instructions for turning the expander.

Gum Irritation

Problem: Prolonged wear of the expander or improper fit may lead to gum irritation or sores.
Solution: Rinse with warm saltwater to soothe irritated gums. If irritation persists, contact your orthodontist for evaluation and adjustments.