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If Drs. Schofield and Dad and our team at Grapevine Kids have recommended a palatal expander, you might be wondering what it is and how it will help you. A palatal expander is a small appliance fitted in your mouth to create a wider space in the upper jaw. It is often used when there is a problem with overcrowding of the teeth or when the upper and lower molars don’t fit together correctly. While it is most commonly used in children, some teens and adults may also need a palatal expander.

Reasons to get a palatal expander

There are several reasons you might need to get a palatal expander:

• Insufficient room for permanent teeth currently erupting
• Insufficient space for permanent teeth still developing which might need extraction in the future
• A back crossbite with a narrow upper arch
• A front crossbite with a narrow upper arch

How long will you need the palatal expander?

On average, patients have the palatal expander for four to seven months, although this is based on the individual and the amount of correction needed. Several months are needed to allow the bone to form and move to the desired width. It is not removable and must remain in the mouth for the entire time.

Does it prevent the necessity for braces?

The palatal expander doesn’t necessarily remove the need for braces in the future, but it can in some cases. Some people only need braces because of a crossbite or overcrowding of the teeth, which a palatal expander can help correct during childhood, when teeth are just beginning to erupt. However, others may eventually need braces if, once all their permanent teeth come in, they have grown in crookedly or with additional spaces between.

If you think your child could benefit from a palatal expander, or want to learn about your own orthodontic treatment options, please feel free to contact our Grapevine office!

Sleepless nights, crankiness, drooling—how can such tiny teeth cause such a big fuss? But all those uncomfortable days and nights are forgotten when your baby’s first teeth make their appearance. Why? Well, certainly because your child is happier, but also because you know baby teeth, or primary teeth, are important for your child’s growth in so many different ways.

• Chewing and Eating

Your baby might enjoy solid foods at an early age, but real chewing doesn’t happen until all the baby molars appear between the ages of one to three years. This is the time to feed children size-appropriate and texture-appropriate foods so they acquire proper chewing and eating habits for healthy digestion. Chewing also helps develop your child’s jaw and facial muscles.

• Developing Speech

Pronouncing many of the common sounds used in speech often requires tongue and teeth working together. If teeth are missing or there is a bite problem such as an open bite, it might be more difficult to pronounce words properly. This could be only a temporary delay, or it could require speech therapy when your child is older.

• Setting the Stage for Permanent Teeth

Baby teeth not only help with speech and jaw development, but they serve as space holders for permanent teeth. If a primary tooth is lost too early, a permanent tooth might “drift” into the empty space. The adult tooth will not have the room to fit where it should, and crowding or misalignment can occur. This might cause orthodontic problems in the future.

• Learning Healthy Dental Habits

You are your baby’s first dental health care provider! Wiping the gums and erupting teeth with a soft damp cloth after meals, gently brushing baby teeth when your toddler is young, teaching how to brush as your child gets older, helping to establish daily routines for brushing—all these practices will prepare your child for lifelong healthy dental habits.

• Making the Dentist a Regular Part of Your Child’s Life

Your child should visit our Grapevine office soon after that first tooth comes in, and definitely by the age of 12 months. Drs. Schofield and Dad can help with suggestions for your brushing and flossing routine, make sure your child’s teeth are healthy and clean, and ensure that teething progress is on track. In later visits, we will examine your child’s primary teeth and gums, and treat any problems, such as cavities, before they can become serious.

It turns out that baby teeth really are a big deal. Talk to us about suggestions for caring for your toddler’s teeth and about any questions you may have about teething progress, jaw and facial structure, speech development, or any other concerns at any time. We want to have a happy relationship with your child from the very start for a lifetime of healthy and confident smiles.

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Drs. Schofield and Dad and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Drs. Schofield and Dad and our staff recommend parents bring their children to Grapevine Kids for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Grapevine office to schedule a dental consultation and checkup.

Great question! Tooth movement is your body’s natural response to light pressure applied by braces over a period of time (usually two years). Braces work by using brackets that are glued onto your teeth; these brackets have small slots, and that is where Drs. Schofield and Dad and our team insert orthodontic wires. These wires are held in place by small elastic ties that fit around the brackets. As time passes during your treatment, these wires apply pressure on your teeth, which sets in motion the movement of your teeth into their desired positions. Each of your teeth has a different size and shape to them, as do the brackets. Each bracket is custom-made for the particular tooth on which it’s supposed to fit.

Not long ago, orthodontists had stainless steel wires and that was about it. Today, however, we have a number of different high-tech wires at our disposal to move your teeth faster and more comfortably.

When you first get your braces on, the first wire or two will typically be very flexible, but still strong enough to apply a constant force on your teeth. As your teeth straighten out over time, however, Drs. Schofield and Dad will use progressively thicker and firmer wires to help move your teeth in place for an ideal bite.

Every time you visit our office for an adjustment, we will swap out the wires in order to keep putting pressure on your teeth, which is why it’s so important for you to keep your adjustment visits during your treatment. Most adjustment appointments are scheduled four to eight weeks apart to give your teeth time to move.

As for rubber bands and elastics, most of our patients will need to wear elastics or rubber bands at some point during their treatments. These elastics typically go from one or more of the upper braces to one or more of the lower braces, and pull on your teeth to move them in the direction they need to move in order to achieve an optimal bite.

If you have any questions about wires, brackets, or elastics, or have any general questions about your treatment, please give us a call at our Grapevine office.