hild’s orthodontist at Pediatric Dentistry and Orthodontics of Chattanooga may recommend palatal expansion as a part of their orthodontic treatment plan.
Palatal expansion is a non-surgical orthodontic treatment aimed at widening the upper jaw to create enough space for permanent teeth to erupt properly and improve overall oral health. This procedure is especially effective when performed during childhood or early adolescence, as the jaw is still developing and more responsive to change. The treatment typically involves a device called a palatal expander, which is custom-made to fit your child’s mouth and is attached to the upper molars. It works by applying gentle pressure on the upper jaw each time an adjustment is made, usually by turning a small key in the center of the device.
Over time, this steady pressure gradually increases the width of the palate. Benefits of palatal expansion include reduced crowding of teeth, improved breathing by enlarging the nasal passages, and a decreased need for tooth extractions in the future. It can also help correct crossbites and improve the alignment of the upper and lower jaws. Your child’s orthodontist will closely monitor their progress and provide guidance to ensure the best possible outcome throughout the process.
Why We Might Recommend Palatal Expansion
If we recommend palatal expansion, we will explain exactly why we think this would be effective for your child’s orthodontic treatment. Some reasons may include:
- Crowded or crooked teeth: A narrow upper jaw often results in crowded or misaligned teeth. By expanding the palate, there is more space for the teeth to align properly, reducing the need for future orthodontic treatment.
- Mouth breathing and snoring: A narrow palate can lead to breathing difficulties, causing children to breathe through their mouths. Palatal expansion can help open up the airway and alleviate breathing issues.
- Crossbite or underbite: A narrow upper jaw can contribute to crossbite or underbite, where the lower teeth sit in front of the upper teeth when biting down. Palatal expansion can correct these malocclusions and improve the child’s bite.
- Speech difficulties: In some cases, a narrow palate can impact speech development. Expanding the palate can create more space for the tongue and improve speech clarity.
Benefits of Palatal Expansion
Palatal expansion can result in a well-aligned dental arch, which improves the appearance of the smile. It also promotes balanced facial growth, reducing the likelihood of asymmetry or a sunken appearance. By expanding the palate, we help to create sufficient space for permanent teeth to erupt without crowding. This reduces the likelihood of impacted or poorly positioned teeth, minimizing the need for extractions or more extensive orthodontic treatment in the future.
Additionally, a wider palate can result in improved breathing and sleep quality, as well as enhanced speech development.
The Procedure
Palatal expansion is typically performed using an orthodontic appliance called a palate expander. Affixed to the molars, the appliance has two halves that connect in the middle with a small screw. When this screw is turned with a special key, the device creates tension at the junction of the two palatal bones, gently forcing them to move apart. The expander is adjusted slowly over time until the desired correction is achieved, at which point the device will be left on for a few more short months to allow new bone to form in the gap and stabilize the new expansion. Palatal expander treatments generally take anywhere from 3 to 6 months total.
If your child’s orthodontist recommends palatal expansion, don’t hesitate to ask any questions you may have at your complimentary orthodontic consultation. Remember, investing in your child’s dental health today can pave the way for a confident and healthy smile in the future.

