Friday 7:30a – 4p. The two most common problems that can arise when having an RPE is that food can become trapped between the expander and the roof of the mouth or difficulty making the activation turn. Pull the key out towards the back of the mouth. The rotation stops when the key meets the back of the expander. If an RPE is removed too early, some of the width gained could be lost. Getting Here | Get In Touch, Hours of Operation: Suite 209 Thursday 8:30a – 5p To correct this, insert the key into the hole that faces the rear of the expander and continue the activation until the next hole is fully visible at the front of your mouth. You will be given specific instructions as to how many turns to complete before the next appointment. It appears as if the turn was completed successfully, but when you go to make another turn the key will not go into the new hole. The key is inserted into the top hole visible until it is firmly in place. Stock up on your favorite soft foods and liquids. An expander has many benefits. If you do not see the keyhole, the turn is not complete. -. Somers, NY 10589 We can always make up a turn in office, or you can add it on another day. If this happens, it may be that the previous activation was not complete or the screw became unturned. However, if food does get stuck, you can swish or gargle with water, or take a cotton swab and gently wipe the palate of the mouth. Hold the key with two fingers. Still keep your scheduled appointment to check the expansion. Keep the key inserted in the hole and push toward the back of the mouth (the direction will be marked with an arrow on the expander) until the other key hole is visible at the front of the mouth. The RPE is attached to the upper back teeth and eases the suture apart, which makes the jaw wider. In that case, the hole may be further back on the appliance. Are there any precautions to take with an expander? To correct this, insert the key into the hole that faces the rear of the expander and continue the activation until the next hole is fully visible at the front of your mouth. Patients who are going through palate expander treatment either because of a crossbite, underbite, or any other orthodontic issues that require it used to face different problems during the treatment period , whether those problems are about the hardware itself or related to the way it works, and one of these common issue is when the palate … During expansion, a space may develop between the two front teeth. Also widening the palate can make room for crowded teeth to align, which can often prevent the need for extraction of permanent teeth. However, please call us at (914) 277-1111 if you cannot complete the prescribed number of turns because you are having trouble. palate expander key won’t turn. Please review our COVID-19 Action Plan and new policies here. If you have further questions about troubleshooting your expander, please call 480-656-7801 for assistance. 1. When the expander is placed, we show you how to clean around it. All Rights Reserved. However, the appliance remains in the mouth for a longer period, generally 5-6 months to allow the new bone that has formed to mature. Sugarless gum is also ok to chew while the expander is in place. See video below. Monday 8:30a – 5p Then, the patient tilts their head back so that the RPE can be seen clearly with the arrows pointing in the direction of the turn. Thank you for your cooperation! Place the wire (Key) into the front hole of the rapid palatal expander and then rotate it to the back of the mouth until it stops. How do I turn the expander?Toward the front of the tooth, there should be a visible hole. You should then see the next hole for insertion at the top. Tuesday 9a – 6p Tel: 480-656-7801 | 8573 E Princess Dr #203, Scottsdale, AZ 85255, © Copyright 2020 Galati Orthodontics. Follow the arrows facing towards the back of the mouth to apply a small amount of pressure to swivel the key in their direction, completing a 90 degree turn on the key. Source. What problems can you have with an expander? Don’t panic! How long is a rapid palatal expander used? The two halves are joined together by a “suture” in the center of the roof of the mouth. 3. (914) 277-1111 Sometimes the appliance screw can turn backward. Choices can include yogurt, healthy shakes, ice cream, mashed vegetables like potatoes, zucchini, or yams, or mashed bananas, soup, etc. The other problem that can arise is not making a complete turn. At each turn you will see a new keyhole appear. The sensation generally lasts for about 5 minutes and then dissipates. Sometimes, you think you made the complete turn and then remove the key. After the palatal expander has been seated (put in place in your mouth), it is adjusted by turning the key in the direction of the arrow, by you or your parent. I can’t find the hole at the front of the expander. A high palate and narrow arch may restrict breathing passages. Choose foods that can give you the nourishment you need without making eating more of a headache than it already is. 8573 E Princess Dr #203, Scottsdale, AZ 85255. Sometimes, you think you made the complete turn and then remove the key. It can widen the upper arch so that the upper teeth fit better with the lower teeth, creating a better bite. Keep the area clean until our orthodontist and team have examined it. It is easiest to have the patient lie down on a bed or couch where there is good light. You should now be able to see a new hole in the front for your next turn. The other problem that can arise is not making a complete turn. Gently remove the key from the mouth. This is normal and when you stop turning the RPE, the teeth will start to come together again on their own. On the day the expander is placed, we give you a key that inserts into an opening in the activation portion of the RPE. Studies have shown that expanders can widen air passages and result in better breathing. You will then have to return to the previous hole which is located towards the back of the mouth, insert key and complete the turn. As the jaw expands, new bone fills in between the two halves of the palate. However, if food does get stuck, you can swish or gargle with water, or take a cotton swab and gently wipe the palate of the mouth. 293 Route 100 As you turn, the fender rotates and a new hole becomes visible. When you turn the screw properly the … 05/12/2020. A rapid palatal expander (RPE) is a specially made appliance used to widen the two halves of the top jaw, also known as the palate or maxilla. The expander seems to be loose on one side.If you suspect the expander is loose, cease activating immediately and call Galati Orthodontics to schedule an appointment to have the expander checked and re-cemented. Insert the key carefully into the hole and then gently wiggle it to determine if it is fully seated. After the expander is turned you may feel pressure in the area of the teeth, and tingling around the bridge of the nose or under your eyes. 2. These will include chewy, sticky sugary foods such as caramels, taffy, gummy bears, fruit roll-ups, Swedish fish, Starburst, Skittles, etc. 2. Favorite Answer. Expansion is easiest and results are most stable when performed on a growing child or teen. Turn your palatal expander twice a day, once in the morning and once at night. That is why we often recommend a turn made in the morning and a turn in the evening to keep the patient comfortable. 04/27/2020. The expansion of the palate is usually completed in 1-3 weeks. The hole is not accessible because when you make your turn, you are not turning it fully. Wiggle the key down toward your tongue to remove it (be cautious so that you do not “unturn” the screw). There are certain foods that cannot be eaten while the expander is in place. When the expander is placed, we show you how to clean around it. I can’t find the hole at the front of the expander.If this happens, it may be that the previous activation was not complete or the screw became unturned. Note that when the key is fully inserted, the bend in center of the key is no longer visible. No, it doesn’t hurt. Lastly, expanders contribute to a broader, more attractive smile. Gently remove the key from the mouth. Wednesday – Closed To correct this, insert the key in the hole facing the back of the expander and push it in the direction of the arrow (toward the throat) until the next hole is visible at the front of the appliance. Activation of an expander is usually done by a parent, guardian, or someone other than the patient. When the turn is complete, simply push down toward the tongue while you continue to lightly apply pressure toward the back of the mouth to remove the key.
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