If narrow palate and crowded teeth, what will orthodontist do?

Serial treatments: First the orthodontist will perform an examination and take a series of radiologic images. Then he or she will design an individual treatment plan that may involve a series of spacers, palate expanders, tooth extractions and braces.

Expantion: If caught at the right age the otherodontist may be able to expand your arches with a fixed appliance you should see an orthodontist and see what can be done

Depends upon age: Up until about age 12-13, the orthodontist can widen the palate with an expander, very effective and well documented. After this age it si more difficult as the upper jaw bones become fused. In adult cases we have had great success with dental-alveolar widening with a particular approach which is somewhat controversial: damon system braces.

Depends: There are several treatment options. A child might need a rapid palatal expansion device to round out their arch while having braces to align their teeth. An adult might need a surgically assisted palatal expansion to allow the upper arch to expand with braces to align the teeth.

Age dependent: Growing child: expand upper to match lower, then align teeth. 44 yr old: surgically assisted expansion of upper to match width of lower, then straighten teeth. Before rx a skull x-ray to do transverse analysis is helpful to decide extent of the problem. See orthodontic specialist for evaluation and rx plan.

Braces: To begin with you will need braces to correct the crowding. Depending on your age and how narrow your palate is the orthodontist may be able to widen your palate with the braces or you may need to have a surgically assisted expansion of your palate.

Avoid Surgery: Find an orthodontist who uses a passive self-ligation bracket system (ex. Damon system). Rapid palatal expansion (rpe) for children, or surgically assisted rapid palatal expansion (sarp) for adults is a thing the past. Neither of these techniques are necessary. This assumes you are working with an orthodontist familiar with this approach.

Narrow palate: In all cases of skeletal problems (ie narrow palate, crowded teeth) an oral surgeon should be involved in discussing options. All too often important surgical considerations are either overlooked and/or ignored, leading to extended treatment times, some finally requiring "rescue" surgery. Finally, total treatment time of some cases can be shortened significantly with surgery.