17 doctors weighed in:
If narrow palate and crowded teeth, what will orthodontist do?
17 doctors weighed in

Dr. Louis Sterling
Dentistry - Prosthodontics
2 doctors agree
In brief: 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.

In brief: 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.
Dr. Louis Sterling
Dr. Louis Sterling
Thank
Dr. Srijan Mehta
General Practice
2 doctors agree
In brief: 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

In brief: 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
Dr. Srijan Mehta
Dr. Srijan Mehta
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Dr. Willa Terry
Pediatrics
2 doctors agree
In brief: 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.

In brief: 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.
Dr. Willa Terry
Dr. Willa Terry
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Dr. Randall Stastny
Surgery - Oral & Maxillofacial
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Randall Stastny
Dr. Randall Stastny
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Dr. John Scuba
Surgery - Oral & Maxillofacial
In brief: 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.

In brief: 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.
Dr. John Scuba
Dr. John Scuba
Thank
Dr. David Muench
Dentistry - Orthodontics
In brief: 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.

In brief: 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.
Dr. David Muench
Dr. David Muench
Thank
2 comments
Dr. S. Jay Bowman
SARPE is far from the past and is standard-of-care. There is NO evidence that any braces and wires are a substitute for expansion of the mid-palatal suture with or without surgery.
Dr. David Schleimer
Well put Dr. Bowman!
Dr. Arnold Malerman
Dentistry - Orthodontics
In brief: 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.

In brief: 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.
Dr. Arnold Malerman
Dr. Arnold Malerman
Thank
Dr. Gary Chapman
Dentistry - Orthodontics
In brief: 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.

In brief: 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.
Dr. Gary Chapman
Dr. Gary Chapman
Thank
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