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The upper jaw and palate (that's the roof of your mouth) together are known as the maxilla. This orthopedic (skeletal) expansion of the maxilla is often indicated when the upper jaw is too narrow and a cross-bite (what you describe in your daughter's mouth as the lower back teeth biting outside the upper ones) is evident. Palatal expansion can be used effectively to treat cross-bite problems and provide more space to resolve borderline crowding in mixed dentition cases. Using expanders can facilitate eruption of blocked or impacted canine teeth (the big teeth that develop just under the sides of the nose) by making space for them.
Orthopedic expansion is accomplished by using a small custom-made appliance (the Palatal Expander) that fits on the upper teeth towards the back of the mouth. The expander is worn until the desired amount of expansion is obtained and stabilized, usually three to six months. We will provide you with information that is accurate, authoritative, and trustworthy on all aspects of dentistry.


The maxilla is actually formed from two bones that fuse together in the middle of the palate in an area called the midline suture. In these cases, generally, there is also insufficient room for the upper permanent (adult) teeth to erupt into proper alignment, and some people may also have to shift the jaw to one side in order to bite down all the way. This describes your daughter, who, at 9 years old, has a mix of baby teeth and new adult teeth.
Expanding the size of the upper arch and by consequence repositioning the upper teeth can have a positive effect on the lower teeth, too. It takes a skilled, educated orthodontist to recognize where and when it can be most beneficial.
Orthodontists are dentists who have received two to three years of advanced full-time education beyond dental school to specialize in straightening teeth and assisting in the growth and development of the facial structures, including the skull and jawbones. Because this fusion is not complete until a little after puberty, the width of the palate can be increased by separating the two bones where they join at the suture.


For example, expansion can broaden the smile in an aesthetically pleasing way, and even relieve breathing difficulties by opening up the nasal passages. But don't wait until it's too late; once the maxillary bones are completely fused only surgery can separate them.
Expansion is a great treatment method for the right case and it sounds like your daughter's malocclusion fits the bill.
This time-tested treatment is nothing to be scared of and it sounds like you're in good hands. The tension on the suture causes the body to deposit new bone at the junction, thus maintaining this widened position.



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