Palatal Expander

Palatal expander dental appliance displayed on a tooth model for orthodontic treatment.

The palatal expander "expands" (or widens) your upper jaw by putting gentle pressure on your upper molars each time an adjustment is made. The animation below will instruct you about when and how to adjust your expander. When you achieve the desired expansion, you will wear the appliance for several months to solidify the expansion and to prevent regression.

Adjusting the palatal expander

You can also download these instructions in a printable PDF document.
Palatal expander placement in patient's mouth showing dental appliance fitted to upper teeth.

Step 1

In a well-lit area, tip the patient's head back.
Palatal expander adjustment step two showing dental tool positioning in patient's mouth.

Step 2

Place the key in the hole until it is firmly in place.
Palatal expander positioned in patient's mouth showing expansion mechanism step 3.

Step 3

Push the key toward the back of the mouth. You will notice the fender will rotate and the new hole will appear. The rotation stops when the key meets the back of the expander.
Close-up illustration of hands cleaning a palatal expander inside a patient's mouth.

Step 4

Press back and down toward the tongue to remove the key. The next hole for insertion of the key should now be visible.