Orthodontic Expansion: A Guide for Children, Teens, and Adults

6 January 2024

Orthodontic treatment often focuses on expansion, a technique used to correct crowding and misalignment by widening the jaw. Whether for children, teenagers, or adults, expansion can deliver life-changing results when done correctly and with the right method.

In this guide, we’ll explore the different types of orthodontic expansion and how they’re used across age groups, from early intervention in young children to advanced techniques for adults.


Expansion in Children: Early Intervention, Long-Term Benefits

In growing children, the jaw bones are still developing, making them more responsive to orthodontic intervention. Jaw expansion during childhood can greatly improve dental alignment, function, and facial balance—with less complexity than treatment later in life.

Types of Expanders for Children

Removable Expanders

Custom-made to fit over the teeth, these appliances apply gentle pressure to slowly widen the upper jaw. This type will mostly result in dental tippiing, rather than ture bone expansion.

Fixed Expanders

These devices are bonded to the teeth and provide more control, making them ideal for more significant expansion needs—such as treating moderate to severe crowding or crossbites.


Expansion in Adolescents and Adults: Solving More Complex Issues

As patients get older, the jawbones become more rigid, making traditional expansion more difficult. But with today’s innovations, adult palatal expansion is not only possible—it’s often very successful.

Surgically Assisted Expansion Options

1. SARPE (Surgically Assisted Rapid Palatal Expansion)

SARPE combines orthodontics and minor surgery. A surgeon gently separates the fused palatal bones, allowing an expander to gradually widen the upper jaw. This method is best suited for severe skeletal constriction.

2. MARPE (Miniscrew-Assisted Rapid Palatal Expansion)

A less invasive alternative to SARPE, MARPE uses small titanium screws (TADs) to anchor the appliance and assist expansion. It’s typically recommended for mild to moderate cases.

Both SARPE and MARPE require collaboration between the orthodontist and oral surgeon to ensure safe, effective outcomes.


The WIN System: A Cutting-Edge Option for Adults

One of the most innovative advancements in adult orthodontics is the WIN System, developed by Professor Dirk Wichmann. This system uses fully customised lingual appliances placed behind the teeth—making treatment virtually invisible.

Why the WIN System Stands Out

  • Fully Customised: Every appliance is designed specifically for the patient’s dental anatomy, ensuring comfort and precision.
  • Invisible Design: Positioned behind the teeth, the system is ideal for adults who value discreet treatment.
  • Versatile Mechanics: Special archwires allow for both expansion and constriction, making it highly adaptable to individual cases.

Is the WIN System Right for You?

While not suitable for all cases, the WIN System is an excellent choice for adults seeking a non-surgical, aesthetic alternative to SARPE or MARPE. It’s especially appealing for professionals or anyone looking to avoid visible braces.


Conclusion: Finding the Right Approach to Expansion

Orthodontic expansion has evolved significantly, with options now available for patients at any age. Whether it’s:

  • Removable expanders for children
  • Surgically assisted techniques for adults
  • Or advanced lingual systems like WIN

…modern orthodontics offers tailored, evidence-based solutions to meet your needs.

Before starting any treatment, it’s essential to consult with a qualified orthodontist. A proper evaluation will determine the most effective and appropriate expansion method based on your age, dental condition, and long-term goals.


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I recommend and prescribe orthodontic treatments to my patients as if they were my own family and I value meaningful relationships based on communication, confidence and trust.

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