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Crowding and lack of space for the adult teeth is a very common problem for orthodontic patients. In growing individuals the tendency is for the jaws to lengthen but narrow over time. In adults, this narrowing and crowding continues over an entire lifetime. Expansion or widening of the jaw is an effective treatment in certain growing patients with overly narrow or constricted jaws. Expansion is most effective before puberty when the jaws are still moldable. Upper jaw expansion works by opening the sutures of the upper jaw and allowing new bone to grow. Expansion of the lower jaw involves uprighting tipped lower teeth, since there is no lower suture to open. Expanders can be cemented appliances ( fixed or glued in) or removable (retainers).
Dr Paul E Tran, Orthodontist Louisville, KY

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