Palatal Expander
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.

Step 1
In a well-lit area, tip the patient’s head back.

Step 2
Place the key in the hole until it is firmly in place.

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.

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.
FAQs About Palatal Expander Orthodontics
Think of a palatal expander as a clever way to make room for a gorgeous smile! It gently widens the upper jaw by applying a tiny bit of continuous pressure to the upper molars. Because a child’s jaw bone is still developing and flexible, this process is completely safe and helps correct crossbites, reduces severe crowding, and can even prevent the need for future tooth extractions or jaw surgery!
Not at all! When you or your child turns the expander key, they might feel a brief sensation of pressure across the roof of their mouth or up near their nose and cheekbones. This feeling is completely normal and usually fades away after just a few minutes. Most kids adapt incredibly quickly and get used to it within the first few days.
Yes, and it’s actually a cause for celebration! Seeing a gap develop between the two upper front teeth is the ultimate visual proof that the expander is doing its job and beautifully widening the jaw. Don’t worry, this gap is temporary. Once the active expansion phase is complete, the teeth will naturally start to coast back together, and any remaining spaces will be perfectly dialed in later with Metal Braces or Clear Aligners.
The active “turning” phase where you actively adjust the expander usually only lasts a few weeks. However, once the perfect width is achieved, the appliance will stay in place for about 4 to 6 months. This “holding” phase is super important because it gives the new bone structure time to safely solidify and prevent the jaw from shifting back.
Timing is everything! Palatal expanders work best during Early Orthodontic Care when a child is still growing. The left and right halves of the upper jaw don’t fully fuse together until after puberty, meaning we can gently and easily guide jaw development before that window closes. If you suspect your child might benefit from an expander, scheduling a complimentary consultation by age 7 is the perfect way to find out!

What Our Patients Say
Claire KellerTrustindex verifies that the original source of the review is Google. Dr. Peterman and his team are the best! They take every measure to help you achieve the goals you want and don’t stop until you are 100% satisfied. They are truly a lovely group and really care for your individuals needs. Could not recommend them more! Jeronimo Perez CorreaTrustindex verifies that the original source of the review is Google. This is one of the BEST practices I've ever encountered. My son got braces a month ago and we couldn't be happier. Extremely professional whilst keeping a ver personal care for their patients.The entire staff is beyond hospitable and clearly know what they are doing.One of their advantages is their location in Chatham which is incredibly convenient, specially in emergencies and follow up appointments. Dr JB Peterman is both knowledgable and experienced. He explains the whole process in detail and is always happy to answer any questions and respond to urgencies. Rebecca PickettTrustindex verifies that the original source of the review is Google. My family loves Dr. Peterman and his team! I am so thankful that our dentist referred them. They welcomed us with positive energy and caring hearts every single visit. My son was not initially thrilled with the idea of braces, but they made it so fun and treated all of us like we were the only people in the office. He has a perfect smile just in time for Senior Pictures! And, now I get to start my journey too! Nicole WilliamsTrustindex verifies that the original source of the review is Google. I had such a great experience with Dr. Peterman and his amazing staff, Bree and Christian. Everyone was incredibly friendly, caring, and understanding from the moment I walked in. I needed to have my braces removed for my upcoming journey with the Navy, and to my surprise, Dr. Peterman himself was a former naval officer! He shared some great advice and made me feel confident and comfortable about the next steps ahead. I truly appreciate the professionalism and kindness shown by the entire team — they go above and beyond for their patients. Highly recommend Dr. Peterman and his staff to anyone looking for quality orthodontic care! Vincent BoyleTrustindex verifies that the original source of the review is Google. Dr. Peterman and his team are second to none!!! From the moment you walk in the door everything is first class. The office is impeccably clean, welcoming and comfortable. I was seated for my appointment promptly, and Dr Peterman helped me understand my orthodontic problems very concisely and offered me different options to achieve my goals. The office is also on the cutting edge of the latest and greatest technology like 3D printing so I didn’t have to take those awful impressions. Dr Peterman is incredibly kind, trustworthy, knowledgeable and just an overall good guy. If you or a family member need to pursue orthodontic care Dr Peterman is who you need to see!!! John CoughlanTrustindex verifies that the original source of the review is Google. Great experience for my son. Dr Peterman told us everything he was going to do and the timeline. Great communication with my son. And teeth look awesome! Eric ShatashviliTrustindex verifies that the original source of the review is Google. From the moment you walk in, you feel genuinely cared for. The staff is warm and professional, the clinic is spotless and modern. And that’s before you even meet Dr. Peterman — an exceptionally knowledgeable, kind, and caring doctor! Highly recommend! Katie PolskyTrustindex verifies that the original source of the review is Google. I had a great experience at Dr. Peterman’s office! I needed my permanent retainer fixed quickly, and they were able to get me in right away. Bree at the front desk was amazing—so friendly, kind, and helpful. The entire staff was welcoming and made me feel comfortable from start to finish. Dr. Peterman himself was awesome—friendly, knowledgeable, and thorough. My wait time was short, parking was easy, and everything went well! I highly recommend Dr. Peterman and his team!Google rating score: 5.0 of 5, based on 244 reviews
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