The first visit when starting with an expander is actually a series of three back-to-back visits, usually 1-2 weeks apart.
The first visit will be the records appointment and separators will be placed at this time so that we may fit bands at the second appointment.
At the second appointment, Dr. Renick will remove the separators and fit bands to the teeth. These bands, or metal rings around the tooth, are custom-fit to ensure the proper size and the best results.
After the appropriate size band is fit, an impression of the teeth with the bands will be taken. Each expander is custom made to fit each specific patient. The bands are removed from the teeth and placed in the impression, and the impression is poured in plaster. The resulting model is the template for making the expander.
At this appointment, the separators will be replaced to hold the space until the expander is delivered. Remember, the bands are not on the teeth yet because they are being used to make the expander. The space between the teeth needs to be maintained so that the expander will slide into place.
If the treatment plan includes top and bottom intervention, bands will also be fit to the lower molars. As separators can sometimes be uncomfortable, for the benefit of the patient, we plan the top and bottom band fitting at the same time even if we are not yet ready to start on the bottom teeth. This means that the patient only has to deal with the separators once. Once the bottom bands are fit, they will be cemented to the tooth. We use special dental cements. Because we need to find a strong cement to last throughout treatment that is still easy to remove at the end.
The expander will be delivered at the third visit. At this visit, we will cement the expander in place with a slightly stronger band cement because the expander is designed to withstand stronger forces. The patient and the parent will be shown how to activate or turn the expander and a turning schedule will be provided based on what is needed in each individual case.
Expansion takes approximately 3-6 weeks depending on the case. After completing the expansion, the bonding appointment for the brackets will be scheduled. To learn more about this, please visit our Getting Started with Braces
page. The expander will remain in place FOR A MINIMUM OF SIX MONTHS . Some expanders will remain longer to allow for more efficient tooth movements in specific case or in the case of facemask therapy to grow the upper jaw. We leave the expander in to help ensure a stable result and prevent retreatment.
To learn more about expanders and make an appointment with Dr. Renick, our orthodontist in Sunbury, Ohio, please call Renick Orthodontics at 740-936-5003.
What Our Patients Are Saying!
I have been really happy with Renick Orthodontics. Dr. Renick, Kate, Sierra, etc... Very professional yet very personable. Everyone has been so great with my oldest daughter and now my youngest is starting on braces. They have made them feel comfortable the entire time they are there. My daughters actually look forward to their appointments. What a great staff Dr. Renick has and she is 100% hands on with her staff and the patients. We will miss this place next year!
Amazing job with my son’s teeth. You cant go wrong with Dr. Renick and her staff!
Our dentist recommended my 9 year old daughter to go see an orthodontist due to over crowding. Dr. Renick was very knowledgeable and thorough in our consult. She explained everything to me during the exam showing me X-rays and photos of my daughters teeth to understand the treatment plan. My daughter was very engaged in the consult and even asked her own questions that were welcomed by Dr. Renick and her staff. We were offered a no interest payment plan which was extremely helpful on our budget. The office is very bright and cheery. The staff is very friendly. My favorite part, as a busy parent, is that we have never had to wait. You are seen at your appointment time. I would highly recommend Renick Orthodontics.