Dear "April", dear readers,
your little daughter had some good luck to have no more complications than
It may have been uncomfortable and it made eating difficult for maybe a week or so
Some children suffer more severe complications from fixed expanders. And parents can never know before
to what it will turn out.
Fixed expanders can
cause severe pain, or digestion disorders due to continuously hampered chewing. Several such cases have been reported to me.
In contrast, there are no such discomforts and no such risks with removable expanders, and with removables in general. If any discomfort turns out, they can be removed, repaired and so on. You just have the task to get accustomed to them.LetÂ´s discuss it systematically, to avoid confusion:
1. Expanders can be fixed or removable (â€žSchwarz plateâ€œ for expl.) I guess you have not been informed about the latter, so that it appears as a fairy tale to you.2. Removables in general act almost painlessly, do not disturb eating or cleaning the teeth, and do not disturb speech in important situations (spoken without).
3. Both expanders have a different mode of action.
Removables just stimulate growth. Fixed disrupt the palatal suture, which is of hard tissue. In adults, this is bone. In young children, it is rather cartilage. Anyway, it needs time to heal, in contrast to expansion with removables:
The expander is turned every night for few weeks and then left alone.
But I have said nowhere that this is an open wound or surgery.
4. Due to 3., fixed expanders can definitely broaden the nose, removables not. Have you been told this before?
I know a lady who had a fixed expander when 7 years old, That time, it was so painful that she was afraid of dentists for many following years. But also, she is suffering from her broadened nose.
5. Due to 3., the expansion itself is faster with fixed expanders, but to be honest, one has to add the healing time, and eventually the further time if a retainer is to be worn afterwards!
Removable plate appliances can gain approximately 1 mm per month, depending on age. They can be designed to do further corrections (you said your daughter will need some ...) at the same time, and can be worn as retainers after correction.
6. The â€žfairy taleâ€œ of almost painless and economic fully-removable treatment was common truth in our country when I was in treatment 25 years ago. These hand-crafted appliances did many corrections slowly, but at the same time.
Examples are in the cases chapter of my website below. I repeat, they stem from scientific literature.
7. In contrast, fully- or partly-removable treatment seems almost unknown in your country. With few exceptions, e.g. a few Crozat specialists, or www.bimler.com
who are giving courses there in three places this year. I digged out a link about Crozat treatment earlier here, concerning how to play the trumpet undisturbed by fixed braces.
PLEASE regard this cultural difference between our countries.
Then with regard to 1. - 7., is it still so strange to you why I am recalling removable treatment here?
Why fixed expanders appear cruel to me, and not only to me?
The expert Prof. TrÃ¤nkmann, whom I owe most of the case examples, said that he felt â€žshockedâ€œ about fixed expanders in 8-year old children! Face to the fact that in children up to 8 - 12 years, depending on the amount of width lacking, the expansion can be obtained also with a removable appliance.
But unfortunately, the industrially produced fixed stuff is also invading our market. I repeat, our removable technology is mainly hand crafted. Actually, well-proven functional appliances are expelled by headgears or face masks, especially in interceptive (early) treatment of progenic cases (â€žclass 3â€œ), that means, where the lower jaw is before the upper.
Functionals can be designed to correct the jaw position, to adjust the jaw width to this, and to direct the growth of teeth until they are matching in correct bite position. Can headgears / face masks alone do all of this? They rather require further braces. So that the treatmant in total is more profitable by this, compared to functional treatment, or compared to treatment with removable plates. So, do you get an idea now, why removable treatment is so unknown that is sounds like fairy tales?
Feel free to discuss also in my own forum, no problem in English: http://f32308.siteboard.de
, or accessible via my website below.