Indication matters
An expander should be prescribed for a diagnosed width or bite problem, not simply because a child has crowding.
Palatal expansion may be used in growing patients when widening the upper arch or addressing certain transverse bite problems is part of the treatment plan.

An expander should be prescribed for a diagnosed width or bite problem, not simply because a child has crowding.
Fixed and removable designs are available; activation schedules vary by appliance and patient.
Do not turn or activate an appliance more than prescribed.
After active expansion, the appliance may remain in place for a period while tissues stabilize.
The aim is to identify problems that benefit from earlier attention while avoiding treatment that can safely wait.
When you are ready for an in-person assessment, care is available through myORTHODONTIST Coquitlam. The practice currently lists Dr. Aly Kanani and Dr. Alireza Haerian Ardekani among its orthodontists and offers braces and Invisalign for children, teens and adults.
No. An assessment may lead to treatment, observation or no intervention.
Observation can allow permanent teeth and jaw growth to progress until timing is more appropriate.
Assessment may include photographs, radiographs, scans or other records in addition to the examination.
These links provide professional, manufacturer or municipal context. They do not replace individualized clinical advice.
Last reviewed September 5, 2026. Educational content only. Treatment availability, provider schedules, fees and office policies can change; confirm current details directly with the clinical practice.