Palatal expander (custom appliance)
A palatal expander is a gentle method of widening the upper jaw in children. It creates more space for the teeth, improves nasal breathing and helps avoid complex surgery in the future.
When we use the method:
for a narrow upper jaw and a “crowded smile”;
for crowded teeth and the risk of permanent teeth growing in incorrectly;
if the child snores or breathes through the mouth during sleep;
for a tendency to frequent colds and ENT conditions;
if speech is impaired due to a narrow palate.
What is it?
A palatal expander is an orthodontic appliance fixed to the baby molars. It gently widens the upper jaw using a screw that the parents activate at home under the doctor’s supervision.

Elena Vitalievna Tarasenko, orthodontist
“The name ‘palatal expander’ sounds scary, but in reality it’s a gentle and safe method. The appliance doesn’t bother the child, activation takes seconds and causes no pain.”
Stages of the procedure
consultation and diagnostics:
- examination, X-rays or 3D scanning
digital treatment planning and fabrication of a custom appliance
fixing the expander to the teeth
teaching parents how to activate the screw
regular check-up visits to the doctor
removal of the appliance once the result is secured
Safety and care at every stage
We understand that implantation is a serious step. So we do everything to make treatment safe and convenient:
1
We use modern materials and digital planning.
2
We explain to parents in detail how to manage things at home.
3
We are always available for advice and to answer questions.
4
We make the process predictable and clear for the child.
5
We carefully ensure that treatment proceeds without discomfort.

Elena Vitalievna Tarasenko, orthodontist
“Our goal is to make the path of orthodontic treatment clear and predictable. We use reliable materials, digital planning and always stay in touch to support the family.”
Our specialists
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Frequently asked questions (FAQ)
Does turning the screw hurt?
No, the child feels only light pressure that quickly passes.
How do we know the desired result has been achieved?
The doctor determines the optimal expansion at check-up appointments and locks the screw.
What should I do if the appliance comes loose?
You should book an unscheduled appointment so the doctor can re-attach it.
Book an appointment
+7 (495) 132-31-03
Additional information
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