Does a palate expander hurt? While some discomfort is a normal part of the process, a palate expander is not associated with severe pain. Understanding the sensations you might experience can help manage expectations and alleviate concerns.
What to Expect Initially
Upon placement and initial activation of a palate expander, individuals experience pressure and tightness rather than sharp pain. This occurs because the appliance applies gentle, continuous force to gradually separate the two halves of the upper jaw along the midpalatal suture.
The pressure might be felt in various areas, including the roof of the mouth, the bridge of the nose, and sometimes even under the eyes. This sensation is a sign that the expander is working to achieve the desired widening of the upper jaw. While this initial discomfort is noticeable, it subsides within the first few hours or days after placement and subsequent turns.
Adjusting to the Expander
Beyond the initial sensations, individuals experience a period of adjustment as their mouth adapts to the presence of the expander. Discomfort lessens over days or weeks as the body becomes accustomed to the appliance. The expander remains in place for several months to stabilize the expansion and allow new bone to regenerate and fill the created space.
During this adjustment phase, other temporary changes occur. Many people experience a lisp or difficulty speaking clearly as the tongue adapts to the appliance’s presence on the roof of the mouth. Increased salivation is also a common temporary side effect as the mouth perceives the expander as a foreign object. Eating certain foods may also become challenging initially, requiring a temporary dietary adjustment.
Managing Discomfort
To alleviate pressure or mild aches associated with a palate expander, several strategies can be employed. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, are recommended by orthodontists to manage discomfort. Taking a dose about an hour before turning the expander can help reduce sensations during the adjustment.
Adopting a soft food diet is also beneficial, as chewing hard or sticky foods can exacerbate discomfort and potentially damage the appliance. Foods like yogurt, mashed potatoes, and smoothies are good choices during this period. Applying a cold compress to the cheeks can help reduce inflammation and alleviate headaches that occur. Rinsing with warm salt water can also soothe any irritation to the soft tissues in the mouth.
When to Contact Your Orthodontist
While mild discomfort is a normal part of palate expander treatment, certain signs indicate that you should contact your orthodontist promptly. Persistent severe pain that is not relieved by over-the-counter medication warrants immediate attention. This could signal an issue that needs professional assessment.
Another reason to contact your orthodontist is if the expander becomes loose, broken, or dislodged. Similarly, if you experience significant difficulty turning the expander as instructed, or if you notice any unusual bleeding, swelling, or signs of infection around the appliance, seek professional guidance. These situations require prompt evaluation to ensure the safe and effective progression of treatment.