Your expander must be turned with a special "key."
will provide instructions for turning
the key, and advise you as to
the number of turns. Follow the instructions carefully.
The expander is turned by placing the
"key" into the hole, which is
located in the center screw.
Gently push the key towards the back
of the mouth. You will know
the key has turned completely when a
new hole appears in the front.
How will I know the expander is working?
effect of the palatal expansion appliance is a separation
of the front teeth. The space will begin
to close naturally when the
turning of the key has stopped. The bone segments, however,
will stay in the new position. Generally speaking, Dr. Jusino leaves
the expander in place for up to a year. This will allow new bone
growth in the palate (roof of the mouth) where the
occurred, and acts as a "retainer" to hold
the space. This is important
to avoid "relapse" of the
Food will have a tendency to get trapped and caught around
The WaterPik appliance Dr. Jusino provided the day
the palatal expander
was placed, will help irrigate the area
and assist oral hygiene care.
Dr. Jusino also recommends using a fluoride rinse nightly. Be careful
to avoid excess soft drinks and sweets.
Never turn the expander more than two (2)
Sometimes turning the key of your expander will cause slight
discomfort near the bridge of the nose and out toward the
At first, it will be difficult to talk and swallow with the
and you may notice more saliva. It may take
several days to get
accustomed to the palatal expander
Dr. Jusino wrote his Master's Thesis on the effects of the
Call us if you have any questions or concerns-
after office hours: (586) 856-6660