Tooth borne palatal expanders can be used while a patient is still growing to expand the upper jaw to create more space and to correct posterior crossbites. Palatal expanders combined with TADs, or miniscrews, can be used if a patient is older and still desires expansion of the upper jaw.

Class II correctors, if used at specific times during growth, encourage forward growth of the lower law. Our office uses the MARA appliance, a sleek class II corrector to guide the lower jaw forward when the patient bites down to encourage forward growth.

Headgear, with excellent compliance, can be used in younger patients to hold back growth of the upper jaw to correct Class II bites.

In Class III bites, or “underbites”, a protraction face mask in younger children can be used to encourage forward growth of the upper jaw to correct an underbite.