Bonded Palatal Expander Post-Op Instructions

A bonded palatal expander is an orthodontic appliance used to gently widen the upper jaw and create space for proper tooth
alignment. Small adjustments gradually expand the jaw over time, and the appliance remains in place for several months to
stabilize the results.

In the Beginning

For the first day or so, stick to soft foods like soup, mashed potatoes, yogurt, or pasta. Before long, you’ll be able to

eat tougher foods again. But you’ll need to protect your orthodontic appliances when you eat for as long as you’re

wearing braces. This page includes a list of foods and actions to avoid.

General Soreness

When you get your expander on you may feel general soreness in your mouth for the first few days. It is also normal

to feel some tightness in the beginning each time your expander is turned. If the tenderness is severe, take Advil

(Ibuprofen) or whatever you normally take for headaches or similar pain. After the first few days you should not feel

any more sensitivity associated with the expander or the turning process. If any part of the expander feels sharp to

your tongue, or if the tightness and sensitivity does not cease after the first 3-5 days, please call us.

Foods to avoid while your Expander is in your Mouth

  • Chewy foods: bagels, hard rolls, licorice
  • Crunchy foods: popcorn, ice, chips
  • Sticky foods: caramels, gum
  • Hard foods: nuts, candy
  • Foods you have to bite into: corn on the cob, apples, carrots
  • Chewing on hard things (for example, pens, pencils or fingernails) can damage the expander’s bands

Brushing and Rinsing

  • Brush your teeth normally, as you would without the expander
  • Be sure to brush your expander thoroughly every morning and night, making sure to get all food off the palatal surface of your expander, and the bands that are bonded to your back teeth
  • Use a syringe filled with ½ mouth wash and ½ water to rinse in between the expander and the roof of your mouth

Loose Wire or Broken Bracket

Don’t be alarmed if a wire or bracket comes loose. This happens occasionally. If a wire protrudes and is irritating, use

a blunt instrument (the eraser end of a pencil) and carefully, gently push the irritating wire under the arch wire to get it

out of the way. If irritation to the lips or mouth continues, place wax or wet cotton on the wire to reduce the

annoyance. Call our office as soon as possible for an appoin