At Cooney & Tyner Orthodontics, we want you to know what to expect from our board certified orthodontists. Here are the five treatment steps our patients should be aware of if they require RPE braces:
Step 1: 3D digital imaging of your teeth.
Step 2: Placement of Separators (Spacers) in between the back teeth approximately one week prior to placing the expander to maintain space for the appliance to fit comfortably.
Step 3: Removal of Separators and placement of the Palate Expander. This is when the winding will begin, which generally lasts a few months but can vary depending on the patient’s biological response. The expander itself stays in place for 9-12 months after placement – like putting a cast on a broken arm. After winding, the palate needs time to heal into place.
Step 4: Top braces are placed. The bottom braces are generally placed a few months after the top. For most patients, the expander is removed before the bottom braces go on. Many times rubber bands will be necessary to settle the bite into a correct and healthy position. You will then be seen every few months for braces adjustments until the desired tooth and bite position is acquired.
Step 5: Removal of all brackets and placement of upper and lower clear plastic retainers. Retainers will be worn full time for a few days, then 12hrs a day for a year, then night time for a lifetime to stabilize and maintain your hard work.