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Introduction Dr. Amanda from Straight Smile Solutions follows up on her original discussion about keyless expanders to clarify an important clinical distinction: not all keyless palatal expanders are the same. In Part 2, she focuses specifically on fixed keyless RPE/RME options for dual-arch and mixed dentition cases, explaining why appliance control, activation timing, and liability […]
When to “Call it Quits” on BioTrainer Phase 1 and Switch to Invisalign, RPE, or BracesIntroductionDr. Amanda reviews when BioTrainer myo-ortho treatment is effective and when clinicians should transition to traditional orthodontic options. BioTrainers have been around for decades and can be effective, but only in the right patient, at the right age, with exceptional […]
Should You Stop Expanding at 40mm with RPE/IPE? Introduction Dr. Amanda from Straight Smile Solutions addresses a common question: Should expansion stop when the transpalatal width reaches 40mm? • Many clinicians use “40mm” as a benchmark after hearing her training material, but it is not a universal stopping point. • Tooth size, arch size, […]
Risks of Using a Haas Expander Instead of IPE, RME, or RPEI. IntroductionDr. Amanda introduces the Haas expander, a traditional orthodontic device similar to a Hyrax expander but with an added layer of acrylic over the palate. While some clinicians consider it for improved retention and skeletal movement, Dr. Amanda explains why she generally does […]
Introduction Dr. Amanda explains how to determine the right time to stop expansion using RPE, RME, Hyrax, or Invisalign IPE. Many clinicians struggle to know when enough is enough during expansion. Expansion goals vary, such as airway improvement, better tongue posture, or creating arch space. She emphasizes understanding the original purpose before continuing with […]
Context & Position Dr. Amanda clarifies her stance on early pediatric expansion (ages 2–5, before first molars erupt). Emphasizes standard, predictable orthodontics backed by literature and time, not “fringy” methods with higher risks. Holds insurance/liability coverage, chooses not to support unpredictable or legally risky cases. Professional Responsibility As an educator, she may decline cases […]
Context & Background• Builds on her prior video about early expansion (ages 2–5) requiring physician involvement.• Refers viewers to the AAPD’s policy (linked on her site under “Get Started → Help with RPE”).Key Principle: Stay Within Standard Orthodontics• To avoid needing MD oversight, avoid very young or very old cases.• Stick to normal orthodontic expansion […]
RME and RPE Design for Older Teens, Lab Slips for Expanders Introduction Dr. Amanda discusses preferred designs for Rapid Maxillary Expansion (RME) and Rapid Palatal Expansion (RPE) in older teens. Expansion is more straightforward during mixed dentition, but fully erupted permanent teeth make treatment trickier. Focus is on achieving balanced expansion and avoiding common pitfalls […]
Should you do a RPE on a Pediatric Patient with Daily NosebleedsI. IntroductionDr. Amanda from StraightSmile Solutions answers a question she received regarding whether it is safe to use an expander for orthodontic treatment in a child who experiences regular nosebleeds. She explains that daily nosebleeds are not normal and the child should first be […]
If you have been looking at finishing cases more quickly, considering fast braces techniques could be valuable – and simultaneously using an expander with braces can help speed up the process. However, if this is something you’ve been considering, it’s important to choose the right wires to ensure this fast braces approach won’t affect the […]
