Broken molar from rapid palatal expander??

My 8 year old had a rapid palatal expander was cemented in almost 3 weeks ago. We were told to turn once daily, for 3 weeks. Her follow up is in 3 days; however I am extremely alarmed - when brushing her teeth tonight, it appears the back upper molar, left side, where the band is fixed - the tooth has been broken?! The molar also appears to be flared outward toward her cheek, more so than the rest of her teeth. I understand your advice will be to call the Ortho ASAP, which we did immediately. However it appears the office does not have an on call service so it looks as though we’ll be waiting til Monday morning for a response. My concern is, is this common or a rare issue? She has never had any teeth “issues”, never a cavity, and is in good health. Any info you can offer would be helpful, thank you for your time.

Answer: Rapid palatal expander

By Sarah h

It is not common for a palatal expander to fracture a molar, especially one that is the anchor tooth.  Orthodontists' will usually refrain from bonding bands or fixed appliances onto teeth with active caries. Therefore, I am hoping that the tooth is not broken and just appears differently with the expander in place.  If the tooth was broken, more than likely your daughter would be experiencing dental pain and the expander would become dislodged or loose.  If none of these have occured, it is probably not fractured.  Upper molars sometimes appear as if they are angled toward the cheek, expanding the palate will create more space for alignment in the future.

More Questions from Pediatric Dentistry

Are these results normal in oral surgury on a three year old?

My three year old had to have her front 4 teeth capped(crowned) the surgery was yesterday. The dentist accidentally busted her maxillary labial frenum and had to stitch it during the procedure. There is a gap between the two front teeth, that was...

Broken molar from rapid palatal expander??

My 8 year old had a rapid palatal expander was cemented in almost 3 weeks ago. We were told to turn once daily, for 3 weeks. Her follow up is in 3 days; however I am extremely alarmed - when brushing her teeth tonight, it appears the back upper...

How do I become a pediatric dentist?

How do I become a pediatric dentist I would like to know because I want to grow up and be one I want to help other children and children with special needs I love to see other children happy but want to know how to become one

Should I be concerned about an underlying genetic abnormality?

My kid was born with a natal tooth- a lower incisor that had no root system. It fell out when she was 4 days old. She is 16 months now, and just erupted a tooth in the same spot. That tooth appears to be two teeth fused together at the bottom- it...

Extra Molar?

Hello! I am a 14 year old girl with what almost seems as an extra molar... Back in November, I had realized I had a VERY sharp pain in the back of my mouth... One day I decided to look at it and see what it was, I quickly came to realize it looked...

Are there any alternatives to tooth extraction for a toddler

Hello, thanks for taking the time to read this. I took my son to the dentist this morning and I'm concerned enough to get a second opinion. My 19 month old son has tooth decay and our dentist is recommending extraction for all 4 front teeth but I...

Why will my child need spacers??

I just took my 5 1/2 year old daughter in for her routine dental exam. Her baby teeth are very close together, but they are straight. After looking at her x-rays her dentist said that she will need spacers soon. Everything i have read about spacers...

palate expanders

My 8 year old daughter had palate expanders installed about 2 months ago. The last few days, she has been complaining about pain in/around the bottom jaw. We took her to orthodontist and after examining her, we were told that the pain may be...

What's going on with my tooth?

About 5 weeks ago, my tooth began to feel a little weird. By weird, I mean uncomfortable and it felt like it stood out from my other teeth. During the first week or so, it felt as if my tooth were weak to the point it was going to fall off. But...

damaged tooth receeding

My 5 1/2 year old fell and damaged his tooth about 2 years ago. It was slightly knocked out of place and bled. Over the last year it has turned grey. Just recently,it has stated to darken more, but the concern is it has now gone crooked and seems to...