Ep. 14: "Expansion Under The Age of 6-Years-Old with Dr. Marianna Evans"

⚠️ 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services. _______________ Welcome to the "Airway Answers: Expanding your Breath of Knowledge" with Nicole Goldfarb, M.A. CCC, SLP- COM®.  In this episode, Dr. Mariana Evans discusses the importance of early expansion for children's jaw development and periodontal health. She explains the relationship between orthodontics and periodontal issues, emphasizing the need to address jaw deficiencies at a young age. Dr. Evans highlights the clinical indicators for jaw development issues and the controversy surrounding expansion techniques. She challenges the traditional practice of waiting for adult molars to expand and advocates for customized appliances and anchorage. Dr. Evans also addresses the question of how much expansion is necessary and the potential need for additional treatment in the future. This conversation discusses the need for expansion as children get older and the limitations of expansion based on age and facial growth. It also explores the duration of the expansion process and how to respond to orthodontists who are hesitant to expand at a young age. The conversation highlights the demand for orthodontic treatment and the challenges faced by orthodontists in treating younger children. It also discusses the role of pediatric dentists in treating younger children and the importance of a positive dental experience. The conversation covers the criteria for determining the need for expansion in young pediatric patients and the use of measurements and clinical indicators. It also addresses the use of dental age and tooth size for customized expansion. The conversation touches on the considerations for tonsillectomy in relation to expansion and the use of Invisalign during the expansion process. Dr. Evans shares her personal experience with Marpe expansion and explains the concept of the 4D dimension in expansion. The conversation concludes with a summary of the course and upcoming dates.Takeaways*Early expansion is crucial for optimal jaw development and periodontal health in children.*Clinical indicators such as facial appearance and tooth positioning can help identify jaw deficiencies.*The traditional practice of waiting for adult molars to expand is not always necessary or beneficial.*Customized appliances and anchorage techniques can provide more effective and precise expansion.*Expansion at a young age may not eliminate the need for additional treatment, but it can improve growth patterns and prevent future complications. Expansion may be necessary as children get older, as the face grows and expands naturally.*The duration of the expansion process is typically around six months, with active turning for about two months and four months of holding the expansion.When orthodontists are hesitant to expand at a young age, it is important to provide research and evidence to support the need for expansion.*The demand for orthodontic treatment is increasing, and there is a need for more providers who can treat both adult and young patients.*Younger children may be better treated by pediatric dentists who have experience in treating younger patients and can focus o