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How Much Bone Do You Actually Get From Palatal Expansion?
A 2022 randomized controlled trial by Schneiderman and colleagues used cone-beam CT to measure what really happens when you turn a palatal expander. The results are sobering: skeletal expansion efficiency is just 23-32%, meaning most of that screw activation just tips teeth sideways. This episode breaks down the numbers, explains why the midpalatal suture resists, and shows how skeletal maturation staging (Fishman SMI) can tell you whether overexpansion is worth the tradeoff or just a recipe for buccal tipping and periodontal damage. Episode 2906 — myweirdprompts.com/n/2906 (permanent short…
The skinny
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