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ALBERTS.CHINAPPIJR.DDSMSABOAdultSmilesTheChinappiWay TheseareallfactorsrelatedtoamalocclusionbadbiteMostbadbitesarerelatedtoanarrowupperjawandEXPANSIONisthesolution.WhydoadultsseekorthodonticcareUnhappywiththeirsmilePainanddysfunctionJointpainHeadachesNeedtoalignteethbeforeimplantsandbridgeworkYourdentistrecommendedit ExpansioncreatesspacetoaligntheteethandAllowsforrepositioningofthelowerjawwhichcaneliminateheadandneckpainAdultExpansionItisPossible ExpansionapplianceItfitsintheroofofthemouthandthegentlepressurecreateschangeintheshapeofthepalate.Correctingtheshapeoftheupperjawispossibleatanyage PostExpansionExpansioncreatesthespacetoaligntheteethandallowsforrepositioningofthelowerjaw.Astheappliancewidensthebonechanges.ExpansioncreateswiderarchNoticetheamountofexpansionandsubsequentchangeintheshapeofthepalate.PreexpansionPostexpansion ChinappiASJrGetzoffIH.ANewManagementModelforTreatingStructuralBasedDisordersDentalOrthopedicandChiropracticCo-Treatment.JournalManipulativePhysiologicalTherapies.1994Nov-Dec179614-9.ThereisasignificantrelationshipofheadpositiontocervicalspinefunctionandheadandneckpainExpansionanditsRoleinAdultPainManagement IllustrationofthepotentialeffectofabadbiteonheadandneckpositionNotetheforwardheadpositionandalterationofcervicalspinewhichinmanycasesisreversible NarrowUpperJawDeepBiteMissingLateralsJawPainPatientA BiteCorrectedbyExpansionAchievedRoomtoReplaceLateralsPainFreePatientA NarrowUpperJawDeepBiteMissingUpperLateralsPainPatientB BiteCorrectedwithExpansionSpacesPreparedforRestorationPatientB BiteCorrectedwithExpansionMissingMaxillaryLateralsReplacedPatientB BroadSmileLowerJawRepositionedLateralsReplacedPainFreePatientBBeforeTreatmentAfterTreatment FrontTeethTippedBackLateralIncisorsSmallJawPainPatientC LateralsMadeLargerUpperTeethInclinedProperlyPainFreePatientC NarrowUpperJawBackwardJawPositionFacialPainJawPainPatientD OverbiteCorrectedJawRepositionedSymptomReliefBroadSmilePatientD OverbiteSevereRetrusionofLowerJawJawPainHeadachesPatientE JawRepositionedSymptomReliefPatientE NarrowUpperJawDeepBiteJawPainMigrainesPatientF JawRepositionedPainReliefBroadSmilePatientF OurspecialtyneedstostrivetoplaceocclusionintoanappropriatescientificperspectiveandtofocusonthebenefitsoftreatmentinabroadsenseAckermanetalAPhiladelphiaFableHowIdealOcclusionBecamethePhilosophersStoneofOrthodontics.AngleOrthodontist2007Adeparturefromthedogmaofidealocclusion.opensthewaytoestablishingascientificallysoundermodelofocclusalfunctionandhealth