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The appliance includes a jackscrew in the middle for patients to turn for expansion purposes. This appliance also has rigid wires extending from appliance to premolars and molars. It is important to note that the tooth-borne expanders can be divided into the Bonded vs. Banded Type of expanders. Hyrax appliance falls under the banded type appliance.
It usually takes a week or two for one to adjust to eating and speaking after first receiving the rapid palatal expander. This process requires patients to turn the expansion screw themselves to widen the expander. For expansion that is not managed by the patient and on the lower jaw, a bionator appliance may be a more suitable alternative.
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