If you are an old patient and would like to see another orthodontist either ask your dentist or doctor for another recommendation, or contact Dr Sarah Burns: 40-41 Wimpole St, London W1G 8AB Phone 0800 151 2468
A Rapid Palatal Expander RPE is also called a Rapid Maxillary Expander RME. It is used to widen the upper arch by parting the suture in the midline. It works very fast, usually in 2-3 weeks and it is important that Dr Gibilaro sees the patient every week until the desired expansion is reached.
Once the desired expanion is reached it is left in place for a few months.
A large gap will appear between the front teeth once the suture divides. The gap will start to close spontaneously and can be completely closed with fixed appliances later on in treatment.