how to achieve the best results with a maxillary expander?

pizza

pizza

Pardo manlet deformado
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which is better and why? slow or fast expansion?
 
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Expanders are worthless. They only tip the teeth. There isn't any lower maxillary expansion. Additionally, you'll get a gap inbetween your incisors.
 
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Expanders are worthless. They only tip the teeth. There isn't any lower maxillary expansion. Additionally, you'll get a gap inbetween your incisors.
my doctor denied my request,but he is willing to do an orthognathic
 

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