In cases that the childs arches are considerably different from the shape of TRAINERs ideal arches (i.e. narrow maxilla) should I still use the TRAINER as my first treatment option?
Yes. If the child is between 6 and 8 years of age, this is the best treatment to start. The improvement in tongue position and keeping the lips together assists the growing child to improve and widen arch form. If there is a posterior cross bite, this is best corrected first with a transverse expansion appliance or the BENT WIRE System™ (BWS™). Older children (late mixed dentition) it is best to start with the TRAINER but also to do some simultaneous arch development with the BWS™ or other appliances. Generally, if the patient can put the TRAINER in their mouth and keep their lips together for 5 minutes or more, the TRAINER System™ is the first choice for most cases of malocclusion . See manual for more details. If the child cannot breathe through the nose and/or has a nasal obstruction, they need medical assistance first before commencing treatment. Extreme Class II and Class III cases may have a problem as well, physically fitting the TRAINER to their mouth. These cases are the only
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