10/20/2026
What happens years after the lower arch is expanded?
University of Washington researchers spent four decades collecting records from patients 10 or more years out of treatment. In their study of children whose lower arch was enlarged, all 26 lost at least part of the gain, and 89% ended up with alignment judged clinically unsatisfactory. A separate meta-analysis of 26 studies found lower canine width goes back to about where it started.
The fair nuance: not every study shows relapse, back teeth hold better than front teeth, and lower teeth tend to crowd with age in most people. That’s why we plan around the lower arch a child already has, and why retainers matter for everyone.
Part 3 of 8.
Sources:
• Little RM. Stability and relapse of mandibular anterior alignment: University of Washington studies. Semin Orthod. 1999;5(3):191-204.
• Little RM, Riedel RA, Stein A. Mandibular arch length increase during the mixed dentition: postretention evaluation of stability and relapse. Am J Orthod Dentofacial Orthop. 1990;97(5):393-404.
• Burke SP, Silveira AM, Goldsmith LJ, Yancey JM, Van Stewart A, Scarfe WC. A meta-analysis of mandibular intercanine width in treatment and postretention. Angle Orthod. 1998;68(1):53-60.
• Solomon MJ, English JD, Magness WB, McKee CJ. Long-term stability of lip bumper therapy followed by fixed appliances. Angle Orthod. 2006;76(1):36-42.
• Housley JA, Nanda RS, Currier GF, McCune DE. Stability of transverse expansion in the mandibular arch. Am J Orthod Dentofacial Orthop. 2003;124(3):288-293.
• Little RM. Stability and relapse of dental arch alignment. Br J Orthod. 1990;17(3):235-241.
General information, not personal medical advice.
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