703-712-1053 
MASPE Expander – Post Delivery Instructions
First 48 Hours
- Mild pressure/soreness is normal – Take ibuprofen 400–800 mg every 8 hours as needed (or acetaminophen if you have ibuprofen allergy or contraindication).*
- Speech may sound “lispy” – this usually improves with time.
- Increased saliva – this typically reduces as your body gets adjusted to the new appliance.
1. Palatal Expansion (MASPE)
Follow Dr. Adams’ exact schedule. Most patients start with:
1 turn every OTHER day
How to Turn
- Insert wrench onto center of appliance at the roof of your mouth.
- Turn downward until the wrench touches your lower teeth — that’s 1 full turn (~1/12 mm).
- Remove wrench straight out.
NEVER turn more often than instructed.
Notify Us Immediately If:
- You feel pain when turning
- A space opens between front teeth that floss passes through easily (no rubbing)
- Turns feel harder than usual
- You have any questions or concerns — we’re here to help!
2. Starting & Changing SPARK Clear Aligners
(Only begin when Dr. Adams says “GO”)
| Rule | Details |
|---|---|
| Wear Time | 22+ hours/day — remove only to eat/drink |
| Change Schedule | Every 7 days (or as Dr. Adams directs) |
| Scanning | Scan weekly using Dental Monitoring app — WAIT FOR “APPROVED” before changing trays |
| Fit Issues | If tray feels tight, loose, or painful → contact us same day |
| Keep Prior Trays | Always save the last 2 trays (in case we need to step back) |
| Drinks | Only water with trays in. Remove for all food/drinks (except water). Rinse mouth before re-inserting. |
| Cleaning | Use retainer tablets or sonic cleaner daily |
3. Dental Monitoring – Remote Scanning
- Download the Dental Monitoring app (iOS/Android)
- Activate your account using the text/email link we send
- Scan weekly on your assigned day/time
- Wait for GREEN “APPROVED” before advancing to next tray
4. Oral Hygiene (Non-Negotiable)
| Task | Frequency |
|---|---|
| Waterpik MASPE Appliance | After every meal (minimum 3×/day) |
| Brush teeth & Floss | 2×/day minimum (soft brush around MASPE) |
| Mouthwash | As directed by regular dentist (who does cleaning) |
| Regular dentist | Cleanings every 6 months (or as advised) |
5. Emergency? Call or Text SAME DAY
Office: 703.712.1053 Email photos to: tmjsleepbreathe@gmail.com After-Hours: Text 240.277.2627
Red Flags:
- Pain with turning
- Tray won’t seat fully
- Lost/broken wrench
- Bleeding, swelling, sores >3 days
We’re thrilled to guide you through MASPE expansion with SPARK clear aligners! Share progress photos or wins anytime — it brightens our day! 😊
*Please inform our office if you have any drug allergies and/or Medical conditions that prevent NSAID use (e.g., ulcers, kidney issues, blood thinners.