I’m 60 with a posterior crossbite and a slight open bite in the front.

A narrow palate and crossbite can be addressed with Epigenetic Orthopedics /Orthodontics with the DNA Appliance.  It is a removable appliance that is worn 16 hours/ day for best results and gradually expands the bone orthopedica;y and the airway in grown through a process called Pneumopedics.The mRNA version of the DNA Appliance has been shown in clinical case studies to cure sleep apnea.  There are no completed prospective studies at this time.The process is gradual but allows the patient to be appliance free for 8 hours daily.The SARPE procedure or Rapid Palatal Expansion with a Surgical Assist is an alternative method to speed the process.  In the past it was the typical approach but now Epigenetic Orthopedics is rapidly replacing the surgical option.SARPE is the fastest method to accomplish expansion.Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMOPast Chair, Alliance of TMD OrganizationsDiplomat,  Academy of Integrative Pain ManagementDiplomate, American Board of Dental Sleep MedicineDiplomate, American Board Sleep and BreathingRegent & Fellow, International College of CranioMandibular OrthopedicsBoard Eligible, American Academy of CranioFacial PainDental Section Editor, Sleep & Health JournalMember Cranio Editorial Board, Journal of Craniomandibular and Sleep PracticeMember, American Equilibration SocietyMember, Academy of Applied Myofunctional SciencesMember, Academy of Cosmetic DentistryLife Member, American Dental Association