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Three Dimensional Expansion utilizing Epigenetic Orthopedics with the DNA / mRNA family of appliances would be my first choice of treatment. It is a gradual process and has little discomfort. It does have to be worn 14-16 hours/day.Before the DNA Appliance I would have suggested a SARPE procedure or Rapid Palatal Expansion with a Surgical Assist. That is still an excellent procedure but it does not correct the overbite or the high arch.The same is true with MSE which uses TAD implants.