Children and growthQuestion during treatment

The teeth get used to each tightening of the removable appliance within two days. Can we tighten it more often than recommended?

Answered byDr Ivelina Ivanova-Koycheva, Orthodontist (MSc)Master's degrees in orthodontics in Rome and in aligner treatment in Turin, international lecturerPublished on 12 November 2026

The feeling that the teeth have got used to the appliance being tightened comes quickly – in some children even within a day of turning the screw. Even so, moving the teeth through the bone takes a certain amount of time, so if the appliance is turned more often than recommended, one of two things happens: either the appliance stops fitting the teeth and ‘drops’, or you turn the screw and the pressure from the teeth pushes it back, so you are making ‘empty’ turns that achieve nothing and don't move the treatment forward.

This answer is for general information. Your own case needs an examination by an orthodontist.