This includes the obvious, such as sugary desserts and soda, but also some unexpected culprits, such as breads, pastas, excessive fruits, and starchy veggies. You can get a non-custom TRD but both night guards and MADs must be custom-fitted with your dentist or orthodontist. After a certain point in growth, the expander must be surgically attached within the mouth. This is called "Surgically Assisted Rapid Palatal Expansion ". For malocclusion where teeth are out of their proper position, clear aligners are often an excellent choice. Please help improve this article by introducing citations to additional sources.