Teledentistry · Home Care

Palatal expansion,
finally at home.

APEHK is the first AI-supervised home system for palatal expansion, giving patients precise daily measurements, a foolproof adjustment key, and direct clinical oversight from their orthodontist.

Jaw arch scan · Live heatmap
D = 63.0 mm
63.0mm
Lateral D
69.0mm
Target Dt
Treatment progress68%
SCAN
UPLOAD
SYNC
PAIN
~90%AI resolved today
+0.5mmThis week's gain
$631M
Global palatal expander
market (2024)
Global Growth Insight · SKU 26045151
4M+
US patients undergoing
expansion annually
~90%
Routine daily checks handled
autonomously by AI
3–6mo
Treatment duration,
now supervised at home
The problem

Treatment designed for clinics, not families.

For decades, parents have been asked to perform a precise clinical procedure on their child, daily, using a tool built for trained orthodontists, with no feedback, no measurement, and no safety net.

⊗ Traditional approach
Free-pinion key, impossible to aim reliably
Reverse turns undo treatment silently
No at-home measurement between visits
Pain reported weeks later at next appointment
Doctor sees data once every 4–8 weeks
✓ With APEHK
Guided Easy Key, exact ¼ turn every push
Reverse turns mechanically blocked
Daily D/L arch measurement at home
Real-time pain channel: AI responds immediately
Live data after every daily scan
01
A tool designed for clinicians

The traditional jackscrew key requires fine motor precision and clinical training. Parents hit a 1mm target in a moving child's mouth, daily, with no guidance system and no confirmation it worked.

02
Treatment is blind between visits

Without at-home measurement, neither the patient nor the orthodontist knows if expansion is occurring. Under- or over-expansion goes undetected until the next clinic appointment, sometimes weeks later.

03
Pain has no real-time channel

Post-adjustment discomfort, the first signal of over-expansion, is reported at the next visit. The window for timely correction closes weeks before the doctor hears about it.

In the home
The reality families face every day
Before APEHK: parent struggling with traditional jackscrew key
Before APEHK
A parent navigating a clinical tool with no guidance and no safety net
With APEHK: child using Mouthscan sensor, console showing real-time data
With APEHK
Child bites the sensor. Console reads 68% progress in real time

Images generated for illustrative purposes

How it works

Four steps. One complete system.

Every day, APEHK closes the loop between patient, device, data, and doctor, from the comfort of home.

01
🦷

Measure

Patient bites the Mouthscan pad. Three-layer PCB sensor captures a digital heatmap of the jaw arch, measuring lateral (D) and distal (L) distances to the millimetre.

02
📊

Track

Data uploads instantly. The console shows a colour-coded progress meter (0–100%) and syncs the orthodontist's latest turn instructions, visible to both patient and doctor in real time.

03
🔑

Adjust

The spring-loaded Easy Key guarantees exactly one quarter-turn per push, delivering ¼mm of controlled expansion. Reverse turns are mechanically blocked. No clinical training required.

04
🧠

Supervise

AI validates every scan against the orthodontist's parameters. Normal: auto-confirm and encourage. Exception: escalate immediately to the doctor with full scan history for clinical review.

The device

Four patent‑protected components.

Each piece of the APEHK kit was designed from scratch to solve a specific failure point in traditional home treatment.

01
Central Console
02
Mouthscan
03
Easy Key
04
AI Cloud Platform
Component 01 of 04
Central Console

The brain of the APEHK system. Processes scanned data and displays it on a colour TFT/LCD panel, the jaw heatmap, D and L measurements, colour-coded progress meter, pain survey, and orthodontist instructions. Syncs with the cloud over WiFi after every session.

Display
TFT/LCD · Heatmap
Battery
Li-ion · 24hr+ life
Connectivity
WiFi · Cloud sync
Progress
0–100% colour coded
US Patent No. US20250275834A1
Flex PCB Velostat Rigid PCB
Component 02 of 04
Mouthscan Sensor

A U-shaped bite pad placed over the upper arch. Three stacked layers, Flexible PCB, Velostat pressure-sensitive polymer, and Rigid PCB, capture a digital pressure map of the jaw from a gentle bite, producing precise D and L arch measurements as a colour heatmap.

Layer 1
Flex PCB · Copper gridlines
Layer 2
Velostat · Pressure polymer
Layer 3
Rigid PCB · Signal return
Output
D, L (mm) · Heatmap
US Patent No. US20250275834A1
BLOCKED ¼ turn
Component 03 of 04
Easy Key

The world's first mechanically-constrained palatal expansion key. A spring-loaded assembly limits every push to exactly one quarter-turn. A torsion spring blocks reverse rotation entirely. The pinion auto-returns to neutral after each use, ready for the next hole without manual re-alignment.

Per push
Exactly ¼ turn · ¼mm
Reverse turns
Mechanically blocked
Pinion reset
Auto-neutral after use
Power
None, fully mechanical
US Patent No. US20250275834A1
AI ENGINE 👤 Patient 👨‍⚕️ Orthodontist
Component 04 of 04
AI Cloud Platform

HIPAA-compliant on Google Cloud. Every scan triggers the AI parameter engine, auto-confirming normal readings, escalating exceptions to the doctor, and managing two-way messaging between patient and practice. Scales to any practice size without increasing doctor workload linearly.

Infrastructure
Google Cloud · HIPAA
AI engine
Auto-confirm / Escalate
Messaging
Two-way · Templates
Portal access
Web · 2FA login
US Patent No. US20250275834A1
The AI engine

AI handles the volume.
You handle the judgment.

In a typical practice, AI can autonomously handle almost 90% of routine daily check-ins and responses, so the orthodontist receives only what genuinely needs clinical attention.

Tier 1: Instant AI scan validation (fully automated, every session)
Every scan validated instantly against the orthodontist's configured parameters: target arch width, expansion rate, pain thresholds, and missed-turn rules. No manual step.
🔀
Tier 2: AI decides the outcome (two paths based on scan result)
Each session routes automatically down one of two paths.
Within parameters — AI auto-confirms
No orthodontist time needed. Almost 90% of routine sessions resolve here.
"Great work, your measurement today is right on track. Next adjustment: 2 turns tomorrow morning."
🚨
Outside parameters — escalate to doctor
Flagged with deviation data and scan history. Typically under 10% of sessions.
Doctor receives a prioritised alert. One-tap: approve AI draft, edit, or override. Patient receives a holding message while the doctor reviews.
📅
Tier 3: Scheduled manual reviews (doctor-configured cadence)
Doctor pre-sets a review interval (e.g. every 2 weeks). The portal auto-queues all patient scans, ensuring the clinical arc of treatment is never purely AI-managed.
For orthodontists

More patients.
Less chair time.
Better data.

APEHK is a practice tool, not a patient bypass. The orthodontist owns the device, the data, and the billing, and gains a clinical intelligence layer that makes their time go further.

📈
Revenue protected and increased

Kit fee + monthly SaaS (CDT D9994) + billable telehealth reviews (CDT D9995) replaces and typically exceeds traditional monitoring revenue. Average episode runs around $817, compared to roughly $650 with traditional monitoring.

🩺
Real data between every appointment

Daily D/L measurements, pain surveys, and adjustment logs, visible in real time. Catch stalled progress or compliance issues before they compound over weeks.

Scales to any practice size

AI handles routine confirmation for all patients. Your daily queue contains only the 2 or 3 cases that genuinely need clinical judgment, not one manual response per patient.

💬
Two-way clinical messaging

Patients ask questions through the portal. Template library, AI-eligible responses, and sender attribution (Doctor / Staff / AI), reducing phone calls without losing the human connection.

portal.apehk.com
24
Active patients
21
AI resolved
3
Need review
2
Unread msgs
PATIENT PROGRESS, THIS WEEK
Rosa López
89%
Marcus Patel
68%
Aisha Johnson
55%
Liam Kim
42%
ESCALATION, HIGH PRIORITY
Liam Kim · Pain 8/10, 3 sessions
AI draft ready · Approve or edit
Approve & send
Edit response
Treatment analytics
Live patient data · Marcus Patel #PT-003
portal.apehk.com / patient / PT-003 / analytics
68%
Treatment progress
63.0mm
Current lateral D
Target: 69mm · +6mm left
2/10
Latest pain score
After today's adjustment
2/day
Turn schedule
Next review: Apr 27
Arch width D (mm) over treatment
Weeks 1–10
65 62 59 56 69 63.0 +0.5mm Jan 20 Feb 3 Feb 17 Mar 3 Mar 24 Today
Measured D (mm)
Target Dt (69mm)
Pain score history (0–10)
Improving ↓
7 ⚠ 10 7 4 0 2 3 7 Jan 20 Feb 17 Mar 24 Today
Pain score
Escalation threshold (7)
Adjustment log
Date & time Turns D before D after Delta AI verdict
Today 7:42am 2 ¼-turns 62.5mm 63.0mm +0.5mm Auto-confirmed
Apr 12 7:55am 2 ¼-turns 62.0mm 62.5mm +0.5mm Auto-confirmed
Apr 11 8:03am 1 ¼-turn 62.0mm 62.0mm 0.0mm Flagged
Artificial Palatal Expansion Home Kit

The difference between guessing and knowing
is one data point.

APEHK gives every palatal expansion patient that data point, every day, at home, with full clinical oversight. Join our early access programme for orthodontic practices.

dr.greg.baker@toothsure.com · apehk.com

Frequently asked questions

Common questions about APEHK

For patients, parents, and anyone curious about how home palatal expansion monitoring works.

What does APEHK do that a traditional expander does not?
+
A traditional palatal expander does the expansion but gives you nothing back. You turn the key, hope it worked, and wait weeks until your next clinic visit to find out. APEHK adds three missing pieces: a way to measure your arch width at home (the Mouthscan sensor), a console that shows progress after every session, and a cloud connection so your orthodontist sees every scan in real time and can respond if anything changes. The expander itself stays the same. What changes is everything around it.
Is the Mouthscan sensor safe for daily use?
+
Yes. The Mouthscan works by gentle bite pressure, with no radiation, electrical current, or chemicals. Your child bites down on the soft U-shaped sensor pad for a few seconds while it reads the pressure map of their arch. The pads are hygienic single-patient consumables replaced on a regular schedule. The device is designed to be used by children aged 6 and up without adult assistance after a brief training session.
How is the Easy Key different from the key we already have?
+
The traditional jackscrew key is a free-spinning rod with no limits on rotation and no mechanism to prevent reverse turns. The APEHK Easy Key is mechanically constrained: one push delivers exactly one quarter-turn. A torsion spring inside physically blocks any reverse rotation. After each push, the pinion tip automatically resets to neutral so you do not have to re-aim it for the next hole. Parents no longer need to count degrees of rotation or worry about undoing previous progress.
Does my orthodontist still need to see us in person?
+
Yes, but less frequently and with far more information when they do. Your orthodontist configures the treatment plan, reviews AI-generated scan data, responds to escalations, and conducts scheduled reviews through the APEHK portal. These can often be short teledentistry sessions rather than full in-office visits. In-person appointments are still recommended at key milestones: start of treatment, any clinical concern, and at completion. APEHK reduces unnecessary visits, not necessary ones.
What happens if my child reports pain or a scan looks abnormal?
+
The AI monitors every scan against your orthodontist's pre-set parameters. If a reading falls outside the expected range, or a pain score exceeds the threshold, the system immediately escalates to the orthodontist's queue with a flagged summary and full scan history. Your child receives an automatic acknowledgment so they know someone has seen it. The orthodontist can then review the data, send instructions, or schedule a visit, typically within the same day.
What does "almost 90% handled by AI" actually mean?
+
It means that in a typical day, almost 90% of patient scans come back within expected parameters and the AI can automatically confirm the session, send an encouraging message to the patient, and log the data without requiring any action from the orthodontist. The remaining sessions, roughly 1 in 10, fall outside parameters and are escalated for clinical review. The system routes the right cases to the doctor rather than requiring them to review every single activation manually.
Is our data private and HIPAA-compliant?
+
Yes. The APEHK cloud platform runs on Google Cloud infrastructure with a HIPAA Business Associate Agreement in place. All data transmitted between the console and the cloud is encrypted. Patient data is only accessible to the treating orthodontist and their authorised practice staff. Scan data and messages are never shared with third parties or used for advertising purposes.
How does billing work? Does insurance cover any of this?
+
APEHK is billed by the orthodontic practice to the patient, not directly by APEHK. The practice bills the device kit, a monthly remote supervision fee, and teledentistry review sessions using CDT codes D8660, D9994, and D9995. Coverage varies by plan. D9994 and D9995 were introduced by the ADA in 2021 and are increasingly covered. Your practice billing coordinator can confirm what applies to your specific insurance. Average episode revenue to the practice is comparable to, and often higher than, the traditional in-person monitoring model.
My child already has an expander fitted. Can we switch to APEHK mid-treatment?
+
In most cases, yes. APEHK works with standard jackscrew-based palatal expanders already in place. Your orthodontist takes baseline measurements with the Mouthscan at onboarding, sets up targets in the portal, and commissions the devices. The Easy Key is compatible with the standard jackscrew hole. Your orthodontist will confirm compatibility at the commissioning appointment.
What happens at the end of treatment?
+
When the target arch width is reached and your orthodontist confirms the expansion is complete, the APEHK devices are returned to the practice for sanitisation, firmware reset, and re-issue to the next patient. The Mouthscan bite pads are disposable and not reused. Your scan history and clinical communications are retained in the portal. The practice then moves your case to the retention phase, typically involving a retainer rather than active expansion.

Still have a question?

Email us directly
Practice enquiry

Is your practice ready for APEHK?

We are onboarding a limited cohort of early-access orthodontic practices. Tell us about your practice and we will be in touch within 48 hours.

1
Active palatal expansion caseloadAt least 3 to 5 active palatal expansion patients at any time.
2
Comfort with teledentistryOpen to remote patient monitoring and asynchronous clinical review.
3
Willingness to share clinical feedbackPilot partners contribute anonymised outcome data to refine the AI engine.
4
US-based practice (current cohort)Initial pilot limited to practices under US orthodontic licensing and CDT billing.
Limited early access cohort
We review every enquiry personally. Submission does not guarantee a place.
Active palatal expansion patients at any time *
Remote monitoring tools currently in use?
Primary expander type
We respond personally within 48 hours. Required fields are marked *

Enquiry received

Thank you. A member of our team will review your submission and be in touch within 48 hours at the email address you provided.

What happens next:
1. We review your practice profile.
2. If it looks like a good fit, we schedule a 20-minute call.
3. We walk through the device, portal, and billing model.
4. Eligible practices receive a pilot agreement.
Submit another enquiry