# The Orthodontic Specialist > Specialist orthodontic practice in Amersham, Buckinghamshire, UK. Led by Dr Steffen Decker (GDC 131767), Specialist Orthodontist and Kois Recognised Specialist. We focus on preventive orthodontics, early interceptive orthodontics, facial growth, airway screening, palatal expansion (MARPE, FME, MSE), and clear aligners for children, teens, and adults. ## Key Pages - Homepage: https://theorthodonticspecialist.co.uk/ - Adult Palatal Expansion UK (Pillar): https://theorthodonticspecialist.co.uk/articles/adult-palatal-expansion-uk - MARPE Cost Guide: https://theorthodonticspecialist.co.uk/articles/marpe-cost-guide - MARPE vs FME: https://theorthodonticspecialist.co.uk/articles/marpe-vs-fme - MARPE vs SARPE: https://theorthodonticspecialist.co.uk/articles/marpe-vs-sarpe - Palatal Expanders (Children): https://theorthodonticspecialist.co.uk/articles/palatal-expanders - Early Orthodontics Hub: https://theorthodonticspecialist.co.uk/articles/early-orthodontics-hub - Adult Orthodontics Hub: https://theorthodonticspecialist.co.uk/articles/adult-orthodontics-hub - Airway & Facial Growth Centre: https://theorthodonticspecialist.co.uk/articles/airway-facial-growth-centre - Mouth Breathing: https://theorthodonticspecialist.co.uk/articles/mouth-breathing-children - Myofunctional Therapy: https://theorthodonticspecialist.co.uk/articles/myofunctional-therapy - DentalMonitoring Functional: https://theorthodonticspecialist.co.uk/articles/dental-monitoring-functional - Preventive Orthodontics: https://theorthodonticspecialist.co.uk/articles/preventive-orthodontics-children - Clear Aligners vs Braces: https://theorthodonticspecialist.co.uk/articles/clear-aligners-vs-braces - Smartee vs Invisalign: https://theorthodonticspecialist.co.uk/smartee-aligners-vs-invisalign - Damon vs Self-Ligating Braces: https://theorthodonticspecialist.co.uk/damon-braces-vs-self-ligating-braces - Research & Evidence Hub: https://theorthodonticspecialist.co.uk/articles/research-evidence-hub - Dr Steffen Decker Profile: https://theorthodonticspecialist.co.uk/dr-steffen-decker - Pricing: https://theorthodonticspecialist.co.uk/pricing - Book Assessment: https://theorthodonticspecialist.co.uk/assessment ## Treatments - Clear Aligners: https://theorthodonticspecialist.co.uk/tools/clear-aligners - Fixed Braces: https://theorthodonticspecialist.co.uk/tools/fixed-braces - Lingual Braces: https://theorthodonticspecialist.co.uk/tools/lingual-braces - Expanders: https://theorthodonticspecialist.co.uk/tools/expanders - Oral Appliances: https://theorthodonticspecialist.co.uk/tools/oral-appliances ## Locations - Amersham (Main Clinic): https://theorthodonticspecialist.co.uk/location - Beaconsfield: https://theorthodonticspecialist.co.uk/orthodontist-beaconsfield - High Wycombe: https://theorthodonticspecialist.co.uk/orthodontist-high-wycombe - Gerrards Cross: https://theorthodonticspecialist.co.uk/orthodontist-gerrards-cross - Chesham: https://theorthodonticspecialist.co.uk/orthodontist-chesham - Marlow: https://theorthodonticspecialist.co.uk/orthodontist-marlow - Aylesbury: https://theorthodonticspecialist.co.uk/orthodontist-aylesbury ## FAQ Topics - Can adults get a palate expander? Yes, using MARPE or FME without major surgery. Cost from £15,000 (associates) or £18,000 (Dr Decker). - How much does MARPE cost? From £15,000 for associates and from £18,000 for Dr Decker, including custom appliance and miniscrews. - What is the difference between MARPE and FME? MARPE is custom 3D-printed; FME is a patented proprietary device by Facegenics. Both use miniscrews for skeletal expansion. - Does MARPE require surgery? No, MARPE is non-surgical. SARPE requires jaw surgery. - When should my child see an orthodontist? From age 4 for a growth and breathing assessment, provided the child is able to cooperate and we can take the full clinical records we need, including X-rays, photographs and intra-oral scans, so that an appliance can be manufactured. - Can mouth breathing affect facial growth? Yes, chronic mouth breathing can influence jaw development and facial growth patterns. - Do you offer myofunctional therapy? Yes, a combined option of AI-guided myofunctional therapy through our app plus in-person sessions with a myofunctional therapist, chosen for severe cases of tongue restriction. Fee from £1,040 depending on how many in-person therapist sessions are needed.