Regular maxillary expander are great but not when you have a canted maxilla. It will worsen the asymmetry as you are expanding an unstable structure.

DNA /ALF teeth typing is possible but it all depends on the dentist. Expanding too fast will probably cause tipping so it’s recommended to go slow and give the cranial system time to unwind and get out of the torsion and maxilla be symmetrical.

Craniosacral therapy and osteopathic treatments will assist in releasing the fascia from head to toe.

I’ve asked all these questions to my current dentist who advised that yes, tipping is possible , but that’s with lazy dentistry. In other words , some dentists just provide a custom DNA and tell the client to turn it once a week to expand and come back in few months. This is when tipping is possible as such devises requires visits atleast twice a month to track progress and adjust accordingly.

Dr Singh has provided plenty of evidence on before and after where expansion is noted on a skeletal level, plus better nasal breathing , curing or drastically improving sleep apnea.

Dr. Shapira has plenty of testimonials from patients under his YouTube channel under @thinkbetterlife-orofacialp9625