Elastics (Rubber Bands)
Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. Wear rubber bands as instructed, and remember that the rubber bands work far more efficiently if they're worn as prescribed.
The Forsus Fatigue Resistant Device is an alternative to headgear which promotes growth in adolescents, helping to eliminate excessive overbites, improve the fit of teeth, and possibly prevent the need for jaw surgery.
Protraction Face Mask(PFM)
The “Facemask” is used in very young patients to correct skeletal Class III (underbite) malocclusions. These types of problems are characterized by upper teeth that fit behind lower teeth in the front as well as back teeth. The cause of this bite is a maxilla (upper jaw) that is not growing fast enough to keep up with the mandible (lower jaw).
What we accomplished with a “Facemask” (worn in conjunction with a palatal expander) is accelerated movement of the upper jaw forward (as much as 3mm), thus correcting the underbite, increasing the airway volume, and producing a pleasing facial result.
Cases of underbite where “Facemask” therapy is most beneficial are best treated at a very young age – the younger the better! In fact, if patients needing Face Mask don’t receive therapy before age 10, the only way to correct their skeletal problem is with surgery.
The Herbst® appliance reduces overbite by encouraging the lower jaw forward and the upper molars backward. This fixed appliance is used mostly for younger, growing children and is worn for about 12-15 months.
The palatal expander "expands" (or widens) your upper jaw by putting gentle pressure on your upper molars each time an adjustment is made. Your orthodontist will instruct you about when and how to adjust your expander. When you achieve the desired expansion, you will wear the appliance for several months to solidify the expansion and to prevent regression.
Positioners complete the final tooth movements in your orthodontic treatment. With your full cooperation, you should only need to wear the positioner appliance for four to eight weeks.
Retainers may be removable or fixed. They hold your teeth in their new, correct positions after your teeth have been straightened. Your orthodontist will instruct you on how to care for your retainer and about the duration of the wear. Wearing your retainer as directed is crucial to prevent regression of your treatment.
Separators or Spacers
Separators are little rubber doughnuts that may be placed between your teeth to push them apart so that orthodontic bands may be placed during your next appointment. The separators will be removed before we place the bands. Separators do not mix well with sticky foods, toothpicks, or floss.
Twin Block Appliance
The twin block appliance is unique from other functional appliances, as it involves two separate appliances (one for the upper arch and one for the lower arch) working together to create an advanced lower jaw position. This patient-friendly appliance is worn full time, including while eating, though it is removable for easy hygiene. It is also more comfortable than other jaw-correcting appliances, as it is made out of smooth acrylic and utilizes fewer wires.
The result of using a twin block appliance is a broad, beautiful smile, proper jaw function, improved profile, and a stable and healthy temporomandibular joint.