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TYPES OF APPLIANCES

TYPES OF APPLIANCES

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.

FORSUS™

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.

HERBST® APPLIANCE

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.

PALATAL EXPANDER

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

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

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.

MARA APPLIANCE

MARA stands for Mandibular Anterior Repositioning Appliance. It is a non-removable appliance that encourages the growth of the lower jaw to help correct severe overbites and minimize the need for extractions or orthognathic surgery.

The MARA appliance is anchored to the molars with crowns, modified crowns, or bands. The lower attachments are fixed to the molars. The upper attachments are removable to enable your orthodontist to make adjustments according to your treatment plan.

RETAINER INSTRUCTIONS

  • Wear your retainer at all times, until the doctor instructs otherwise.
  • Take your retainer out when eating, and always put it back in its case! (Most appliances are lost in school lunchrooms or restaurants.)
  • Clean the retainer thoroughly once a day with a toothbrush and toothpaste. Use warm but not hot water. Brushing retainers removes the plaque, and eliminates odors. Efferdent® or other orthodontic appliance cleaners can be used but do not take the place of brushing.
  • When your retainer is not in your mouth, it should ALWAYS be in its case. Pets love to chew on them!
  • Initially, you may find it difficult to speak. Practice speaking, reading, or singing out loud to get used to it faster.
  • Retainers are breakable, so treat yours with care. If your retainer gets lost or broken, call us immediately.
  • If you have any questions or concerns about your retainer, or you believe it needs adjusting, call us. Do not try to adjust it yourself.
  • Always bring your retainer to your appointments.
  • Retainer replacements are expensive, but with proper care they will last for years!
  • Remove your retainer when you go swimming.
  • Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.

 

PALATAL EXPANDER

The palatal expander “expands” (or widens) your upper jaw by putting gentle pressure on your upper molars each time an adjustment is made. The animation below 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.

ADJUSTING THE PALATAL EXPANDER

You can also download these instructions in a printable PDF document.

STEP 1

In a well-lit area, tip the patient’s head back.

STEP 2

Place the key in the hole until it is firmly in place.

STEP 3

Push the key toward the back of the mouth. You will notice the fender will rotate and the new hole will appear. The rotation stops when the key meets the back of the expander.

STEP 4

Press back and down toward the tongue to remove the key. The next hole for insertion of the key should now be visible.

 

TADS

TEMPORARY ANCHORAGE DEVICE (TAD)

Temporary anchorage devices, or TADs, are small titanium anchors used in certain orthodontic cases to help achieve quicker tooth movement with more efficiency and comfort. TADs may be used in addition to braces or as an alternative to headgear.

HOW ARE TADS PLACED?

A strong anesthetic is used to numb the gum tissue and the jaw surrounding the area where the TAD will be placed. Once the area is numb, your doctor will gently place the TAD through the gum tissue and firmly into the jawbone. The placing of a TAD is quick, and may be over before you know it. While your doctor is placing the TAD, you may feel slight pressure, but within a day, you will no longer be able to feel the TAD. Your TAD is removed once your treatment is complete, or when it is no longer needed to help straighten your teeth. Removal of a TAD is a comfortable procedure that takes just a few minutes.

WHAT CAN I DO TO RELIEVE DISCOMFORT CAUSED BY MY TAD?

If you do feel any discomfort from having your TADs placed, Tylenol® is recommended to help relieve your pain. If you continue to experience discomfort days after your treatment, please contact your dentist as soon as possible.

HOW CAN I KEEP MY TAD CLEAN?

A TAD can be cleaned the same way you clean your braces: by brushing your teeth at least three times a day. When your TAD is placed, we will also provide you with an antimicrobial mouthwash that you will need to use twice a day.

If you have questions about TADs, please contact our practice. We will be able to answer any of your questions and provide you with detailed information about your orthodontic treatment.