How Headgear Braces Perfect a Misaligned Smile

During a person's orthodontic treatment, the upper jaw (maxilla) and the lower jaw (mandible) can be more uneven in their positions than in traditional cases of misalignment. In these situations, based on a clinical diagnosis and digital imaging, the orthodontist may recommend wearing headgear braces for a certain portion of your child's overall orthodontic treatment. But what are they, and how are they different from your traditional wires and brackets?

What Is Headgear?

Headgear is the general name for a type of external appliance that applies specific forces to guide the growth of your face and jaw, according to the American Association of Orthodontics (AAO). Orthodontists use them in special cases where your teeth need to move into a position that isn't possible with brackets, wires or clear retainers found in routine care. Because these braces consist of wires that engage both the inside and outside of the mouth, you or your child may feel that it looks a little strange. But it is used by orthodontists very often and for a common purpose – and it's a necessary part of the beautiful end result.

What Is It Used For?

Retraction headgear (also known as Class II correction) is designed to retract the upper jaw, and protraction headgear (also known as Class III correction) is used to move the upper jaw forward while guiding and stabilizing the lower jaw. The process chosen depends on the patient's individual needs. Headgear appliance therapy is usually used when a child or young adult is still growing in order to take advantage of the bones in the jaw when they're still erupting into place. This way, the appliance can guide the teeth and jaw bones into their new positions before they've settled.

How Is It Fitted?

There are two common types used: The "facebow" type consists of a single strap that fits around the back of your neck and has a wire that attaches to the front braces of your teeth. The "J hook" type uses wires that attach to your braces and straps that fit over your head and neck. The ultimate length of time will depend on how crowded or misaligned the upper and lower jaws are, and how well the young patient follows his or her personal instructions.

Are There Special Instructions for Headgear Wearers?

Because the additional appliance hooks onto the existing braces, headgear braces have to be removed when eating, sleeping, playing sports or any time the patient might accidently have it pulled or bumped during physical activity. Routine visits to your general dentist and dental hygienist are even more important, but proper brushing and using specially designed products such as Colgate® Phos-Flur® Anti-Cavity Fluoride Rinse will help ensure that your teeth are protected from the bacteria that can go hidden around your braces for the entire time you're undergoing treatment.

Regardless of the little extra effort required when wearing orthodontic headgear, the healthy and beautiful smile achieved when the treatment is complete will have made the hard work involved well worth it.

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Top Oral Care Tips Related to ADULT ORTHODONTICS

  • Flossing – creating a flossing routine is important during orthodontic treatment. Orthodontists and hygienists may recommend interdental brushes or floss threaders to make getting in between teeth easier.

  • Brushing routine – using fluoride toothpaste and a soft-bristled toothbrush are ideal for cleaning teeth with braces. Begin brushing at a 45-degree angle at the gum line using small circular motions. Then place the toothbrush on top of the brackets, angling down to brush on top of each bracket. Finally, reposition the brush to brush the bottom of the bracket as well as the wire, angling the toothbrush up.

  • Fluoride mouthwash – after brushing and flossing, rinse with a fluoride mouthwash to help prevent cavities and white spots.

  • Mouthguards – wear a mouthguard if you play sports. Mouthguards can protect your cheeks and lips from serious cuts and can prevent damage to your braces or orthodontic appliance if you fall down or are hit in the face.

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