Elastics (Rubber Bands)
Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. Wear them 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.
Headgear is used to treat patients whose teeth are in an overbite, with the upper jaw forward of the lower jaw; or an underbite, with the lower jaw forward of the upper jaw. Headgear gently “pulls” on your teeth to restrict further forward growth of your upper teeth and jaw.
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 to 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. We 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 have 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. Dr. DeSantis will instruct you about how to care for your retainer and 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 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 different from other functional appliances, because it involves two separate appliances (one for the upper arch and one for the lower) that work 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, since it is made 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 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 us to make adjustments according to your treatment plan.