A Comprehensive Guide to Orthodontic Headgear: Purpose, Types, and Usage Instructions
Orthodontic headgear is a crucial appliance that helps address jaw misalignment and bite problems. This comprehensive guide will provide valuable information about orthodontic headgear, including its purpose, why it is used with braces, different types available, potential side effects, and instructions for wearing headgear. Read on to learn more about this orthodontic appliance and how it can contribute to effective treatment.
What is Orthodontic Headgear?
Orthodontic headgear is an appliance designed to treat various bite problems caused by irregular jaw positioning. It is attached to a child's face or head using a neck strap. Typically recommended for children aged 9 years and older, when their jaws and bones are still growing rapidly, headgear helps reposition the jaw early on, potentially preventing the need for jaw surgery later in life.
Why is Headgear Used With Braces?
Headgear is used in conjunction with braces because it offers additional benefits that braces alone cannot achieve. While braces primarily correct teeth positioning, headgear can influence the growth of the jaws. However, if a child does not have severe bite problems, wearing headgear may not be necessary, and braces alone can suffice.
Different Types of Headgear
Orthodontic headgear comes in various types, each designed to address specific bite conditions. The type of headgear required depends on the individual's malocclusion (teeth misalignment). The common types of headgear include:
Cervical Pull Headgear: Used for class II malocclusions, such as excessive overbite or overjet. It holds the upper jaw in place while shifting the lower jaw forward.
Reverse-Pull Headgear (Facemask or Facebow): Consists of pads attached to the forehead and chin, connected by a facemask frame. It is used for class III malocclusions, like underbite or crossbite, to shift the upper jaw into alignment with the upper and lower jaws.
High-Pull Headgear: Attaches to the top and back of the head, as well as the upper jaw. It directs jaw growth and improves alignment, primarily used for treating open bites.
Potential Side Effects of Headgear
While wearing headgear, individuals may experience certain side effects. It is important to be aware of these possible effects and seek professional advice if necessary. Potential side effects include:
Sleep apnea development or worsening
Increasing pain over time
Loose or ill-fitting headgear
Detachment of bands from the back teeth (first molars)
Some discomfort, soreness, or pain may be experienced initially as the teeth and jaw adjust to the headgear. Over-the-counter pain relievers can help alleviate these temporary discomforts.
How to Wear Headgear
Wearing headgear correctly is crucial for effective treatment. Here are some guidelines for wearing headgear:
Wear the appliance for 12 to 14 hours a day, including while sleeping.
Avoid engaging in sports or outdoor activities while wearing headgear.
Gradually increase the wearing time initially to allow for adjustment.
Regularly visit an orthodontist for monitoring and guidance throughout the treatment process.
The duration of headgear treatment can vary, but it typically lasts up to 2 years. Orthodontists may recommend reducing the wearing time as the teeth move into their correct positions.
Conclusion:
Orthodontic headgear is a vital component in treating jaw misalignment and bite problems. When used in conjunction with braces, headgear can help individuals achieve better alignment, faster treatment times, and necessary corrections for severe overbites and underbites. While potential side effects exist, the long-term benefits of wearing headgear outweigh the negatives. By following proper instructions and maintaining regular check-ups with an orthodontist, successful treatment outcomes can be ensured. If you or your child requires orthodontic headgear, consult with a professional to determine the specific type and treatment plan best suited for your needs.