The lower lingual holding arch, (LHA), is a fixed, wire appliance that is used to hold space while the permanent teeth are still erupting.
1. A patient should not experience tooth pain from a lingual holding arch. This is a passive appliance holding space.
2. Slurring speech is expected and is a necessary drawback to treatment, but will subside within a day or two.
3. Keep your LHA clean- Brush it as you would your teeth. If bands or the LHA is not kept clean, inflammation and soreness can occur.
4. If a sore on the tongue occurs, use warm salt water rinses (1tsp salt in 8oz water), 3 times daily for 1 week. Any severe irritations should be brought to our attention.
5. If a band would come loose. Keep the area clean, and call our office during normal business hours to have the LHA re-cemented. There is a fee to replace if the band is broken and a new LHA is needed.
6. Any questions regarding your LHA appliance should be directed to the orthodontic staff.
1. Do not eat sticky, chewy, gummy foods. They are hard to clean off the LHA, and may cause a band to come loose.
2. Do not eat hard and crunchy foods. These will cause the cement seal to be broken and the band(s) to loosen or break.
3. Do not play with the LHA with your tongue as this could cause a sore to develop.
4. Do not neglect your brushing! Bands and LHA wires must be kept clean to avoid inflamed gum tissue.