The reverse head gear appliance is used to correct the malocclusion by shifting the maxilla forward. It is used most in patients that are still actively growing and often in conjunction with “braces.”
1. The head gear must be worn a minimum of 12 hours daily.
2. The 12 hours daily can be cumulative during the day. They do not need to be consecutive. Wearing the head gear more than 12 hours a day will help the appliance work faster.
3. Wear your head gear during quiet, non-active times. Examples: home work, reading, watching TV, sleeping, playing video games.
4. The head gear should NEVER be worn during these activities: Riding in a car, Playing sports, Rough housing with friends, anything active that could cause injury.
5. Patients occasionally experience tooth sensitivity while wearing the head gear. This is normal and usually subsides in a week. Treat any soreness with an over-the-counter pain medication. If severe pain occurs, phone our office.
6. Sores from the band brackets rubbing against the cheeks, or from the elastics rubbing against the lips may occur. Sores from the bands can be treated by using warm salt water rinses (1tsp per 8oz water) twice daily and placing wax over the offending band bracket. Lip sores can be avoided by having the patient use Chapstick or a lubricant on lips before using the head gear. Any severe sores should be brought to our attention.
7. If one of the molar bands feel/come loose, STOP wearing the head gear and contact our office during normal business hours to have the band re-cemented. Bring the head gear to be adjusted if necessary.
8. Do not run out of the needed elastics. If you are running low before your appointment call our office during normal business hours. We can either send them out or you can stop in to pick up extras.
9. ALWAYS bring your head gear to appointments. It is important for the doctor to check and adjust the appliance.
10. ALWAYS store your head gear in the case provided when it is out of your mouth. There is a fee to replace a lost or broken head gear.
11. Keep the head gear and bands clean. You can use a wash cloth to wipe off the chin rest. The forehead strap can be hand washed only. Keep your bands clean by brushing them after every meal.
12. Any questions regarding your head gear should be directed to our orthodontic staff.
(1) Place the elastic around the metal bracket of each molar band.
(2) Place the head gear onto your chin and forehead.
(3) While firmly holding the head gear, pull each elastic forward and down onto the prongs on the chin rest.
(4) Adjust the forehead strap for comfort.
(1) While holding the head gear securely in the center, remove the elastics from each prong.
(2) Remove the elastics from the molar bands.
(3) Clean off your head gear and place into the provided case.
1) Do not eat with the head gear on. Remove it for eating. Hard, crunchy, sticky, chewy foods should be avoided since these can break the cement seal on the molar bands.
2) Avoid popcorn as the kernels can become trapped between the molar band and gum tissue causing inflamed, sore, swollen gums.
3) Do not pull on the head gear while wearing as this could cause injury.
4) NEVER PLAY WITH THE HEAD GEAR IN!!