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Reverse-Pull Headgear

Due to your child's underbite (where the upper front teeth are behind the lower front teeth), Dr. Hunt has recommended "reverse-pull" headgear, used in combination with an upper expansion appliance. This phase I treatment works very well between the ages of 7-10. The major benefit is that it can often eliminate the need for jaw surgery later. Although the headgear looks awkward, there is no pain involved. However, sometimes mild redness can occur on the skin around the chin.

1st appointment: the financial contract and informed consent sheet is signed, patient will go into the clinic area to have their dental arches scanned for our records and "separators" will be placed where necessary. Separators are tiny rubber bands that gently wedge the teeth apart to make it easier to fit the bands the following visit. You can brush normally around these separators, but DO NOT FLOSS or use toothpicks near the separators. The separators actually move the teeth slightly and cause your teeth to be sore for 1-2 days. Advil or Tylenol may be taken if the tenderness is severe. Please call the office if a separator falls out before the next appointment.

2nd appointment is the delivery appointment; the expansion appliance is fitted and glued in place. You will be given an special key and instructions for activating the expansion screw (usually at bedtime, if necessary).

A couple visits down the road, the reverse-pull head gear will be delivered with instructions on how to attach it to the expansion appliance with rubber bands to hold it in place and promote the upper jaw growth. This new appliance should be worn all at home hours and while sleeping (16 hours per day).