Reverse-Pull Orthodontic Headgear

Reverse-pull headgear is an orthodontic appliance typically used in growing patients to correct under bites (technically termed Class-III orthodontic problems) by pulling forward and assisting the growth of the upper jaw (maxilla), allowing it to catch up to the size of the lower jaw (mandible).

Reverse-pull headgear needs to be worn between 12 and 23 hours per day, but typically 14 to 16 hours a day is effective in correcting the under bite.

Overall wear time is usually anywhere from 12 to 18 months depending on the severity of the bite and how much a patient's jaws and bones are growing over this time.

The appliance normally consists of a frame or a center bar that are strapped to the patient's head during a fitting appointment. The frame has a section which is positioned in front of the patient's mouth, which allows for the attachment of elastic or rubber bands directly into the mouth area. These elastics are then hooked onto the patient's braces (brackets and bands) or appliance fitted in his or her mouth. This creates a forward pulling force to pull the upper jaw forward.

The more that you wear the headgear, the greater the effect!!!

Because of its design, vision is not impaired.

Therefore, it can be worn during homework or during movie-watching or video games. It should also be worn to sleep – this is the most important time! Wear your headgear consistently everyday to get the proper orthodontic benefit. Try not to skip any days; this will cause additional soreness and less effective movement. Never play rough while your headgear is on.