Reverse Headgear Appliance
What is a Reverse Headgear Appliance?
A reverse headgear is a removable appliance made up of two soft pads that rest against the forehead and chin, connected together with a wire framework. Rubber bands are attached from this metal framework to the palatal expander or upper braces. The headgear is designed to work together with a palatal expansion appliance to move the upper teeth forward and to encourage growth of the upper jaw. In many cases, it will correct underbites and create a healthy bite. With consistent wear of the headgear, we have an opportunity to avoid the need for removal of permanent teeth and future jaw surgery. We have found that the reverse headgear is most comfortable and effective when it is worn as a part of early orthodontic treatment, between the ages of 6 and 11, and can be used until the end of adolescence. The reverse headgear is an important part of your orthodontic treatment and needs your cooperation to be effective.
When should the Reverse Headgear be worn?
For you to enjoy the best results, the headgear must be worn 12 hours per day. This is a combination of waking hours and sleeping hours. Over the first three days, you will gradually build up to wearing the headgear for 12 hours, following this schedule:
DAY 1 2 awake hours
DAY 2 4 awake hours
DAY 3 4 awake hours + 8 sleeping hours = 12 total hours
Please keep in mind that the reverse headgear, in order to be effective in moving teeth, needs to be worn 12 hours per day. The hours do not have to be consecutive, but at least one hour of wear at a time is most effective. Your waking hours can be while doing homework, watching TV, or reading. Wearing the reverse headgear only when sleeping will not be enough for the headgear to be effective.
How long will I need the Reverse Headgear?
With excellent cooperation, most of our patients will need the headgear for 6 months. This will greatly depend on your cooperation in wearing your headgear for the required 12 hours per day.
Helpful Hints
- Do not wear your reverse headgear during any sports, running, bike riding, or during horseplay.
- If you need more rubber bands, please call our office.
- Continuous wear is the key to success!
- Please bring your headgear to each appointment so that it can be adjusted.
- You may experience mild discomfort when first getting used the headgear.
- Use Advil or Tylenol, as needed.
- This soreness will go away after a few days of daily wear.