In addition to braces and Invisalign aligners, we also use several other orthodontic appliances.
Many young patients have a narrow upper jaw (palate) that results in crowding and/or bite problems. A palatal expander is an appliance that actually widens the roof of the mouth. While this sounds difficult, our patients simply feel pressure and some temporary soreness on their back teeth. The expander is usually worn for about three to four months.
At Kemnitz Orthodontics, we use a unique expander design that was developed by Dr. Kemnitz. This design is much smaller than the normal design and has proven to be much more comfortable for our patients.
A Bionator is a removable appliance used for the correction of Class II malocclusions and excessive “overbite.” The patient wears the Bionator by biting their teeth into the appliance, which causes the lower jaw to be postured forward. The patient is able to speak since the appliance is open in the front.
The Bionator takes advantage of available growth by limiting forward growth of the upper jaw and enhancing forward growth of the lower jaw. It is typically worn during the day and night although in some situations, we will recommend wearing all hours except during school.
A Twin Block is similar in function and purpose to the Bionator appliance. The Twin Block has separate upper and lower components that interlock and posture the lower jaws forward. Like the Bionator, the Twin Block is used for the correction of Class II malocclusions and excessive “overbite.”
Headgear is used on younger patients to correct an excessive “overbite”. The key to success with your headgear appliance is consistency. Headgear is typically worn nightly for 10+ hours per night.
Headgear should never be worn while playing sports and should also be removed while eating or brushing your teeth.
The Pendulum Appliance is used to correct “class II” malocclusions by distalizing upper molars.
The Pendulum Appliance consists of a plastic “button” that touches the roof of the mouth and resilient wire springs that act in a broad swinging arc to move the molars back. The appliance often incorporates an expansion screw which serves to widen the upper jaw.
Patients usually wear this appliance for 4 to 6 months.
The Nance Appliance is a type of space maintainer that is used to prevent upper molars from rotating or moving forward.
This appliance is made of two bands that are cemented onto the first molars and a wire spans the roof of the mouth from one molar to the other. An acrylic pad or “button” covers the wire that touches the roof of your mouth directly behind your front teeth.
The Forsus appliance is used in conjunction with braces to correct an “overbite”. This appliance serves as a alternative to headgear and elastics. It works by pushing the upper teeth back and the lower teeth forward.
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