To successfully complete your orthodontic treatment plan, patients must work together with the orthodontist. The teeth and jaws can only move toward their corrected positions if the patient is cooperative with the appliances as prescribed.
Some of the more common appliances we use are:
Spacers are small rubber bands that are placed between your back teeth to create sufficient space to properly and comfortably fit bands at a later date. It is very important that the spacers stay in place until you come back to get your bands on. There are some things you can do to make sure they stay in:
At first, they may feel like pieces of food stuck between your teeth. That sensation may go away in a few days.
Your teeth may become sensitive. However, this will only last a few days. Any discomfort can be relieved with whatever medication you would take for a headache.
You can eat normally! Just be sure to avoid chewy or sticky foods. Also, never remove your spacers once they are in place.
It’s always important to brush your teeth. Even with the spacers in place, you need to continue brushing as usual.
You will need them only long enough to create ample space for your braces. Under most conditions, you need them only for 1–2 weeks.
Elastics are essentially rubber bands that are attached usually between the upper and lower teeth. Wearing elastics applies tension to your teeth and causes them to move in a direction that the braces alone can not accomplish. This improves the fit of your upper teeth to your lower teeth. Elastics can be worn in many ways depending on your specific needs.
Elastics must be worn to move your teeth and jaw into the proper position. A good analogy is that the braces are the body of the car, but the elastics are the engine. That’s why it’s important to wear your elastics 24 hours a day, 7 days a week unless otherwise instructed.
If you wear your elastics for several hours, then take them off for a while, put them back on, etc., you will experience back-and-forth movement, and your teeth can set up a resistance that slows or stops your progress (OH NO!). Wearing elastics is like pushing a ball up a hill; if you stop halfway, the ball rolls right back to where you started. Only by constantly wearing your elastics as instructed will you reach the top of the hill! Remove them only to brush your teeth or to put on new elastics. You should wear them constantly, including when you eat a snack, play, and sleep. In fact, the most important time to wear them is when you are eating because then, you are really revving the engine!
Your teeth and jaws may be tender the first few days of wearing elastics. This is normal and should begin to disappear after a few days. Part-time wear does NOT move teeth, but it does cause them to constantly be sore. So if you wear them all the time, you will be rewarded with a great smile and non-tender teeth!
It may seem hard for you to put on the elastics at first, however, it will become much easier with practice. In fact, you won’t even need a mirror after a day or two. Before you leave the office, be absolutely sure you understand where to hook the elastics. Placing them incorrectly can be even worse than not wearing them at all because your teeth might move the opposite way of how they need to. If you ever have any questions on how to wear your elastic, please do not hesitate to ask, it can be confusing!
Other tips for elastics:
Proper wearing of your elastics will help give us the best possible treatment in the shortest amount of time. Please call us if you have any questions or concerns. Good luck with your elastics!!!!
The palatal expander is for patients whose upper jaw is too narrow. It “expands” (widens) your upper jaw by putting gentle pressure on your teeth, which stretches the center palatal connective suture. Dr. Azariy Yusupov will instruct you about when and how to adjust your expander. When you achieve the desired expansion, you will wear the appliance for several months to solidify the expansion and prevent relapse.
Some helpful tips about your palatal expander:
The Herbst Appliance is a functional appliance used to stimulate growth of the lower jaw. It reduces overjet by encouraging the lower jaw to grow forward and by holding the upper jaw back. This fixed appliance is used mostly for younger, growing children and is worn for about 12 months.
This appliance consists of metal crowns cemented over your back teeth. The upper crowns have tubes attached to them that are connected to two rods on the lower crowns. This postures your lower jaw forward. The arms are screwed in place to the crowns but you can still move your jaw forward, open, and closed, but cannot move it back. Basically, this stimulates forward lower jaw growth.
At first, they may feel like a mouthful but within a week they will become quite comfortable. As your jaw muscles and joints get used to the new position, you will experience soreness with possible headaches. Take Tylenol, aspirin, or ibuprofen regularly for soreness. This is normal and by the end of the week, it will be comfortable. Also, it may irritate the inside of your cheeks at first but soon the tissue will adjust to the appliance and it will not be a problem. Please call us to report any prolonged cheek or tongue irritation.
Chewing will be awkward at first. Definitely eat soft, nutritious foods during this stage such as mashed potatoes, apple sauce, macaroni and cheese, pastes, soups, yogurt, eggs, fish, etc. But very soon you will be back to your normal diet. Avoid sticky foods as these can stick to and around your Herbst Appliance and may damage or loosen it. Also, avoid chewing real hard food such as ice.
First, don’t play with it with your tongue or fingers. Secondly, don’t fight it! Let your jaw go where the Herbst lets it. Don’t try to force your jaw where it is difficult to do so.
Yes. The most common way is for the rod to slide out of the tube when you open it very wide, as when yawning. If this happens, don’t panic. Go to a mirror, open it wide, and use your fingers to slide the rod back into the tube. If it happens often, be certain to tell us at your next appointment.
Please call us right away if any of the following happen:
The Forsus is a fixed appliance that is used when higher forces are needed. Sometimes, elastics are not strong enough to correct a patient’s bite and the Forsus is needed instead. This appliance is simply a spring installed on each side of the mouth that allows the patient to open, close, and move the jaw freely and comfortably.
At first, they may feel like a mouthful but within a week they will become quite comfortable. As your jaw muscles and joints get used to the new position, you will experience soreness with possible headaches. Take Tylenol, aspirin, or ibuprofen regularly for soreness. This is normal and by the end of the week, it will be comfortable. Also, it may irritate the inside of your cheeks at first but soon the tissue will adjust to the appliance and it will not be a problem. Please call us to report any prolonged cheek or tongue irritation.
Chewing will be awkward at first. Definitely eat soft, nutritious foods during this stage such as mashed potatoes, apple sauce, macaroni and cheese, pastes, soups, yogurt, eggs, fish, etc. But very soon you will be back to your normal diet. Avoid sticky foods as these can stick to and around your Forsus Appliance and may damage or loosen it. Also, avoid chewing real hard food such as ice.
First, don’t play with it with your tongue or fingers. Secondly, don’t fight it! Let your jaw go where the Forsus lets it. Your bite will feel normal again in a few days.
Yes. The most common way is for the rod to slide out of the spring when you open it very wide, as when yawning. If this happens, don’t panic. Go to a mirror, open it wide, use your fingers to compress the spring, and then slide the rod back into the spring. If it happens often, be certain to tell us at your next appointment. If you have trouble re-engaging the spring or have something broken, you may secure it to the archwire with an orthodontic elastic or dental floss as pictured below:
Your Habit Appliance is specifically designed to help remind you to keep your tongue from coming forward when you swallow, and to remind you to keep any fingers or thumbs from entering your mouth.
At first, it will feel like a mouthful, but within a few weeks, it will become comfortable.
Chewing may be awkward at first. You may want to stay with soft or even liquid foods for a day or two. But very soon you will be back to a normal diet.
This will depend on the severity of your original problem and how quickly your habit corrects. The faster your habit corrects, the shorter the appliance will have to be in your mouth!
Other tips: