Palatal Expander

expander.jpgThe upper jaw bone (maxillae) is made up of two bones connected by a suture in the middle. This suture does not close until the early teenage years. Therefore, the palatal expander can be used to widen the upper jaw bones to correct crowding, arch constriction, and crossbites.

This appliance will be turned once a day for a prescribed amount of turns. During this process a gap will open between the two front teeth as the suture is widened. This gap will close by itself as soon as the expansion is completed. After expansion, the expander must stay in place for six months for the upper jaw bones to grow back together and form a new suture.

3-way Appliance

dr4est3way.jpgThis appliance is used to expand the upper arch in three directions, the front forward and the back transversely. This appliance achieves arch expansion to eliminate crowding and an optimal relationship to the lower jaw.


headgear.jpgOrthodontic headgear is a very important part of the treatment for some patients. Headgear creates forces that guide the growth of the face and jaws. It also is used to move teeth into better positions or to prevent teeth from moving.

Maintaining constant use of your headgear will achieve the best results.

Quad Helix

quadhelix.jpgThe quad helix is a fixed orthodontic appliance used for upper arch expansion. Bands are cemented to your back molars to keep the appliance in place while four helix springs help widen the arch. This appliance is ideal for patients with crowding in the upper arch or to correct a posterior crossbite.

Protraction Face-mask

facemask.jpgOften referred to as reverse-pull headgear, the protraction face mask is a removable appliance for patients, where the upper jaw is not growing fast enough, resulting in a crossbite or underbite. The device consists of a metal bar attached to pads on the forehead and chin with rubber bands hooked to the face mask and the upper braces to gradually move the upper jaw forward. Patient compliance is extremely important as the face mask must be worn a set number of hours per day or more (generally 12-14 hours per day) to obtain the desired results. The face mask device is generally worn for 6-12 months.


Forsus.jpgThe Forsus appliance is made up of a spring module that is attached to the upper molars and a push rod attached to the lower archwire.

What does it do?
This appliance will help correct a large overjet.

What to expect?
You will feel some pressure on the teeth and initially some discomfort. Advil or Tylenol will be helpful the first few days. You may want to eat softer foods.

Lip Bumper

lipbumper.jpgA lip bumper is used to gain space for crowded lower teeth. This appliance is also used to widen the lower dental arch to make more room for the eruption of adult teeth.

For this appliance to work properly, it must be worn 24 hours a day, 7 days a week. Patients do need to wear their lip bumper while eating. Remember, plaque can also form on your lip bumper, so while brushing your teeth, be sure to brush it thoroughly with toothbrush and toothpaste. It is common to develop a groove on the inside of the lower lip where the lip bumper rests.