Procedure
The orthodontist customizes the headgear based on the patient’s specific dental needs. There are different types—such as cervical pull, high-pull, and reverse-pull (facemask)—each designed to treat particular bite issues. Headgear typically consists of a facebow or straps that fit around the head or neck and attach to braces or bands on the back teeth. Patients are usually required to wear the device for 12 to 16 hours a day, often overnight, for several months or longer. Regular checkups are scheduled to monitor progress and make adjustments.
Why Is Headgear Used?
Headgear is prescribed for:
- Overbite (upper jaw too far forward)
- Underbite (lower jaw too far forward)
- Open bite or crossbite
- Severe crowding
- Jaw growth modification in children
- Avoiding surgery in complex cases (when used early)
Types of Orthodontic Headgear (with Descriptions)
1. Cervical Pull Headgear
- Where it attaches: Around the neck
- Function: Moves upper molars back and slows upper jaw growth
- Used for: Severe overbites or Class II malocclusions
2. High Pull Headgear
- Where it attaches: Around the back of the head
- Function: Controls upper molar and jaw movement
- Used for: Overbites or open bites in growing children
3. Reverse Pull (Facemask) Headgear
- Where it attaches: Around forehead and chin
- Function: Pulls the upper jaw forward
- Used for: Underbites or Class III malocclusions
How Headgear Works
- Headgear attaches to braces or bands placed on molars
- It applies controlled pressure over time to shift teeth and jaw bones
- It must be worn consistently (often 12–14 hours/day) to be effective
- Treatment usually lasts several months to a year
Fitting & Wearing Process
- Fitting: Orthodontist places bands or brackets for attachment
- Headgear provided with instructions for wear and care
- Daily wear schedule: Typically worn after school and overnight
- Progress checks: Every 4–6 weeks to monitor changes
