Other Appliances
Additional Devices That Correct Bite Problems
Dr. Reichard assesses each patient individually and creates a unique, individualized treatment plan. Some patients may require additional, specialized treatments for their specific situation. These are some of the additional appliances Dr. Reichard may recommend.
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Temporary Anchorage Device
Depending on your situation, Dr. Reichard may recommend a device called a TAD or temporary anchorage device. A TAD is a small, temporary dental implant, consisting of one or two small titanium alloy screws placed into your jaw. The procedures to place and remove the TAD are minimally invasive, quick and painless.
Moving teeth requires force plus a fixed point to push or pull against. Sometimes your other teeth can serve as that fixed point, but that’s not always feasible; too much force can move the anchor teeth, causing additional problems. Orthodontic headgear can be used to help create an external fixed point, but headgear has some lifestyle implications that may not work for all patients. For many patients, a TAD is the best option to create that fixed anchor point.
Dr. Reichard may place the TADs in the office or refer patients to an oral surgeon for the placement and removal. After the area where the TAD will be placed is numbed, the patient will feel a gentle pressure as the device is inserted. Some patients may desire an over-the-counter pain medication after the insertion, but many find they have no pain. The procedure takes just minutes, and the removal is even easier.
TADs should be brushed twice daily using a toothbrush and antimicrobial solution. Dr. Reichard will discuss specifics of TAD care and length of wear during your appointments. Outside of daily cleaning, TADs are generally maintenance-free.
A loose or broken TAD is very rare, but is an orthodontic emergency. If your TAD is loose or breaks, please call Dr. Reichard at (570) 387-1243 to determine if we need to see you or adjust your treatment plan.
Separators
Orthodontic separators, or spacers, are small devices placed in between teeth to help push them apart before braces are applied. Spacers are usually circular rubber bands, but can also be metal spring clips, depending on your specific treatment plan.
While spacers can cause discomfort, the good news is that they are typically only worn for a short period (1-2 weeks). Over-the-counter pain relievers can be used, in addition to self-soothing with cold drinks and treats like ice cream. Patients may find comfort in eating soft foods during this time.
Patients with separators should brush as normal, but not floss the teeth with the separators.
If the separator falls out, please call our office at (570) 387-1243 for further instructions. We may recommend that the spacer be replaced or determine that you can continue your treatment without it.
Headgear
Headgear is a device worn outside of the mouth that applies gentle pressure to align the jaw and correct the way teeth come together. There are different types and styles of headgear, and if needed, Dr. Reichard will recommend the best option for your specific situation. Most headgear consist of three components:
- A facebow attached to the teeth that extends outside of the mouth and around the face.
- A headcap with one or more straps that secure the facebow comfortably to the head.
- Attachments that join the headcap and facebow together to provide the right amount and direction of pressure.
Headgear is typically worn for 12-18 months, and for more than 10 hours per day. Dr. Reichard will develop a customized schedule for wearing the headgear, based on your treatment plan. Some patients may be able to wear the headgear in the evening/while sleeping, while others may have to wear it in the daytime.
Patients with headgear should brush and floss in the morning, at night and after each meal. Be sure to remove any food particles around the headgear bands and hooks. Also, be sure to either brush the parts of the facebow that are inside your mouth with a toothbrush and toothpaste or wash with a clear antibacterial soap.
Loose or broken headgear is an orthodontic emergency as teeth can quickly revert without it. Please call our office at (570) 387-1243 for further instructions.
Retainer
The capstone of most orthodontic treatment plans is a retainer. A retainer is a device used to keep teeth in their new positions once orthodontic treatment is completed. Retainers are a critically important appliance in keeping your new smile and bite healthy for years to come.