Copyright Great Lakes Orthodontics


The Headgear appliances are comprised of a stain- less steel Facebow and a nylon strap that attaches around the top of the head or the back of the neck with elastic modules to deliver the light, continu- ous force necessary to aid in modification of a patient’s skeletal growth and dental development.


The body does most of its daily growth roughly between 6 PM and 6 AM—the greatest degree of headgear wear between those hours tends to yield the best results. Placing the appliance before or immediately following dinner up until snack/bath- ing and then all night will optimize results.


The Facebow can be cleaned with toothpaste and a toothbrush and the head/neck straps do not usually require cleaning.

What to Expect:

As with any appliance, there is a short adjustment period as the teeth may experience some minor soreness as the body acclimates to the appli- ance. We suggest increasing time with the appli- ance gradually starting with 1 hour and adding an hour per day until the patient is comfortable with wearing the appliance for the desired interval. Any standard pain medication can help during the ad- justment period but is not necessary thereafter.


If the appliance is placed immediately before bed, it can often create more soreness than is neces- sary, prompting “unconscious” removal by the patient. Placement of the appliance as early in the evening as possible is key to success!!