smile
works
dentistry & orthodontics

Headgear & Facemask

Removable Appliances

In growing kids with skeletal problems, such as lagging upper jaw or lower jaw, or too much growth on either jaw, we incorporate functional appliances such as headgear or facemask to induce or limit the skeletal growth.

Headgear

Facemask Headgear
Headgear is a removable appliance that a patient wears during night time to either limit the growth of upper jaw or allow more growth of lower jaw (in skeletal II patients). Headgear works only when it is worn by the patient as prescribed by the orthodontist.

Facemask

Facemask Headgear
The facemask appliance a removable appliance which patient uses at night time to pull the upper jaw forward to treat retrusive upper jaw relative to lower jaw (skeletal III pattern). It uses the chin and the forehead as anchor points, allowing the upper jaw to come forward. Rubber bands are placed from the facemask hooks in the mouth and pulled and hooked to the hooks on the front of the face mask. When removing the elastics, it is important to disengage the elastics from the facemask and gently slide them off the hooks in the mouth.

Frequently Asked Questions

What is orthodontic headgear and why is it needed?

Orthodontic headgear is a specialized appliance used to guide jaw growth and tooth movement in children and teens. It’s most effective during periods of rapid growth, typically between ages 8-14. At SmileWorks NYC, we use headgear to correct severe bite issues like overbites, underbites, and jaw discrepancies that can’t be fully addressed with braces alone. Our Manhattan orthodontists recommend headgear when early intervention can prevent the need for jaw surgery later in life.

The ideal age for headgear treatment is typically between 8-14 years old, when children are still growing and their jaws are more responsive to gentle guidance. The American Association of Orthodontists recommends orthodontic evaluations by age 7, which is why SmileWorks NYC offers early assessments. During your child’s free consultation at our Midtown East Manhattan office, we’ll determine if headgear is appropriate for your child’s specific needs and growth stage.

Headgear should not be painful when properly fitted and adjusted. Children may experience mild pressure or discomfort for the first few days, similar to getting braces tightened. At SmileWorks NYC, our gentle approach and precise adjustments minimize any discomfort. We provide detailed instructions for gradual adjustment periods and are always available to address any concerns from Manhattan families during treatment.

Yes, many types of headgear are designed for nighttime wear, making them perfect for busy school-age children in Manhattan. Night-only headgear typically requires 10-12 hours of consistent wear. At SmileWorks NYC, we work with families to develop wearing schedules that fit their lifestyle while ensuring effective treatment. Our team provides tips to help children establish healthy bedtime routines that include their orthodontic appliances.

Headgear is typically worn at home during evenings and while sleeping, so it rarely interferes with school, sports, or social activities. Children can eat, brush their teeth, and participate in most activities normally when not wearing their appliance. At SmileWorks NYC, we understand the importance of maintaining normal childhood experiences while achieving excellent orthodontic results for our Manhattan families.

Headgear is often included as part of comprehensive orthodontic treatment, with total costs typically ranging from $3,000-$6,000 depending on complexity. Most orthodontic insurance plans provide coverage for children’s treatment. At SmileWorks NYC, we accept all major PPO plans and offer flexible payment options. We’ll provide detailed cost estimates during your child’s consultation and help maximize your insurance benefits.

While headgear remains highly effective for certain cases, alternatives may include functional appliances, expanders, or early braces treatment. In some cases, treatment can be delayed until teenage years when other options become available. During your consultation at SmileWorks NYC, our experienced orthodontists will discuss all available options and recommend the best approach for your child’s specific needs and lifestyle.

Success with headgear requires patience and positive reinforcement. Start with shorter wearing periods and gradually increase duration. Create bedtime routines that include putting on the appliance, and consider reward systems for consistent wear. At SmileWorks NYC, we provide families with helpful tips and ongoing support to ensure treatment success. Our friendly team is always available to answer questions and provide encouragement.

Dental headgear is an orthodontic appliance that guides jaw growth and corrects bite problems, like an overbite or underbite. It’s most commonly used in children while their bones are still developing.

Yes, headgear is often used alongside braces when bite correction is needed in addition to straightening teeth. Your orthodontist will determine if headgear is necessary based on your specific jaw relationship.

Most headgear protocols require 12 to 14 hours of daily wear, typically during evenings and overnight. Consistent wear is key to achieving results on schedule.

Headgear is primarily used for children and teenagers because the jaw is still growing, making it easier to guide development. Adults with significant bite discrepancies may require other approaches, such as orthognathic surgery.

A face mask (also called a reverse-pull headgear) is a type of orthodontic appliance used to correct an underbite by encouraging forward growth of the upper jaw. It’s an effective, non-surgical option when started early.