Expander: The palatal expander, RPE or Quad Helix is used to treat a constricted upper jaw. It is an appliance that we cement on the molars that helps to expand the width of the upper jaw. Usually patients who have a constricted upper jaw demonstrate a cross-bite of the back teeth. We recommend treating posterior crossbites at an early age to help improve chewing, decrease cheek biting, and improve the width of the smile. Studies demonstrate that the best results with palatal expanders occur between the ages of 8-12.

Headgear: The headgear appliance is used to treat protruded upper front teeth. Patients who have excessive distance between their upper and lower front teeth are more likely to experience traumatic dental injuries in case of an accident. The headgear allows us to create the space in order to move back your upper front teeth. Although this is a very old orthodontic appliance the headgear is very effective.

Facemask: The facemask or Reverse Pull Headgear is used to treat patients with anterior cross-bites. Most individuals who present with an underbite demonstrate a growth discrepancy between the upper and lower jaws. The facemask appliance anchors onto the upper jaw to help modify its growth and advance it forward allowing upper jaw growth to catch up with the lower jaw. If your child has an underbite it is very important to treat this type of bite at an early age.

Forsus: The Forsus appliance is a spring that is used to treat protruded front teeth in adolescent and adult patients. This appliance helps to create the space needed to push back the upper front teeth. One of the major advantages of the Forsus is that it is fixed and requires no patient compliance.

Tongue Crib: During development your child that lives in Gadena will change the way he or she swallows. The tongue plays a major role during the swallowing process of infants because it helps create a seal. However, when the upper and lower teeth are present that seal is created by the dentition and the tongue is displaced upward. If the tongue continues to thrust forward between the teeth this will prevent contact between the front teeth. When there is no overlap of the upper and lower teeth this is called an open-bite. The tongue crib is used to treat the underlying tongue habit by preventing it from thrusting forward between the teeth. When used properly, the tongue crib can close anterior open-bites without any other orthodontic appliances.

Space Maintainer: Space maintainers are appliances used to prevent the teeth from drifting around when a baby tooth is lost prematurely. At Gardena Orthodontics we offer a variety of space maintainers for children and adults alike, depending on your dental needs. The most common types of include the Nance and Lower Lingual Holding Arch (LLHA). The Nance is used hold back the upper adult molars when a baby molar is lost. The Nance can also be used during orthodontic treatment in certain cases where extractions are indicated. The LLHA is a similar to the Nance but used for the lower arch to hold back the lower molars. Studies have shown that early use of the LLHA can help resolve approximately 4-5mm of crowding in the lower arch. Therefore, our orthodontists at Gardena Orthodontics sometimes recommend this appliance for Phase 1 treatment of lower crowding for adults and children of various ages.

Bite Turbos







Interproximal Reduction IPR



Missing Lateral Incisor Treatment Options Orthodontic Restorative Treatment


Open Coil Space Gaining

Orthodontic Rubber Bands If Not Worn As Instructed

Parts of Braces

Pendulum Orthodontic Device

Poking Wires

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