Facemask (orthodontics)

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ORTHODONTIC FACE MASK REVERSE-PULL HEADGEAR T%C3%9CBINGER MODEL

Facemask (orthodontics)

A facemask in orthodontics is a type of orthodontic headgear that is used primarily to correct bite issues by modifying the growth of the jaws, particularly the upper jaw. It is also known as a reverse-pull headgear because it applies force to pull the upper jaw forward, which is the opposite direction of traditional headgear. Facemasks are most effective in children and adolescents whose jaws are still growing.

Indications[edit | edit source]

Facemasks are primarily indicated for the treatment of Class III malocclusion, a condition where the lower jaw is positioned forward relative to the upper jaw, leading to an underbite. This condition can be due to underdevelopment of the upper jaw, overdevelopment of the lower jaw, or a combination of both. Facemasks are used to encourage forward growth of the upper jaw to improve the bite and facial aesthetics.

Components[edit | edit source]

A facemask typically consists of a forehead rest, chin cup, and adjustable straps that connect to a dental appliance inside the mouth, such as a palatal expander. The dental appliance provides an anchor point for the facemask. The force applied by the facemask encourages the upper jaw to move forward and downward, promoting growth in the desired direction.

Treatment Protocol[edit | edit source]

Treatment with a facemask usually begins at an early age, often between 8 and 14 years old, to take advantage of the patient's growth potential. The duration of treatment can vary but often involves wearing the facemask for 12 to 14 hours per day over a period of 12 to 18 months. Regular follow-up visits with the orthodontist are necessary to adjust the facemask and monitor progress.

Benefits[edit | edit source]

The primary benefit of using a facemask in orthodontics is the correction of Class III malocclusion without the need for surgery. This can improve the patient's bite function and facial appearance. Early treatment can also reduce the need for more invasive treatments later in life.

Risks and Complications[edit | edit source]

While facemasks are generally safe, there are potential risks and complications associated with their use. These can include discomfort, skin irritation from the straps, and the possibility of overcorrecting the jaw position. It is important for patients to follow their orthodontist's instructions closely and attend all scheduled appointments to minimize these risks.

Conclusion[edit | edit source]

Facemasks are an effective orthodontic tool for correcting certain jaw growth problems in children and adolescents. By addressing these issues early, facemasks can improve oral function and aesthetics, contributing to the patient's overall well-being.



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Contributors: Prab R. Tumpati, MD