As part of your orthodontic treatment, Dr. Chetan Parikh may recommend one or more oral appliances to help you achieve a healthier, straighter smile. There are a variety of oral appliances that our dentist may recommend, and he will help you know which ones will be most beneficial for your treatment. Some of the most commonly used appliances are listed below. We invite you to review these appliances to know how they can benefit your smile.

Elastics
Also known as rubber bands, elastics are used in combination with braces or other similar orthodontic treatments. Elastics help move your upper and lower jaws into place, improving your overall bite and the fit of your two dental arches. It is important that you wear your elastics as directed by our dentist.

Spacers
Spacers, or separators, are small, circular rubber “donuts” that can be placed between your teeth during an orthodontic treatment to help push your teeth apart. This may be necessary as preparation for a future treatment where bands will be placed around your teeth. If you require spaces or separators, they will be removed prior to applying bands for your treatment.

Individual Patient (IP) Appliance®
This unique appliance in an improved method for patients who receive braces. Instead of using the traditional straight archwire to move your teeth into place, the Individual Patient Appliance® allows our dentist to customize your treatment. This results in faster, more comfortable treatment.

Retainers
Retainers are an essential part of any orthodontic treatment. After your treatment is complete, retainers help hold your teeth in their new position after they have been corrected or straightened. Our dentist will inform you as to how often and how long you need to wear your retainer in order to achieve maximum results.

Pendulum
A pendulum is an oral appliance that is cemented into place along the upper arch of the mouth. It is most commonly recommended for patients who have severe overbites. Pendulums are designed to help move the upper molars backwards and into their proper position. Typically, treatment with a pendulum takes about 9 months, and it is often used as part of a braces treatment.

Rapid Palatal Expander (RPE)
For patients who have a crossbite, Dr. Chetan Parikh may recommend a rapid palatal expander (RPE). This appliance is cemented into place, attaching to your back molars and wrapping across your upper dental arch. By gently tightening the screw in the center of the appliance, the RPE widens the dental arch, providing enough room for all the permanent teeth to fit comfortably. Depending on the severity of your crossbite, you may need an RPE for 2-4 weeks, or up to 9 months.

Herbst Appliance
The Herbst appliance is designed to help the lower jaw grow properly and more forward. This appliance is most commonly recommended for patients who have a severe overbite. It is cemented into place on both the upper and lower dental arches, connected with a forward-positioning arm. In most cases, patients wear the Herbst appliance for about 9 months. During this treatment, the lower jaw is held in a forward position, allowing it to grow properly and reposition itself into proper alignment with the upper jaw.

Headgear and Reverse Headgear
Also known as a facemask, orthodontic headgear helps guide and promote the proper growth of the jaw, particularly for those with an overbite. Headgear is often worn at night, and it helps move the lower jaw forward while preventing the upper jaw from moving more forward. A reverse facemask works the same way, but it restricts the forward growth of the lower jaw and promotes forward growth of the upper jaw for those with an underbite.

DMAX
The DMAX appliance is inserted along the upper arch and cemented into place. Its purpose is to help increase the space between teeth so as to allow room for proper tooth eruption and prevent the need for extractions in the future. In many cases, it is used with an MSX appliance on the lower arch, and patients wear this appliance for about 9 months. Patients can begin their braces treatment soon after the DMAX is removed.

MSX
This appliance is designed to create space between the teeth on the lower arch, thus preventing overcrowding and the need for extraction. An MSX appliance is cemented into place, and patients often need to wear it for 9 months. Braces are commonly placed soon after the MSX appliance is removed.

TMJ Splints
There are a variety of TMJ splints. One of the most common one is a customized, retainer-like appliance that is worn on the upper teeth at all times. It is made of hard plastic and prevents the upper and lower teeth from touching, ultimately preventing teeth grinding and clenching. This appliance also makes it possible for your jaw to relax in its natural position, easing your overall discomfort from TMJ disorder. In most cases, patients wear this appliance for 6 to 9 months. Your TMJ splint may need to be adjusted over time, and many patients require orthodontic treatment after their TMJ treatment is complete.

Bite Turbo
For patients who have a deep bite, our dentist can apply Bite Turbos. These are small appliances that are attached to the back side of the front teeth on the upper arch, and they are often used in conjunction with braces. These attachments are fixed in place, helping you to correct a deep bite faster than other corrective appliances.

CS2000
The CS2000 is a spring system used in conjunction with braces to help enhance treatment. The springs are connected to the braces brackets, and they are typically applied towards the end of your braces treatment, particularly for those who cannot wear elastics with their braces.

If you have any questions about the different type of our orthodontic appliances in Rockville, Maryland, we invite you to contact our practice at 301.235.9450 and talk with our friendly team today. We look forward to caring for your smile!