Orthodontic Appliances

Orthodontic treatment often involves more than just braces or clear aligners. Depending on your unique needs, Dr. Owtad may recommend additional appliances to help guide tooth and jaw movement safely and efficiently.

Below is an overview of some of the most common appliances we use and how they help create healthy, lasting smiles.

Palatal Expanders

A palatal expander is a device used to gently widen the upper jaw. It is most commonly used in growing children and teens, before the bones of the jaw fully fuse (typically around ages 14–16).

What to expect:

• The expander is usually fixed to the upper teeth and rests against the roof of the mouth.
• It is adjusted gradually using a small key to gently widen the jaw over time.
• This helps correct crossbites and create space for crowded teeth.

At first, it may feel unusual, but most patients adapt very quickly.

(A visual diagram can be helpful here.)

Fixed Functional  Appliances (Bite Correctors)

In certain cases, especially for overbites, specialized appliances like the Forsus or Herbst may be used.

What they do:

• These appliances gently guide the lower jaw forward to improve bite alignment.
• They are typically attached to braces and work continuously — no daily compliance required.

These appliances are often used when elastics alone are not sufficient. Not every patient needs them, but they can be very effective when indicated.

Temporary Anchorage Devices (TADs)

TADs are small titanium anchors placed temporarily in the jawbone to help move teeth more precisely.

Why they’re used:

• Provide a stable anchor point for tooth movement
• Allow for movements that may not be possible with braces alone
• Can reduce the need for extractions or surgery in some cases

TADs are placed comfortably with minimal discomfort and are removed easily once treatment is complete.

Elastics (Rubber Bands)

Elastics are a very common and important part of orthodontic treatment.

What they do:

• Help guide the bite into proper alignment
• Improve how the upper and lower teeth fit together

Wearing elastics exactly as instructed is essential — consistent wear helps keep treatment on track and prevents delays.

Retainers

After orthodontic treatment is complete, retainers are essential to maintain your new smile.

Common types include:

• Hawley retainers (wire and acrylic)
• Clear Essix retainers (similar to Invisalign trays)
• Permanent retainers (bonded behind the teeth)

Dr. Owtad will recommend the best option for your specific case. Typically, retainers are worn full-time at first, then transitioned to nighttime wear. We also offer retainer checks and replacements as needed.

Other Appliances

In certain cases, additional appliances may be used, such as:

• Space maintainers for children who lose baby teeth early
• Habit appliances (like tongue cribs) to help stop thumb-sucking or tongue thrusting
• Headgear, which is used less frequently today but may still be helpful in select cases

If any of these are recommended, we’ll explain exactly how they work and what to expect.