Headgear cervical pull
Cervical-pull headgear uses a neck strap and facebow to guide upper-molar growth and tooth movement under orthodontic supervision.
The short answer
Cervical-pull headgear uses a neck strap and facebow to guide upper-molar growth and tooth movement under orthodontic supervision. The outer bow connects to bands or tubes on the upper molars, while the strap applies a backward and downward force.
What does extraoral anchorage mean for this appliance?
This appliance is an extraoral form of anchorage, meaning part of its force is supported outside the mouth. An orthodontist may prescribe it during growth when controlling upper-molar position or reducing a protrusive bite is part of the treatment plan.
How should you wear and remove the headgear safely?
Wear the appliance only for the schedule and direction given by the orthodontist, and insert or remove it using the taught hand positions. Keep the facebow, tubes, strap, and neck pad clean, inspect for bent wires, and bring it to adjustment visits.
When does headgear discomfort need orthodontic review?
Contact the orthodontic team if the facebow bends, a molar band loosens, the neck strap irritates the skin, or the appliance causes unusual pain. Stop and seek instructions after any impact that changes the fit, because a distorted bow can injure the cheeks or lips.
What should you ask about headgear movement and wear time?
Ask what tooth movement or growth change the appliance is intended to produce and how many hours it should be worn. Ask how to handle meals, sports, sleep, cleaning, a broken part, and the signs that the force or fit needs adjustment.
Frequently asked questions
Is cervical pull the same as a chin cup?
No. Cervical-pull headgear attaches to upper molars and uses a neck strap, while a chin cup applies force through the chin area.
Can I bend the facebow back into place?
No. Keep the appliance out of use and contact the orthodontic team for fitting instructions.
Who wrote this page
This library is published by Dental Nation, a licensed dental group practising in the United Arab Emirates. Pages are written and overseen by the same clinical team that treats patients in our clinics, and are held to a fixed editorial standard for safety and accuracy.
This page is patient education, not medical advice, and cannot replace an examination. Anything urgent — facial swelling, trauma, uncontrolled bleeding or severe pain — needs a dentist or emergency care now.