Headgear types

Headgear appliances guide the growth and position of the jaws or teeth by applying controlled force through an external support.

Orthodontic headgear is an appliance that transfers force from a strap, neck pad, or forehead support to bands, tubes, or brackets on the teeth. Common designs include cervical-pull, high-pull, reverse-pull, and combination headgear, and each is selected for a different force direction.

Headgear is used when an orthodontist needs force that a fixed brace or clear aligner cannot provide alone. Its effect depends on the anchor point, the direction and amount of force, the developing jaw relationship, and whether the patient wears it as prescribed.

The orthodontist examines the bite, facial growth pattern, tooth positions, and radiographs before choosing a design. The appliance is fitted to the molar bands or an intraoral splint, the external support is adjusted, and follow-up visits check tissue comfort, tooth movement, and the bite.

Arrange an orthodontic assessment if a child has a pronounced overjet, an underbite, a crossbite, or a bite that is changing during growth. Seek prompt advice if the appliance causes persistent pain, loose bands, skin injury, or a sudden change in the bite.