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Washingtonian Magazine
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Top Orthodontist

Northern Virginia Magazine
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Virginia Living Magazine
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Family Magazine
Best Orthodontist

iSmile

Types of Appliances

Rapid Palatal Expander | Clear Retainer | Hawley Retainer
Bluegrass Appliance | Forsus Spring Appliance

RPE

Rapid Palatal Expander

Attached to the upper molars through bonding or by cemented bands, the Rapid Palatal Expander is an orthodontic device used to create a wider space in the upper jaw. It is typically used when the upper jaw is too narrow for the lower jaw or when the upper teeth are crowded or blocked out of the dental arch.

When patients are still growing, their connective tissue between the left and right halves of their upper jaw is very responsive to expansion. By simply activating the expander through turning a screw in the center, with a special key we provide, gradual outward pressure is placed on the left and right halves of the upper jaw. This pressure causes an increased amount of bone to grow between the right and left halves of the jaw, ultimately resulting in an increased width.


Clear Retainer

Clear Retainer

A clear retainer is a transparent removable retainer that fits over the entire arch of teeth. Similar to Invisalign® trays, clear retainers have no wires. They are inexpensive and easier to wear. They can be used for other treatments as well, including tooth movement and bridges.


Hawley Retainer

Hawley Retainer

The Hawley retainer, one of the most common types, is a removable retainer made of a combination of metal wires and sturdy acrylic, and is designed to keep your teeth in place. This retainer is specially made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while any wire or acrylic framing keeps your teeth in perfect position. The acrylic can also be personalized with a large number of colors and/or patterns.


Bluegrass Appliance

Bluegrass Appliance

Sucking is a natural reflex that relaxes and comforts babies and toddlers. Children usually cease thumb sucking when the permanent front teeth are ready to erupt. Typically, children stop between the ages of 2 and 4 years. Thumb sucking that persists beyond the eruption of primary teeth can cause improper growth of the mouth and misalignment of the teeth. If you notice prolonged and/or vigorous thumb sucking behavior in your child, talk to your dentist or orthodontist.

One solution to thumb sucking is an appliance called a Bluegrass appliance. This appliance is put on the child's upper teeth by an orthodontist. It's placed behind on the upper teeth on the roof of the mouth. It utilizes a plastic roller connected to bands which prevent a thumb or finger from touching the gums behind the front teeth.


Forsus Spring Appliance

Forsus Spring Appliance

The Forsus appliance is used in order to help move the upper molars back while moving the lower arch forward. Composed of a spring coil rod, the appliance is used while a patient is currently wearing braces. It runs from the upper first molar band down to the lower archwire.

You may notice some discomfort initially, so we recommend a soft food diet for the first few days after the appliance is placed. Regular anti-inflammatory medication may help with any pain, if needed. It is important to keep the appliance clean; you may do this by carefully brushing the coil and other metal pieces of the appliance. Also, we recommend that patients not open their mouths very wide, as the appliance may come apart.

 

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