Orthodontic Appliances

*Quad Helix Appliance:

A quad helix is an orthodontic appliance for the upper teeth that is cemented in the mouth. It is attached to the molars by 2 bands and has two or four active helix springs that widen the arch of the mouth to make room for crowded teeth, or correct a posterior cross-bite.


Adjusting to your Quad Helix

There is a short adjustment period and speech may be temporarily affected.You may take over-the-counter pain medication as needed for soreness. During this time you will want to eat softer foods such as smoothies, yogurt, mashed potatoes, etc.  After about a week, you will be back to eating foods you normally eat.


Your appliance should be cleaned every morning and evening with a toothbrush and toothpaste. After meals rinse or brush your mouth out with water to remove any remaining food caught in your appliance and teeth. Ensure sufficient time- 3 minutes is recommended- to thoroughly clean around the appliance, teeth and gums.  

*Herbst Appliance:

The Herbst Appliance is a functional appliance used to encourage growth of the lower jaw by holding it forward. It addresses the problem of the upper jaw being positioned properly while the lower jaw is positioned too far behind the upper jaw. Advances in design and clinical techniques have placed the Herbst at the forefront as the functional appliance of choice in the correction of skeletal and dental class II malocclusions. NO MORE HEADGEAR!

Your Herbst Appliance

Your Herbst consists of crowns cemented over your back teeth like a thimble. The crowns have rods and tubes attached to them that hold your lower jaw forward moving teeth and stimulating growth. The rods and tubes can be adjusted throughout treatment to position your jaw and move your teeth as needed.

Adjusting to your Herbst

During your first week you will experience soreness as your jaw muscles, teeth and joints adjust to the new position. You may take over-the-counter pain medication as needed for the soreness. During this week you will want to eat softer foods as you adjust such as smoothies, yogurt, mashed potatoes, etc.  You’ll be back to normal in about a week or sooner.


In addition to brushing your teeth twice a day, you need to brush around the metal crowns, rods and tubes of the appliance. Continue to floss your teeth and pay special attention to floss between the metal structure of your Herbst and your teeth.



Temporary Anchorage Device: (TAD)

A Temporary Anchorage Device, or TAD is a device made of sterile medical-grade titanium alloy. The device is fixed to bone specifically for the purpose of providing orthodontic anchorage and is removed at the completion of treatment.

Orthodontics with TADs can…

  • Reduce orthodontic treatment time by one third.
  • Eliminate the need for headgear.
  • Provide a more ideal finish.
  • Allow limited tooth movement in preparation for a

                   bridge, crown or implant without braces.

  • Close most open bites without surgery.
  • Eliminate the need for rubber bands.

What we do to place TADs

After numbing the area where the TAD is to be placed, we use gentle pressure to insert it through the gums and into the bone between your teeth. Some patients say they feel a little pressure for a short period of time afterward. Only a few patients have reported needing to use an over the counter medication such as ibuprofen. Minor aching associated with the new tooth movement is normal. However, if you have concerns you may call our office during our office hours.


To keep the TAD clean, brush it twice a day and use the medicated rinse that was given to you when the TADs were placed.  If the TAD causes an irritation inside your cheek or lip, you may use wax over the top to protect the irritated area. A TAD can sometimes become loose. In most cases this is minor, but if you notice it becoming excessively loose please call our office to repair or reposition the TAD.

Removing the TAD

The anchorage device is temporary and is typically removed after a few months when it is no longer needed to assist in tooth movement.  Before we remove the TAD, we place topical numbing gel around the area and then gently remove the device. The entire process of removing the TAD takes only a few seconds.


Tongue Tamers:

What is Tongue Thrusting?

Tongue thrusting, is the habit of placing the tongue in the wrong position during swallowing, either too far forward or to the sides. It is estimated that every 24 hours you swallow a total of 1,200 to 2,000 times, with about four pounds of pressure per swallow. This constant pressure of the tongue will force the teeth and arches out of alignment. In addition the pressure exerted while swallowing, nervous thrusting also pushes the tongue against the teeth while it is at rest. This is an involuntary, subconscious habit that is difficult to correct.unknown-8

What are the Consequences to Tongue Thrusting?

The force of the tongue against the teeth is an important factor in contributing to malformation (“bad bite”).  Many orthodontists have had the discouraging experience of completing dental treament, with great results, only to discover that the patient had a tongue thrust swallowing pattern. This continual pattern will push the teeth out of alignment and reverse the orthodontic work.

Tongue Tamers

Tongue Tamers or Tongue Reminders are usually used behind your front four teeth. They look like mini spikes that help to train and remind your tongue to use the roof of your mouth to swallow instead of pushing against your teeth.

Common Problems

Because they are there to help remind your tongue to stay away from your front teeth, your tongue may feel sore or “raw” when you first get your Tongue Tamers. This is common in the first few weeks. A warm salt water rinse using one tablespoon of salt to one cup of warm water and rinsing for 1-2 minutes will help alleviate initial discomfort.
Tongue tamers are smaller than your orthodontic brackets. Just like orthodontic brackets, you must be careful with what you eat. It is not uncommon for them to be accidentally swallowed as they are not attached to a wire, but bonded to the tooth. This is OK and will not hurt you. Let our office know before you next appointment that it will need to be re-bonded at your next visit.


After treatment with braces, retention appliances are used to keep teeth from moving out of position.  We offer both bonded retainers and removable upper and lower Retainers.

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AcceleDent Aura:

New breakthroughs in orthodontic technology offer patients accelerated treatment options. Our practice prides itself in offering you the very latest, proven, safe and effective methods for optimal orthodontic care. We offer AcceleDent Aura, a new, simple, hands-free device to help your orthodontic treatment work faster! Ask us if AcceleDent Aura is right for you!


AcceleDent Aura May Enhance Your Orthodontic Treatment!

New AcceleDent Aura complements your orthodontic treatment. This device may accelerate your tooth movement up to 50%!

How does AcceleDent Aura work?

By inserting the Mouthpiece – fitted around your existing orthodontics – and turning on the Activator for 20 minutes every day, AcceleDent Aura can speed up tooth movement by using SoftPulse Technology™. Faster tooth movement may decrease the duration of your orthodontic treatment and can even help to make your orthodontics more comfortable.


How is the orthodontic treatment accelerated?

Your orthodontics work on their own by moving your teeth in specific directions. AcceleDent Aura uses SoftPulse Technology™ to generate small vibrations, or micropulses, enhancing the movements directed by your orthodontics, allowing for faster tooth movement.

Is AcceleDent Aura safe?

Yes. AcceleDent with SoftPulse Technology™ is FDA cleared and has been demonstrated safe and reliable in U.S. clinical trials.


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