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Appliance Instructions

Home » Orthodontics » Appliance Instructions
  • Cassinelli, Shanker & Associates Orthodontics
  • June 27, 2021

Headgear

The following instructions are to be followed when starting and/or wearing headgear during orthodontic treatment. These instructions are to be followed exactly, or expected tooth movement from the headgear will not be observed, and necessary treatment progress will be delayed.

Purpose For Headgear

Our purpose in orthodontics is to make the teeth move to the proper position. Headgear is used to move front teeth back. When pulling against the back teeth, these teeth have a tendency to move forward, which can ruin the position of the back teeth. Another reason headgear is worn is to move the teeth farther back in the mouth to make the position of the back teeth as it should be.

  1. Getting used to your headgear.
    The appliance should be placed on the teeth as you were instructed in the office. The doctors will determine how many hours are necessary to satisfy proper correction. You do not have to wear your amount of hours straight through. Start with after school then after dinner or activities. You may want to keep your times recorded until you get used to it.
  2. Soreness is normal when first starting your headgear.
    Everyone experiences some discomfort at first just the same as when you begin exercising muscles when you are not used to it. Soreness will eventually decrease.
  3. Try not to take the headgear off while sleeping, but this may happen. Your body will get adjusted so this will not happen. Wearing headgear during waking hours will help you get used to it.
    You should strive to wear the headgear every night, all night!
  4. Our requirement for most individuals, unless told otherwise, is to be successfully wearing the headgear 12-14 hours per day.
  5. Never go a complete 24-hour period without wearing the headgear.
    For each day or wearing period that is completely missed, the progress of moving teeth is delayed by four days!
  6. When removing the facebow headgear, do not attempt to wiggle the facebow up and down. This can result in breakage. To remove properly, pull straight out with bow. If this is difficult, pull gently on one side of the facebow until it pops, then gently slide the other side out.
  7. Never attempt to adjust your headgear yourself. If you find it is difficult to place or move your headgear, please call for an appointment. Never increase the pressure of your headgear if it feels loose, allow the doctors to do any adjustments.
  8. Keep your headgear in the case if it’s not on your face. Keep headgear away from dogs as they will chew it up and it will cost you a replacement fee and lost time.

Rubber Bands

  • 24-hour elastic wear unless otherwise instructed.
  • Plan ahead. Take elastics to school, work or trips. Ask for an extra package if needed.
  • If you should run out of elastics before your next appointment, call 513.777.7060 and we will mail you more.

Purpose for Rubber Bands

Intraoral elastic bands are placed on the braces to move teeth. Sometimes it is not possible to adjust only the wires in order to cause the teeth to move as they should. Intraoral elastic bands are placed specifically to move teeth in a planned direction.

How To Wear Elastic Bands

You will be given a special size of elastic bands to be placed as you have been shown in the office. Place your own elastic bands before leaving the office in case you are confused about the wearing location of the elastics. Wearing elastic bands will make your teeth SORE as they cause the teeth to move. Leave them in and the soreness will go away within a few days. Don’t try to work your way into wearing them; having them in a couple of hours here and there will result in continual soreness. Wearing your elastic bands 24 hours per day will be necessary for tooth moving to occur unless you are specifically otherwise instructed. It is also helpful to eat with the elastics in place. Be sure to replace the elastic bands one to two times per day because the elasticity is gradually lost. NEVER switch sizes of elastic bands or wear more than you have been instructed to wear. This could cause your teeth to move the wrong way and set back your orthodontic progress. Remember, good elastic wear is a major key to the removal of your braces. It is up to you!

If a hook breaks or comes loose, call us immediately so we can fix the problem. Waiting until your next appointment will delay treatment completion.

Our number one goal is to give you the best smile possible and shorten the time you must wear your braces. Cooperation in wearing your elastics as instructed will help you and us achieve this goal!

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Our 5-Star Patient Experience

We recognize that all our patients are unique and deserve to receive orthodontic care that reflects their individual needs. We are committed to working with you and your family to create a comfortable, stress-free, and rewarding orthodontic experience every time you visit.

Grace C.
Everyone in the office has been professional and Bev at the front desk is exceptional. I sat with my son during treatment thinking about how she is above and beyond wonderful. I am grateful for her attention to detail, consideration of my circumstances, communication across the team of personnel to make sure I had what I wanted and all of it infused with kindness.
Response from the owner:Your comments are so sweet. We are so glad that you've had a wonderful experience. We strive to provide excellent service and care to each of our patients!
Shanti H.
Just started the orthodontic procedure. The experience is excellent and the cost is reasonable
Response from the owner:Thank you. We are happy to be able to help you get the smile you want 😀
Sarah H.
This orthodontic team has been absolutely wonderful! Highly recommend for your orthodontic needs!
Response from the owner:Thank you, Sarah! We're thrilled to hear that you had a wonderful experience with our team. Your recommendation means a lot to us!
Triplets2010
All 3 of my children have gone here for a couple of years and they are amazing! Great customer service, top notch orthodontic care!
Response from the owner:Thank you for the 5-star review! We are so happy to hear you had a great experience with our staff and doctors. We love creating beautiful smiles!
Ashley P.
Very clean office. The staff was prepared for our visit, like having a new patient name board and plenty to do in the waiting room for littles. Staff was friendly and facility was very neat. We enjoyed our visit and didn't feel pressured to buy any treatment options.
Response from the owner:So glad you enjoyed your visit, and thank you for the wonderful review.
Jamie I.
Our daughter and son were patients several years ago. And now another daughter is a new patient with the office. We have had a great experience. Friendly and professional staff. Great communicators. Reasonably priced! Clean and warm environment. Highly recommend!
Response from the owner:Thank you for your review. It is our pleasure to provide excellent care for your family. We are so glad you chose our office again.
Valerie A.
My experience for my consultation was an experience that I’ve never had before. From the moment I arrived for my visit, until I was done, the staff was great and made me feel very comfortable. Thank you so much for such a wonderful experience!
Response from the owner:So happy to hear this. Thanks for the great review.
David B.
Friendly, knowledgeable, and professional. Office was immaculate. Great experience!
Response from the owner:Thanks. Appreciate the compliments!
Tasha F.
I wish I could give more than five stars! I truly enjoyed being a patient at Cassinelli, Shanker & Associates. Being able to go through this process with both of my sons made it even more special. The staff knew us by name and made us feel welcome at every appointment. I couldn’t recommend a better place to get braces 😁
Response from the owner:Thank you so much for the great review! It has been our pleasure treating your family. We have the best doctors and staff and love what we do!
Slice S.
Adult Invisalign, a 16 month process, I’m so glad I did it! Organized, we’ll communicated process and my providers were all amazing!
Response from the owner:Thank you so much for the 5-star review! We love what we do. It has been our pleasure having you as our patient!
Christin M.
They are such a phenomenal practice with caring and attentive staff! The orthodontists are knowledgeable and kind! We have had such a positive experience working with them!
Response from the owner:Thank you for the 5-star review! We have 4 of the best orthodontists and an amazing team. We are so happy to hear you agree!
Elisa C.
My experience I had with this office was excellent. They went over and beyond to make sure my child was comfortable was OK nothing was hurting her. I will always recommend you take your child to this dentist office for any dental work done on your children.
Response from the owner:Thank you so much for your kind words and 5-star review! We pride ourselves in offering the highest quality in patient care and customer satisfaction. It has been our please treating your daughter.
melissa D.
Super nice staff! I was in and out of there with all my questions answered. I get my Invisalign put in in two weeks and I am very excited.
Response from the owner:Thank you so much! We are so happy to join you on your journey to a new beautiful smile!
Crystal D.
We have been extremely happy with the level of care our daughter has received. Everyone in the office is friendly and knowledgeable. Our time in the office was quick and efficient. They estimated the length of her treatment plan to be 18 months and she finished a full six months early. We highly recommend Cassinelli and Shanker to anyone entering the orthodontics phase.
Response from the owner:Thank you for your feedback and excellent review! We love hearing you had a great experience. Your daughter was a star patient and it has been our pleasure treating her.
Kiersten G.
Friendly staff, easy experience. Went in for my 8 year old who is not losing baby teeth and has no room for any that can come in. Dr. set out a clear plan for the near future and things that may be farther out.
Response from the owner:Thank you for your 5-star review! We value patient relationships and are confident we have the best orthodontists in the city!
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