HEAD GEAR

SH/O: HAREEM BUKHARI

DEFINITION:
“ Extraoral appliances or orthopedic appliances are used
to modify the growth of maxilla and mandible using
extraoral forces.
They are appliance’s that provide a means of
applying anterior, posterior or vertical directed forces to
the dentition and skeletal complex from an extra-oral
source”
COMPONENTS:

Force module & Head strap

Molar tube

Face bow
ACTIVATION:
MODE OF ACTION:


Growth modification by changing
the pattern of bone apposition at the
sutures

CL II correction is obtained as the

mandible grows forward normally
while maxillary growth is restrained

Favorable mandibular growth is a

must for CL II correction with HG
use
CLASSIFICATION:
Distalising Vertical pull Asymmetric Face mask
HG HG HG

1-Occipital 2-Cervical 3-Combination

directed ( directed pull
high) pull (low) pull
1-Occipital directed ( high) pull
2-Cervical directed (low) pull
3-Combination pull
3-Asymmetric HG
4-Vertical pull HG
 USES:
SKELETAL DENTAL

growth modification Anchorage

maxilla --- suppression which is permanent Distalisation – single or blocks of teeth
even after treatment has ceased

mandible --- suppression, retrusion of the Intrusion -- single or blocks of teeth

chin during chin cap treatment.however
catch-up mandibular growth may occur
during or after pubertal growth period

Extrusion
Asymmetric movement
ADANTAGES DISADVANTAGES

May lessen the need for Unwanted tooth movement

possible orthognathic surgery for
mandibular advancement or
maxillary reduction.

Orthopedics effect Tipping

May used as a space regainer Buccal rolling of 6_ with high pull HG

Can used in both class II & class III Cross bite on side of movement with
cases asymmetric HG

Can be used asymmetrically Co-operation

Used inVME Extra / intra-oral injuries Pain

Used in low angle cases Assessment of patient compliance at every

visit
 INSTRUCTION TO PT:
 Wear HG a minimum of 12-14 hours every day. HG does not have to be worn a
consecutive 14 hours.

 Do not wear HG during rough play or sports. This could result in injury to you.

 Some temporary discomfort may be experienced during the first night or two.

 Molar teeth may become tender and even a little loose. This is normal

 When not wearing your HG, please keep it in the case .

 If the facebow of your HG becomes lost or bent,contact dentist.

 Never try to pull the HG off without first un-hooking the safety strap.

 Please place and remove the HG the same way advised