An orthodontic face bow is an extraoral metal appliance consisting of a U-shaped arch that attaches to molar bands (or crowns). Its ends fit into buccal tubes on the molars, while forehead and chin pads (or headgear straps) distribute the transferred forces to the maxillary arch.
Transmit forces from headgear to the upper dental arch
Control molar movement to correct bite relationships
Adjust occlusal plane and force balance in the maxilla
Prepare space for subsequent tooth movements
Precise control over force direction and magnitude
Minimally invasive with no surgical intervention required
Quick chairside adjustments by the orthodontist
Limited interference with speech and swallowing
Regularly inspect forehead and chin pads for redness or irritation
Ensure molar bands remain securely fastened to prevent slippage
Adjust force vector and intensity under professional guidance
Maintain appliance hygiene by cleaning after meals
An orthodontic face mask, also called reverse-pull headgear, is an extraoral appliance featuring forehead and chin pads connected by elastics to an intraoral arch or mini-plate. Its primary purpose is to protract the maxilla in Class III malocclusion patients.
Advance the upper jaw to correct anterior discrepancies
Normalize skeletal relationships in Class III malocclusion
Apply balanced orthopedic forces for favorable maxillary growth
Reduce the need for orthognathic surgery
Stimulates timely maxillary growth before puberty
Home use protocol typically 12–14 hours per day
Corrects skeletal issues non-surgically
Allows precise adjustment of force direction and magnitude
Follow prescribed wear schedule (usually 12–14 hours daily)
Check pads for pressure points or wear each day
Clean elastics and frame regularly to maintain hygiene
Attend regular follow-ups for force adjustments and progress monitoring
