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Whenever we bite down, we’re applying force with our jaw muscles. Functional appliances direct these forces to create healthier tooth and jaw alignment. They’re used to help correct bite problems and to encourage symmetrical jaw growth.

Functional appliances aren’t always necessary. Because every child’s teeth and bite are different, orthodontic treatment at our Grapevine office is carefully tailored to your child’s individual needs.

• For the child with minor tooth misalignment, traditional braces or aligners might be all that’s needed.
• For the child with a minor malocclusion, or bite problem, an orthodontist might use elastics (rubber bands) to bring teeth into healthy alignment.
• For the child who has a more serious malocclusion, involving both tooth and jaw alignment, an orthodontist might recommend a functional appliance.

A severe Class II malocclusion can be caused when the upper jaw or teeth are positioned too far forward, and/or the lower jaw is too small or positioned too far back. Common Class II malocclusions include:

• Open bite—the front teeth don’t touch when the back teeth bite down, or the back teeth don’t touch when the front teeth close.
• Overbite—some overbite is normal. A deep overbite occurs when the upper teeth significantly overlap the lower teeth.
• Overjet—the upper front teeth protrude further horizontally than they should.

Today’s functional appliances come in a variety of designs to treat Class II malocclusions. They can be fixed or removable. They can be used with or without braces. Some are designed to expand the upper palate to make sure there’s room for all the permanent teeth. What they all do is advance the position of the lower teeth and jaw to create a healthier, more comfortable bite.

Fixed devices are attached to the teeth and meant to be used full-time. These include the Forsus™ device, the Herbst® appliance, and the MARA appliance.

• Forsus Device

This appliance works with braces. A spring coil rod is most often attached to bands on the first molars on the upper jaw. It’s then connected to the arch wire on the lower jaw. Just like elastics—but more effective!—these spring coil rods provide gentle forward pressure that encourages the lower jaw and teeth forward.  

• Herbst Appliance

The Herbst appliance also applies forward pressure to the lower jaw using telescoping rods connecting the upper and lower teeth. The rods expand as the mouth opens, and telescope together as it closes, positioning the lower jaw further forward while the upper jaw is held back. The Herbst can be worn alone or with braces, and can also be used to expand the upper palate.

• MARA Appliance

The MARA (Mandibular Anterior Repositioning Appliance) uses an adjustable “elbow” piece connecting bands on upper and lower molars to guide the lower jaw and teeth forward when the jaw closes.

Removable appliances such as Bionator and Twin Block appliances can also improve Class II malocclusions. They are meant to be worn for a specific number of hours each day, and can be taken out for sports or other activities as needed. Because it’s essential to get all the necessary hours in, removable appliances require commitment!

• Bionators

A bionator is made of wire and acrylic, and it looks a lot like a retainer. The wire fits around the upper front teeth. It’s attached to a smooth piece of acrylic that sits behind the upper teeth and is shaped to guide the lower jaw forward when biting down. The bionator can also be adjusted to expand the upper palate.

• Twin Block Appliance

The twin block appliance uses two separate pieces made of wire and smooth acrylic. Both pieces are modeled to fit precisely over the upper and lower arches. The acrylic “blocks” fit over the biting surfaces of the teeth, working together like a 3D puzzle. When your child bites down, the upper blocks slide into place behind the lower blocks, pushing the lower jaw and teeth forward. The top plate can also be adjusted to expand the upper palate if needed.

Because these appliances are best used while a child’s bones are still growing and developing, dentists and orthodontists recommend an orthodontic evaluation by age seven. Early treatment with a functional appliance can help correct serious bite problems before or together with braces. In some cases, functional appliances may reduce the need for headgear or surgery.

Todays’ orthodontic technology has made functional appliances more comfortable and efficient than ever before. Talk to Drs. Schofield and Dad to discover how an individualized treatment plan and a custom appliance can give your child a healthy bite and a lasting smile.

As you are undergoing orthodontic treatment, our team at Grapevine Kids would like to point you to a helpful website. Our friends at the American Association of Orthodontists (AAO) have lots of important information about everything relating to braces, including myths and facts of orthodontics, tips for a better orthodontic experience, and cool webisodes about orthodontics.

Check out AAO today and feel free to contact us at our Grapevine office if you have any questions.

Drs. Schofield and Dad and our team at Grapevine Kids hope this information helps you!

Part of every dental checkup is making sure all of your teeth are strong and healthy. Drs. Schofield and Dad will have you open wide to look at your teeth, use special little mirrors to get a good look around each tooth, and take X-rays to make sure your teeth are healthy both inside and out.

Why does your dentist want to check each tooth so carefully? One big reason is to look for cavities. What are cavities, and why don’t you want them? We have some questions and answers if you’re cavity-curious!

Just What Is a Cavity?

A cavity is a little hole in your tooth caused by tooth decay.

A Hole in My Tooth? How Did It Get There?

Most of the time, we get cavities because of plaque buildup.

Plaque is a sticky film that builds up on our teeth all through the day. It’s mostly made up of saliva (or spit), tiny bits of the food we chew, and germs called bacteria.

The bacteria in plaque use these food particles from our meals for their own food. Part of the way they use that food is to create acids.

Even though our teeth are very strong, acids can make them weaker as they break down the hard enamel on the outside of the tooth. This is the start of tooth decay. As time goes by, and more acids attack our tooth, a weak spot can grow larger and deeper, making a hole in the tooth.

Why Are Cavities Bad for My Teeth?

If a cavity gets too big, it can reach the inside of your tooth. Inside each tooth, we have pulp. Healthy pulp keeps our tooth alive, and it contains nerves which can feel pain. This is why a deep cavity gives you a toothache. If the pulp is damaged, your tooth is in danger.

How Can My Dentist Help?

When you have regular checkups, Drs. Schofield and Dad can find small cavities and treat them before they become big ones. This helps keep your smile healthy and toothache-free!

To start, your dentist will give you medicine to make the area around your tooth numb if you need it. When your tooth is numb, your dentist will clean away all of the decay with special small drills. They can be noisy, but they won’t hurt.

Once all of the decay is gone, your dentist will fill the hole with—a filling! A filling can be made of metal or a material which matches your tooth color.

When your appointment is finished, your tooth will be free from all the bacteria that were hurting it, the hole in your tooth will be filled, and you’ll be able to eat and bite and chew just like you could before. But what’s even better than treating a cavity? Preventing one!

How Can I Prevent Cavities?

There are lots of ways to get a cavity. Sometimes it’s caused by what people do, like eating lots of the foods which cavity-causing bacteria love. Sometimes, a cavity is caused by what people don’t do, like not brushing and flossing enough. And some people get cavities even with careful brushing and a healthy diet, so they might need extra help to protect their teeth.

Here are three very good ways to help stop cavities before they ever start:

• Don’t Feed the Bacteria!

The bacteria in plaque like sugars and starches because these foods are the easiest for them to use. And when they get more food, they make more acids. Desserts and sodas, soft breads and chips, and sugary cereals—these foods make tasty meals for bacteria and they stick to your teeth. Eating a balanced diet without too many sugary and starchy treats means fewer acids—and fewer cavities!

• Brush and Floss

Brushing at least twice a day helps get rid of the sticky plaque holding those cavity-causing bacteria. Flossing helps remove plaque where your brush has a hard time reaching, like the spaces between your teeth. Your dentist and hygienist can show you the very best ways to brush and floss to get rid of the most plaque.

• Cavity-Fighting Treatments

Your dentist can also treat your teeth to help keep cavities from ever starting, especially if you’re someone who gets cavities more easily. Professional cleanings at our Grapevine dental office and dental sealants are two ways to protect teeth from plaque and bacteria. Your dentist will have some ideas just for you.

Together, you and your dentist make a powerful cavity-fighting team. If you have any questions about keeping your teeth their healthiest, your dentist has the answers!

Drs. Schofield and Dad and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

• Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
• Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
• Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
• SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at Grapevine Kids gets cavities. Thankfully, there is always room for improvement. Happy brushing!