The head brace is one of the best appliances to help correct a recessive lower jaw, if worn well. It works by limiting the growth of the upper jaw so that the lower jaw can catch up over time. This appliance has limited side effects and is usually used for the same period as the Herbst appliance, usually just before the growth spurt. However, it is removable and requires between 12 and 16 hours of use to be effective.
In most cases, compliance with this device is poor, which means that patients do not always use it well. Because the Herbst appliance is not removable, it has better clinical efficacy than the Headgear appliance. For some adult patients, a combined approach, such as orthodontic care through braces or aligners plus orthognathic (jaw) surgery or cosmetic surgery in the jaw area, may be necessary to fully achieve the patient profile aspect and oral health goals. Today's orthodontic specialists use cutting-edge oral health science to tailor each patient's treatment to their individual needs.
Early identification of these problems allows the orthodontist to recommend braces and other corrective measures as needed to ensure proportionate and healthy jaw growth for a balanced profile and smile. Today's orthodontic science has a wealth of cutting-edge tools for repositioning, reshaping and realigning teeth and jaws. Your orthodontist will need to find out if the problem is dental or not, it originates in your teeth, or if it is skeletal and originates in your bones. There are certain physiological indicators that orthodontists are trained to notice both in the physical development of their patients and in x-rays that give us clues as to when a patient will go through their final growth spurt.
As orthodontic technology continues to advance, more people of all ages seek treatment to achieve their appearance goals. The best thing to do for your child is to seek an orthodontist's consultation at an early age. If the orthodontist studies your mouth and x-rays and determines that orthodontic treatment alone will not be able to provide the results you want, you can request a referral to an orthognathic surgeon. Jaw surgery can correct growth imbalances between the upper and lower jaws (such as jaw asymmetry, birth defects related to teeth and jaws, and other problems) that may not be fully corrected by direct orthodontic care.
However, it's important to note that it's not always possible to correct the appearance of a weak or sunken chin with orthodontic care alone. From there, the orthodontist and orthognathic surgeon can propose a personalized treatment plan to achieve a stronger chin. The truth is that braces may be part of the solution to correcting a weak chin, but each patient is unique. If the problem is detected early enough, it is often possible to correct jaw growth and alignment and prevent the development of a weak chin with orthodontic care alone.