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What to Expect When Your Child Needs Orthodontic Headgear

  • Cosmetic Dentistry
  • July 18, 2025

If you’ve recently been told that your child needs orthodontic headgear, you’re probably feeling a bit confused and anxious and that’s completely normal. This might be overwhelming and intimidating in the start. But don’t worry, this is a time-tested orthodontic tool that can play an important role in shaping your child’s smile for life.

At Schaefer Dental Group, our orthodontic specialists are here to guide you through every step. We believe in educating families so they can feel confident about their treatment choices. In this article, you will know about the purpose of orthodontic headgear, how it works, and how to support your child throughout their treatment journey.

What Is Orthodontic Headgear?

Orthodontic headgear is an external dental appliance used to correct jaw and bite alignment problems that braces alone cannot fix. While braces move the teeth, headgear helps guide the growth of the jaw and facial structure.

This treatment is most commonly recommended for children between the ages of 7 and 13, when the jaw is still developing and most responsive to change. It is particularly effective for treating:

  • Overbites (when upper teeth extend too far over the lower teeth)
  • Underbites (when the lower jaw juts forward)
  • Crossbites and open bites
  • Other skeletal discrepancies that affect the function and appearance of the smile

By applying gentle, consistent pressure over time, headgear helps align the jaws and create space for adult teeth to emerge in their proper positions.

Learn more about orthodontic headgear at Schaefer Dental Group.

Why Your Child Might Need Orthodontic Headgear

Not every child needs headgear, but in some cases, it’s the most effective way to correct jaw development issues early on and before they become more complicated.

Common reasons for prescribing orthodontic headgear include:

  • A jaw size mismatch (upper or lower jaw growing too quickly or too slowly)
  • Severe bite problems not treatable with braces alone
  • Preventing future need for jaw surgery

Timing is everything with headgear. If your child’s orthodontist recommends starting now, it’s because your child is in an optimal growth phase where treatment will be most effective.

Types of Orthodontic Headgear

There are different types of orthodontic headgear, each designed to address specific alignment issues. Your child’s orthodontist will recommend the most suitable type based on their case.

Cervical Pull Headgear

Used primarily for overbites, this type attaches to the upper molars and is anchored around the neck. It helps move the upper teeth and jaw backward.

High-Pull Headgear

Used for open bites or when the upper jaw is growing too fast. This headgear attaches to the back of the head and helps control vertical jaw growth.

Reverse-Pull Headgear (Facemask)

This type is designed for underbites, and it pulls the upper jaw forward to align it with the lower jaw. It typically uses straps anchored to the forehead and chin.

Each of these types works by applying steady pressure to encourage the jaws and teeth to shift into their ideal positions over time.

How Orthodontic Headgear Works

Orthodontic headgear works by exerting precise external force on the jaw and teeth. The appliance usually includes a facebow, straps or head caps, and sometimes elastics that connect to the braces or bands on the molars.

Most children are instructed to wear their headgear for 12 to 14 hours a day, usually after school and while sleeping. The success of the treatment depends heavily on consistency. Wearing the headgear as prescribed by the dentist is important in getting the best results on time.

What to Expect During Treatment

Fitting and Adjustment

Your child’s orthodontist will custom-fit the headgear to ensure it’s comfortable and secure. They’ll also show you how to put it on, take it off, and clean it properly.

Duration

Treatment with headgear usually lasts several months to a year, depending on the child’s age and the severity of the issue.

Mild Discomfort

Some mild soreness is common when starting out, especially around the molars or jaw. This typically subsides after a few days and can be managed with over-the-counter pain relief.

Daily Routine

Your child should:

  • Wear the headgear for the full recommended hours
  • Clean it daily with mild soap and water
  • Completely avoid rough play or sports while wearing it

Supporting Your Child Through Treatment

Wearing orthodontic headgear may take some time for both kids and parents to get used to it. Here are some ways to support your child:

Encourage Consistency

Make wearing the headgear part of your child’s daily routine. Use charts, stickers, or small rewards to keep them motivated.

Build Confidence

Some children may feel self-conscious. Remind them that headgear is temporary and that many kids go through similar treatment.

Celebrate Progress

Acknowledge their efforts and milestones. Hearing “I’m proud of you” can go a long way in getting their morale high.

FAQs from Parents

Is orthodontic headgear painful?
It may cause mild discomfort in the first few days, but it’s not typically painful. Most children adjust quickly.

Can my child sleep in it?
Yes, headgear is designed to be worn overnight. This is actually when many of the recommended wear hours are achieved.

Can my child play sports with it?
No. The headgear should be removed during sports or physical activity to prevent injury.

What if they don’t wear it enough?
Inconsistent wear can slow progress and extend treatment time. Following the orthodontist’s instructions is key.

The Long-Term Benefits of Orthodontic Headgear

While it may seem inconvenient now, orthodontic headgear has long-term advantages that make it all worth it:

  • Avoids Complex Procedures Later Correcting jaw growth issues early can eliminate the need for surgery or extended orthodontic treatment in the future.
  • Improves Function and Appearance Proper bite alignment supports healthy chewing, speech, and a well-balanced facial structure.
  • Builds Confidence A beautiful, healthy smile helps boost your child’s confidence during their formative years.

Orthodontic headgear is a trusted tool in orthodontics that, when used correctly and consistently, can deliver lasting results. At Schaefer Dental Group, our specialists are committed to making the experience as smooth and supportive as possible, for both you and your child.

If you have any questions or are ready to begin your child’s orthodontic journey, we invite you to reach out.

Contact us today to schedule a consultation or learn more about orthodontic headgear at Schaefer Dental Group.

Your child’s confident, healthy smile starts here.

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