Orthodontic Appliances

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At Tilghman Orthodontics, we make it our goal to offer you the orthodontics needed to attain the smile of your dreams. As your trusted Salisbury, Berlin & Sussex County orthodontic practice, we don’t merely offer you a number of efficient orthodontic treatments that include braces and Invisalign – we also offer a wide selection of orthodontic appliances to help treat any potential problems with your smile. We understand that all patients have different needs, which is why we strive to always have a treatment or appliance that’s well-suited for you. 

Headgear | Night Guard | Nance Appliance | Occlusal Splint |
Rapid Palatal Expander | Spacers  |  retainers

Headgear

headgear.jpgHeadgear is typically used to treat an excessive overbite. Headgear works by placing pressure against the jaw and upper teeth, which will either hold the teeth in place or move them into a better position. The severity of the problem will determine how long that you’ll need to wear it; it’s important that you wear it consistently as prescribed.


Night Guard

Bruxism, also known as teeth grinding, is a serious concern as it can wear down a patient’s tooth enamel. For patients who suffer from teeth grinding, we offer custom-fabricated night guards to prevent against it. To create these night guards, we’ll take an impression of your teeth and then use that to fabricate the night guard using special professional-grade materials. This will ensure that the night guard will fit comfortably and interfere the least with your breathing while you sleep.


Nance Appliance

nance.jpgThe Nance Appliance will prevent upper molars from rotating or moving forward after you’ve worn headgear, Wilson’s arch, or any other appliance that will move your molars back. This appliance is made of two bands that are cemented onto the first molars along with a wire that spans the roof of the mouth from one molar to another. An acrylic pad will cover the wire that touches the roof of your mouth directly behind your front teeth.


Occlusal Splint

We offer a TMJ exam that will evaluate the joint damage in the hinge of the jaw. Some of the problems can include swelling and deterioration or damage of the joint tissue. Joint tissue plays an important role in cushioning the jaw bones during the opening and the closing of the mouth. While minor cases of TMJ may only require common pain relievers, for more serious cases, we’ll recommend alternative treatments. This can include the use of an occlusal splint, a custom-made night guard, that will help correctly position the jaws


Rapid Palatal Expander

The rapid palatal expander is an orthodontic device that’s used to create a wider space in the upper jaw. When the upper jaw is too narrow to fit comfortably against the lower jaw, it will create a bite that’s misaligned. This is where a rapid palatal expander can be of help. These appliances will apply light pressure on the sides of the upper jaw which will allow the palate tissues to move into their correct positioning, giving more width to the upper jaw. This can benefit a patient by lessening crowding, relieving uneven wear on teeth, and making it less difficult to chew properly.
 
A rapid palatal expander is a small metal framework that will fit in the top of a patient’s mouth. The expander has two legs that are attached to the inside of the patient’s teeth with dental cement. A small screw that’s located in the center of the expander is gradually tightened over the course of treatment. To turn this, it requires the help of a special key. You simply insert the key into the hole of the screw and then push toward the back of the mouth. When you see the next hole appear, you’ll know that the turn is complete..


Spacers

These are small elastics that will fit snugly between designated teeth in order to move them slightly so that bands can be placed around them later. Spacers can actually fall out on their own if enough space has already been created. A good way of determining whether a spacer needs to be replaced is by slipping a piece of dental floss between the teeth. If the floss gets stuck, then it means that the spacer hasn’t created enough room and it will need to be replaced prior to your banding appointment.

And Finally, Retainers

At the conclusion of your treatment, we’ll provide you with a retainer, so that your smile lasts a lifetime. For more information about how to use, wear and clean your retainer, you can visit our retention page.

Contact Your Sussex County Orthodontist Today!

If you’re in or around Salisbury, Berlin or Sussex County, you’ve come to the right place! Please don’t hesitate to give us a call at (410) 742-4813 fill out our online appointment request form to get started with treatment. You can also visit our contact us page for additional information about how to reach us and our hours of operation. We look forward to hearing from you and helping you attain the smile of your dreams.