Reverse Facial Mask
حسن لؤي خزعل
University of Kirkuk
College of Dentistry
Orthodontics
A facemask (also referred to as a protraction facemask, orthopedic
facemask, or reverse-pull headgear) is a type of an orthodontic headgear
used to treat underbite and other malocclusions where the upper jaw is
too far backwards.
The Face Mask orthodontic appliance or Reverse Pull Headgear consists of
a wire face frame with forehead and chin guards as well as removable
elastics.
There are foam pads that attach inside the guards for a soft cushion.
This Face Mask is used when the upper jaw is too far back in comparison
to the lower jaw.
This can be referred to as an “underbite”.
The Reverse Pull Headgear or Face Mask will help
pull the upper jaw forward to correct the skeletal imbalance in
addition to correcting the bite.
Typically, the Face Mask is used
in younger patients that are still growing.
The Face Mask pads rest on the forehead and chin with a frame (like a
catcher’s mask).
Braces or bands on the upper molar teeth are placed.
The patient attaches orthodontic elastic bands from these braces or
bands inside the mouth to the external Face Mask. This pulls the teeth
and/or jaw forward.
• The Face Mask is to be worn 12-14 hours minimum per day, preferably at
home
and while sleeping
• Avoid hard or sticky foods: gum, toffee, licorice, hard candy
• Regularly check that the bands on the teeth are secure at all times
• Remember to bring your Face Mask to each appointment. Elastics may be
replenished at this time.
Biomechanical considerations :
1. Amount of force- the amount of force required to bring about skeletal
changes is about 1 pound or 450 gms per side.
2. Direction of force- 15 – 20 degree downward pull to the occlusal
plane to produce a pure forward translatory motion of the maxilla. If the
line
of force is parallel to the occlusal plane, a forward translation as well as an
upward rotation takes place.
3. Duration of force- time taken to achieve desired results is
proportional to the amount of force utilized. Low forces (250 gm/ side) take
13
months to produce desired results. High forces ( 1600- 3000 gms) reduced
treatment time to 4 – 21 days.
4. Frequency of use- 12 to 14 hours of wear a day.
ADVANTAGES OF FACEMASK:
1)ls only extraoral traction device for correction of maxillary defiecny with
rapid improvement and early result
2)Improved complaince and patient confidence.
EFFECTS OF FACEMASK:
1)Forward movement of maxilla
2)Forward movement of maxillary teeth
3) Proclination of maxillary incisors
4) Correction of A crossbite
5) Downward and Backward rotation of mandible
References:
1- "Protraction facemask". Dr Sylvain Chamberland
Orthodontiste. 2011-09-26. Retrieved 2019-08-18
. https://www.sylvainchamberland.com/en/appliances/protraction-f
acemask/
2- When Do Skeletal Class III Patients Wear Their Reverse Pull
Headgears?, BioMed Research International
https://www.hindawi.com/journals/bmri/2017/3546262/