

At Buchart + Wachs Orthodontics, we understand that each patient’s orthodontic needs are unique. One common question we hear is whether headgear is necessary. Headgear plays a crucial role in orthodontic treatment, particularly in younger patients, by helping to guide the growth of the jaw and improve how the teeth come together. If you’re considering orthodontic treatment, it’s essential to understand when and why headgear might be recommended.
What Are The Different Types of Headgear?
Orthodontic headgear typically consists of a series of straps, elastic bands, and sometimes a head cap, which attaches to the braces inside the mouth. These devices are used to apply gentle pressure to specific areas of the jaw and teeth, helping to correct alignment issues. There are several types of headgear, each designed to address different orthodontic problems:
- Cervical Pull: This type of headgear is primarily used to correct an overjet, or malocclusion, which is when the upper teeth protrude past the lower teeth. Cervical pull headgear uses straps that are attached to the braces to guide the upper jaw into a more aligned position.
- High Pull: High pull headgear is often used to correct overbites, but it is particularly effective for treating open bites when the upper and lower teeth don’t touch when the mouth is closed. The straps are positioned to help move the upper jaw into proper alignment.
- Reverse Pull: Reverse pull headgear addresses underbites, a condition where the lower teeth protrude past the upper teeth. This type of headgear uses rubber bands attached to the top braces to help shift the upper jaw forward and align it with the lower jaw.
When Is Headgear Necessary?
While braces are typically used to align the teeth, headgear addresses the alignment of the upper and lower jaws. By correcting the position of the jaw, headgear can improve bite function and overall facial aesthetics. However, with advancements in orthodontic treatments, headgear is not as commonly prescribed as it once was.
Headgear is usually recommended for younger patients, particularly those between the ages of 8 and 14, when the jaw is still developing. If your orthodontist in Lexington determines that headgear is necessary, it may be recommended to be worn for 12 to 14 hours a day over a period of one to two years, depending on the specific treatment goals.
Do You Need Headgear?
If you’re wondering whether headgear is necessary for your orthodontic treatment, the best way to find out is to schedule a consultation with our team at Buchart + Wachs Orthodontics. We’ll evaluate your unique situation and discuss the best options for aligning your teeth and improving your smile.
For more information or to schedule your appointment, contact us today! Our orthodontist in Lexington is here to help guide you through every step of your orthodontic journey.






October, 2026