Orthodontic Treatment with Facemask: The Key to Correcting Jaw Problems in Children That Parents Should Know

songkhunmorjudfun
Nov 13
2 min read

Many parents may have seen children wearing a face-like appliance outside their mouth that is the Facemask (Protraction Headgear). It is not just an ordinary orthodontic appliance but a crucial tool for correcting abnormal jaw structure in children who are still within their growth phase.

Problems such as a narrow or recessed upper jaw (Class III Malocclusion), if left untreated until adulthood, can lead to complicated orthodontics and potentially require orthognathic surgery (jaw surgery). Therefore, orthodontic treatment combined with a Facemask during childhood is a highly effective option for preventing complex treatments in the future.

How Does the Facemask Work? The Mechanism of Jaw Movement

The Facemask is a removable orthodontic appliance that applies force from outside the mouth. Its essential mechanism includes:

External Structure: Consists of a main metal frame supported by safe pressure points on the forehead and chin.
Connection Point: The Facemask bar is connected to internal orthodontic appliances (such as a Rapid Palate Expanders, TPA, or clear aligner) using elastic bands.
How it works: When the Facemask is worn and elastics are attached as directed, the elastics apply continuous force to the upper jaw (maxilla), stimulating it to grow and move forward appropriately. This helps the upper jaw achieve a more balanced size and relationship with the lower jaw.

The "Golden Time" for Treatment

The most critical factor in using the Facemask is the timing of the treatment. Since this appliance affects skeletal changes, the treatment must be conducted during just before the patient’s pre-pubertal growth spurt period.

Optimal Age Range: Generally between 7–10 years old, but the exact timing depends on the assessment by a Specialized Orthodontist. They will meticulously analyze X-rays and skeletal development before initiating treatment.
Compliance is Key: Patients must be highly disciplined in wearing the appliance, typically for at least 10–14 hours per day (usually worn while at home and during sleep).

Maximum Benefits of Facemask Treatment in Childhood

Deciding to start treatment with a Facemask early is an investment in your child's oral health and facial structure for the long term:

Reduces the Need for Surgery: It is the most effective way to significantly reduce the likelihood of needing jaw surgery in adulthood.
Improves Occlusal Alignment: Helps the upper and lower teeth meet correctly
Enhances Facial Harmony: Adjusts the facial profile and contours for a more balanced and aesthetically pleasing look.

If you are concerned about your child's bite or notice that they have an obvious underbite or protruding lower jaw, do not hesitate. Please consult a Specialized Orthodontist to assess if your child is within the "golden time" for Facemask treatment. Timely decision-making offers your child the best opportunity for a beautiful smile and optimal oral health.

At Songkhunmor Judfun Dental Clinic (SKM Dental Clinic), we are ready to serve you with a team of orthodontists certified by the American Board of Orthodontics (ABO), guaranteeing quality, expertise, and extensive experience to confidently care for your smile.

Book your free orthodontic consultation today! No charges apply.

Contact Information: