Because braces have physiological limits on what they can accomplish, we may either before or in conjunction with braces, use additional mechanics to help achieve our objectives. They may include some very commonly used appliances such as space maintainers or elastics. Dr. Shapiro will review with you what is recommended for you but a few are:

• Space maintainers for the lower jaw
• Space maintainers for the upper jaw
• Expanders
• Crossbow
• Elastics for an overbite
• Elastics for an underbite
• Space gaining appliances
• Pendex appliance
• Headgear (bedtime only)
• Selective extractions to manage upper crowding and protrusion
• Selective extractions to manage upper and lower crowding