High pull headgear with face bow has been a popular treatment modality for upper first molars distalization and anchorage enhancement. It can effectively inhibit the eruption of upper molars, enhance condylar growth to contribute a forward movement of the mandible and further improve the bite and lip incompetence. The compliance from patients is particularly important for favorable treatment outcome. The patient was an 11-year-old boy with features of Class II division 1 malocclusion. Patient’s growth spurt seemed to be continued in the recent year. Lip biting and thumb sucking habits were suspected as the causes of patient’s malocclusion. A combination of anterior bite turbo, which is a convenient alternative for a bite plate, pre-adjusted appliances and high pull headgear were applied. Lip training exercise was equally indispensable. Steady occlusion was achieved. Soft tissue profile improvement and oral function recovery were also satisfactory.
Yang, Shao-Chun; Su, Ming-Jeaun; Tsang, Yuen-Yung; and Tsai, Huei-Mei
"Consideration of Facial Growth and Oral Function with the Use of High Pull Headgear,"
Taiwanese Journal of Orthodontics: Vol. 30
, Article 6.
Available at: https://www.tjo.org.tw/tjo/vol30/iss2/6