NASOMAXILLARY ORTHOPEDICS

You have just been given the most painless and efticient jawbone-moving device available today and there are a few things you need to know about what to do and what to expect.

What to do (not do):

1. Turn the jackscrew in the upper twice a day unless otherwise instructed. Be sure to push the key as far back as it will go and then let the key fall out (do not pull the key forward to remove it).

2. A) If the lower device is removable, turn the jackscrew twice a week unless otherwise instructed.
B) If the lower device is fixed, there will be no jackscrew to activate.

3. Avoid eating and drinking anything that contains sugar.

4. Avoid eating foods that are sticky and gooey like peanut butter and jelly and chewing gum.

5. Keep the "device" clean by brushing it clean right after eating.

6. Eat a well-balanced diet of fruit, vegetables and meat.

What to expect:

1. Length of activation period:

2. Length of wear: 4 months

3. Food may collect under the upper device. Usually not a problem. If food collects under the device call for an appointment.

4. Tissues under the upper device will become reddened. This will go away when the device is removed.

5. After the jackscrew is fully activated, we will lock it in place and you will not be able to activate it further. Three and one-half months later we will remove it.

6. The lower device should fit snugly at all times. If it does not feel snug, call for an appointment.

7. Sometimes a sore spot will appear in the lower. If that occurs, please call for an appointment.

8. Please ask questions.

9. Appointment sequence: (Nasomaxillary Orthopedics)

Rationale:

The upper jaw is made up of, two bones joined in the midline by a "suture". The jackscrew separates these bones and this becomes evident as the two front teeth separate and a large space appears between them. Not to worry, the space will close on its own later or will be closed with braces. The lower jaw is stronger than the upper jaw and expansion must be done more slowly.