Short answer: A face mask is an extraoral device that rests on the forehead and the tip of the chin and is connected with elastics to an appliance inside the mouth, guiding the upper jaw forward. In children with a retruded upper jaw it is worn in the early years of growth, mostly at night and during hours spent at home, as instructed by the orthodontist.
Who is it used for?
- Children whose upper jaw lags behind the lower jaw
- Cases with a reverse bite (anterior crossbite) of the front teeth
- Cases where the midface looks flat or sunken in profile
For detailed information on a retruded upper jaw, see our page on retruded upper jaw and upper jaw advancement.
How does it work?
Inside the mouth there is an appliance, usually fixed to the upper teeth. Elastics attached to hooks at the front of this appliance are connected to the front bar of the face mask. The light, continuous force produced by the elastics helps the growing upper jaw develop forward.
Why is it combined with palatal expansion?
A retruded upper jaw is often accompanied by a narrow upper jaw. For this reason, face mask treatment is frequently planned together with a palatal expander.
How long is it worn?
- Daily wear: As instructed by the orthodontist, usually for long hours in the evening and at night
- Total duration: Mostly between a few months and a year; progress is monitored at check-ups
- At school: Most children do not need to wear it during school hours
Helping your child get used to it
- Make the mask part of the evening routine.
- Record the hours of wear on a chart.
- Replace the elastics every day; a stretched-out elastic applies no force.
- If the skin becomes red, have the position of the pads checked.
Frequently asked questions
At what age is a face mask worn?
Its effect is more pronounced in the early stages of growth; the right time is determined by examination and X-rays.
Does a face mask make sleeping difficult?
There may be a period of adjustment in the first nights; most children adapt quickly.
Does a face mask work in adults?
In people who have finished growing, its skeletal effect is limited; other options are considered.
Which appliance is right for you?
Which appliance is needed is decided after age, growth stage and the condition of the teeth and jaws have been assessed by examination and X-rays. At our clinic in Oran, Çankaya, Ankara, we discuss the options with you during the first orthodontic examination. To see all types of appliance in one place, take a look at our guide to orthodontic appliances.
