TPA/Nance
The TPA/Nance (Trans Palatal Arch/Nance Combo) has several different possible functions: 1. Space maintainer once the upper six-year molars have been pushed back. 2. Anchor to prevent the molars from slipping forward when there have been permanent teeth extracted. 3. Appliance to widen the upper arch.

LINGUAL ARCH
The Lingual Arch is a space maintainer which allows the side adult teeth to have room to grow in properly. It can also be useful to regain lost space where primary teeth have been removed prematurely, and teeth have unfavorably drifted into the space needed for the other adult teeth.

RAPID PALATAL EXPANDER (RPE)
The RPE is the most commonly used appliance to expand a narrow upper jaw. Once the expansion is complete, the appliance must remain in the mouth for 6 months to allow the expansion to become permanent.

QUAD HELIX
The Quad Helix is one of several types of appliances that are used for expansion of the upper jaw. It usually must be left in the mouth for 6-9 months to allow the jaw to grow laterally with the expansion.

T-REX APPLIANCE
The T-Rex appliance is an expansion appliance that widens the upper jaw. It is also used to push the upper six year molars back, usually with the help of the headgear. It is usually left in the mouth for 6-9 months, depending on the patient's level of cooperation.

MARA APPLIANCE






BMDA/LA

The Bimetric Distalizing Arch is used in combination with the lower Lingual Arch to push the upper six year molars backward to make room for the remaining adult teeth. The appliance uses elastics patients place and remove themselves.




HEADGEAR
The headgear is used to push the upper six year molars back, in order to make room for the remaining adult teeth.
It can also be used to hold back the upper six year molars, in order to prevent them from slipping forward, such as in an extraction situation.

PROTRACTION HEADGEAR
The Protraction Facemask is used to bring the upper jaw forward to meet the lower jaw, in order to create a positive overlap of the front teeth when there is an existing underbite of the front teeth. It is usually used in combination with an expansion appliance.







ANTERIOR BITE PLANE
The Anterior Bite Plane is worn by the patient, and is removeable by the patient. It is used to prevent the top teeth from biting off the bottom braces when the bottom braces have just been bonded. It is important to wear this retainer 24 hours per day, especially when sleeping and eating.



ESSIX APPLIANCE (INVISIBLE RETAINER)
The Essix retainer is one commonly used retainer when a patient gets his/her braces off..




HAWLEY RETAINER
The Hawley retainer is a retainer used in various situations. The most common uses are to close spaces between teeth and as retainers when the braces are removed.



INVISALIGN
If the thought of wearing braces is all that is stopping you from getting the smile you've always wanted, we have great news for you. Invisalign is a breakthrough in orthodontics that uses a series of clear, virtually undetectable tooth aligners to gradually move your teeth. This is done without metal wires and brackets. Aligners are removeable and custom-made for your teeth through the combination of Dr. Nick's expertise and the latest in 3-dimensional computer technology. Invisalign is the "braceless" way to straighten your teeth and improve your smile.