Author Topic: Headgear Wired In (Read 38175 times)

hercimur · « **Reply #30 on:** 20. November 2020, 00:22:27 AM »

Quote from: TimeandBrace on 25. October 2020, 11:26:35 AM

Don't know if this is relevant, but what is the general consensus welding the facebow in/on? One would have to be a very unruly patient, i'd think at least.

Well, I remember back in the 80's (yes, I'm old enough to remember the 80's) you would hear about welded or wired in headgear as a compliance measure. I can remember being at my cousin's house and my aunt and uncle mentioning it to her. I think is was up there with the "boogey man" as a scare tactic. My cousin claimed to know of an orthodontist who supposedly did this, but I never witnessed it first hand. Imho, it's an urban legend (hate to burst anyone's bubble.) Anyway, it's a nice fantasy and makes for some good fiction so I'm not gonna try and shout it down or anything.

I have heard or read somewhere that wired in HG is actually regarded as being dangerous and would not be done for that reason. If you think about the odd situation where it might get caught on something and couldn't be removed, you'd be in for some serious pain and/or injuries. Also, would you sentence someone to a prolonged period of not being allowed to engage in any sports or activities where being accidentally hit in the face could do the same thing? What about musical instruments or simply riding a bike. I think you'd have to have a really extreme case where non-removable HG was an absolute medical necessity and not just a compliance issue. Otherwise, it would probably be unethical.

Still, a nice fantasy tho

cbraces522 · « **Reply #31 on:** 21. November 2020, 06:10:35 AM »

I have seen a lot of yahoo answers saying that people’s orthodontists have wired their headgear in. Not sure if it’s true though!

pesp · « **Reply #32 on:** 21. November 2020, 16:43:25 PM »

Hercimur, you might want to read this post:

Re: Headgear Wired In
« Reply #5 on: 27. October 2019, 19:12:11 PM »

andys · « **Reply #33 on:** 21. November 2020, 19:56:42 PM »

Quote from: hercimur on 20. November 2020, 00:22:27 AM

Well, I remember back in the 80's (yes, I'm old enough to remember the 80's) you would hear about welded or wired in headgear as a compliance measure. I can remember being at my cousin's house and my aunt and uncle mentioning it to her. I think is was up there with the "boogey man" as a scare tactic. My cousin claimed to know of an orthodontist who supposedly did this, but I never witnessed it first hand. Imho, it's an urban legend (hate to burst anyone's bubble.) Anyway, it's a nice fantasy and makes for some good fiction so I'm not gonna try and shout it down or anything.

I have heard or read somewhere that wired in HG is actually regarded as being dangerous and would not be done for that reason. If you think about the odd situation where it might get caught on something and couldn't be removed, you'd be in for some serious pain and/or injuries. Also, would you sentence someone to a prolonged period of not being allowed to engage in any sports or activities where being accidentally hit in the face could do the same thing? What about musical instruments or simply riding a bike. I think you'd have to have a really extreme case where non-removable HG was an absolute medical necessity and not just a compliance issue. Otherwise, it would probably be unethical.

Still, a nice fantasy tho

Yeah, I see these fantasies written all the time, and it just wouldn't work from a practical and safety standpoint, as you said.

Quote from: hercimur on 20. November 2020, 00:22:27 AM

What about musical instruments or simply riding a bike.

Just need a better bike helmet?

https://dereferer.me/?https://www.amazon.com/CCM-Fl3ds-Hockey-Helmet-HTYTHC/dp/B0759D69DQ

GlassesGuy23 · « **Reply #34 on:** 27. July 2023, 07:20:49 AM »

Bracesx3 · « **Reply #35 on:** 29. July 2023, 19:07:13 PM »

I went to grade school and high school with a girl a year older than me. She had her headgear wired in in 8th and 9th grade due to noncompliance. I would see her everyday after eating lunch reattaching the straps to her immovable face bow. We carpooled together in high school. She admitted how absolutely humiliating it was. She became very quiet and reserved from the whole ordeal.

pesp · « **Reply #36 on:** 30. July 2023, 18:43:45 PM »

Why did she need to remove the straps to eat lunch? The straps are not in the way of eating (speaking from experience).

Bracesx3 · « **Reply #37 on:** 30. July 2023, 22:15:05 PM »

I’m not sure. Perhaps to decrease the tension, but after lunch everyday as she was walking to the playground, she would reattach her straps and pull her hair through the top portions.

GlassesGuy23 · « **Reply #38 on:** 01. August 2023, 18:39:05 PM »

GlassesGuy23 · « **Reply #39 on:** 19. July 2024, 04:34:59 AM »

surfreak · « **Reply #40 on:** 19. July 2024, 07:13:59 AM »

You can’t really brush your teeth with an inserted facebow.
This is the first reason why I am petty sure that it is only a (nice) phantasy.

Stefan · « **Reply #41 on:** 19. July 2024, 10:36:47 AM »

Correct.
I can tell you from practical experience that a fixed headgear is a fantasy product.
The risk of serious injury during sport, for example, is too high.
No orthodontist would take this risk for their patients.

jkwlsh · « **Reply #42 on:** 21. July 2024, 19:30:26 PM »

Yet, in the seventies it was done. The proof is irrefutable. That does not mean it was a good idea and time was measured in months, not years.

I doubt if it is done today but for some unfortunates back in the day, they had no choice.

My ortho wanted full time wear and used parental pressure to accomplish as much wear time as he could coerce out of his patients. And for some of his patients that worked, some kids wore them to jr high school, some older patients, such as myself, tried to squeeze wear time in without going public, but sometimes we just wore the damn things, pride be damned.

zahnspange · « **Reply #43 on:** 21. July 2024, 19:57:52 PM »

i have an article / study from a professional ortho which did wired in facebow in the beginning of the 80s ...

silver-moon-2000 · « **Reply #44 on:** 21. July 2024, 21:34:45 PM »

Quote from: zahnspange on 21. July 2024, 19:57:52 PM

i have an article / study from a professional ortho which did wired in facebow in the beginning of the 80s ...

I just wanted to comment the same. There is an article in "Fortschritte der Kieferorthopädie", (I believe, a peer-reviewed) Journal of 1988 where the author writes about his experience with tied-in headgear.

And then there is another Journal (this time, it's the Journal of clinical orthodontics) of 1974, from where I quote:

Quote

This was a poor patient, who would continue to be a poor patient. One way to make a poor patient into a super patient is to tie in the headgear. One way of doing this is to bend the on-the-arch headgear hooks over on themselves, locking in the J hooks

So, to me there is enough evidence to support the idea, that wired-in headgear does (or did) in fact exist.
Whether that ever was a good idea (especially against the wishes of the patient) is another question entirely.

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Author Topic: Headgear Wired In (Read 38175 times)

GlassesGuy23

GlassesGuy23

GlassesGuy23