Lingual Arch, Quadhelix, TPA


These are all very similar appliances. You will have two bands “glued” to your first molars that hold the appliance in place. These are used primarily to maintain space for the adult teeth that need to erupt.



What to Expect


  • The first few days with your new appliance will be an adjustment period.  Your teeth may be a bit sore.  Please feel free to take Tylenol or Ibuprofen.
  • Initially, you will produce extra saliva in your mouth.  This will subside in a few days.
  • You may have difficulty pronouncing some words at first. We recommend reading out loud in the beginning until you get used to it.
  • You may also feel that you can’t swallow the way you did before,, this is only temporary.
  • Eating may feel awkward at first, so try softer foods.

Dr. B’s Rules


  • Please brush your appliances when you brush your teeth.
  • Don’t eat any sticky, chewy candy or gum.  These can loosen the appliance.
  • Don’t eat nuts or popcorn. These can get caught under the wires of the appliances and can cause irritation of your gums or can result in an infection. Please substitute with puffed corn.