Appliance Instructions

Rubber bands

Based on your individual treatment, you may be required to wear rubber bands.  Rubber bands helps to fit the upper teeth with the lower teeth. It is important to comply and follow instructions as the teeth and jaw cannot move into the correct location without the use of rubber bands. The more precisely you cooperate and follow Dr. Moore's instructions, the quicker things will move into place. 

Spacers / Separators

Example of spacers between teeth before putting on braces

Spacers look like little blue doughnuts.  They are placed between your teeth in order to make space to fit you for your appliance.  They are removed prior to appliance placement.  Here are some helpful tips on spacers:

  • Please avoid sticky foods
  • Please do not pick at the spacers
  • Avoid flossing in the area where your spacer is placed
  • If a spacer is lost, please call the officer for further instructions
  • If you become sore, you can take whatever you usually take for a headache.


Example photo of a clear retainer made by Moore Orthodontics Lake Zurich Illinois

Wearing your retainer is just as important as wearing your braces or Invisalign.  Here are some helpful tips to keep your teeth in their home position:

  • Wear your retainer as instructed by Dr. Kristin Moore
  • Take your retainer out of your mouth to eat or drink.  Remember to put the retainer in its case when it is outside your mouth.
  • Keep your retainer away from pets or it will end up being a very expensive chew toy.
  • To clean the retainer, brush it thoroughly once a day with a toothbrush and toothpaste.  Use cold or lukewarm water.  You may also use denture cleaner or retainer  cleaner tablets.
  • If you lose or break your retainer, please call our office.
  • Always bring your retainer to your appointments.
  • Remove your retainer when you go swimming.
  • Do not leave your retainer in a hot car.
  • Do not put your retainer in the dishwasher.  
  • Do not wrap your retainer in a napkin.  This is the #1 way patients lose their retainers.  Always put the retainer in its case when it is outside your mouth.
  • Retainers are breakable.  Please treat them with care.

Palatal Expander

A rapid palatal expander is a type of appliance that widens the upper jaw. In some cases, it is necessary to expand the upper jaw so that it will fit properly with the lower jaw. In other cases, it is used to create room for crowded teeth or used to correct a cross bite. Once the expander is activated to the proper width, the expander is held in place until new bone is formed.  

The palatal expander is activated by a key that is inserted into the mouth.  

What to expect when wearing the expander:

  • After a turning, the patient may feel a little pressure/discomfort. This feeling should go away after several minutes. If discomfort persists, take whatever you take for pain such as Tylenol or Advil every 4-6 hours.
  • Remember if the expander is poking or rubbing put wax on the area. If the expander becomes loose or the irritation persists, please call our office.
  • Make sure you avoid hard, sticky, or crunchy foods including popcorn.
  • To clean the expander, brush every part of the appliance 2-3 times a day.

Carriere Motion Appliance

The Carriere Motion appliance is an appliance used to reduce overbite problems.  This non-invasive appliance is used at the beginning of treatment to correct the bite by moving the back teeth backward.  Once the bite is corrected, braces or aligners are placed to finish the case.  Here are some helpful tips to get the most out of your Carriere Motion Appliance:

Picture from Moore Ortho showing the carierre motion appliance in an example mouth showing how tooth and jaw movements take place. 
  • Replace your rubber bands often and remove them when eating.  It is best to change the elastics every 4 hours.
  • If our appliance becomes detached from your tooth, please call our office to have it reattached.
  • Feeling some discomfort is common.  You may take whatever you use to relieve a headache to make you more comfortable.
  • Try to avoid hard or sticky foods that can get caught in or break the appliance.
  • Please use the proper rubber bands given to you by Dr. Moore. 


The Forsus appliance is an appliance used to reduce overbite problems.  It improves the fit of the teeth and is generally worn for 6-9 months.

What to expect

  • Getting comfortable with the appliance can take several days.  As you are getting used to it, you may use wax or salt water rinses to ease any irritations.
  • You bite may start to feel like your teeth do not fit together.  This feeling is only temporary and will improve as the teeth adjust.
  • Avoid hard or sticky foods that can get caught in or break the appliance.  
  • Brushing your teeth and the Forsus appliance after meals is recommended.
  • The appliance is designed to move with your normal mouth movements during eating and speaking.  However, it is recommended not to open your mouth extremely wide or the appliance will disengage.  If the spring comes away from the rod, compress the spring until it fits back onto the rod.  
  • Please call the office with any questions or any issues that may arise.
Forsus orthodontic appliance showing spring and tooth movement.  


The Herbst appliance is an orthopedic appliance used to correct the jaw and any tooth imbalances when the patient has a severe overbite.  It is usually worn for 12 months.  This appliance can possibly prevent the need for jaw surgery.

What to expect:

  • Expect the tongue, cheeks and lips to be a little sore for the first few days. You may develop sores on your cheeks if the “rods/tubes” are rubbing. You may place wax on these areas to help reduce any discomfort. Warm salt water rinses can also help the sores to heal.

  • For the first few days try eating foods such as pasta and rice until you get used to the Herbst appliance.

  • Stay away from hard, crunchy, and sticky foods.  Remember that the Herbst is durable but it is not indestructible. Be careful when eating.

  • Make sure you take good care of your Herbst.  When you brush your teeth, you should also brush your Herbst appliance.

  • If you have any issues, please call the office.

Herbst orthodontic appliance for jaw movements.