Elastics move the teeth in a direction that cannot be accomplished with braces alone. Your teeth and jaws may be tender the first few days of wearing the elastics. This is normal and should begin to disappear within a week. If your soreness persists longer, please call Skyline Orthodontics.

Attaching your elastics may seem hard initially. However, with a little time and patience, you will be able to accomplish the task easily. Elastic wear must be constant to be effective—24 hours a day for 7 days a week unless otherwise indicated by your orthodontist, Dr. Laura Rothe. Be sure to replace the elastics with new ones immediately following mealtime and brushing.

Change the elastics routinely even if they are not broken. After awhile, elastics lose their strength. Change them at least after each meal and before bedtime. If one elastic breaks, replace both sides. Carry extra elastics with you at all times.

Elastic wear is an important key to the speed of your orthodontic treatment and the final results we can achieve. Please call us if you have any questions or concerns.

Fixed Retainer

Removing braces signal the start of the retention and observation period of your orthodontic care in Elkhorn, Nebraska. Once the teeth have been moved into their desired positions, a period of time is needed to stabilize the teeth so the surrounding bone and soft tissue can conform to your new dental alignment. When your orthodontist removes your braces, it is a good time to review several important aspects of care.

Patients in the retention phase are seen periodically in our office during the first year after braces are removed. Patients will continue to see the doctor until she feels that they can be dismissed from treatment. It is then the patient’s responsibility to wear a retainer as prescribed. Please call our office if you have any questions regarding your retainer.


One of the ways we can move your jaw bone and teeth is through the use of an appliance called headgear. It helps us move your teeth in a way that braces alone cannot. The headgear uses the back of the neck or the back of the head to provide force to the teeth to help create a beautiful smile. Your headgear will fit in tubes on the molar bands. Headgear is a removable appliance that is usually worn during the evening and night.

When headgear is prescribed:

  • Patients do not need to wear their headgear to school, work, or during active sports.
  • It must been worn at least 10 hours each day (unless otherwise instructed).
  • Consistent daily use is essential to achieve success in treatment.

When wearing headgear, expect:

  • The molars to ache and be slightly loosened as tooth movement occurs.
  • A band to become loose, occasionally. If this happens, please call our office for an appointment to have your band recemented.


Through this technology, a plan will be designed and aligners are then created for your best results. There will be different sets of aligners for each stage of the treatment for your condition, adjusting your teeth through controlled force – just like traditional braces.

With good dental practice, caring for Invisalign is easy. You will need to brush thoroughly after each meal and before you re-insert the aligners. Cleaning the aligners themselves, by brushing and rinsing in water, is also recommended. The aligners will need to be worn all day except when eating and cleaning.

MARA Appliance

This appliance is generally anchored to the patient’s first molars with stainless steel crowns. The upper “elbows” may be removed by your orthodontist, facilitating comfort and corrective adjustments. Patients generally adjust to the MARA in a few days with minimal soreness.

The appliance may be advanced unilaterally or bilaterally and works well in skeletal midline asymmetry cases. Upper and lower arch wire tubes are standard, allowing the orthodontist the option of using fixed mechanics (braces) during the therapy.


Microscrews (also known as Temporary Anchorage Devices) are among the newest innovations in orthodontic techniques. They help to move teeth when extra anchorage is needed and cannot be gained any other way. They are relatively painless to put in and can make a significant difference in your treatment.

Palatal Expander

Rapid Palatal Expander (RPE) is for patients whose upper jaw is narrow. Your Rapid Palatal Expander gently widens the upper arch (palate) by stretching the center palatal connective suture. Once widened, the suture knits together. The RPE is prescribed only prior to completion of growth.

Before the RPE feels comfortable, the patient may expect:

  • To feel a tingling or itch under the expander
  • To feel pressure in the cheek area
  • To see a space appear between the upper two front teeth
  • Impaired speech, initially reading a book will help

Remember when brushing:

  • Use a Proxybrush and a regular toothbrush
  • Brush as usual