Orthodontic Treatment in Omaha, NE

At Pedodontics, P.C., we're proud to provide expert orthodontic care to patients throughout the Omaha, NE area. Our doctors and highly trained team of orthodontic specialists work with every patient individually, designing a personalized treatment plan focused on helping the patient achieve a beautiful smile in the long term. While braces are the most common and one of the most effective treatments we offer, in many cases, we'll need to pair braces with an additional orthodontic appliance to achieve the best possible result.

Removable & Fixed Expanders

Fixed and removable palatal expanders are a class of orthodontic appliances that act to widen the upper jaw, creating more space for teeth and treating many problems like crowding or crossbite. In children, the upper jaw is actually split in half – so by applying a gentle, constant force on either half, we can push the jaw apart and stimulate bone growth in the middle, effectively widening the upper jaw. We offer both fixed expanders, which act to widen the upper jaw, and removable retainer expanders, which work more by "tipping" the teeth, although they can also widen the jaw.

Removable & Fixed Expanders

Reverse - Pull Headgear

Reverse - Pull Headgear, also called an Anterior Protraction Facemask, is a device used to treat an underbite caused by an underdeveloped upper jaw or overdeveloped lower jaw. We'll usually use this headgear in younger children, and because we only ask patients to wear it at night and on weekends, it's a fairly tolerable and highly effective solution. When started early, treatment with this device can achieve significant improvement in the skeletal structure and appearance of the face and jaws.

Reverse - Pull Headgear

Transpalatal Arch (TPA)

This is a fixed appliance that attaches to the upper molars with a bar that extends across the palate. A TPA can be useful for holding space open or for helping the molars move to the back of the mouth.

Ectopic Eruption Appliances

While crowding may be most obvious in the front of the mouth, it usually occurs in the back of the mouth as well in the form of an "ectopic molar." This is a molar that erupts in the wrong place, and while it's most common in the upper arch, it can also occur in the lower arch. Often, the upper molar will erupt with a forward slant, causing the root of the baby tooth in front of it to dissolve and disrupting the normal eruption process.

Ectopic Eruption AppliancesEctopic Eruption Appliances2


A Nance appliance is a passive appliance that's fixed to the teeth by orthodontic bands on the upper molars. The nance has a wire that extends from the bands to the front of the roof of the mouth, where it connects to an acrylic "button" that rests on the palate. This "button" comfortably prevents the molars from moving forward, helping to keep space open for the front teeth and prevent crowding.


Lip Bumper

A lip bumper is an appliance that's attached to the rear molars with bands and has a long wire that runs around the outside of the lower dental arch with an acrylic "bumper" at the front. As the lip "bumps" against this bumper, it puts pressure on the molars, causing them to drift back and create more space for crowded teeth. Additionally, the bumper keeps the lips away from the front teeth, providing more space for the teeth to flare out and avoid crowding.

Lip Bumper

Functional Appliances

Functional appliances work to correct skeletal problems, influencing jaw growth to promote a proportional, normal facial and jaw structure. Most of these appliances are worn for about a year.

Functional Appliances


The Mandibular Anterior Repositioning Appliance, or MARA, is an appliance that helps move the lower jaw forward. We'll often use the MARA to take advantage of growth spurts and achieve the most growth possible in the shortest amount of time. While we can often achieve desired results with the MARA alone, in some cases we may need to combine it with oral surgery.

Maxillary Banded Bite Plane

This appliance works to stimulate the growth of the upper jaw, helping to treat crowding and other issues. It's cemented to the molars with bands and contains a plastic "ramp" at the front of the upper jaw. The lower incisors fit onto this ramp and provide a subtle pressure that, over time, pushes the upper jaw forward and stimulates growth.

Maxillary Banded Bite Plane

Carriere Distalizer

The Carriere Distalizer is  an orthodontic device that was developed to correct a bite without a headgear or removing teeth. This fixed appliance helps to push the upper molars back, creating more space in the mouth and preventing crowding and other issues. We may also use this appliance in combination with Invisalign.

First, we create an anchor point by placing a lower lingual holding arch or fitting a lower Essix clear retainer.  A Carriere Distalizer arm is bonded to the upper molars and either the cuspids or first bicuspids on both the right and left sides of the mouth.

An elastic band is then stretched from the hook on the lower back molars to the hook on the anterior portion of the Carriere arm. The elastics are worn at all times when movement is desired. Movement in a positive direction can be achieved in a matter of months depending on how severe the case presents.

The Carriere arm is removed when the optimal amount of cuspid distalization, overjet
Correction, and bite opening is achieved. Utilization of the Carriere system can speed up correction of the overbite and deep bite presentation.

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Lower Lingual Holding Arch (LLHA)

This appliance consists of a wire running around the inside of the lower dental arch cemented to the lower molars with bands. This wire acts as a bumper, preventing the molars from moving forward after baby teeth fall out and leaving space for permanent teeth to erupt. This appliance can help prevent crowding and other problems.

Lower Lingual Holding Arch (LLHA)Lower Lingual Holding Arch (LLHA)-A

Contact Your Omaha, NE Children's Orthodontist

Each of these appliances serves a unique purpose, and we'll work with your child to determine if any of these are right for them. If you have any questions about these appliances or the other treatments we offer, we would be happy to speak with you. Feel free to call us at 402-330-5913 with any questions or reach out to us at our contact page to schedule an appointment at our Omaha, NE office. We can't wait to hear from you, and we look forward to helping your child achieve a beautiful smile!