dr. kuipers, orthodontics

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The metal of choice for orthodontic appliances in the early 20th century was gold, because of its malleability.

What's New

Appliance Care


The function of your retainers is to hold teeth in their proper positions after braces are removed. It is necessary to wear a retainer in order to keep your teeth straight.

Wear Time
You are instructed to wear your retainer, starting 12 hours a day for the first 8 weeks. You should only wear your retainers at home, not to school or out to a friend’s house. After the initial 8 week period of 12 hour wear, you will be instructed to reduce the wear time to 8 hours or when you are sleeping.

Retainers should be stored in their case when they are not in your mouth. Brush your retainer with your toothbrush every time you take it out. Keep your retainer in a safe spot where you will remember to put it in every night. If retainers are lost or broken there is a replacement fee. Please bring your retainers, to every appointment.

If retainers do not fit please call us to schedule an appointment for a new retainer. If you lose or break them please call the office to have them replaced. If the retainer feels loose call to schedule a visit to have them adjusted.

Rubber Bands

The function of the rubber bands is to fit all your teeth into their ideal positions.

Rubber bands are placed on hooks that are attached to your braces. Each individual patient may be asked to hook up their rubber bands differently. Dr. Kuipers will decide where rubber bands will be placed, and how often you should be wearing your rubber bands. To achieve the fastest result the rubber bands should be worn exactly as instructed. Placing new rubber bands after meals and brushing is helpful.

What To Expect
Your teeth may be sore for the first few days. We recommend Tylenol or Advil for the discomfort. We have also found that is you wear your rubber bands faithfully, you will get through the periods of discomfort soon. Rubber bands do occasionally break. We recommend keeping bags of rubber bands at home, at school or in purses and bags. If you ever run out of rubber bands before your next appointment, please call us and we will BE happy to mail them.


The function of an expander is to widen the upper arch

Dr. Kuipers cements the expanders in place.

Because your appliance is cemented in place additional care is required. Places which need more brushing include the backs of teeth where the bands are placed, in and around the screw, up and under the bars, and around the hooks on the cheek side of teeth.

Wear Time
For the first 28 days we are going to have you activate your expander. Using a key we gave you, turn the screw one turn per day for 28 days. At night seems to be the best time of day to turn the expander. We will see you in about 2-3 weeks after the expander is put in place and then again 2 weeks later to check your progress.

What To Expect
In the process of gaining proper width, you may experience general tenderness and temporary spacing between front teeth. The tenderness will disappear in a few days and the space will close after we have reached the desired width. For discomfort you may take Tylenol or Advil.


The function of the bionator is to bring upper and lower jaws into balance and to correct overbites.

Wear Time
Bionators should be worn 24 hours a day with the exception of when you are eating, brushing your teeth, playing active sports, or reading in class.

Care of your Bionator
Brush your bionator with your toothbrush and toothpaste every time you brush your teeth. When bionator is not in your mouth, it should be in a protective case. Please keep your bionator in a safe place, out of reach of pets.

What to expect
Speech may be muffled or slurred at first. Practice talking with the bionator by reading books and homework out loud at home.

Sore spots may develop on your gums from your bionator rubbing against it. If this happens please call us and we will adjust it for you.

Some tenderness is to be expected the first few days. Tylenol or Advil should help with the discomfort.

If sore spots should develop, please call the office and schedule a visit.


The function of the headgear is to correctly align teeth and jaws.

Fit face bow (right side up) into the molar tubes. Attach the strap to one side of the bow. Hold the center of the bow and attach the strap to the other side of the bow.

Wear Time
Wear your headgear at least 14 hours a day. Wearing it more could reduce the overall time the headgear needs to be worn. Please bring your headgear to each appointment.

Never wear your headgear when running or playing sports. This includes rough-and-tumble games, playing with the dog, etc. Stay away from foods that are very hard sticky, they may cause the bands to loosen.

What to expect
Your teeth may be tender the first few days. The tenderness will disappear as you adjust to the new pressure. You may take Tylenol or Advil for any discomfort.

Reverse Headgear

The function of the reverse headgear is to bring upper teeth forward while holding the lower jaw back.

Please the rubber bands on the brackets in the mouth, as shown at your appointment. Then place facemask on face, hooking the rubber bands to loops on mask.

Wear Time
To have success with the headgear, you will want to wear the headgear at least 14 hours a day. Wearing the headgear more decreases the overall time it needs to be worn.

Never wear face mask when running or playing sports. This includes rough-and- tumble games, playing with pets, etc.

What to expect
Please bring your reverse headgear to each of your appointments. You may find that your chin or forehead is chapping from the face mask. If so, apply lotion to those areas before and after wearing the face mask. Your teeth may be tender the first few days. This will disappear as you adjust to the new pressure. You may take Tylenol or Advil for any discomfort.