Dr. Aaron Miyai can correct your bite and smile misalignments with oral appliances. If you have any questions about orthodontic appliances in Kihei, Lahaina, and Lihue, Hawaii, and to make your appointment with our orthodontist, please call Hawaii Smile Designs at (808) 874-9229.

A rapid palatal expander (rpe) is an upper appliance that places pressure on the upper jaw by turning a mid-line screw. The pressure separates the midpalatal suture thus making the maxilla whiter, which can correct crossbites and create space. RPE’s are used often to correct postier crossbites.

Twin Block/Activator
The Twin Block is a removable functional appliance composed of two elements, the upper bite block covers the posterior teeth and ends with an inclined plane. The lower bite block covers the primary and first premolars. When the teeth close together the inclined planes articulate and force the lower jaw to posture forward.

The Mandibular Anterior Repositioning Appliance (MARA) is made to treat malocclusion that involve the protrusion of the upper front teeth or the lower jaw and/or teeth that are positioned back in regard to the upper jaw and or teeth.

Lower Lingual Arch
The Lower Lingual Arch appliance is a type of space maintainer that helps prevent the molars from moving forward and out of their ideal positions. It also prohibits the molars from blocking the area where permanent teeth will eventually erupt.

Nance Appliance
The Nance Appliance is helpful when preventing the upper molars from shifting forward after you’ve worn any kind of oral appliance that is meant to move your molars farther back in your mouth.

Pendulum Appliance
The Pendulum Appliance can correct misaligned bites by moving the upper molars back. It can also correct a bad bite on the side of the mouth.

Thumb/Finger Appliance
The Thumb/Finger Appliance helps stop thumb- and finger-sucking habits. This appliance is also known as a fixed palatal crib, and it is placed on the upper teeth.

Tongue Thrusting Appliance
A Tongue Thrusting Appliance is similar to a mouth guard, and it is usually worn at night. It helps you avoid pushing your tongue against the front teeth when speaking, swallowing, or resting the tongue. If necessary, Dr. Aaron Miyai can prescribe a more permanent appliance to keep your tongue from misaligning your teeth.