When the lower jaw is retrusive (back) relative to the upper jaw, we sometimes use an appliance called the Forsus appliance to encourage jaw growth by positioning the lower jaw forward.
The Forsus acts in a similar manner as a Herbst appliance. When the lower jaw is brought forward it brings the condyle (jaw joint) out of the fossa creating a “vacuum”. Nature does not like a vacuum and this encourages bone growth on the condyle in a backward direction thereby lengthening the jaw.
Dr. David has a wonderful chairside manner, just as his father did when I saw him many years ago. He made me feel very comfortable.
I would highly recommend Dr. Engen and his office staff to anyone whose child was apprehensive about having braces. Other than the high level of professionalism, I appreciate the down-play of cutsie-pie gimmicks for kids. He thoroughly explained everything to us right from the start.
Because of the internet information provided about his background and education, I feel I have a top level, up-to-date professional taking care of me.
State of the art care! I like the “get it right” attitude. After eight years I have not had one negative experience.
Lyle B. (Periodontal patient)
Dr. Engen was great! He explained my diagnosis and the procedure required thoroughly. I was even asked if I liked the colors of paint for the office.
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