Jaw Development Ages 6-10 An Overview
What is RAGGA?
Removable Anterior Guided Growth Appliance (RAGGA) is a non-invasive, safe orthopedic growth guidance appliance that fits like a simple upper retainer. RAGGA is used in children ages 6-10 to develop the jaws and mid-face to their full genetic potential, without risky and expensive jaw surgery.
What should I look for in my child to know if an orthopedic growth evaluation is necessary?
- Teeth crowding or crooked teeth
- Misaligned bite
- Teeth don’t meet correctly
- Underbite or overbite
- Facial asymmetry
- Frequent headaches
- Open mouth breathing
- Short attention span/ easily distracted
Benefits of Orthopedic Growth Guidance
RAGGA provides many benefits over traditional orthodontic techniques including remodeling of the jaws during the growth phase, alignment of teeth and functional bite within the ideal developed jaw position, improved facial structures, and improved overall posture.
Three months into orthopedic guided growth with RAGGA, this 8-year-old’s posture, head tilt, and facial symmetry has improved.
Because of the profound forward growth of the upper and lower jaws, RAGGA decreases and in most cases eliminates the potential for TMJ problems and airway issues in children. 1/3 of children wearing RAGGA will not need further orthodontic treatment. The other 2/3 of children wearing RAGGA will need Controlled Arch Braces later during adolescence to straighten and align the teeth in the space provided by orthopedic growth, but the duration will be much shorter (estimated 6-12 months) in braces than in children who do not have orthopedic growth with RAGGA prior to braces.
Jaw Development Ages 6-10 What to Expect
How does Orthopedic Growth Guidance using RAGGA work?
RAGGA is a simple, retainer-like appliance that is worn on the roof of the mouth. The appliance is specifically designed to put pressure on a specific spot on the upper palate that stimulates a nerve to turn on the bone growth centers behind the upper jaw. The RAGGA is also unique in that it has a small dimple that the child pushes on with his/her tongue as a myofunctional exercise (an exercise for correct tongue position) as well as applies pressure to this very important “spot”. Stimulation of this spot creates a robust response of bone growth resulting in 3-dimensional remodeling of the entire mid-face forward, including the nasal sinus and upper jaw. This type of growth stimulation is unlike any other orthodontic appliance available.
Additionally, specially designed bite pads on the appliance allow the lower jaw to follow the forward growth, stimulating the lower jaw to also remodel and grow into the genetically intended physiologic position. The result? Beautifully developed mid-face, upper and lower jaws and more than adequate space for the teeth to fully erupt.
For orthodontic treatment to be successful, the jaws must first be developed and positioned in the correct location in the face. Only after that should the teeth be then aligned and straightened.
Guided Orthopedic Treatment: Real Patient, Real Results
8 year old with headaches developing deep overbite and retruded lower jaw.
Day of RAGGA insertion- deep bite unlocked and lower jaw allowed to come forward, decompressing the TMJs and opening up the airway.
2 months wearing RAGGA- Headaches resolved. Upper jaw growing forward and lower jaw tracking forward on bite plates, further decompressing the TMJs and opening the airway.
3 months in treatment, the upper jaw is developing forward 3 dimensionally, developing space to accommodate future adult teeth.