ORA Therapy


For decades, people living with improperly structured upper jaws or individuals with midface deficiency had to turn to invasive and uncomfortable surgical procedures to correct issues.

Not only is it invasive and painful, but jaw surgery to correct facial growth issues, sleep apnea or jaw conditions like TMJD also required a long — and also painful — recovery process. But in many instances, jaw surgery was not enough to correct problems with facial growth or jaw development issues; it usually also meant years of orthodontic treatment, tooth extractions and other dental procedures to achieve desired results.

But now, there’s a non-invasive alternative to jaw surgery designed to correct central face issues and help redevelop jaws that did not reach their full genetic growth potential. That alternative is facial growth orthodontics intended to grow the upper arch through osseo-restoration appliance (ORA) therapy.

ORA therapy works to gradually to restructure your jaw to reach its correct size without invasive surgery.

ORA is used to correct crowded teeth, overbites, underbites, airway issues, TMJD or other jaw structure issues.

How Does ORA Therapy Work?

ORA are functional appliances that help guide an expansion of the upper jaw and facial structure.

This new growth helps fill out the midface region, allows the jaws to reach their full growth potential, improves the profile and gives you an overall more youthful appearance.

If the person has grown with the proper stimulation and they have achieved the right size maxilla mandible and its position, or if they haven’t and I could decide and tailor make a treatment plan and orthodontic treatment plan that will guide the growth of the face according to the genetic plan.

What Causes Facial and Jaw Development Issues?

Many things can contribute to impaired facial growth and jaw development, which can contribute to the development of dental, oral health and overall health issues later in life, along with compromised facial aesthetics and airway issues.

These factors include environmental pollution, stress, poor oral behaviors such as extended thumb sucking, diet and tongue-ties.

Proper jaw and facial development can help you:

  • Breathe through your nose comfortably
  • Seal your lips and keep them closed easily
  • Position your tongue correctly in your mouth

ORA therapy can help correct:

  • Poor oral behaviors, such as thumb or finger sucking
  • Grinding or clenching your teeth, also known as bruxism
  • Mouth size
  • Tooth arrangement
  • Facial and oral muscle strength
  • Jaw health
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Traditional dentistry and extractions aren’t always the answer and can sometimes lead to problems later in life. Learn how Carl overcame dentistry mistakes in the past to live his best life showing his healthiest smile.

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I met with Dr. Conchi. She listened to what I was going through. She understood what I was going through and she presented a bunch of solutions that made sense to me. They listen more, and they come up with solutions catered to your issue versus other offices where they’re kind of just going through the motions of treatment.

Healthy Gums

Two Types of Osseo-Restoration Appliance

Osseo-restoration appliances are usually made of wire and resemble a retainer. There are two primary types of ORA: removable and fixed.

Removable Osseo-Restoration Appliances

Removable ORA can be taken out when necessary, typically for eating, drinking and practicing your oral hygiene routines of brushing and flossing.

Although they are removable, they should be worn as much as possible to be effective.

Removable ORA are best suited for children who are still waiting for their adult teeth to come in.

They are appropriate for kids with midface issues, TMJ pain, difficulty opening and closing their mouth, poor oral rest posture, and narrow upper airways.

Fixed Osseo-Restoration Appliances

Fixed ORA are often used to treat adults and expand an underdeveloped upper jaw by expanding the upper arch. Expansion of the jaw and improved facial growth gives more space for the adult teeth in the mouth and decreases the need for orthodontic extractions and invasive jaw procedures.

These devices can treat TMJD; airway problems, including obstructive sleep apnea; improper oral rest posture; posture problems; and bite issues.

ORA therapy is often used in connection with other orthodontic treatments, including neuromuscular orthodontics, controlled arch braces, myofunctional therapy and other functional appliances.

Schedule Your Osseo-Restoration Appliance Consultation

Are you interested in learning more about how ORA can improve your facial development, decrease your sleep apnea symptoms or help you avoid jaw surgery? Call us to schedule a consultation to determine if an ORA or other orthodontic treatment could solve your functional jaw and fascial aesthetic dental issues.