As speaking is not possible with this appliance it is worn at home and during night, for about 6-12 months. It must be removed for eating and cleaning.
Further orthodontic treatment with fixed braces is usually needed after functional appliance treatment. This is because the activator has mainly a skeletal effect, while the fixed braces have only a dental effect.
Remember: teeth have never failed to move if elastics are worn as prescribed ! You will have some discomfort for the first few days, but as long as you continue to wear your elastics as directed, the discomfort will go away. Ibuprofen can help you through the first few days, if you are finding it uncomfortable. Poor elastic wear is the #1 cause of patients wearing their braces longer than predicted. Orthodontics is a partnership between the patient and the doctor, therefore we highly advice you to do your part to help complete your treatment successfully and on schedule.