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Facemask or reverse-pull headgear is an orthodontic appliance typically used in growing patients to correct underbites (technically termed Class-III orthodontic problems) by pulling forward and assisting the growth of the upper jaw (maxilla), allowing it to catch up to the size of the lower jaw (mandible). Facemasks or reverse-pull headgear needs to be worn approximately 14 to 24 hours per day to be truly effective in correcting the underbite, usually anywhere from 12 to 18 months depending on the severity of the bite and how much a patient is growing.