facemask (orthodontics) facemask (orthodontics) a facemask (also referred to as a protraction facemask, orthopedic facemask, or reverse-pull headgear) is a type of an orthodontic headgear used to treat underbite and other malocclusions where the upper jaw is too far backwards. a metal bar sits in front of the patients face with support from the forehead and chin. elastics are connected to the metal bar and the teeth - directly through the lips / mouth of the patient. the elastics apply forward and downward pressure on the upper jaw. thus the force direction is the opposite from a standard headgear which is why this appliance is also known as a reverse-pull-headgear. teenage patient been fitted with her orthopedic / orthodontic facemask - required wear-time 16 hours daily. this facemask appliance needs to worn by the patient for between 14 and 16 hours daily. additional images example of a protraction facemask being test fitted - an orthopedic / orthodontic facemask. facemask headgear held onto the patient’s face using the direct force of the connecting elastic bands into the patients mouth, typically worn 14 to 16 hours a day depending on treatment plan. the reverse side of the facemask headgear showing the face frame, pads for forehead and chin with moleskin padding for the patients comfort.