What is the initial adjustment time?
The device is not removable and you will not need to adjust it. Since it fits behind the teeth, it is not very visible. Most patients require between 3 and 5 days to become accustomed to the QH device. After these days of initial adjustment, most patients forget that the appliance is in their mouth. As well, the first 3 to 5 days of wear usually result in some alteration in speech. If the patient will speak slowly, speech will become normal within 3 to 5 days adjustment period. Although the QH works slowly and gently, some discomfort is to be expected. Ibuprofen (Advil), Tylenol or similar analgesics will be all that is necessary. It is an excellent idea to take the proper dose of medication before discomfort starts. Another point of information is that many patients have the habit of pressing their tongue against the QH wire. This will create a groove in the tongue. Although this is not harmful, it may make the tongue sore.