This is a full time wear appliance. The only time you take it out is to brush your teeth and to eat. You must brush after every time you eat. Make sure you brush your tongue, gums, and teeth. The roof of your mouth and the gums under your appliance must each be brushed for sixty seconds. You must then put more toothpaste on your brush and scrub the top and bottom of the appliance. If the gums under your appliance start to look red and puffy, and bleed easily, it means they're not getting brushed enough. Do not play with your appliance by flipping it on and off your teeth. This will eventually cracked the plastic or break the metal wire. If the wire breaks, do not take the appliance out. If you break the wire, you may clip it or bring it in for us to clip. You can wear the bionater without a wire. When speaking, if others cannot understand you, try not to take the appliance out. Instead, slowly repeat what you said and you should be understood. Three weeks after you have been wearing the bionater full time, you will discover that your back teeth don't touch. You will also notice at this time, the lower jaw will come forward and no matter how hard you try to push it, it won't go back. This is just a temporary change. If you were to take it out for a few days it would drift back. It will take seven months of full-time wear to make it a permanent change. If you lose or break your appliance to the point that it cannot be worn, it is not an emergency, but please call the office as soon as possible. To allow time for the dental arch to stop constricting, we will have to wait one week from the time the appliance was last worn to take an impression for a new one.