Occipital or high pull headgear is very similar to cervical headgear in its mechanism of action. However, compared to cervical headgear in which the neck strap is worn behind the neck, occipital headgear derives its anchorage from the back of the head to produce a distal and superiorly directed force on the upper jaw and its dentition. This version of headgear is used for those individuals who have minimal overlap of the front teeth and where an increase facial height would be undesirable.