Treatment and posttreatment effects of the Herbst appliance on the dental arches and arch relationships

doi:10.1053/sodo.2003.34026

Seminars in Orthodontics

Volume 9, Issue 1, March 2003, Pages 67-73

https://doi.org/10.1053/sodo.2003.34026 Get rights and content

Abstract

The aim of this article was to give an overview of the dental effects of theHerbst appliance and to discuss their clinical consequences. The arch perimeter, arch widths, and interarch changes as well as mandibular incisor crowding and gingival recession during Herbst treatment are reviewed. The average changes in the short- and long-term perspective are shown, and the large individual variation is stressed.

References (16)

HansenK. et al.
Long-term effects of Herbst treatment on the mandibular incisor segment: a cephalometric and biometric investigation
Am J Orthod Dentofac Orthop
(1997)
RufS. et al.
Orthodontic proclination of lower incisors and gingival recessions
Am J Orthod Dentofac Orthop
(1998)
PancherzH.
The mechanism of Class II correction in Herbst appliance treatment: A cephalometric investigation
Am J Orthod
(1982)
LittleR.M.
The Irregularity Index: A quantitative score of mandibular anterior alignment
Am J Orthod
(1975)
LittleR.M.
Stability and relapse of Mandibular anterior alignment: University of Washington studies
Semin Orthod
(1999)
ArtunJ. et al.
Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism
Am J Orthod Dentofac Orthop
(1987)
DorfmanH.S.
Mucogingival changes resulting from mandibular incisor tooth movement
Am J Orthod
(1978)
PancherzH. et al.
Occlusal changes during and after Herbst treatment: a cephalometric study
Eur J Orthod
(1986)

There are more references available in the full text version of this article.

Cited by (6)

Use of miniscrew implant to control lower incisor proclination during Herbst therapy: A case report
2018, Journal of the World Federation of Orthodontists
Citation Excerpt :
A reciprocal intermaxillary anchorage of the Herbst causes a lower and anterior force on the lower teeth (action), as well as a superior and posterior force on the upper teeth (reaction) [17]. Thus, the Herbst appliance promotes some orthodontic effects, which depending on the patient's clinical characteristics, may be considered undesirable, such as retroinclination of the upper incisors and proclination of the lower incisors [17–23]. In addition, Herbst therapy also can cause a sagittal restrictive effect on the maxilla [18,21,24–26], which is favorable in cases associated with maxillary prognathism.
The purpose of this article was to report the orthodontic treatment of a growing patient with Angle Class II malocclusion, without teeth extraction and/or orthognathic surgery.
The Herbst mandibular protractor, associated with miniscrew implants (MSIs) installed in the mandible, was used for the correction of Class II malocclusion. The use of skeletal anchorage was aimed to reduce lower incisor proclination.
Restriction of maxillary growth, distalization of maxillary molars, and control of the lower incisor proclination were observed.
The association of MSIs with mandibular protractor device allowed minimization of side effects as well as enhancement of skeletal and dental effects with excellent predictability and minimal patient collaboration.
Influence of the force magnitude of fixed functional appliances for class II subdivision 1 treatment—a cephalometric study
2023, Journal of Orofacial Orthopedics
Herbst–multibracket appliance treatment: is there an association between lower incisor position changes and the development of labial gingival recessions?
2021, Journal of Orofacial Orthopedics
Mandibular orthopedic advancement in different facial patterns and distinct stages of skeletal maturation
2021, Dental Press Journal of Orthodontics
In vitro flexural strength evaluation of a mini-implant prototype designed for Herbst appliance anchorage
2010, Dental Press Journal of Orthodontics
Cephalometric study in patients that displayed Class II, division 1 malocclusion treated with herbst appliance
2008, Revista Dental Press de Ortodontia e Ortopedia Facial

View full text

Treatment and posttreatment effects of the Herbst appliance on the dental arches and arch relationships

Abstract

Am J Orthod Dentofac Orthop

Am J Orthod Dentofac Orthop

Am J Orthod

Am J Orthod

Semin Orthod

Am J Orthod Dentofac Orthop

Am J Orthod

Occlusal changes during and after Herbst treatment: a cephalometric study

Eur J Orthod